Residential Services for Drug Users What works? Dawn Griesbach Griesbach & Associates (formerly of the Effective Interventions Unit) 30 June 2005 Griesbach.

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Presentation transcript:

Residential Services for Drug Users What works? Dawn Griesbach Griesbach & Associates (formerly of the Effective Interventions Unit) 30 June 2005 Griesbach & Associates Social Research for Policy and Practice

2 Outline of Talk What are residential services? What is the evidence of their effectiveness?

3 What are residential services? Distinction between residential detoxification and residential rehabilitation. Not covering crisis services or supported accommodation.

4 Residential detoxification In-patient (incl. Rapid Detox) Within a wider rehabilitation service Stand-alone service – often provided by voluntary or private sector

5 Residential detoxification Aim is to get people off illicit drugs. … and do so humanely. Usually short-term – i.e., a few weeks. Only the first step.

6 Residential rehabilitation Can be provided by statutory, voluntary or private sector. Aim is to keep people off drugs – i.e., drug-free lives. Usually long-term (several months). Residential rehab programmes are not all alike.

7 Effectiveness of residential detoxification Very effective – more effective at getting people off drugs than community detox. BUT… –Only the first step

8 Effectiveness of residential rehabilitation Is residential rehab effective? -- the wrong question. The right question: Who is residential rehab effective for -- and under what circumstances?

9 For whom is residential rehabilitation most effective? Those who: Have engaged with services prior to entry Are drug-free prior to entry Are less severely dependent Have better social / family networks Have no history of psychiatric illness Have longer history of previous employment Have less risk-taking behaviour BUT…

10 In what circumstances is residential rehabilitation most effective? Must be retained in treatment – programmes have very high drop-out rates Programme lasts at least three months (although 6 months – 1 year may be better for some people) Structured aftercare provided

11 Further copies of the report

12 Griesbach & Associates Social Research for Policy and Practice Contact details: No. 9, 190 Bruntsfield Place Edinburgh EH10 4DF Tel: Mob: Web: