Evaluation of community drug withdrawal services 2000

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Summary

Late in 1997, Turning Point Alcohol and Drug Centre was employed by the Victorian Department of Human Services to assess the work of the 28 withdrawal services which were funded in Phase 1 of the redevelopment of Victoria's alcohol and drug services. These were initially set up under guidelines and specifications outlined in New Directions in Alcohol and Drug Services (DH&CS, March 1994). The services have since been operating within the framework specified by Victoria's Alcohol and Drug Treatment Services - The Framework for Service Delivery (Department of Human Services, 1997). The aim of this evaluation was to assess the extent to which withdrawal services have been operating within these guidelines and to inform the future development of withdrawal services in Victoria.

Contents

• Executive summary
  
  
• Introduction to the model of community drug withdrawal
  • Victoria’s redevelopment of alcohol and drug services
  • The evaluation of withdrawal services
  • The method
  • The report
    
    
• The environment within which the model operates
  • Early stages in service redevelopment
  • Withdrawal as part of the redevelopment of alcohol and drug services
  • Monitoring, evaluation and quality assurance
  • Organisational contexts
  • Summary
    
    
• The model: Four types of withdrawal service
  • Rural withdrawal support services
  • Community residential withdrawal services
  • Home based withdrawal services
  • Outpatient withdrawal services
  • Summary
    
    
• The model: From the perspective of its objectives
  • Objective 1: Completion of the withdrawal syndrome
  • Objective 2: Health promotion and harm reduction
  • Objective 3: Case management
  • Objective 4: Client rights and dignity, monitoring & evaluation
  • Summary
    
    
• Conclusion: An overview of the model
  • Valuing and supporting withdrawal workers
  • A range of service options
  • Standardisation and regionalisation versus choice and diversity
  • Matching clients to service types
  • Access and sensitivity to client needs
  • Continuity of care
  • Access to medical services
  • Linkages with other service providers
  • Monitoring, evaluation and quality assurance
  • Community oriented service delivery
  • Restating the model
  • The future

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