Pain Management in Secure Settings

Therapeutic Solutions (Addictions) has provided a range of research, evaluation and support services for a joint exercise with the Royal College of Anaesthetists and Public Health England aimed at producing a ‘tool-kit’ for use in prison settings. The aim of this on-going work is to enhance the service offer to prisoners and provide a better range of treatment options for prisoners in pain. Our role has been to assist with the development of the tool-kit and the management of the project on behalf of Public Health England. In addition, we have provided a range of analytical support to the study to help determine and understand patient (prisoner) outcomes. Our most recent work for Public Health England was to collaborate with Dr Cathy Stannard as she provided a specialist pain management clinic in the South West of England. We provided the research support to her clinical work. The report published by Public Health England can be found here http://www.nta.nhs.uk/uploads/pain-management-clinic-final-report.pdf. A series of papers are planned for publication throughout 2018.

Recovery Services

We have offered a range of services to support the development of recovery services across the substance misuse sector including a number of reports and academic peer-reviewed papers. We have a paper written in partnership with Birmingham University on influences to 12-Step mutual self-help groups published in the European Addiction Research in September 2014.

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Our Services

We have developed a range of analytical and methodological approaches aimed at understanding the health and substance misuse needs of individuals including extensive interviews with a cross-section of service users in contact with healthcare and other related services. We have also worked to develop methods aimed at understanding the nuances of prisoner satisfaction of clinical services received. Our paper testing use of SERVQUAL as a mechanism for understanding ‘real’ satisfaction rates has been published here.

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Studies and Assessments

We have undertaken over 50 health and substance misuse specific needs assessments since 2006. These have included studies across community settings and across the criminal justice system (including detainee needs in police custody; service users in contact with Sexual Assault Referral Centres (SARCs) and prisoners in contact with health services in secure settings).

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