Community case management and treatment

Agile case management

Following a comprehensive assessment, we allocate each person a case manager throughout their journey and introduce them to a peer mentor. We agree a recovery plan including, where appropriate, referrals for a range of needs.

There are four teams of case managers, a specialist criminal justice team, nursing team and a family team who work across the borough and plan, deliver and coordinate the delivery of each persons recovery plan. This enables people to keep a named case manager while still being able to access any element of Aspire.

The teams are ‘agile’ and with the additional use of local hubs the teams are able to see people as close to their geographical location as possible or in the town centre should they prefer. This enables us cover the borough effectively, makes it easier for people to access and engage with Aspire and ensures we can support people in the community where they live.

The teams have a professional skill mix across health and social care and include qualified social workers, nurses and group work staff. The teams also have a range of skills and training critical to supporting recovery including counselling and specific psychosocial interventions.

This enables the provision of a comprehensive package of care alongside our specialist prescribers.

Specialist prescribing

Led by a consultant specialising in addictions, our specialist team of doctors and non-medical prescribers work closely with the agile case managers and group workers. The service is delivered in the hubs across the borough as well as centrally across Aspire, probation and changing lives ensuring there is an option which suits everyone in service.

The team offers recovery orientated medical support which includes substitute prescribing and detoxification. Our detoxification options include community, a medically managed detoxification within New Beginnings which is an inpatient unit.

Specialist prescribing is an integral part of many peoples recovery plan and reviews are conducted in coordination with the case manager based in the agile teams.

 

About Aspire

Aspire is a partnership organisation set up by Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH) and registered charity The Alcohol & Drug Service (ADS).

We pride ourselves on being innovative and forward thinking, and work closely with the recovery communities we serve to provide flexible, responsive services, which offer the best possible recovery outcomes for all our service users.