Online Resource Library
These templates and policies were developed by some of the sites that engaged in the national pilot to implement the National Drugs Rehabilitation Framework. These documents are set to be reviewed in the near future with a view to creating standard templates and policies relating to each protocol. Until this process is complete, these documents may be adapted for use in your service or area.
Protocol 1 - Screening and initial assessments
Templates
- Protocol 1
- AUDIT
- DUDIT
- SAOR model
- Initial assessment template minimum standards
- Dun Laoghaire/Rathdown initial assessment form
- Dublin North East initial assessment form
- Cork/Kerry initial assessment form
- South East initial assessment form
Policies
Protocol 2 - Comprehensive assessments
Templates
- Protocol 2
- Comprehensive assessment template minimum standards
- Dun Laoghaire/Rathdown comprehensive assessment form
- Dublin North East comprehensive assessment form
- Ballyfermot comprehensive assessment form
- Cork/Kerry comprehensive assessment form
- South East comprehensive assessment form
Policies
Protocol 3 - Referrals
Templates
- Protocol 3
- South East referral template
- Dublin North East referral on template
- Dublin North East exit sheet
- Ballyfermot referral report
- Cork/Kerry referral form
- BIAN referral form
- BIAN sample referral cover letter
Policies
Protocol 4 - Care planning
Templates
- Protocol 4
- Interagency care plan template
- Dublin North East care plan template
- BIAN interagency care plan case manager handover
- BIAN interagency care plan review sheet
- BIAN interagency care plan cover sheet
- BIAN interagency care plan action sheet
- BIAN letter seeking care plan engagement
- Cork/Kerry interagency care plan
- Cork/Kerry introduction letter to external service explaining case management
- Cork/Kerry service user information on case management
- South East care plan checklist
- South East case management and interagency checklist
Policies
- Ballyfermot case management protocols
- Ballyfermot case management protocols and policies
- Ballyfermot criteria for client selection for case management
- Dun Laoghaire/Rathdown case notes, record keeping and correspondance guideline
- Cork/Kerry keyworking, care planning and case management local protocols
- Cork/Kerry interagency case meetings step by step
- BIAN developing and reviewing the interagency care plan
- BIAN outline of care plan
- Cork/Kerry interagency care plan protocol
- Dun Laoghaire/Rathdown guidelines for planning aftercare
- Dun Laoghaire/Rathdown developing and reviewing careplans
Protocol 5 - Gaps and blocks
Templates
- Protocol 5
- Gaps and blocks form
- Dublin North East gaps and blocks form
- Ballyfermot gaps and blocks form
- BIAN local gaps and blocks form
- Cork/Kerry gaps and blocks form T&R committee level
Policies
Protocol 6 - Confidentiality
Templates
- Protocol 6
- South East consent for release of information template over 18
- South East consent for release of information template under 18
- Dublin North East release of information template
- Ballyfermot information sharing document
- South East interagency shared care plan confidentiality contract
- BIAN interagency consent for release of information
- BIAN withdrawal of consent form
- BIAN interagency confidentiality statement
- Cork/Kerry interagency consent for release of information form
Policies
Tracking tools
- BIAN protocol monitoring form
- South East interagency shared care planning meeting monitoring report 2013
Tier 4
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