Dynamic Purchasing System for Residential Substance Misuse Rehabilitation Services

Level 1 Standard – 18 years old with no upper age limit: Rehabilitation placements commissioned at this level will: • Provide multi-cultural programmes to meet the needs of a diverse population • Provide disability access and where required will provide disability aids • Will carry out pre-admission assessment in conjunction with Residential Detoxification Services and Sefton Adult Social Care Substance Use Assessment Team • Provide a programme of structured intervention including but not limited to: psychosocial and recovery support interventions as outlined below 3.2.3 • Comply with all National Drug Treatment Monitoring System (NDTMS) reporting requirements • Complete detailed discharge reports and outcome records for all planned and unplanned discharges • Provide Sefton Council Adult Social Care Substance Use Assessment Team with regular (not less than monthly) Client Progress Review Reports • Provide family support • Provide career guidance and training opportunities • Support a ‘whole family’ approach to working with children and families • Provide pre-discharge planning and liaison with the Adult Social Care Substance Use Assessment Team to agree community re-integration programmes

Level 2 Enhanced – 18 years old with no upper age limit: Rehabilitation Placements commissioned and provided at level 2 will provide all of the criteria outlined in level 1. In addition, services providing enhanced – level 2 provision will offer some or all of the facilities outlined below: • Support individuals with a dual diagnosis (substance misuse and mental health) • Support individuals with complex physical health needs and ensure access to medical interventions where necessary • Support individuals with mobility problems and provide adaptations where required • Support individual suffering with Post Traumatic Stress Disorder (PTSD) and ensure access to specialist counselling support where required • Support both victims and perpetrators of domestic violence and ensure access to specialist interventions for addressing domestic violence awareness • Provide single gender facilities (female only/male only) • Provide mother and baby facilities

Level 3 Specialist – 18 years old with no upper age limit: On occasion Sefton Council will need to commission specialist rehabilitation placements to meet the high level of need for individuals with a specific diagnosis and/or condition. Programmes at level 3 will need to offer: • Support to individuals with behavioural problems attributed to alcohol acquired brain injury • Support to individuals with specific alcohol related conditions including Wernicke’s encephalopathy, Korsakoff’s psychosis, alcohol related liver disease and alcohol related pancreatitis • Support for individuals with a diagnosis of Autistic Spectrum Disorders • Interpreter, translation and/or sign language provision • Support for individuals at risk of self-harm and self-injury