B

AG4 Retain individuals in contact with substance misuse services

Overview

This standard covers the development, implementation and monitoring of processes to keep individuals in contact with substance misuse services and prevent them dropping out of treatment. The standard involves using data from your own organisation and local area, together with evidence from national and international research, to identify the reasons for retention and drop-out and to put in place processes to improve retention. It also involves briefing colleagues, supporting them in applying these processes in particular cases, and taking action where an individual is likely to drop out.

Users of this standard will need to ensure that practice reflects up to date information and policies.

Version No 1

Knowledge and Understanding

You will need to know and understand:

  1. The legal and policy requirements for handling and sharing personal data
  2. How to obtain information from individuals and colleagues
  3. The reasons individuals may not wish to provide information and how to address these
  4. How to use data and information to identify the likely causes of problems
  5. How to present recommendations to address organisational and resource issues
  6. How to brief colleagues
  7. How to provide advice and guidance to colleagues
  8. Other agencies and the range of services they provide for different groups of individuals
  9. The protocols for referring individuals to other agencies
  10. Colleagues’ competences and how they can help in developing processes to retain individuals in contact with substance misuse services
  11. Your organisation’s policies in relation to hard to retain individuals
  12. Colleagues’ knowledge of individuals’ circumstances
  13. The nature of dependency
  14. The factors that may cause individuals stay in contact, or drop out of contact, with services (e.g. organisational, social, psychological, criminal justice)
  15. Evidence of effective practice in retaining individuals in contact with substance misuse services and how to access this evidence
  16. The range of processes that can be developed to retain individuals in contact with substance misuse services
  17. How to recognise if services are not meeting an individual’s needs

Performance Criteria

You must be able to do the following:

  1. work in line with current evidence of effective practice in retaining individuals in contact with substance misuse services
  2. monitor retention and drop-out rates in your area of responsibility to identify patterns of drop-out
  3. gather information from individuals and colleagues about why individuals stay with the service or why they drop out
  4. make recommendations to address organisational or resource issues which may be contributing to drop-out
  5. work with colleagues to develop processes to retain individuals in contact with substance misuse services, in line with organisational policies
  6. brief colleagues on processes to retain individuals in contact with substance misuse services and provide advice and guidance on how to apply these processes in specific cases
  7. where the services provided appear not to be meeting an individual’s needs, explore the reasons for this and agree how the services provided can be made more effective, including referring the individual to a different colleague or agency, if appropriate.

Additional Information

This National Occupational Standard was developed by Skills for Health.

This standard links with the following dimension within the NHS Knowledge and Skills Framework (October 2004):

Dimension: HWB5 Provision of care to meet health and wellbeing needs.
AG4 Retain individuals in contact with substance misuse services
Final version approved June 2010 © copyright Skills For Health
For competence management tools visit tools.skillsforhealth.org.uk
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