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Services that Manage the Care Needs of Drunk - Scottish Government

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Table <strong>of</strong> Contents<br />

1 INTRODUCTION .......................................................................................................................... 1<br />

O<strong>the</strong>r review evidence ................................................................................................................. 2<br />

Methodology................................................................................................................................. 3<br />

Structure <strong>of</strong> this report.................................................................................................................. 4<br />

2 SOBERING-UP SERVICES IN AUSTRALIA................................................................................ 5<br />

Introduction and description <strong>of</strong> <strong>the</strong> evidence ............................................................................... 5<br />

Background .................................................................................................................................. 5<br />

Similarities and differences between sobering-up services in Australia ...................................... 7<br />

Prior to setting up a service ......................................................................................................... 8<br />

Opening hours.............................................................................................................................. 8<br />

Staffing ......................................................................................................................................... 9<br />

Referring agencies ..................................................................................................................... 10<br />

Admission criteria....................................................................................................................... 10<br />

Service procedures .................................................................................................................... 11<br />

Client pr<strong>of</strong>ile ............................................................................................................................... 14<br />

Brief interventions within sobering-up services.......................................................................... 16<br />

Links to o<strong>the</strong>r services ............................................................................................................... 17<br />

Rural issues ............................................................................................................................... 19<br />

Outcomes................................................................................................................................... 20<br />

3 SOBERING-UP SERVICES IN NORTH AMERICA ................................................................... 24<br />

Introduction and description <strong>of</strong> <strong>the</strong> evidence ............................................................................. 24<br />

Background ................................................................................................................................ 25<br />

Description <strong>of</strong> <strong>the</strong> services......................................................................................................... 25<br />

Opening hours and length <strong>of</strong> stay .............................................................................................. 26<br />

Staffing ....................................................................................................................................... 26<br />

Referring agencies ..................................................................................................................... 27<br />

Admission, exit and safety protocols and procedures ............................................................... 28<br />

Client population ........................................................................................................................ 29<br />

Links to o<strong>the</strong>r services ............................................................................................................... 30<br />

Service capacity ......................................................................................................................... 30<br />

Rural issues ............................................................................................................................... 31<br />

Outcomes................................................................................................................................... 31<br />

4 OTHER SERVICES FOR DRUNK AND INCAPABLE PEOPLE................................................ 32<br />

Introduction and description <strong>of</strong> evidence ................................................................................... 32<br />

Transport services...................................................................................................................... 32<br />

Providing medical support in police custody suites ................................................................... 34<br />

Temporary places <strong>of</strong> safety, mobile units and SOS buses........................................................ 37<br />

5 DISCUSSION ............................................................................................................................. 40<br />

Sobering-up services ................................................................................................................. 40<br />

Transportation services and night patrols.................................................................................. 42<br />

Provision <strong>of</strong> o<strong>the</strong>r types <strong>of</strong> services ........................................................................................... 42<br />

REFERENCES.................................................................................................................................... 44

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