{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Cover page","Introduction","Data sheet","Who should take action"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":179,"comments":1,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Cover page","index":0,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Introduction","index":1,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[]}
[null,"Baseline assessment tool for drug misuse prevention: targeted interventions (NICE public health guideline NG64)"]
[]
[null,"This baseline assessment tool can be used to evaluate whether practice is in line with the recommendations in drug misuse prevention: targeted interventions.  It can also help to plan activity to meet the recommendations."]
[]
[null,"The tool can be used by individual services or organisations.  Alternatively, an assessment completed with the involvement of all relevant services or organisations would help to develop a picture of activity in the local area."]
[]
[null,"It should be used in conjunction with drug misuse prevention: targeted interventions (NICE public health guideline NG64)."]
[]
[null,"In the first instance, consider whether the guideline is relevant and record the conclusion in the box below."]
[]
[null,"Is the guideline relevant?"]
[]
[]
[null,"The Data sheet contains the recommendations from the guideline. Information can be entered about current activity relevant to the recommendation, actions needed to meet the recommendation, deadlines and the names of the responsible leads.  Useful documents can be added as hyperlinks."]
[]
[null,"The table can be adapted to include any other local information that is thought to be useful."]
[]
[null,"If it would be helpful to group the recommendations, for example those that are key priorities for implementation or by deadline, use the Filter function in the Data menu. "]
[]
[null,"Tools and resources to help put the guidance into practice are available on the NICE website. "]
[]
[]
[null,"National Institute for Health and Care Excellence\nLevel 1A, City Tower, Piccadilly Plaza, Manchester M1 4BT; www.nice.org.uk\n\nCopyright\n© National Institute for Health and Care Excellence, 2017 All rights reserved. This material may be freely reproduced for educational and not-for-profit purposes. No reproduction by or for commercial organisations, or for commercial purposes, is allowed without the express written permission of NICE.\n"]

{"sheet":"Data sheet","index":2,"n_rows":32,"n_cols":11,"rows_kept":32,"cut":false,"hidden":false,"merged":[[0,1,0,10]]}
[null,"Baseline assessment tool for drug misuse prevention: targeted interventions (NICE public health guideline NG64)"]
[]
[null,null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(D8:D998,\"Yes\")","v":0}]
[null,null,null,null,"Number of recommendations met",{"$f":"COUNTIF(F8:F998,\"Yes\")","v":0}]
[null,null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(F4/F3),\"\",F4/F3)","v":""}]
[]
[null,"NICE recommendation","Guideline reference","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"1.1 Delivering drug misuse prevention activities as part of existing services"]
[null,"Deliver drug misuse prevention activities for people in groups at risk through a range of existing statutory, voluntary or private services, including:\n-health services, such as primary care services, community-based health services, mental health services, sexual and reproductive health services, drug and alcohol services, and school nursing and health visiting services\n- specialist services for people in groups at risk\n- community-based criminal justice services, including adult, youth and family justice services\n- accident and emergency services.","1.1.1"]
[null,"Ensure activities targeting groups at risk are consistent with any population-level (universal) activities aimed at preventing drug misuse.","1.1.2"]
[null,"1.2 Assessment"]
[null,"At routine appointments and opportunistic contacts with statutory and other services, such as those listed in recommendation 1.1.1, assess whether someone is vulnerable to drug misuse. Examples of routine appointments and opportunistic contacts include:\n-health assessments for children and young people who are looked after or care leavers, including initial assessments, any reviews and contacts\n- appointments with GPs, nurses, school nurses or health visitors\n- attendances at emergency departments as a result of alcohol or drug use\n- contacts with the community-based criminal justice system.","1.2.1"]
[null,"Use a consistent, locally agreed approach to assessment that is respectful, non-judgemental and proportionate to the person’s presenting vulnerabilities. For an example for young people, see the practice standards for young people with substance misuse problems.","1.2.2"]
[null,"Discuss the person’s circumstances, taking account of their age and developmental stage. The initial discussion could include:\n- their physical and mental health and their personal, social, educational or employment circumstances (which may trigger a more in-depth assessment)\n- any drug use (including the type used and how often).\nIf the person is already misusing drugs, see NICE’s guidelines on psychosocial interventions and opioid detoxification for drug misuse in people aged 16 years and older, needle and syringe programs, and diagnosis and management of alcohol-use disorders.","1.2.3"]
[null,"Think about the immediate safety of the person being assessed and any people under their care, and whether any action is needed.","1.2.4"]
[null,"Discuss with the person what their priorities are and take into account how these might affect next steps or referral to other services.","1.2.5"]
[null,"1.3 Children and young people assessed as vulnerable to drug misuse"]
[null,"Consider skills training for children and young people who are assessed as vulnerable to drug misuse. If skills training is delivered to children and young people, ensure that their carers or families also receive skills training. For older children and young people, think about whether providing information (see recommendations in section 1.4) may be a more appropriate approach.","1.3.1"]
[null,"Ensure any skills training is:\n- commissioned as part of existing services (see recommendation 1.1.1)\n- delivered as part of activities designed to increase resilience and reduce risk\n- delivered by people competent to provide skills training.","1.3.2"]
[null,"If skills training is offered to children and young people and their carers or families, ensure it helps children and young people develop a range of personal and social skills, such as:\n- listening\n- conflict resolution\n- refusal\n- identifying and managing stress\n- making decisions\n- coping with criticism\n- dealing with feelings of exclusion\n- making healthy behaviour choices.\nEnsure that personal and social skills training for children and young people who are looked after and care leavers puts particular emphasis on how to deal with feelings of exclusion.","1.3.3"]
[null,"If skills training is offered to children and young people and their carers and families, ensure that it helps carers and families develop a range of skills, such as:\n- communication\n- developing and maintaining healthy relationships\n- conflict resolution\n- problem solving.\nEnsure that skills training for foster carers includes using behaviour reinforcement strategies alongside the other skills listed.","1.3.4"]
[null,"Take into account the age, developmental stage, presenting vulnerabilities, cultural context, religion, ethnicity and any other specific needs or preferences of the child or young person when deciding:\n- whether to offer training sessions to children and young people and their carers or families together, or whether to offer separate sessions\n- the content of the skills training\n- whether to provide individual or group-based sessions\n- the number of sessions needed (a minimum of 2 sessions should be offered)\n- where to hold the sessions\n- how long each session should last.\nFor more information, see the Department of Health’s quality criteria for young people friendly services.","1.3.5"]
[null,"Discuss and agree a plan for follow-up at the skills training sessions, to assess whether additional skills training or referral to specialist services is needed.","1.3.6"]
[null,"1.4 Adults assessed as vulnerable to drug misuse"]
[null,"Offer adults who are assessed as vulnerable to drug misuse (see section 1.2) the following:\n- clear information on drugs and their effects\n- advice and feedback on any existing drug use\n- information on local services and where to find further advice and support (see recommendation 1.5.3).\nThis information should be provided at the same time as the assessment.","1.4.1"]
[null,"Offer information and advice both verbally and in writing. Provide advice in a non-judgemental way and tailor it to the person’s preferences, needs and level of understanding about their health. Ensure that information and advice is delivered in line with NICE’s guidelines on general and individual approaches to behaviour change and patient experience in adult NHS services.","1.4.2"]
[null,"Discuss and agree a plan for follow-up at the assessment, to determine whether additional information or referral to specialist services is needed.","1.4.3"]
[null,"1.5 People at risk of using drugs"]
[null,"Consider providing information about drug use in settings that groups who use drugs or are at risk of using drugs may attend. These settings could include:\n- nightclubs or festivals\n- wider health services, such as sexual and reproductive health services or primary care\n- supported accommodation or hostels for people without permanent accommodation\n- gyms (to target people who are taking, or considering taking, imageand performance-enhancing drugs).","1.5.1"]
[null,"Consider providing information in different formats, including web-based information (such as digital and social media) and printed information (such as leaflets).","1.5.2"]
[null,"Consider providing information on:\n- drugs and their effects (for example, on NHS Choices)\n- local services and where to find further advice and support\n- online self-assessment and feedback to help people assess their own drug use.","1.5.3"]
[null,"Ensure that information provided is in line with NICE’s guidelines on general and individual approaches to behaviour change and patient experience in adult NHS services.","1.5.4"]

{"sheet":"Who should take action","index":3,"n_rows":5,"n_cols":3,"rows_kept":5,"cut":false,"hidden":true,"merged":[[0,1,0,2]]}
[null,"Baseline assessment tool for title of guideline (NICE clinical/medicines practice/public health/social care guideline NGXX)"]
[]
[null,"Who should do what at a glance"]
[]
[null,"Who should take action","Recommendation"]