ATODA eBulletin - www.atoda.org.au
 

 
Update
 
The purpose of this alert is to inform the broader sector and stakeholders about developments related to the review and re-design of alcohol and other drug withdrawal services in the ACT.
 
Introduction

In 2015, the ACT AOD sector identified the need for a review and re-design of alcohol and other drug withdrawal services, including the need for a comprehensive service model of care. 
 
This need was in response to increasing harms from methamphetamine and other/poly drugs; the need to strengthen stepped-care and treatment pathways; and the pending opening of the new Aboriginal and Torres Strait Islander AOD Residential Rehabilitation Service at the Ngunnawal Bush Healing Farm. 
 
ATODA advocated, through multiple processes (e.g. ACT Government response to increasing harms from methamphetamine, ACT Budget submission) for ACT Health to support and provide funding for a withdrawal review and re-design project.
 
In June 2016 ACT Health commissioned 360Edge (www.360Edge.com.au), through ATODA, to conduct an independent review and re-design of the alcohol and other drug withdrawal management services in the ACT (the review). 
 
360Edge (formally known as LeeJenn Health Consultants) is an alcohol and other drug specialist consultancy service with an established track record in working with specialist alcohol and other drugs services in the ACT and Australia. Linda Jenner, Principle Consultant, 360Edge is leading the review. `
 
The role of ATODA is to support 360Edge to conduct the review including supporting specialist AOD services, consumer and other stakeholder input, and data collection. All conclusions and recommendations from the review will be attributable to 360Edge. The review and re-design will be completed by December 2016. 
 
For more information download the Terms of Reference


Review Objectives
 
The objectives of the review are to: 
 
1. Build on the review of the ACT withdrawal management services sector conducted by Dr 
Adam Winstock in 2008, such as examining the extent to which the recommendations 
made were implemented; and the barriers to implementing the recommendations if any. 

 
2. Determine best practice in withdrawal management, and identify the suite of programs 
necessary to deliver withdrawal management in line with leading practice, including those that are culturally sensitive and culturally safe for Aboriginal and Torres Strait Islander peoples. 
 
3. Develop a high-level map of the current withdrawal services system including services 
that currently provide withdrawal management; consumer access to the current withdrawal services system; service system activity; and pathways into and out of the service system in the ACT, and compare it with best and leading practice. 

 
4. Canvas the views and experiences of service agencies’ staff; key informants (including those who refer into the service system, and those who partner with the service system such as general practitioners with expertise in managing withdrawal and other relevant services); and service consumers on the strengths and limitations of the current withdrawal service system in the ACT.
 

5. Synthesise the information obtained during the review to make recommendations for enhancing the service system as a whole, and for Aboriginal and Torres Strait Islander peoples in particular, and develop a revised withdrawal service system model to be ratified by the sector.


Scope of the Review
 
In scope for the review are the 11 ACT Health funded and delivered specialist alcohol and other drug treatment services. Specialist withdrawal care provided by general practitioners in primary care settings is also in scope for the review. 
 
Out of scope are other settings outside of the specialist AOD treatment sector in which unplanned withdrawal may occur such as the watch house, Alexander Maconochie Centre, Sobering Up Shelter, Bimberi Youth Detention Centre, etc. 
 
Similarly, incidental or irregular withdrawal management provided by general practitioners in primary care settings (i.e. withdrawal is not a main focus of care) is also out of scope for this review. Should a need for separate investigation into withdrawal options in these settings emerge during the review, this will be reported with the final findings. 
 
The specialist ACT AOD services being engaged throughout the review include: 
 
Specialist AOD withdrawal service providers: 
  • Alcohol and Drug Services, ACT Health
  • Directions Health Services
  • Ted Noffs Foundation ACT
Additional specialist AOD services: 
  • Canberra Alliance for Harm Minimisation and Advocacy (CAHMA)
  • CatholicCare Canberra and Goulburn – Sobering Up Shelter
  • Gungan Gulwan Youth Aboriginal Corporation – AOD Programs
  • Karralika Programs Inc
  • Ngunnawal Bush Healing Farm Aboriginal and Torres Strait Islander Residential Rehabilitation Service
  • Salvation Army – Canberra Recovery Services
  • Toora Women Inc – AOD Programs
  • Winnunga Nimmityjah Aboriginal Health Services – AOD Programs
Other specialist AOD services: 
  • AOD Policy Unit, ACT Health 
  • ATODA

Review consultations and engagements to date
 
The review is seeking to take a consultative approach and services, consumers and key stakeholders will be engaged throughout the stages of the project. Consultations and engagement to date include: 
 

Forum 1: Terms of Reference validation: 16 August 2016 
 
360Edge hosted a forum of specialist ACT AOD services to be briefed on the project and review the Terms of Reference. Outcomes included:
  • Positive feedback and validation of the review’s terms of reference including data elements, consumer engagement mechanisms and timelines

  • Agreement of face-to-face visits between specialist AOD services and the reviewer between 29 August and 6 September 2016
  • Clarifying the role and independence of the reviewer with ATODA to provide support to the process 

For more information see the Summary of Proceedings.
 

Meeting with specialist AOD withdrawal services: 16 August 2016 
 
360Edge met with all specialist AOD withdrawal service providers to obtain their input on the process and data collection elements for the review. 
 

Meeting with AOD Policy Unit, ACT Health and ATODA: 16 August 2016 
 
360Edge met with the AOD Policy Unit, ACT Health and ATODA to obtain agreement on additional data collection elements.
 

Face-to-face consultations: weeks of 29 August and 5 September 2016
 
360Edge undertook face-to-face consultations with 35 individuals (CEOs, managers, staff including medical officers) to determine their views and experiences of the programs available, including their recommendations for service system re-design. 
 
Services / groups engaged included: 
  • ACT ATOD Workers Group 
  • Alcohol and Drug Services, ACT Health (Building 7)
  • AOD Policy Unit, ACT Health
  • ATODA
  • Canberra Alliance for Harm Minimisation and Advocacy (CAHMA)
  • CatholicCare Canberra and Goulburn – Sobering Up Shelter
  • Directions Health Service (including Althea Wellness Centre and Arcadia House)
  • Karralika Programs Inc
  • Salvation Army – Canberra Recovery Services
  • Ted Noffs Foundation ACT
  • Toora Women Inc – AOD Programs
For more information see the Summary of Consultations.
 

Consumer focus groups: weeks of 29 August and 5 September 2016
 
360Edge spoke to consumers in small groups about their views of withdrawal services in the ACT, and any changes they’d like to see made in the future. Four consumer focus groups were hosted by: 
  • Canberra Alliance for Harm Minimisation and Advocacy (CAHMA)
  • Directions Health Service
  • Karralika Programs
  • Ted Noffs Foundation ACT

Review consultations and engagements includes: 
  • Key informant telephone interviews: weeks of 12 September and 19 September
  • Forum 2: Feedback on Interim Findings: week of 10 October 2016
    • 9.30am - 12.30pm Thursday 13 October 2016 [invitations forthcoming]
  • Forum 3: Final Findings: week of 4 December 2016

Products 

360Edge will produce a final report that includes the revised withdrawal services system 
model of care and the implementation and evaluation plans, and submit the report to ACT Health.
 
ATODA will disseminate the revised withdrawal services system model of care to key stakeholders in the ACT.

For more information see the withdrawal review webpage or contact ATODA on (02) 6249 6358 or Carrie Fowlie on carrie@atoda.org.au.
 
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Contact ATODA:

Phone: (02) 6249 6358 / (02) 6257 2661
Fax: (02) 6230 0919
Email: info@atoda.org.au
Mail: PO Box 7187 Watson ACT 2602
Visit: 11 Rutherford Crescent, Ainslie

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The Alcohol Tobacco and Other Drug Association ACT (ATODA) is the peak body representing the non-government and government alcohol, tobacco and other drug (ATOD) sector in the Australian Capital Territory (ACT). ATODA seeks to promote health through the prevention and reduction of the harms associated with ATOD. 

Views expressed in the ACT ATOD Sector eBulletin do not necessarily reflect the opinion of the Alcohol Tobacco and Other Drug Association ACT. Not all third-party events or information included in the eBulletin are endorsed by the ACT ATOD Sector or the Alcohol Tobacco and Other Drug Association ACT. No responsibility is accepted by the Alcohol Tobacco and Other Drug Association ACT or the editor for the accuracy of information contained in the eBulletin or the consequences of any person relying upon such information. To contact us please email ebulletin@atoda.org.au or call (02) 6249 6358.








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