in this context, these will be deemed to be aftercare. These include drug-related support and non-drug-related support.
There is a need to ensure the client has access to support pathways (e.g. for housing and training) If links to all appropriate support services are not already in place during a client’s care- planned treatment, drug treatment agencies should assist the client to make these links before their treatment comes to an end. The keyworker or service should work closely with local agencies providing aftercare and support services to enable all necessary support to be in place in time for the client leaving treatment.
During the completion or exit phase of treatment, an aftercare plan should be drawn up by the keyworker and agreed with the client, based on assessment of ongoing support needs, and informed where possible by related professionals (e.g. housing and CJIT workers).
The aftercare plan should include measures that cover possible relapse and ensure swift access back to treatment if required. The aftercare plan must be passed from the drug treatment agency to the agencies responsible for delivering the aftercare, and key staff in this agency should ensure that the plan is implemented and clients receive what is outlined in the aftercare plan.
Drug-related support could include open-access relapse prevention, mutual support groups (e.g. AA/NA or equivalent user- led groups), and advice and harm reduction support. In addition a range of open-access and low-threshold interventions should be available to provide specific interventions to people who have completed treatment, but who may want or need to have occasional non-care-planned support.
Non-drug-related support can cover a range of issues such as access to housing, supported accommodation, relationship support, education and training, support to gain employment, and parenting and childcare responsibilities. In addition, women’s services, peer mentor programmes and other social and activity groups can form elements of non-drug-related support.
Further details on how aftercare provision has been progressed can be found in Developing Peer Led Support For Individuals Leaving Substance Misuse Treatment (2005),54 which gives an outline of emerging themes and findings from five peer-led support projects, and the Addaction Aftercare Consultation 2005: The Service User Perspective,55 which builds upon the findings of Addaction’s national survey of drug and alcohol treatment providers, published in 2004. Other useful references on aftercare provision include:
The Addaction National Aftercare Research Project Year 3
The 24/7 client single point of contact – Case Examples of Good Practice (Home Office, 2005)57
Models of care for treatment of adult drug misusers: Update 2006
Promoting Practice between DAT partnerships and Education Training and Employment provision for Drug Interventions Programme clients (Home Office, 2006)58