Appendix 1: Integrated continuum of care tiered model Health Promotion and Early Intervention and Treatment Acute Treatment Extended and Prevention harm reduction Focus is on access to a range Focus is on a range of continuing care is on prevention and in on the reduction of clinical and inpatient specialist services based (aftercare and relapse early intervention to of harms associated with specialist services on severity of distress prevention) prevent uptake, and AOD use and impairment and Focus is on ongoing reduce the harms dependence aftercare and relapse associated with AOD use prevention for up to 12 months General population General population Problematic or dependent The same as for The same as for Population and drug use with a focus on risk’ drug use treatment but with a treatment and acute ‘at individuals and groups Families or significant focus on high treatment Problematic drug use others complex health and Families or significant Special needs groups, e.g. social needs others young people, Aboriginal, Women and parents CALD with children Coexisting issues, e.g. mental health, disability, pain management Criminal justice issues Types of services/ Universal health Needle and syringe Care coordination The same as for Care coordination Interventions promotion programs (NSP) Case Management treatment Case Management (examples) Brief Interventions Extended Counselling Assertive outreach – Information and Interventions Withdrawal Management OPP education Diversion programs, Residential Rehabilitation Referral to other Community and e.g. Illicit Drug Opioid Pharmacotherapy services information and Diversion Initiative Program, (OPP) education Health promotion and Assertive outreach Telephone and online prevention – community
Appendix 1: Integrated continuum of care tiered model Health Promotion and Prevention is on prevention and early intervention to prevent uptake, and reduce the harms associated with AOD use Early Intervention and harm reduction in on the reduction of harms associated with AOD use Treatment Focus is on access to a range of clinical and inpatient specialist services Acute Treatment Focus is on a range of specialist services based on severity of distress and impairment and dependence Extended and continuing care (aftercare and relapse prevention) Focus is on ongoing aftercare and relapse prevention for up to 12 months Population and drug use General population General population with a focus on ‘at risk’ individuals and groups Problematic drug use Families or significant others Problematic or dependent drug use Families or significant others Special needs groups, e.g. young people, Aboriginal, CALD The same as for treatment but with a focus on high complex health and social needs Women and parents with children Coexisting issues, e.g. mental health, disability, pain management Criminal justice issues The same as for treatment and acute treatment Types of services/ Interventions (examples) Universal health promotion Brief Interventions – Information and education Community and information and education Telephone and online Needle and syringe programs (NSP) Extended Interventions Diversion programs, e.g. Illicit Drug Diversion Initiative Health promotion and prevention – community Care coordination Case Management Counselling Withdrawal Management Residential Rehabilitation Opioid Pharmacotherapy Program, (OPP) Assertive outreach The same as for treatment Care coordination Case Management Assertive outreach OPP Referral to other services
Reform_Agenda_for_AOD_Services_-_Consultation_Draft_FINAL_-_Accessible_1.docx