Substance Problem Referrals
Where to get Help with Substance Related Problems
Tameside and Glossop Alcohol Service Referral Criteria
The table below relates to specialist alcohol services for those aged over 18 years.
|
|
Primary Care (minimal) Intervention | NES (primary care) | ADS (Bentinck Street) | SMS (Lees Street) |
|---|---|---|---|---|
| Level of weekly alcohol consumption |
Less than 50 units (men) and 35 units (women) |
More than 50 units (men) and more than 35 units (women) |
100-150 units (men) and up to 100 units (women) |
More than 150 units (men) and 100 units (women) |
| Severity of withdrawal symptoms |
No obvious physical withdrawal symptoms |
Possible withdrawal insomnia, anxiety, irritability, sweating, retching, nausea, tremor |
Withdrawal insomnia, anxiety, irritability, sweating, retching, nausea, tremor |
History of seizures, delirium tremens, hallucinations |
| Physical health problems |
No / minor health problems, i.e. occasional gastro-intestinal disorders, hangovers, headaches. |
Moderate health problems, i.e. Gamma-Glutamyl Transferase 300+, Mean Cell (Corpuscular) Volume 100+, poor appetite, early signs and symptoms of peripheral neuropathy, hypertension. |
Moderate / significant health problems, i.e. Gamma-Glutamyl Transferase 300+, Mean Cell (Corpuscular) Volume 100+, poor appetite, early signs and symptoms of peripheral neuropathy, hypertension. |
Major health problems, i.e. Gamma-Glutamyl Transferase 600+, Mean Cell (Corpuscular) Volume 105+, jaundice, hepatomegaly, ascites, pancreatitis, advanced peripheral neuropathy. |
| Mental health problems |
No / minor mental health problems, i.e. occasionally feeling low, socially anxious. |
Moderate mental health problems including agoraphobic symptoms and panic attacks, some symptoms of clinical depression. |
Moderate mental health problems including agoraphobic symptoms and panic attacks, some symptoms of clinical depression. |
Severe and complex mental health problems e.g. psychosis, severe clinical depression, suicidal plans, disabling anxiety, serious cognitive deficits (e.g. Korsakoff's Syndrome). |
| Prescribed/illicit drug use |
Occasional, non-problematic illicit drug use. Alcohol not impacting on prescribed medication. |
Illicit drug use causing significant problems. Alcohol having significant impact on prescribed medication. |
Illicit drug use causing significant problems. Alcohol having significant impact on prescribed medication. |
Heavy / dependent / chaotic use of illicit drugs. Alcohol having major adverse impact on prescribed medication. |
| Child care issues (*) |
None. |
No known childcare concerns. Although possible presence of children in family home. |
Presence of children in family home. Possible childcare concerns, children aged over 8. |
Definite childcare concerns, social services involvement, children aged under 8. |
If a patient is aged under 19 refer to Branching Out.
* Consider Substance Using Family Support Service (SUFSS) referral if children under 13 years