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National Treatment Agency for Substance Misuse - page 30 / 52

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Models of care for treatment of adult drug misusers: Update 2006

Client makes contact with a service provider (Tier 1, 2 or 3 interventions)

Screening and briefing initial risk assessment

Triage and brief initial risk assessment

Initial care plan focusing on engagement and initial needs (if required)

Comprehensive assessment and risk assessment (may involve other service providers)

Keyworking conducted in conjunction with care-planned phase of treatment journey

Comprehensive care plan developed by keyworker and client. Goals identified in one or more of the four key domains

Delivery phase of treatment journey (in conjunction with keyworking)

Care plan review (if more than one agency or service involved in care delivery, then all involved in care plan review)

Treatment completion or maintenance To include further work to assist client integration into the community

Discharge plan

Discharge plan implemented

Discharge

Engagement

Delivery

Completion/maintenance/reintegration

Figure 2: Standard client treatment journey – with initial care plan option included

interventions outlined in the care plan. Once the interventions have started, treatment moves into the “delivery phase”, which includes regular review of the care plan.

The final stage in the treatment journey is the “treatment maintenance or treatment completion” phase. Clients should be assisted to leave structured drug treatment when appropriate and

to maintain the changes they have achieved. This may involve helping the client access a range of non-care-planned community-based services, such as mutual aid groups, housing support, employment, and training and education opportunities (if they are not already receiving them).

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