Stabilisation, detoxification and other crisis support in Scotland: Service mapping and capacity survey 2022/23

Appendix A – Main survey distributed to providers in the general population

Detoxification, Stabilisation and Crisis Care – Mapping and Capacity Survey

This survey is designed to collect information from detoxification, stabilisation and crisis care providers across Scotland on a range of aspects relating to the provision and capacity of these services.

The survey has been developed by the Scottish Government to better understand the support available in Scotland for people who use alcohol and/or drugs and are at a point of crisis with regard to their substance use. We are aware that some of these services may be described as detoxification, stabilisation or crisis care but may also be also have other names and may take place in a range of settings (e.g. residential, community-based, in an in-patient or out-patient capacity). The findings of this research will be used to better understand the range of support available to people who use drugs and/or alcohol in Scotland and will contribute to policy-making. We hope to provide a summary report of the findings in early 2024.

The survey will be live until the 16^th of November 2023 and should take about 15 minutes to complete. As we are asking about detoxification, stabilisation and crisis care services within the same survey, we are aware that not all questions may be relevant to you. However, we would be grateful if you could complete the survey to the best of your ability as gathering this information is essential to getting as a full of picture of existing provision as possible. You can also help us by forwarding the link to this survey to any other detoxification, stabilisation or crisis care services that you are aware of.

If your service is split over several sites or buildings, please complete a separate survey for each. You will be asked to provide a postcode for the location and this will allow us to map services across the country.

While the names of services will be listed in the report, findings will be reported on at an aggregate level. Data will be managed in line with data protection protocols. The data may be shared with Public Health Scotland for evaluation purposes and would also be reported on at an aggregate level.

Participation in this research is voluntary and you have the right to stop of withdraw your consent at any point during or after completing this survey. We would ask that you do so by the 16^th of December 2023 to allow for analysis and reporting on the data gathered. If you have any concerns about how your data will be processed, please contact DataProtectionOfficer@gov.scot.

Note: questions marked by an asterisk (*) are compulsory

About you

Q1) *Name

[open text]

Q2) *Job title

[open text]

Q3) *Email address

[open text]

About your facility

Q4) *Name of your service

[open text]

Q5) *Type of organisation

[single choice]

• General Practice
• Homelessness service
• National Health Service (NHS) hospital
• Private hospital
• Prison
• Residential Rehabilitation
• Other statutory organisation
• Third sector
• Other private organisation
• Other (please specify)

Q6) Location of your service (postcode). If your service operates across more than one location, please complete a separate survey for each.

[open text]

Q7) *What setting is your service delivered in?

[single option]

• Residential or in-patient (i.e. people using the service stay on site)
• Community based (i.e. outreach) or out-patient
• Other (please specify)

Q8) *Please select all substances for which treatment is offered at your service.

[multiple choice]

• Alcohol
• Polydrug (not including alcohol)
• Amphetamines
• Benzodiazepines (prescription/street)
• Cannabinoids (including synthetic)
• Cocaine (powder/crack)
• Gabapentinoids
• Opiates
• Prescription-only painkillers
• None of the above
• Other (please specify)

Q9) *Which of the following interventions/treatments do you provide at your facility? Select all that apply.

[multiple choice]

• Active connection to community recovery resources (e.g. mutual aid)
• Detoxification from alcohol
• Detoxification from street drugs (e.g. street benzodiazepines)
• Behavioural or psychological interventions
• Blood-Borne Virus testing
• Dental care
• Prescription of Opioid Substitution Therapy (OST)
• OST optimisation
• Prescription of benzodiazepines
• Provision of alcohol relapse prevention medication
• Provision of naloxone
• Sexual health care
• Wound care
• None of the above
• Other (please specify)

Q10) If you selected "behavioural/psychological interventions" in answer to the question above, please specify what these are.

[open text]

Q11) *As a facility, what proportion of the service(s) you offer is specifically dedicated for people who would be considered at a crisis point in relation to their substance use?

[single choice]

• All
• More than half
• Around half
• Less than half
• None
• I don't know

If you operate in a residential setting:

Q12) How many places/beds does your facility provide (i.e. what is your maximum capacity) for detoxification?

[single choice; options: "we do not provide detoxification"; 1-30; "other (please specify)"]

Q13) How many places/beds does your facility provide (i.e. what is your maximum capacity) for stabilisation?

[single choice; options: "we do not provide stabilisation"; 1-30; "other (please specify)"]

Q14) How many other places/beds does your facility provide (i.e. what is your maximum capacity) not including for stabilisation and detox?

[single choice; options: "none"; 1-30; "other (please specify)"]

If you operate in a community or outpatient model (i.e. in a non-residential setting):

Q15)What is the maximum number of people that you are able to provide support to per month for detoxification?

[single choice; options: "we do not provide detoxification", 1-30, "other (please specify)"]

Q16) What is the maximum number of people that you are able to provide support to per month for stabilisation?

[single choice; options: "we do not provide stabilisation", 1-30. "other (please specify)"]

Q17) What is the maximum number of people that you are able to provide support to per month (not including for stabilisation or detoxification)?

[single choice; options: "none"; 1-30; "other (please specify)"]

Q18) *Thinking about today, how many people are currently attending your service?

[single choice; options: 1-30, "other (please specify)"]

Q19) *Thinking about last month, how many people attended the service on an average day (this may be the same number as above)?

[single choice; options: 1-30, "other (please specify)"]

Q20) *What is the average length of time people receive treatment at your service before they are discharged (not including unplanned discharges or repeated treatments)?

[open text]

Q21) *Is there a waiting list for your service?

[single option]

• Yes
• No

[If 'yes' to Q21]

Q22) What is the average length of time that people remain on the waiting list?

[open text]

Q23) *Which of the following, if any, are specific criteria for exclusion from your service?

[multiple choice]

• Existence of a criminal record
• Existence of a specific mental health concern
• Individual is not at a point of crisis with regard to their substance use
• Profile of substance use
• No exclusion criteria
• Other (please specify)

Q24) *How often do people come to your service from the following sources?

[single choice; options: never, rarely, often, always, I don't know]

• Local Alcohol and Drug Partnerships/Health Board
• Other ADP/Health Board
• Ambulance Service
• Accident and Emergency (A&E) departments
• Hospitals (not including A&E)
• Pharmacies
• General Practices (GP)
• Residential rehabilitation services
• Mental health services
• Family support services
• Housing services
• Social work referrals
• Armed forces
• Veterans' services
• Police
• Prisons
• Probation Service
• Self-referrals/walk-ins
• Other (please specify below)

Q25) If you selected "other" in answer to the question above, please specify which and how commonly people come to your service from these sources.

[open text]

Q26) *Which of the following professions are currently employed by your service?

[multiple choice]

• Administrative support staff
• Medical staff (e.g. doctors, nurses, etc.)
• Psychologist/psychotherapist/counsellor
• Pharmacist
• People with lived experience of substance use
• Volunteers
• Other (please specify)

Q27) *Do you operate within any of the following regulatory frameworks? Select all that apply.

[multiple choice]

• National Health Service (NHS)
• Care Commission
• Healthcare Improvement Scotland (HIS)
• Internal/no formal external regulation
• Do not operate within a regulatory framework
• Other (please specify)

Funding

Q28) *How much does your service cost to run on a per person basis?

[open text]

Q29) *How commonly are people attending your service funded by the following sources?

[single choice; options: never, rarely, often, always, I don't know]

• Local Alcohol and Drug Partnership (ADP)
• Other ADP
• NHS
• Self-funded
• Charities
• Mixed funding model
• Other (please specify below)

Q30) If you have selected "other" above, please specify the source of the funding.

[open text]

Service user outcomes

Q31) *How does your facility measure outcomes for people using your services? Please provide details of any specific tools used and follow-up intervals.

[open text]

Q32) *Where do people who use your services typically go when they are discharged from your service?

[single choice; options: never, rarely, often, always and I don't know]

• Return home
• Placement in residential rehabilitation
• Other (please specify)

Q33) if you have selected "other" above, please specify where else people who use your services typically go and how commonly this is the case.

[open text]

Q34) Are there any other comments you would like to make that you feel are relevant to this research?

[open text]

Q35) *Are you happy to be contacted for the purposes of future research?

[single choice]

• Yes
• No

[end survey and thank you message]

Thank you for taking the time to take part in this survey.