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 several teams of case managers and nurses 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. 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 and nurses. 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.
Led by a consultant specialising in addictions, our specialist team of doctors and non-medical prescribers work closely with the agile case managers. The service is delivered in the hubs across the borough as well as centrally 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, medically managed detoxification within New Beginnings and inpatient.
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.