Provision of ROADS service for Bristol.

The Early Engagement and Intervention service will operate across Bristol in order to engage with active substance users, including those who are not in contact with ROADS services. As well as alcohol, opiates and crack cocaine, this will include engaging with people who use non-opiates, Novel Psychoactive Substances, and performance and image enhancing drugs.

Interventions to improve health and reduce the harms associated with drug and alcohol use will be delivered as well as supporting those furthest away from services to access treatment in a timely manner.

Key elements of the service include:

— Outreach:

— — Needle and Syringe Provision,

— — Naloxone supply to individual sat risk of overdose,

— — Interventions and pathways for key health needs:

— — — clinical support for will be available for clients experiencing harms associated with drug and alcohol use.

The SML service will operate out of GP practices and/or other agreed locations participating in the Alcohol Detox and / or OST primary care local enhanced contracts. The SML will care coordinate primary alcohol and opiate clients attending their GP practice for pharmacological interventions, deliver appropriate psychosocial interventions commensurate to need and facilitate pathways with the Community Recovery Service.

The CRS will deliver a range of one-to-one and group-work psychosocial interventions in line with best practice to support individuals in their recovery. Interventions will include those suitable for service users referred from criminal justice e.g. Drug Rehabilitation Requirements (DRR).

The use of digital interventions should also be utilised where appropriate at all stages of an individual’s recovery journey.

The Families and Carers Service is jointly commissioned by the neighboring local authorities of Bristol CityCouncil, South Gloucestershire Council, and Bath & North East Somerset Council with Bristol Council leading the commissioning on behalf of the three partnerships.

This Service requires delivery over a wider geographical area than the other Bristol only ROADS components.

This service will work with adults who are affected by someone else’s substance use, including significant others and close friends as well as family and carers.

The Family and Carers Service will help affected others learn more about substance misuse and treatment, and give them new skills to better cope with problems as they arise.

The service will also offer opportunities for peer support, and promote affected others’ involvement in treatment services where appropriate.