Table of contents

Unmet needs and service gaps

Background papers: Lifestyle and wider determinants :: Substance misuse in adults [Update in progress] :: Unmet needs and service gaps

• There is a large number of Medway clients who drop out of drug services within the first 12 weeks of their treatment. If Medway moves towards payment by results contracts in line with national guidance the reasons for high drop out rates will need addressed.
• The majority of our clients in treatment in our drug service are heroin users and more work needs to be done to meet the needs of non-heroin users.
• More work needs to be carried out with substance misusing parents and the children of substance misusing parents.
• Transitional age work needs to be instigated.
• Community needle exchange provision needs to be extended.
• Carer support needs to be developed.