Telehealth alcohol withdrawal and recovery pilot
About the pilot
Sydney North Health Network (SNHN) are participating in a trial home-based alcohol program, ‘Primary Care Telehealth Alcohol Withdrawal and Recovery’ with care provided by the Clean Slate Clinic in collaboration with the patient’s usual GP.
Free treatment is currently available for patients referred from the SNHN region. The usual treatment costs are approximately $3000.00 per patient. All patients pay for Valium or anti craving medication if needed.
Please consider referring patients between the ages of 18-80 with mild to moderate alcohol dependence who need a medicated alcohol withdrawal and supported recovery and are happy to use a telehealth option.
Patients not suitable include
- any patient with a history of withdrawal seizures or delirium tremens will require withdrawal in an inpatient facility.
- any patient who is concurrently dependent on another substance such as methamphetamine, benzodiazepines or opioids is unlikely to be suitable.
- any patient who does not have safe housing and a support person may also be unsuitable.
- Contact the service on 02 3813 8104 to discuss suitability if unsure
About the program
Patients local GP
- refers suitable patients to the service
- provides routine GP support for the patient, which may include initiating blood tests and providing a health summary
- receives regular communication regarding patient progress
- receives a draft GP Management Plan for any ongoing care requirements, sent in editable form
The patient receives
- Detox and supported recovery
- Nursing assessment
- Access to resources
- Specialist GP review pre and post detox
- Medical detox from alcohol with daily monitoring
- 12-month follow-up
How to refer a patient
- Choose a referral option
- Fax: 02 8088 7814
- Telephone us: 02 3813 8104 (7am to 7pm Mon-Fri)
- HealthLink ID: clnslate
- Medical Objects (Provider Number 4842356H)
This program has multiple benefits including increasing options for patients and providing practical support for local GPs who do or do not provide alcohol withdrawal and recovery services.
For those who would like support in providing this service to their patients contact email@example.com – the program staff can give advice and support including clinical protocols, Medicare billing, and managing risk.
For those who would like to refer a patient – Clean Slate staff will keep the local GP fully informed on their patient’s progress throughout the 12-month program.
Clean Slate Assessment Questionnaire: click here to download (RTF file)
For more information click here or contact Clean Slate on 02 3813 8104.
See Clean Slate resources https://www.cleanslateclinic.com/blog
Sydney North PHN – Alcohol and Other Drugs (AOD) Services
AOD GP Helpline Northern Sydney Local Health District (NSLHD) Ph 1300 889 788
Counselling and Support Services
- Northern Sydney Local Health District (NSLHD) Drug, Alcohol & Gambling Services
- NSLHD Hornsby Ku-ring-gai – Drug, Alcohol & Gambling Services Phone: (02) 9485 6740
- NSLHD Northern Beaches – Drug, Alcohol & Gambling Services Ph (02) 9388 5333
- NSLHD Lower North Shore – Outpatient Drug, Alcohol & Gambling Ph (02) 9462 9199
- Sydney Drug Education and Counselling Centre (SDECC) Non-residential day rehabilitation, intensive outreach, for people aged 12-25 years. Chatswood & Manly. Ph (02) 9977 0711
- Odyssey House Community Services Non-residential rehabilitation for adults over 18 years old and family. Chatswood and Manly. Ph1800 397 739
- DAYSS Support for 12-24 years living in the Northern Beaches area. Ph (02) 8043 2600
Inpatient Rehabilitation Services
- Kedesh Rehabilitation Service – Non-profit, residential and outpatient services for drug/alcohol/gambling for people aged 18+. Ph (02) 9932 5300.
- NSLHD Lower North Shore – Involuntary D&A Treatment Program Ph (02) 9463 2533
- Northside Group and South Pacific Private provide inpatient drug and alcohol residential services for private patients.
Paid Clinical Attachments with Addiction Specialists
GP Clinical Attachments with NSLHD Drug and Alcohol Service Addiction Specialists
40 Category 1 CPD points (by self-notification) are available on completion of 10 hours of training with remuneration at $159 per hour.
This program aims to increase the number of GPs who are skilled and willing to take appropriate referrals from Addiction Specialists working in the Drug and Alcohol Service and increase shared care between specialists and a growing group of skilled GPs.
Participating GPs will have access to:
- supervised clinical attachments with addiction medicine specialists and addiction psychiatrists at RNSH and Brookvale Community Health Centre
- a specialist network for ongoing support
- participation in GP Balint groups dedicated to peer support and confidential case discussion with colleagues
- mentoring by GPs experienced in treating substance use disorders
- ongoing education through Sydney North Health Network events
- AOD Education Updates from Sydney North Health Network
If you are interested in participating, please complete the Expression of Interest form and return to Pat Simmonds at Sydney North Health Network. Pat can be contacted via:
Phone: (02) 9432 8256
Guideline 1: Reducing the risk of alcohol-related harm for adults
To reduce the risk of harm from alcohol-related disease or injury, healthy men and women should drink no more than 10 standard drinks a week and no more than 4 standard drinks on any one day.
The less you drink, the lower your risk of harm from alcohol.
Guideline 2: Children and people under 18 years of age
To reduce the risk of injury and other harms to health, children and people under 18 years of age should not drink alcohol.
Guideline 3: Women who are pregnant or breastfeeding
A. To prevent harm from alcohol to their unborn child, women who are pregnant or planning a pregnancy should not drink alcohol.
B. For women who are breastfeeding, not drinking alcohol is safest for their baby.
- 2020 Australian Guidelines to reduce health risks from drinking alcohol – full
- 2020 national guidelines – Reduce your risk
- Quick Reference Guide to the Treatment of Alcohol Problems
- Consultation Draft National Alcohol Strategy 2018-2026
- ICD classification Mental and behavioural disorders due to psychoactive substance use
- DSM V criteria for alcohol use disorder
- Comorbidity guidelines is a webpage dedicated to managing co-occurring alcohol and other drug and mental health conditions
The Audit C is a 3 item alcohol screening tool helps to identify people who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the 10 question AUDIT screening tool.
- Standard drink guide 1 – Picture diagram showing serving sizes against standard unit measurements.
- Standard drink guide 2 – Leaflet from the federal government providing guidance for the general public regarding safe alcohol consumption.
- Pregnancy and alcohol
- Alcohol Diary
- Local Services Patient Information Flyer
- Tips for Cutting Down on Alcohol
- Alcohol the facts
- Guide to dealing with teenagers and alcohol
This booklet is a guide for parents on communicating with their teenagers about responsible drinking and provides information about the risks associated with binge drinking and tips for having a safe night when alcohol is around.
- Positive Choices
- Your Room – General facts about alcohol and other drugs.
- The Quick Guide to Drugs and Alcohol, 3rd edition is published by the Drug Info service which is a partnership between the State Library of NSW and NSW Health.
- APSAD – Australasian professional society on AOD
- NCETA – The National Centre for Education and Training on Addiction
- Detoxification from Alcohol – Tony Gill – Clinical guidelines for general practitioners supporting patients with alcohol withdrawal.
- NDARC – National drug and alcohol research centre
- DARTA – Drug and alcohol research and training
- Federal Government Programme “Women Want to Know” regarding pregnancy and Alcohol
- Optimising MBS items for drug and alcohol patients
- Alcohol Screening and Brief Interventions
- Motivational Interviewing Techniques
- Screening and brief interventions designed especially to support the LGBTI community with substance misuse
- Tip sheet for cutting down alcohol consumption
- NADA Language Matters – Drug and Alcohol
- Drink now pay later
- Wine O’Clock
- Pleasure Unwoven – Abridged version from “Pleasure Unwoven: A Personal Journey About Addiction” copyright 2009, The Institute For Addiction Study. These videos have been created by Dr Kevin McCauley. There are 8 topics including: The Choice Argument, Dopamine and Glutamate in Addiction, Is Addiction really a Disease?, Hypofrontality in Addiction and more.
Support Services and Apps
- Hello Sunday Morning – Hello Sunday Morning builds technology that supports any individual to change their relationship with alcohol.
- Get Healthy NSW – phone coaching – Free telephone based Health Coaching, a free service that can help to provide the support and motivation needed to reach healthy lifestyle goals.
- Alcohol and Drug Information Service ADIS – This 24-7 telephone service provides education, referral, crisis counselling and support about legal and illegal drugs. The service is available for patients and professionals.
- Drinks Meter App – a user-friendly app for your phone or tablet that provides confidential, personalised feedback about your alcohol use based on advice from doctors and the Australian guidelines to reduce health risks from drinking alcohol.