National Drug Rehabilitation Framework
NDRIC and the Framework
• The National Drugs Rehabilitation Implementation Committee
(NDRIC) was set up to develop a national drugs rehabilitation
framework.
• This new Rehabilitation Framework is a collection of policies
and procedures designed to help agencies work together to
form effective integrated care pathways for service users.
How can it help?
• Providing standardised approaches to
• Identifying service users’ needs
• Effective Care Plan development and on-going support
• Working with other agencies and resolving gaps and blocks
• Establishing an integrated care pathway for Service Users
• How the continuum of care works and how we’re all involved in it
Integrated model of rehabilitation provision
Four Tier System
• Tier 1 interventions drug-related information and advice,
screening and referral to specialised services.
• Tier 2 interventions through outreach, primary care,
pharmacies, criminal justice settings, drug treatment services,
community- or hospital-based brief interventions and harm
reduction e.g. needle exchange.
• Tier 3 interventions Typically includes psychotherapeutic
interventions, methadone maintenance, detoxification and
day care.
• Tier 4 interventions Acute hospital provision with specialist
“addiction” support for complex needs e.g. pregnancy, liver
and HIV-related problems, residential rehabilitation units
Six Protocols
The Rehab Framework is divided into six main headings called
Protocols. Protocols give us a detailed guide in how to approach
our work with service users and includes a number of agreed
policies & procedures, and templates.
The six protocols are:
1.
2.
3.
4.
5.
6.
Initial Assessment
Comprehensive Assessment
Referrals
Interagency Care Plan Meetings
Gaps and Blocks
Confidentiality
Protocol 1
Initial Assessment and Matching the Service
User to the Most Appropriate Service
1.
2.
3.
How to conduct the brief assessment of the service user’s
presenting issues
Determine whether a more comprehensive assessment is
necessary
How to refer (if necessary) the service user to another more
appropriate service
Protocol 2
Comprehensive Assessment &
Developing Interagency Care Plans
1.
2.
3.
4.
How to complete the comprehensive assessment
How to develop and put the care plan into action
Identifying a case manager
Continually review and update care plans
Protocol 3
Referral between Agencies
1.
2.
3.
How to support service users access to relevant services set
out in the care plan
Establish a clear understanding for service users and
providers of each step in any referrals process
Support service users at each step of the referral process and
follow-up
Protocol 4
Interagency Care Plan Meetings
1.
2.
3.
Updating the care plan according to the service user’s
current needs
Keeping the service user motivated and involved
Enhancing interagency work and involvement in the care
plan
Protocol 5
Gaps and Blocks
1.
Identify and address gaps or blocks in the service user’s
progression set out in the care plan
Protocol 6
Confidentiality and Information Sharing
1.
How to ensure the service user’s confidentiality and right to privacy
2.
How to fully inform and get consent from the service user about using and sharing
care plan information
3.
4.
How to confidentially share info with other service providers in accordance with
national legislation
Agree interagency care plan roles and responsibilities
5.
Agree ways to resolve disagreements
6.
Rehab coordinator is given these agreements to be assessed for Data Protection
Compliance
Key Worker’s Tasks
Engaging with the service user
Ensuring consent
Completing assessment and developing a care plans
Advocating on behalf of service user
Fulfil care plan actions
Work & sharing info with other agencies as required
Keeping relevant case notes/records
Use SMART Objectives
Case Manager’s Tasks
The case manager is the person who has a formal role to
manage inter-agency communication and the provision of coordinated care.
Ensuring a care plan SMART goals in place
Arranging regular care plan & progression reviews
Coordinate with key workers/agencies involved
And where appropriate with the service user’s family
Care Plan and Review
• Standardised approach
• Care plans are developed with the service user
after assessment is done
• Service user is in agreement with needs & goals
• Regular Care plan reviews
Gaps & Blocks
There are 5 steps to be followed in the case of any barriers
Keyworker (Brings issue to)

Case Manager

Case Conference
(Try to resolve issue with relevant services)

Treatment & Rehab Sub Group
(Case manager completes Gaps & Blocks form and brings to T&R sub
group)

NDRIC (When T&R sub group can not resolve issue, matter gets
referred to the National Rehabilitation Coordinator by the CCLDTF
Rehab Coordinator.
Getting Consent
• Standard form and
policy
• Consent must be
given
• Last 6 months only
• Answer all queries
• Can withdraw any
time