HSE CHO Dublin North City & County: North Inner City Tier 3 Alcohol Service Tender

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HSE CHO Dublin North City & County are requesting submissions from suitably qualified organisations and service providers to provide a Tier 3 Community Alcohol service for the Dublin North Inner City area.

Background

In the Spring of 2020, an increase in Alcohol problem use was raised as an issue by Regional and Local Drug and Alcohol Task Force Cooridnators. In May 2020, H&W in partnership with Social Inclusion began a scoping exercise the project needs and a project plan was developed.

Stakeholders from Social Inclusion, Health and Wellbeing, Co-ordinators from Regional and Local Drugs and Alcohol Task Forces, Alcohol Clinical Lead for CHO DNCC, Mater and Beaumont Hospital and 58 Community Organisations came together to develop a Community Response to Alcohol Framework. It included a clear Outcomes Framework which provides guidance and direction to meet outcome measures.

A mapping of alcohol services being delivered across the area was gathered and documented. This highlighted that there were pockets of good practice of service provision but also clear gaps and discrepancies within alcohol services based on historic development, ad-hoc approach and lack of a clear framework for early engagement in addressing problem alcohol use. There is also a limited engagement with Primary Care Services. A significant gap in service provision was identified in the NEIC area, Whilst there is a high concentration of drug services in the NIC area, there is no structured Tier 3 Alcohol service in the North East Inner City to deliver counselling and psycho-education interventions with adults with problem alcohol use despite the clear demand for such a service evidenced by NDTRS figures over the past 5 years.

Evidence Base

The Health Research Board Statistics 2015-2019 where Alcohol is the PRIMARY drug, recorded 3,278 people as having had an intervention. Closer examination highlighted

  • Approximately 820 people per year across the Community Health Organisation Dublin North City and County area (CHO DNCC)
  • 200 people accessed treatment services for alcohol support in the NICLDATF area in 2019
  • 59% of men present compared with 41% women
  • Predominantly White Irish accessing treatment and support
  • Dependent alcohol use amongst people whose primary drug use is another drug is also prominent in the NIC area, characterised by high rates of benzodiazepine and Z-drug use, along with a high concentration of OST patients (33% of national total in CHO9).

Proposed Plan

The proposed plan is to establish a Tier 3 Alcohol Treatment service serving the NIC catchment area for people seeking support due to dependent alcohol use. This service will offer the following:

  • Comprehensive assessment
  • Care planning
  • Stabilisation & Abstinence based treatment
  • Community Detox referral
  • Day Programme
  • Evening Programme
  • Aftercare
  • Relapse prevention
  • Onward referral e.g. residential treatment, family support, SMART Recovery etc.
  • Development of a targeted Communications Plan and disseminate agreed communications updates to all stakeholders and establishment of clear referral pathway.
  • Service will link with Community Alcohol Liaison Nurse Team and Acute Hospital Alcohol Liaison Services.

Tenders should be submitted by 5pm on Friday 15th of July, 2022. Applications submitted after this time will not be considered.

Attachment Size
Tender document 20.67 KB

General Info

Date Entered/Updated
16th Jun, 2022
Region
Dublin North City and County
Expiry Date
15th Jul, 2022