Sara McGrail

Drug Treatment

You Say You Want a Revolution ...


coalition

For me, defining Recovery as a process to be controlled by the individual, but then imposing a whole set of values and outcomes upon what "characterises" that recovery is to miss the point. You have to let me judge what my Recovery is. It is not up to you to normalise me. These are my choices, my hopes and my decisions. You make them yours, then you do exactly what those early mental health activists feared. You create "a cosmetic initiative that maintains the dependence of individuals on the system".

Read More...
|

Inspecting the field - Harm Reduction and Commissioning Systems

Last week the Healthcare Commission and the NTA published their penultimate improvement review looking at the separate themes of Harm Reduction Services and Commissioning Systems.

candidatest

Scoring local areas from "weak" to "excellent" the review gives us some interesting information about the maturity of our commissioning systems and the effectiveness of harm reduction implementation and planning, but does the inspection report raise more questions than it answers?

Read More...
|

Whatever Happened to Harm Reduction?


The Department of Health Reducing Drug Related Harm Action Plan is coming up to its first birthday in a couple of weeks.

imagesduck-feet


How much have we achieved since its publication and what can that tell us about the state of harm reduction in the UK?

Read More...
|

The Great Debate?

"Of course the general public do not currently on the whole understand that maintenance is a positive intervention and of course they think the ideal is getting people off drugs and away from addiction altogether. That’s because largely we don’t ever bother explaining it."

Pasted Graphic 3

I've just taken part in the Drugscope and Conference Consortium Great Debate looking at the issues around the resurgence of the abstinence vs maintenance arguments.
You can download Mike Ashton's article, 'The new abstentionists', here.

A number of people have asked for a copy of my speech, so I’m blogging it for them and anyone else who's interested.

Comments below or email me using the "get in touch link" on the main page.

Read More...
|

Ever Decreasing Pools

The announcement of a reduced Pooled Treatment Budget and a new formula for allocation that sees some areas lose millions of pounds over the next three years has upset many in the English drugs field.

Pasted Graphic

But why has the allocations system changed, what information are they using to work out what different areas get and what's it going to mean for services, service users and communities?

Read More...
|

8 Home Office Reports Partially Digested

Last week on the last day of the ACPO conference, the Home Office released 8 separate research briefings covering drug issues. Below is an overview of some of the key points plus links to more commentary from others where I've found it. These are just my initial pick-ups on a first quick read of the reports. I'll have missed loads of interesting stuff I imagine, so if what I've grabbed whets your appetite, I've put links in to all the full documents. Read More...
|

Complex services, straightforward needs

There's a conference being advertised at the moment looking at Complex Needs in Drugs and Alcohol. Complex needs, the organisers tell us, are the needs of a someone in treatment to have access to employment, housing, or healthcare and they'll be a key focus for drug and alcohol providers in the next drug strategy.

This is not a definition of complex needs that I've ever heard before. Most usually "Complex Needs" refers to people with multiple disabilities or a profound depth of need relating to a primary condition. While I am willing to accept that someone who uses drugs may have more difficulty in accessing housing or employment or primary healthcare than someone who doesn't use drugs I don't think that this means that their need for housing or employment or primary healthcare is complex. Surely housing and employment and healthcare are basic needs that mainstream services should be capable of satisfying?
Read More...
|

Supersize them

You might have just missed it, but in the Queens Speech last week was the announcement of the long awaited Health and Social Care White Paper to merge the current regulatory bodies - CSCI, The Healthcare Commission and The Mental Health Act Commission into a single organisation called The Care Quality Commission. Read More...
|
© 2008 SMcG Get in Touch