Home > Residential drug treatment services: good practice in the field.

Murray, Tim (2009) Residential drug treatment services: good practice in the field. London: National Treatment Agency for Substance Misuse.

PDF (Residential drug treatment services) - Published Version

This report highlights good practice in commissioning and providing effective Tier 4 services. It is based on interviews with local drug partnerships and treatment services that performed well in the 2007-08 service review on Tier 4, carried out by the NTA and Healthcare Commission.

Good practice: the key points:
Elements for commissioning effective Tier 4 treatment:
• Good partnership working, with close collaboration between drugs partnerships, drugs services, and local social services community care departments at a strategic and operational level
• Established routes into and out of treatment, with clear arrangements for preparing people for treatment, and for aftercare and reintegration
• Regular contract reviews with providers
• Good use of relevant data and other feedback to inform decisions on commissioning services.

Elements for providing effective Tier 4 treatment:
• Clearly established and effective exit strategies for clients when they leave treatment, including links with housing, education, training and other ongoing support
• Ongoing risk assessment and clear policies to keep clients safe following unplanned discharge and to reduce the risk of overdose
• Good structures for managing staff and helping them to deliver treatment, including clear supervision arrangements and meeting their training needs.

Item Type
Publication Type
International, Guideline, Report
Drug Type
All substances
Intervention Type
Treatment method, Psychosocial treatment method, Rehabilitation/Recovery
49 p.
National Treatment Agency for Substance Misuse
Place of Publication
Accession Number
HRB (Electronic Only)

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