Community Detox involves a person being assigned a key worker or case manager in Chrysalis; this worker then works with that person and their GP or doctor on their methadone clinic towards detoxing from methadone or benzodiazepenes without going into a residential setting.
This means regular meetings with the client and key worker to see how things are going. The key worker supports the client around practical issues as they arise such as housing, family issues, social welfare payments etc
They then also go to the methadone clinic or GPs office who works with that client to update them on progress and support them in detoxing further.
This process is in response to the lack of sufficient beds in residential settings and also suits people who may not be able to go to a residential setting for whatever reason. It is all done at the client’s pace and in consultation with the prescribing doctor.
Chrysalis provides practical and emotional support in this process.
The Community Detox Pilot which was developed by the Progression Routes Initiative.
Progression Routes seeks to improve service delivery to those attending drugs services. It does this by working with multiple agencies to formulate and implement strategic interagency solutions to identified barriers to progression.
In 2007/8 a Progression Routes Initiative subgroup developed protocols on how community, voluntary and statutory services could work together with GPs to provide methadone and benzodiazepine community detoxes with wrap-around medical and psycho-social supports.
These protocols have been established with the intention of ensuring that individuals who wish to detox without attending a residential establishment, or in preparation for attending one (as methadone prescriptions need to be reduced to 30 – 50mls before admittance), will have appropriate supports.