Integrated service the answer to drug problem

DRUG users will get improved treatment through a community-based service if the States agrees later this month. The proposals, which are part of the Bailiwick Drug Strategy, will cost more than £1m. over three years. The aim is to ensure that people with drug dependency problems have access to appropriate treatment to enable their reintegration into society. The service, managed by the Board of Health, would have a core staff of a clinical nurse specialising in addictions, a post which exists already; a substance misuse worker, provided by Drug Concern; and an administration assistant. A consultant psychiatrist, clinical psychologist, probation officer and psychiatric social worker would also be involved. 'It will be a lot more integrated service than we have had up to now,' said director of public health Dr David Jeffs. He said there was often reluctance by GPs to work with drug users because they can feel intimidated by their presence. Support services will be available to help families of drug users. Drug Concern will play a vital role by continuing to deliver open access services. The way the matter is dealt with at the moment is disjointed. The medical aspect is dealt with generally by the Board of Health's adult mental health department, although some GPs continue to prescribe for their patients. Drug Concern and Gadac see some people for counselling and support. To ensure the service is of an appropriate standard, it is proposed that an annual audit be carried out by the South-West Drug Services Audit Project. The strategy recognises that drug users may have wider health issues that need to be addressed outside the drug treatment programme.