The Community Drug and Alcohol Team (CDAT) works primarily with people over the age of 18yr who have a problematic and harmful alcohol and/or opiate dependence. Our aim is to help people overcome their addiction and improve their quality of life.
Who We Are
- The team consists of a Manager, two Senior Staff Nurses, a Specialist Social Worker, two STAR workers (Support Time and Recovery Workers), a Consultant Psychiatrist, an Associate Specialist, Substance Misuse Practitioner, Substance Misuse Systemic Practitioner and a Team Secretary.
- The CDAT offers a variety of treatment including:
- Single point of referral into drug and alcohol services in the Bailiwick through the 'Single Treatment System'
- Comprehensive assessment
- Brief interventions
- Alcohol/opiate detoxification in the community or as an inpatient
- Opiate substitution programmes
- A course in recovery capital
- Auricular Acupuncture
- Drop in shop
- Prenoxad training and prescription
- 1-2-1 Key working and support
- Alcohol or opiate detoxification can be carried out in a person's home if it is deemed safe to do so e.g. if the person has family or peer support. We also have access to suites at St Julian's house which can be used for the whole or part of a detox with house staff supporting 24hrs as peer support. If these options are not clinically suitable, the detox will be carried out on an inpatient ward.
- If an individual feels that they require help with their drug or alcohol use they can discuss this with; their GP or any other professional they may have contact with, midwife, housing, social security etc. All these services can make a referral on shared standard documentation to a 'central referrals system' which will discuss each case providing consent has been obtained. The 'Single Treatment System' will direct the person to the most appropriate service to start there recovery journey.
- The STS consists of Drug Concern, GAAS (Guernsey Alcohol Addiction Service) and CDAT which meet weekly to discuss all referral received by all agencies. Service users are expected to sign consent to allow details of their case to be discussed and shared at this meeting. If consent is not signed your privacy is respected and your information will remain anonymous to the other service you have approached. The aim of the STS is to have a single point of access to services to reduce barriers to care and support and to ensure you receive the most appropriate service quickly for your needs at that time in your recovery.
- Referrals suitable for CDAT are discussed at multi-disciplinary team meeting and depending on the risks and complexity of the case will be offered an assessment appointment.
- All Single Treatment System services,
- Complete the same 'comprehensive assessment' document following referral. This assessment document follows the service user through the services with appropriate consents.
- Use the Drug & Alcohol recovery Star for planning care and monitoring outcomes.
- CDAT can:-
- Offer substitute prescribing for opiate dependence with compulsory supervised substitute medication dispensing in participating community pharmacies
- Arrange and supervise detoxification for alcohol and or opiate dependency within the community or as an inpatient. Relapse prevention and ongoing support can then be followed up by one of the other STS agencies and/or the recovery community support.
- Use specialist assessment and onward referral or signposting to appropriate services
- Access Consultant psychiatrist or Associate Specialist
- Facilitate mutual risk assessment and risk management plans
- Work in collaboration with MASH (Multi Agency Support Hub)and MARAC (Multi- Agency Risk Assessment Conference).
- Offer recovery capital courses and support groups: 'Recovery capital' refers to the internal and external resources necessary for an individual to achieve and maintain recovery from substance misuse as well as make behavioural changes.
- 1) Connect 4 recovery (8 week recovery skills course)
- 2) Weekly 'Drop in shop'
- 3) Recovery coaching and links with peer support
- 4) Decider skills
- 5) Motivational interviewing
- 6) Brief interventions
- 7) Harm reduction advice
Duration of Treatment
- The duration of treatment varies depending on the individual's required treatment, their personal recovery journey and any complex needs and risks around them.
- A community detox lasts for between seven to nine days. If service users are undertaking the detox whilst in the inpatient ward it will last between nine to ten days. Joint care planning, risk, motivation and stage of change will all determine the next stage of treatment. There are a variety of services available, for example, Alcoholics Anonymous (AA), GAAS, Drug Concern, GP, Recovery Community, RISE (peer support group).
- The Oberlands Centre: Tel - 01481 725241 ext. 3561
- Drug Concern: Tel - 01481 729000, Email - firstname.lastname@example.org, Website - www.drugconcern.org
- Guernsey Alcohol Advisory Service (GAAS): Tel - 01481 723255, Email - email@example.com, Website - www.gaas.org.gg
- Alcoholics Anonymous (AA): Tel- 01481 713480, Alderney helpline: Tel- 07911 723224, Website - http://www.aaguernsey.info/
- L'Vair, service users support group: Tel - 07781 123440
- Guernsey Recovery Community Group
- RISE (A local Peer Support Network for Addiction Recovery): Tel - 07781 401730, Email - firstname.lastname@example.org, Facebook page. Located at the Caritas Café, 35 Mill Street, St. Peter Port, GY1 1HW. Open on Wednesday's 7-9pm.
- GET: Website - www.getselfhelp.co.uk
- Guernsey Samaritans: Tel - 01481 715515
- Narcotics Anonymous: National Helpline - 0300 999 1212
- Guernsey Mind: Tel - 01481 722959, Website - http://guernseymind.org.gg
- Philippi Guernsey: Tel - 07781 130523 or 01481 230745, Website - http://www.philippi.org.gg/
- Guernsey Women's Refuge: Tel - 01481 721999, Website - http://www.refuge.org.gg/
- Soberistas a social network: Website - http://soberistas.com
- Safer: Address - Safer LBG, PO Box 115, St Peter Port, Guernsey, GY1 3EY. Phone - 01481 721999 helpline 24 hours a day every day of the year. Email: email@example.com.
- In an emergency call the police on 999.