CARE-PLANNING & CARE-COORDINATION
Care Planning and Care Co-ordination are the processes by which people with drug and alcohol related difficulties will be helped in an integrated and systematic way to deal with and overcome these difficulties. Care Planning reaches across the continuum of care and helping provision and will promote systematic working across boundaries between agencies and workers.
The overarching principle of Care Planning and Care Co-ordination is that those who enter into structured drug and alcohol treatment services receive a written care plan which is agreed with the client and is subject to regular review with the Key Worker or Care Coordinator. People with drug or alcohol problems who meet the criteria for Care Co-ordination should have access to a named person who acts as their Care Coordinator to ensure that the care provided by different services or individuals is co-ordinated by one person to provide a comprehensive and integrated approach.
Care Planning and Care Co-ordination should not be seen as a bureaucratic burden. They represent an essential step towards empowering service users to fully participate in their care and place certain basic information physically in their hands.
Treatment may be provided by a range of professionals and from more than one service at the same time or consecutively.
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- Develop, manage and review the documented care plan.
- Ensure that people with drug and alcohol misuse problems have access to a comprehensive range of services across the whole treatment and helping system.
- Ensure the co-ordination of care across all agencies involved with the service user.
- Ensure continuity of care and that service users are followed throughout their contact with the treatment system.
- Ensure that specific risks which are identified in assessment are adequately managed through the Care Plan, and that any new risks are properly evaluated and care plans modified accordingly.
- Maximise the retention of service users within the treatment system and to minimise the risk of people losing contact with the treatment and care services.
- Re-engage clients who have dropped out of the treatment system.
- Avoid duplication of assessment and interventions.
- Prevent clients falling between services.
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The above information is copyright of Dr Bruce Trathen MBBS MRCPsych (2006). ISBN 0-9545164-0-0. The author grants permission for these guidelines to be downloaded, copied and distributed freely, but does not grant permission for their sale.
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