A Therapeutic Day Programme for problem substance users in Cardiff and the Vale of Glamorgan: development and client-centred evaluation

As a result of the on-going evaluation of mental health service provision for problematic substance users, the Community Addiction Unit set up a structured day programme focusing on key psychosocial elements relevant to preventing relapse in this client group. We provide here an overview of the process involved in the development of this new service and details of a client-orientated service evaluation (rather than an outcome-orientated assessment) performed since its inception. Results of the evaluation indicate an overall improvement in the relevance of the sessions to these clients, an increased perception of service quality and an enhanced atmosphere conducive to participation within the programme sessions. Key areas for future development are identified as issues of client preparation prior to commencing the programme. Further, attracting and retaining male and female drug clients has been shown to be an area that warrants attention. The Therapeutic Day Programme offers problematic substance users a research-based and effective service, worthy of continuation, further development and outcome evaluation.