Treatment Services:

There are five clinical teams which are multi disciplinary and which typically work collaboratively with other service providers both within the NHS family and other sectors. Clinical staff include doctors, nurses, and therapists. All staff are trained to work with people who have an addiction problem and all staff follow NHS rules on matters such as confidentiality.

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Central Services

The Central Services Team provide rapid access to medical and nursing care, brief psychosocial interventions, and referral to other care providers if necessary. The essential task is to help people stabilise their substance use and social circumstances as a preliminary to or time out from other treatment. To this end the team can offer intensive intervention including a 12 Step Day Programme. The Advice Line and the Partial Booking Clinic for newly referred people are part of this service.

Mental Illness

Much of the work of the Mental Illness Team is on a shared care basis with general psychiatrists. People who are described as suffering from severe and enduring mental illness, that is conditions such as schizophrenia or manic depressive disorder, need a general psychiatry team to take the lead role while Addiction Unit therapists work collaboratively to deal with the substance misuse problem. A smaller number of patients, typically those suffering from anxiety or minor depression complicated by substance use, can be seen exclusively within the Addiction Unit service.

Physical Illness

The team provide a substance misuse liaison service to St James’s Hospital and the Leeds General Infirmary. In addition to helping with an individual’s care while in hospital the team continue to see people who have complex physical health and substance misuse needs when they come out of hospital. Thus therapists ensure a seamless transfer of care from the hospital to community setting where they can then work on a shared care basis with primary care teams. Where appropriate the team will refer on to other specialist substance misuse or social care services.

Pregnancy and Parenting

The service for pregnant women is a partnership between the Addiction Unit and the obstetric departments at St James hospital and the Leeds General Infirmary. The Addiction Unit part of the service contributes medical time, nursing time, and social work time: the latter has a key role in co-ordinating child protection and substance misuse agencies. The obstetric departments each have a drug liaison midwife who is specially trained to work with pregnant women who use substances. The service has been successful in attracting women who might otherwise have avoided contact with services.

Criminal Justice

The Criminal Justice Team provide three distinct services. First, the Arrest Referral Scheme – team therapists see people in police cells when they have been arrested. The therapist may give one off advice or information but can also see people when they have been released pending attendance at treatment service. Second, the four Leeds Probation Hostels have formed a partnership with the Addiction Unit and Burley Park Primary Care Team to provide substance misuse treatment for hostel residents. The unique hostel environment provides an opportunity to bring together the input from probation staff and Addiction Unit therapists. Third, Drug Treatment and Testing Orders are imposed by the courts as an alternative to a prison sentence and a small team act to see people through these orders. The essential role of the team is to ensure that people who are subject to an order participate in one of the collaborating treatment programmes and also to monitor compliance with the order.