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Related Experiment Videos

The community drug team.

J Strang1, M Smith, S Spurrell

  • 1South Southwark Community Drug Team, Maudsley Hospital, London, UK.

British Journal of Addiction
|February 1, 1992
PubMed
Summary
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Community Drug Teams (CDTs) expanded UK drug services in the 1980s, emphasizing community focus and multidisciplinary input. Their role shifted from consultancy to direct care, prompting a need for revised development strategies.

Area of Science:

  • Public Health
  • Substance Abuse Treatment
  • Healthcare Management

Background:

  • The 1980s saw a significant expansion of drug services in the UK with the establishment of nearly 100 Community Drug Teams (CDTs).
  • CDTs were characterized by a localized geographical focus, community-centered approach, and multidisciplinary staffing.
  • Initial models promoted a 'consultancy' role, drawing parallels with Community Alcohol Teams.

Purpose of the Study:

  • To analyze the evolution and impact of Community Drug Teams (CDTs) in the UK.
  • To examine the shift in CDT operational models from consultancy to direct care provision.
  • To propose future development strategies for drug services based on CDT experiences.

Main Methods:

  • Historical analysis of the development and adaptation of Community Drug Teams (CDTs).

Related Experiment Videos

  • Assessment of collaboration levels with generic healthcare providers, particularly general practitioners.
  • Evaluation of the changing roles of CDT workers from consultancy to direct or shared care.
  • Main Results:

    • CDTs represented a major expansion in UK drug services during the 1980s.
    • Collaboration with general practitioners was initially poor but showed slow improvement.
    • CDT workers increasingly engaged in direct or shared care, deviating from the original consultancy model.

    Conclusions:

    • The evolution of CDTs highlights a shift from a consultancy model to direct care provision.
    • There is a need to re-evaluate target populations, staffing, and working methods for future drug service development.
    • Separate short- and long-term strategies are recommended, considering both consultancy and direct care approaches.