UK - Residential Clinic
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We can provide an assessment of all your needs and a recommendation regarding the most effective rehab placement for you, given your particular circumstances. We can provide fast, immediate access to alcohol treatment.
Rehab News:The Treatment Outcomes Profile
The Treatment Outcomes Profile (TOP) - the tool used for monitoring the effectiveness of substance misuse treatment in England - has been assessed by peer-review as fit for purpose, and is published in Addiction this week.
"The Treatment Outcomes Profile is a reliable and valid 20 item instrument for treatment outcomes monitoring," explains Dr John Marsden, lead researcher for outcomes monitoring in substance misuse, "the drug treatment sector may be assured of the tool's clinical use and value for monitoring treatment and measuring outcomes for the benefit of individuals, communities, and service commissioners and providers."
The TOP was launched in May 2007 and rolled-out to drug treatment providers for service monitoring in October 2007. The National Treatment Agency (NTA) has received around 200,000 completed TOPs via the National Drug Treatment Monitoring System, making the TOP the biggest outcomes database for drug treatment in the world.
Colin Bradbury, NTA Treatment Delivery Manager, adds: "The TOP is proving to be a valid and reliable measure of change. Its applied use will help drive up quality and standards of drug treatment in England."
The tool was validated through a sample of over 1,000 service users, aged 16 62, recruited from 63 public treatment organisations in England.
The validation consisted of 38 continuous, scale and period prevalence measures, using a 28-day recall period, across substance misuse, health, crime and social functioning domains, administered as a personal interview by 163 key workers.
The findings were that twenty outcome measures met inter-rater reliability criteria, including:
days used alcohol, opioids, crack cocaine, cocaine powder, amphetatines, cannabis, and one other named substance
days injected and period prevalence of direct or indirect needle/syringe sharing
days committed shop theft and drug selling
prevalence of vehicle, property fraud/forgery
assault/violence offences
subjective rating of physical, psychological health
quality of life
days worked and attended education
prevalence of acute housing problems and risk of eviction
There was satisfactory validity assessment and the change sensitivity of these items was evidenced by effective size, the smallest detectable difference and by reliable change index.
The TOP clinical tool contains an additional 10 items to assist individual treatment planning and review.
