Quality statement 6: Keyworking – psychosocial interventions
People in drug treatment are offered appropriate psychosocial interventions by their keyworker.
Psychosocial interventions can improve the therapeutic relationship between the keyworker and the person with the drug use disorder. This can help to improve motivation, participation in treatment, the likelihood of recovery and prevention of relapse.
Structure: Evidence of local arrangements to ensure people in drug treatment are offered appropriate psychosocial interventions by their keyworker.
Process: Proportion of people in drug treatment who receive appropriate psychosocial interventions from their keyworker.
Numerator – the number of people in the denominator receiving appropriate psychosocial interventions from their keyworker.
Denominator – the number of people in drug treatment.
Service providers ensure systems are in place for people in drug treatment to be offered appropriate psychosocial interventions by their keyworker.
Keyworkers offer people in drug treatment appropriate psychosocial interventions.
Commissioners ensure they commission services that offer people in drug treatment appropriate psychosocial interventions from their keyworker.
People in drug treatment are offered psychosocial support by their keyworker, which may involve 'talking therapies' to help increase motivation and prevent relapse, and creating visual 'maps' to help support their treatment.
Drug misuse and dependence: UK guidelines on clinical management sections 3.3.2 and 4.2.1, and paragraphs 18.104.22.168, 22.214.171.124 and 126.96.36.199.
Structure: Local data collection.
Process: Local data collection. The National Drug Treatment Monitoring System collects data on all clients receiving specialist treatment for their problematic use of drugs; data on a range of psychosocial interventions are collected.
Psychosocial interventions need to be appropriate to the service user's needs and circumstances. Drug misuse and dependence: UK guidelines on clinical management lists relevant interventions which can be offered by the keyworker. These include:
goal setting and problem solving
brief motivational interventions
All of the above can be supported through the use of mapping techniques.
Drug misuse and dependence: UK guidelines on clinical management defines a keyworker as a key individual or clinician, for example a doctor, nurse or voluntary sector drugs worker who is in regular contact with the service user. If the person has complex needs it is important that the keyworker is a single named individual.