Dynamic Purchasing System for Residential Substance Misuse Rehabilitation Services

Level 1 Standard – 18 years old with no upper age limit:

Rehabilitation placements commissioned at this level will:

• Provide multi-cultural programmes to meet the needs of a diverse population

• Provide disability access and where required will provide disability aids

• Will carry out pre-admission assessment in conjunction with Residential Detoxification Services and Sefton Adult Social Care Substance Use Assessment Team

• Provide a programme of structured intervention including but not limited to: psychosocial and recovery support interventions as outlined below 3.2.3

• Comply with all National Drug Treatment Monitoring System (NDTMS) reporting requirements

• Complete detailed discharge reports and outcome records for all planned and unplanned discharges

• Provide Sefton Council Adult Social Care Substance Use Assessment Team with regular (not less than monthly) Client Progress Review Reports

• Provide family support

• Provide career guidance and training opportunities

• Support a ‘whole family’ approach to working with children and families

• Provide pre-discharge planning and liaison with the Adult Social Care Substance Use Assessment Team to agree community re-integration programmes

Level 2 Enhanced – 18 years old with no upper age limit:

Rehabilitation Placements commissioned and provided at level 2 will provide all of the criteria outlined in level 1. In addition, services providing enhanced – level 2 provision will offer some or all of the facilities outlined below:

• Support individuals with a dual diagnosis (substance misuse and mental health)

• Support individuals with complex physical health needs and ensure access to medical

interventions where necessary

• Support individuals with mobility problems and provide adaptations where required

• Support individual suffering with Post Traumatic Stress Disorder (PTSD) and ensure access to specialist counselling support where required

• Support both victims and perpetrators of domestic violence and ensure access to specialist interventions for addressing domestic violence awareness

• Provide single gender facilities (female only/male only)

• Provide mother and baby facilities

Level 3 Specialist – 18 years old with no upper age limit:

On occasion Sefton Council will need to commission specialist rehabilitation placements to meet the high level of need for individuals with a specific diagnosis and/or condition. Programmes at level 3 will need to offer:

• Support to individuals with behavioural problems attributed to alcohol acquired brain injury

• Support to individuals with specific alcohol related conditions including Wernicke’s encephalopathy, Korsakoff’s psychosis, alcohol related liver disease and alcohol related pancreatitis

• Support for individuals with a diagnosis of Autistic Spectrum Disorders

• Interpreter, translation and/or sign language provision

• Support for individuals at risk of self-harm and self-injury