C31. Evaluating the implementation of an addiction nursing model across treatment services

C31. Evaluating the implementation of an addiction nursing model across treatment services

C31. Evaluating the implementation of an addiction nursing model across treatment services

Learner category:

• Expert Level

Learning objectives:

• Participants will have a greater understanding on the evaluation of the process of roll out and implementation of revised case management procedures within the operation of the Healthy Addiction Treatment Recovery nursing model across services
• Participants will have a greater understanding on the perceived impact of revised case management procedures on clients, nursing and other healthcare staff

Abstract

The aim of this research was to extend the implementation and evaluation of the Healthy Addiction Treatment (HAT) recovery nursing model across all of the methadone services within north Dublin, Ireland and in conjunction with this, to complete an extensive longitudinal follow up study with clients from the original baseline study. A concurrent multi-method study design was conducted. Qualitative one to one interviews took place with nursing staff involved in the delivery of the model and the client’s case management at each of the participating clinics. Quantitative secondary data analysis of anonymised client outcomes from all new assessment clients receiving the new HAT model approach and the case management process was undertaken. Qualitative documentary analysis of existing administrative and documentary evidence from within the service was completed using an implementation science framework with improvement cycles. In summary it was clear from the overview analysis of the two-year follow-up data on the original 131 clients who informed the HAT Recovery Model that mental health needs remained pressing. From the evaluation findings of the wider pilot implementation of the model, it was evident that a highly motivated team of stakeholders from nurses to clients to leadership were involved but further development in the key area of data systems and fidelity was required to ensure the on-going successful scale up and roll out to other regions. This work was carried out with nursing professionals Jean Flanaghan, Joan Deegan and Assistant Director Aine Hall, Health Service Executive, Dublin, Ireland and research assistant Dave McDonagh.

Authors

Catherine Comiskey

BA(Mod) MA MSc PhD Trinity College Dublin, The Univeristy of Dublin, Ireland

Catherine Comiskey is the former Head of the School of Nursing and Midwifery (2014-2017 and 2019-2020), Trinity College, Dublin University, Ireland. Prof. Comiskey holds a PhD degree in biomathematics, biostatistics and epidemiology. In 2007 she was appointed by Minister of Education and Science to serve on the board of The Irish Research Council. In 2012 she was appointed by the Department of Health to Chair the National Advisory Committee on Drugs and Alcohol and in 2013 she was appointed by the EU to serve on the Scientific Committee of the European Monitoring Centre for Drugs and Drug Addiction. In 2017 she elected as the Vice Chair. She is a Professor in Healthcare Statistics, has over 100 applied publications and is currently supervising 10 PhD candidates.

Karen Galligan

BSc, MSc Trinity College Dublin, The University of Dublin

Karen Galligan is a PhD graduand at The School of Nursing and Midwifery, Trinity College Dublin, Ireland. She has a background in health psychology and mental health.