Comprehensive Approach to Benzodiazepine Management in GP Setting
This project in the Ballymun area offers a multi-disciplinary response to benzodiazepine use within a general practitioner setting. It aims to provide accessibility, engagement, and support for individuals struggling with benzodiazepine misuse through early intervention, non-stigmatizing methods, and integrated medical and psychosocial approaches. The project facilitates cooperation among healthcare providers, addiction services, and clients seeking help with substance misuse issues, including detoxification and further treatment options. By promoting collaboration and intervention beyond benzodiazepine use, it aims to enhance patient outcomes and support within the community.
- Benzodiazepine Management
- General Practitioner
- Multi-disciplinary Approach
- Substance Misuse
- Community Support
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IM NOT A LONE SOLDIER A MULTI-DISCIPLINARY RESPONSE TO THE MANAGEMENT AND TREATMENT OF BENZODIAZEPINE USE WITHIN THE GENERAL PRACTITIONER SETTING. Ballymun GP Community Partnership Addiction Project
BACKGROUND Partnership Response; Hosted and situated in the Ballymun Family Practice, Delivered by Ballymun Youth Action Project, Funded by the Ballymun Local Drug & Alcohol Task Force. As a response to a study by the Ballymun Youth Action Project (BYAP) in 2004 entitled Benzodiazepines Whose Little Helper Explored work by Rolande Anderson (ICGP) in the area of alcohol as a useful template for the development of services to complement GP practices in the area of benzodiazepines. Project commenced 2006; evaluated 2011
KEY PROJECT CHARACTERISTICS Accessibility and Engagement - ease of referral system, engages those who would not necessarily attend addiction services Allows for earlier intervention and early warning systems Discreet, non stigmatising Flexibility Allows for integration of medical and psychosocial model (e.g. supported reduction plans) Enhances links within primary health care provision and across local support services when required. Creates a culture of co-operation and intervention beyond benzo use (e.g. alcohol, methadone clients). Assists in the tracking of benzo and Z related issues.
I have taken up someone who is already a patient who was buying on the street and has a heavy problem and where I would have ran from it because I couldn t cope with it, I agreed to take her on to detox her. And the reason I couldn t cope with it was because I didn t feel skilled but I feel if she is in counselling, addiction counselling and committing to that, I feel I can deliver my bit and I feel more secure that I m not a lone soldier.(PRACTICE1, GP1) (Carrigan, 2011: 34) Carrigan, J (2011) Chains of Addiction & Links of Support: Responding to Benzodiazepine use in Ballymun, A GP-Community Partnership Addiction Project. Ballymun Local Drugs Task Force and Ballymun Family Practice: Dublin.
Aims TO ASSIST THOSE CURRENTLY USING BENZODIAZEPINES AND FOR THOSE SEEKING A PRESCRIPTION FOR Addiction Counsellor G.P. Patient BENZODIAZEPINES TO PROVIDE A SERVICE FOR THOSE SEEKING AND WISHING TO ADDRESS THEIR SUBSTANCE MISUSE AND/OR RELATED ISSUES; THOSE WISHING TO DETOX, AND THOSE SEEKING RESIDENTIAL/ FURTHER TREATMENT.
Service Break Down 3% 3% 11% 4% Assessment Individual Counselling Acupuncture 3 Way Meetings Other 79%
Service Users WHO Male 36% 64% Female
Presenting Substance 11 9 7 6 6 5 4 2 VAL / ZOPI ALCOHOL COC. POW METHADONE WEED CRACK COC. HEROIN CODEINE
18 Outcomes 16 14 12 10 8 6 4 2 0 Treat Complete Trans Stable Did not wish to attend Refused further Sessions DNE Ongoing
WHAT HAVE WE LEARNED ITS IMPORTANT GP S ARE FAMILIAR WITH THE CURRENT POPULAR STREET TABLET USE ADDICTION COUNSELLORS ARE ADDICTION COUNSELLORS SOME DRUG / ALCOHOL USERS DON T WANT TO BE SEEN IN A DRUG / ALCOHOL SERVICE VALUE OF ONSITE MULTIDISCIPLINARY INVOLVEMENT WE ARE BETTER TOGETHER
