Information and public services for the Island of Guernsey



Channel Islands Christmas Lottery First Prize Update
Wednesday 13 December 2017

The guaranteed first prize in this year's Channel Islands Christmas Lottery has now risen to £950,000.

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Community Hubs crucial part of HSC's transformation plans
Tuesday 12 December 2017

Supporting the delivery of effective community care is one of the key aims underpinning the proposed transformation of health and care services, the President of the Committee for Health and Social Care has said.

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Guernsey Armed Forces Covenant to be signed
Monday 11 December 2017

At 2.30pm tomorrow, Tuesday 12th December, the Guernsey Armed Forces Covenant will be signed by the Lt-Governor, the Bailiff and the President, Policy & Resources Committee on behalf of the people of Guernsey.

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Community Drug & Alcohol Team

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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.
  • Referral

    • 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.
  • Assessment

    • 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.
  • Interventions

    • 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).

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