Evaluation of rapid access to alcohol detoxification acute referral (RADAR).

Abstract

The Centre for Public Health at Liverpool John Moores University was commissioned to evaluate the RADAR service (Rapid Access to alcohol Detox Acute Referral), a specialist alcohol detox facility based in Greater Manchester. RADAR has four main aims: reduce the burden on acute trusts; improve clinical outcomes for service users; provide improved experience for service users in a therapeutic setting; and demonstrate cost-effectiveness. In-depth interviews were conducted with 24 patients who attended the service within its first year. Interviews were also carried out with stakeholders, from each stage of the RADAR process. Both service user and stakeholder interviews focused on the individual’s opinion of the service – what they were satisfied with and what they thought could be improved. 98 telephone surveys were also conducted with patients who attended RADAR within its first 18 months of operation. This survey concentrated on each individual’s behaviour and attendances at the service in the six months both pre- and post- RADAR. These data were used to evaluate the cost-effectiveness of RADAR within its first two years. The telephone surveys were also analysed for patient outcomes, examining both frequencies and differences between the six months prior to individuals entering RADAR and the six months post RADAR. Overall, service users and stakeholders were pleased with the service. Service users commented on how both the staff and environment contributed to a positive experience, whilst stakeholders commented on the success of RADAR meeting its four main aims. With regard to cost-effectiveness within RADAR’s first two years, a projected saving of £1,320,921 was identified