1. INTRODUCTION

7
  • ICQ AND PIQAT 7
  • 1.1 What is this document 8
  • 1.2 Target Audience 8
  • 1.3 Why improve drug use disorder treatment service management? 8
  • 1.4 What are specialized drug use disorder treatment services? 9
  • 1.5 The importance of recovery-orientated drug treatment systems and services. 9
  • 1.6 How to use this document 10

2. EFFECTIVE MANAGEMENT OF DRUG TREATMENT SERVICES

12
  • 2.1 What is service leadership and management? 12
  • 2.2 Service Planning 14
  • 2.3 Managing financial resources 18
  • 2.4 Managing contracts and working with funders 21
  • 2.5 Management of human resources 21
  • 2.6 Managing service facilities and equipment 28
  • 2.7 Patient record systems 29
  • 2.8 Service Quality Assurance systems 30
  • 2.9 Effective management checklist 33

3. INDIVIDUALISED PERSON-CENTRED TREATMENT

34
  • 3.1 Patient screening, assessment, and risk assessment 34
  • 3.2 Informed consent 34
  • 3.Treatment planning and review 37
  • 3.4 Partnership with other providers 39
  • 3.5 Meeting the needs of diverse groups of patients 40
  • 3.6 Involving patients in service design and delivery 41
  • 3.7 Individualised person-centred treatment checklist 42

4. PROVIDING INTERVENTIONS THAT ARE EVIDENCE-BASED

44
  • 4.1 The importance of a documented approach 44
  • 4.2 Standard Operating Procedures (SOPs) 45
  • 4.3 Ensuring interventions are in line with international guidance and evidence-based 45
  • 4.4 Interventions to reduce the negative health and social consequences of drug use 44
  • 4.5 Psychosocial Interventions 46
  • 4.6 Pharmacological interventions 47
  • 4.7 Recovery management interventions 48
  • 4.8 Evidence-based intervention checklist 50

5. MONITORING SERVICE ACCESS, PERFORMANCE, PATIENT OUTCOMES

51
  • 5.1 Ensuring timely access 51
  • 5.2 Performance monitoring and management 51
  • TABLE OF CONTENTS 4 Managing drug use disorder treatment services in line with international ‘Key Quality Standards’: A handbook for managers 52
  • 5.3 Outcome monitoring and management 52
  • 5.4 Monitoring service access, performance, and patient outcomes checklist 53

6. ENSURING SERVICES PROMOTE PATIENTS’ HEALTH, SAFETY, AND HUMAN RIGHTS

54
  • 6.1 Treating patients with respect and protecting them from abuse, malpractice, and discrimination 54
  • 6.2 Fully informing patients of service rules, policies, and procedures 54
  • 6.3 Promoting patient health, well-being, and social functioning 56
  • 6.4 Independent complaints procedures for patients 57
  • 6.5 Ensuring cleanliness, infection control, fire, and other serious incident prevention 57
  • 6.6 Medicines management 60
  • 6.7 Promoting patients’ health, safety, and human rights checklist 61

7. AUDITING YOUR SERVICE USING THE KEY QUALITY STANDARDS

61
  • 7.1 Plan and allocate resources 63
  • 7.2 Adapt 63
  • 7.2 Assess 64
  • 7.3 Report 65
  • 7.4 Improve 65

GLOSSARY OF TERMS

66

REFERENCES FOR EACH CHAPTER AND FURTHER READING

68

APPENDICES

A1. Key Quality Standards

71
  • A1.1 Effective management 71
  • A1.2 Individualised, patient-centred care 76
  • A1.3 Timely access to evidence-based treatment and care 81
  • A1.4 Promotion of patient health, safety, and human rights 86

A2. UNODC Additional Standards and considerations for managing services for patient groups

91
  • A2.1 Children and adolescents 91
  • A2.2 Women and pregnant women 92
  • A2.3 People with drug use disorders involved in the criminal justice system 93
  • A2.4 SUD Treatment for different patient groups 94

A3. UNODC Additional Standards and considerations for managing different types of services

95
  • A3.1 Outreach 95
  • A3.2 Settings not specialized to provide substance use disorder treatment 98
  • A3.3 Specialized out-patient or community-based treatment programmes 99
  • A3.4 Specialized In-patient services 100
  • A3.5 Specialized Residential Rehabilitation units 101