The Recovery Case Management (Drugs) Team provides tailored, ongoing assessment and support of the prescribing and psychosocial needs of people facing dependent drug use.
The team works with people who face daily dependency with their drug use, which could include heroin, crack cocaine, amphetamine or over-the-counter (OTC) medications.
If appropriate, prescribing options will be discussed, and the Medical Team or a Non-Medical Prescriber will agree a prescribing approach, together with the person’s Key Worker.
Some of the medications prescribed by the team are Methadone and Buprenorphine (Subutex), which are specifically for Opioid dependency.
The team also supports stabilisation, detoxification and relapse prevention. If medications are prescribed, they are collected from a local pharmacy. Initially the team might supervise the use of medications on a daily basis to support stability and the reduce risk of overdose.
In order for medications to be prescribed, the team must have consent to share information with GP’s. Naloxone (an Opioid reversal medication which in many cases is life-saving) is offered to everyone engaged with the team (as well as the people that they live or spend time with should they need to use it). Training is also provided on how to use Naloxone safely.
Each person supported by the team will have a dedicated Key Worker and a Recovery Care Plan, which will look at many aspects of the individual’s life, not only drug use, in order to develop a strong foundation for recovery.
Consideration is given to physical and mental wellbeing as well as wider social, psychological and economic factors. Regular recovery check-ups are put in place, and signposting to, and liaison with, other services is provided where appropriate.
Consent is needed in order for the team to liaise with GP’s and any other services where relevant. Information is treated as confidential in all cases, unless there any safeguarding concerns. These concerns could include domestic violence, child safeguarding, vulnerably housed and associated risks, disabilities and being a risk to others. All sharing of information is discussed with the individual initially, unless it might pose a risk to others.
Where more intensive support is needed, the team has a very close working relationship with the Local Authority and a clear pathway to maximise opportunities for residential rehabilitation.
The Recovery Case Management (Drugs) Team are professionals from various backgrounds, including Nurses, Social Workers, Clinical Specialists, and a Medical Team. They pride themselves on working in a person-centred way, and in collaboration with each individual. The team attends ongoing training to support their practice, as well as having a robust supervision process that focuses on patient care.