LANARKSHIRE DRUG SERVICE

1
LANARKSHIRE DRUG SERVICE
2
LDS STAFF MEDICAL STAFF Dr Steve Conroy Lead
Clinical Advisor 5 sessions Dr Grace
Campbell Clinical Facilitator 2
Sessions Nursing Staff Rosie Kidd Nursing Team
Leader RMN. P.G Dip A/c Drug
Studies, Clinical Dip in Aromatherapy Eileen
Dickson RMN. P.G Dip A/c Drug Studies Jackie
Warnock RGN, RMN, P.G Dip A/c Drug Studies Kay
Reid RGN. BA Nursing Studies Ross Miller RMN,
Post Grad Cert. A/c Drug Studies Rosie
Allan RGN. RMN. P.G Dip A/c Drug Studies Ann
Marie Taylor RMN. Bsc Health Studies
(Nursing) P.G Dip A/c Drug Studies. Cert.
Social Care Cameron Paul RMN. RGN. Diploma in
Adult Nursing Stephen Hatcher RMN. P.G Cert A/c
Drug Studies
3
AREA COVERED Pan Lanarkshire - 8 LHCCS GP
Involvement - Graph Page 2 CURRENT GP
CLINICS Cumbernauld/Kilsyth Jackie
Warnock East Kilbride Stevie
Hatcher Motherwell Ross Miller Kay
Reid Wishaw Eileen Dickson Clydesdale All
Hamilton/Blantyre Rosie Allan Kay
Reid Airdrie Cameron Paul Coatbridge Ann
Marie Taylor
4
REFERRAL CRITERIA - Clients with Primary
Opiate Problem - Absence of Polydrug use -
Absence of Co-Morbidity REFERRAL
SOURCE GPs Community Addiction Teams Social
Work Other Healthcare Workers Voluntary
Sector Prisons Family Support groups
5
SERVICES PROVIDED Training PGEA
Accredited GPs Year 1 Mod A. Evidence for
and Aims of Methadone
Treatment Mod B. Initial Assessment Mod C.
Initial Prescribing Mod D. Setting up a
Clinic Year 2 Mod E. Pregnant Drug User Mod
F. BBV 1 Mod G. BBV 2 Mod H. Managing
Maintenance Year 3 Mod I. Relapse Mod
J. Cocaine Mod K. Buprenorphine/Subutex Mod
L. Prescribing benzodiazepines to drug uers
in General practice Also evening
events for GPs re-current issues Training
delivered by LDS medical and nursing staff.
6
PHARMACY Evening events on current
issues and partnership working HEALTH
VISITORS/DISTRICT NURSES/MIDWIVES Seminars
delivered on drugs awareness, service
provision, partnership working, current issues
and user involvement. RECEPTIONIST
TRAINING Seminars delivered on participating in
partnership within clinics, reducing risks of
aggressive incidents by drugs awareness, user
involvement/user perspective.
7
CLINICAL - Assessment of needs
incorporating physical, psychological and
social aspects - Planning and implementation
of care according to identified needs -
Initiation and monitoring substitute prescribing
in conjunction with GPs - Maintenance and
Detox - Use of Motivational Interview Skills,
Cognitive Behavioural Strategies and Relapse
Prevention Strategies - Harm Reduction
Education, literature and advice - HIV/HEP
Counselling and Testing - HEP B Immunisations
- Education and support to families and carers

8
LIAISON Community Addiction Teams
Participation of LDS staff at CAT meetings on a
weekly basis to ensure clear lines of
communication Pharmacists Each individual nurse
liaises on a daily basis to maintain
positive communication between Pharmacist/Nursing
Staff/patient Maternity Liaison Rosie Allan
developed links with maternity staff to bridge
gaps in maternity services for pregnant drug
users. In process of setting up group with Social
Work and maternity staff to deal specifically
with supporting drug users Social Work/Substance
Misuse Daily liaison for referrals with regard to
rehabilitation programmes, support, child care
issues Representation on Local/National
committees SACDEM, Shared Care, ADAT sub groups
etc
9
LDS
OTHER HC WORKERS
VOLUNTARY SECTOR
CATS
SW