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 implemented
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).