Individuals misusing alcohol in Southwark have access to a range of services, operating through a range of organisations.
NHS Southwark commissions services to treat adults with a primary alcohol need on behalf of the Drug and Alcohol Action Team (DAAT). Services funded by the DAAT include alcohol primary care hub activities including extended brief advice and community detoxification, community support programmes through Foundation 66, specialist alcohol treatment within South London and Maudsley (SLaM) specifically the Community Drug and Alcohol Teams, specialist out-patient clinics and inpatient detoxification units as well as residential rehabilitation programmes through a range of providers. Some of the other substance misuse services also provide support for individuals with an alcohol need – this will be expanded through the service remodel.
Services funded through other routes include primary care (Directed Enhanced Services) activity (IBA), services within Kings College Hospital Trust, Guys and St Thomas’ Hospital Trust, Criminal Justice (police, probation, CARAT teams) and a range of voluntary sector organisations.
Taking a stepped care approach to the provision of care, an individual should be offered the least intrusive and least expensive intervention that is likely to be effective and only offering a more intensive alternative if treatment fails.
It is essential that the full range of services available is well understood by all those involved in alcohol misuse prevention and treatment to avoid confusion and the unintended loss of people to the treatment system.
Southwark Services
The Drug and Alcohol Action Team (DAAT) funds some services to treat adults with a primary alcohol need through the pooled treatment budgets and supplementary PCT and council funding.
NHS Southwark commissions services to treat adults with a primary alcohol need on behalf of the Drug and Alcohol Action Team (DAAT). The DAAT funds some services to treat adults with a primary alcohol need through the Substance Misuse Pooled Treatment Budget as well as supplementary PCT and council funding.
In 2010/2011 5.3% (£506,071) of the total adult substance misuse service spend was allocated for primary alcohol misuse services. Many of the drug services will also support clients with their adjunctive alcohol use, further adding to the resource available.
These alcohol specific services include: Tier 1: - Alcohol strategy work
Tier 2: - Foundation 66 direct access walk in - St Mungos assertive outreach
Tier 3: - Foundation 66 counselling and structured day programme - Primary care hub activities
(including extended brief advice and community detoxification) - Specialist treatment within South London and Maudsley, SLaM (specifically the Community Drug and Alcohol Teams,
specialist out-patient clinics and inpatient detoxification units) - Residential rehabilitation programmes
Services funded through other routes include Directed Enhanced Services within General Practice as well as services within Kings College Hospital Trust, Guys and St Thomas’ Hospital Trust, Criminal Justice (police, probation, CARAT teams) and a range of voluntary sector organisations.
Figure 21: Southwark Alcohol Services (DAAT and non-DAAT Funded)
Service Client Group
Social Services Universal
GPs / Primary Care / CMHTs /
Other Universal
Generic Health Services Universal
Housing / Employment Universal
A&E Universal Tier 1 Non- substance misuse specific services
Criminal Justice System Universal
Foundation 66 Elephant & Castle
Shopfront Primary Alcohol Users with or without any other substance use Hospital Liaison & Assessment
Service (Kings College Hospital and Guy’s & St Thomas’ Hospital)
Any drug user; poly or single use including Alcohol
Blenheim CDP Outreach Bus Any drug user; poly or single use with or without Alcohol as non-primary
drug
Primary Care Alcohol Hubs Alcohol users (with or without other drugs)
St Mungos Outreach Service Any DIP drug user (poly or single use including Alcohol) or Any Primary
Alcohol user (with or without any other substance use)
Tier 2 Services offering drop-in harm reduction interventions
Three Boroughs Drug & Alcohol Team
SLaM Community Drug & Alcohol
Team Any drug user; poly or single use including Alcohol Blenheim CDP KAPPA Service Any drug user; poly or single use including non-primary Alcohol Foundation 66 Counselling
Service
Poly drug users with Primary Alcohol Foundation 66 Day Programme Primary Alcohol Users with or without
any other substance use Blenehim CDP Rise Day
Programme Any drug user; poly or single use including Alcohol CRi REACH Day Programme Any drug user under a DRR order;
poly or single use including non- primary Alcohol
Blenheim CDP Evolve Crack
Service Any stimulant user; poly or single use including non-primary Alcohol
Tier 3 Services offering community- based specilaised substance misuse assessment & treatment
Primary Care Alcohol Hubs Alcohol users (with or without other drugs)
Equinox Brook Drive Any drug user; poly or single use including Alcohol
SLaM Inpatient Services Any drug user; poly or single use including Alcohol Tier 4 Services offering residential substance misuse treatment
Social Services Care
Red Kite Employment, Training
and Education Any drug user; poly or single use including Alcohol Thamesreach Aftercare
Accommodation Any drug user; poly or single use including Alcohol Service User Council Any drug user with experience of the
Treatment system Aftercare / Holistic / Wrap- around Services
CRi Peer Advocacy Service Any drug user with experience of the Treatment system