professionals’ views on older drug use biba brand national quality development manager november...
TRANSCRIPT
Professionals’ views on older
drug use
Biba Brand
National Quality Development Manager
November 2009, Glasgow
Methodology:
10 face –to-face interviews
71 self-completion questionnaires – Survey Monkey
Methodology: Background of interviews
OrganisationRemit
Academic 1 Researcher 1
Statutory 4 Manager 7
Voluntary 4 Direct client work 5
Private 1 Clinician 2
Specialisms Addiction/criminal justice - community (1), Addiction/research (1) Addiction/general practice - community (1) Addiction/specialist prescribing – community (1) Addiction - residential (2) Addiction - community (1) Homelessness - community (2), General home support and care – community (1)
Background of self-completion questionnaires
Background of self completions
Organisations Specialisms Statutory 54.9% (39) Specialist Community Based 70.4% (50) Voluntary 42.3% (30) Specialist Residential/In-patient 11.3% (8) Private 2.8% (2) Non-specialist Support Service 18.3% (13) Policy Development Service 0% (0) Other (DTTO, A&R, maternity, ETE (11)
Remits Manager 49.3% (35) Working directly 47.9% (34) Administrator 1.4% (1) Policy/Planning/Commissioning 1.4% (1) Other (manager with client work (5) or policy/planning (2), & 1 team response,) (8)
Proportion of services with older drug users
Strengths
I Challenges for services
Current support Isolation Physical/mental health Overdose and suicide Reviews Continued drug use Late onset injecting Interagency work – elderly care, generic Control over own care
Control over own care
‘Older drug users have a lot of life experiences. They know themselves and from their past, they understand what treatments work for them and when they are ready. They don’t always want to go through the care pathway we decide, but may want to skip some parts or stay longer or shorter in certain services.’
I Vision
Extend & Enhance Existing Provision Practical/emotional home support Recovery - Employability, legal, welfare services Counselling, befriending Social support networks Staff – training, age, consistent, significant
events, motivating (M/F)
(cont’d…)
Motivation…
‘It’s hard motivating older men to move from A to B; whereas for older women, they often want to jump from A to Z and we need to slow them down.’
Vision cont’d
Health Improvement Supported accommodation Residential and crisis services Early screening - chronic conditions Improved pain management Targeted work within existing drug
services
