NDTMSNational Drug Treatment Monitoring System (UK)
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The Alcohol Treatment Monitoring System (ATMS) was established at the CPH in 2004 to develop a robust mechanism of collecting, collating, analyzing, and reporting data relating to patients and clients attending specialist alcohol treatment services in Cheshire & Merseyside in a similar manner to NDTMS. These services are classified as Tier 3 or 4 interventions and are defined as community-based or residential alcohol treatment that are coordinated and care planned (McVeigh, Morleo, Khundakar, Beynon, & Bellis, 2006).
It should be noted that in 2005/06, the ATMS started reporting on those clients seen in services reporting to NDTMS for whom alcohol was the primary reported substance (n=734).
The National Treatment Agency is now collecting data through NDTMS on alcohol treatment through drug services, as well as services providing treatment solely for problematic alcohol use.
These reports also demonstrate the crossover between syringe exchange and structured drug treatment (NDTMS) data and combine datasets to reveal the total number of individuals accessing all services reporting to the IAD within a specified time period and geographical area.
This data from the NDTMS was then matched to full year datasets from Agency Syringe Exchange (ASES), Pharmacy Syringe Exchange (PSES), and the Drug Interventions Programme (DIP).
Similar work using a cohort of clients reported through a young person's service for the same month showed that, of the 345 young people reported in 2004/05, 0.8% subsequently appeared in Agency Syringe Exchange, 0.6% in Pharmacy Syringe Exchange, 1.4% in DIP, and 8.7% in NDTMS (see Table 1).
Both the DIP and NDTMS teams release regular themed reports examining specific aspects of the monitored services or interventions.
NDTMS themed reports have examined issues such as Young People accessing treatment services in the North West (Khundakar, Sumnall, Marr, McVeigh, & Bellis, 2007) and deaths amongst clients in contact with treatment services (Khundakar et al., 2006).
The report took data provided by the NDTMS and matched it across data supplied by an external national agency which demonstrates the potential for this monitoring system in research areas not directly monitored through existing systems within the Centre for Public Health.