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Leading practices for (r)evolutionary results

Service and workforce improvement can be challenging when it comes to health and AOD services. On the frontline dealing with alcohol, other drugs and mental health issues, you need practical solutions that work in the real world.

Our cutting-edge practices connect evidence-based practice with practice-based knowledge. As accelerated change experts, we combine more than 25 years of academic research with hands-on clinical experience to develop (r)evolutionary evidence-based practices that actually work. We work with organisations that want to be the best.

Our processes make it straight-forward to understand, implement and sustain practice change. Understanding constraints facing organisations, we distil the data, cut through the jargon, then work full circle with you to engage your workforce to implement effective strategies for service improvement.

A 360 integrated approach

Established Consultancy at your service

As the leading specialist alcohol and other drug consultancy in Australia and Aotearoa New Zealand, we provide a full suite of advisory services to help organisations who offer health and AOD services accelerate change.

By focusing on the process as well as the outcome, you get smooth implementation of the outcomes you need. Our consultancy collaboratively and holistically works with you at every stage, wherever you are in the cycle of change. Full circle is how we work.

Extensive experience in AOD services

Our team of experienced pracademics take a 360 approach to reviewing situations from multiple perspectives.

We show you exactly what you need to do in a way that works.

We have extensive understanding about AOD services and know how to make it work in the real world.

Read more about our team.

Evaluation

Evaluation aims to improve the quality of health services and systems by establishing their impact, effectiveness or reach.

It can answer direct questions like ”does this treatment work?”, or “how effective is this approach?” as well as deeper, more complex, queries like why something works, who it works for, and how likely it is that it will continue to work.

Evaluation, if done well, can allow insights from successful programs to be embedded within, or translated across systems. Evaluations can be formative (where the evaluation has an impact on program or service design) or summative (providing a ‘final answer’ on a program or service’s effectiveness or impact).

360Edge is experienced in combining a range of evaluation methodologies to deliver powerful insights.

We pride ourselves in working closely with organisations to ensure that our evaluations answer the questions that matter, and have meaningful and lasting impacts.

Evaluation of the National Ice Action Strategy

In 2020, we were invited by the Australian Government Department Health to undertake an evaluation of the $451 million evaluation of the National Ice Action Strategy, designed to reduce harms from the drug ice. There were 31 programs funded under the Strategy right across Australia.

We worked with an expert advisory group to develop a detailed framework and then undertake the evaluation. We held more than 60 focus groups from right across health, justice and education. We analysed data on outputs and outcomes collected by the funded programs.,  focusing on impact and quality.

Our 200 page report in March 2021 details the evaluation outcomes of all 31 programs. Our findings highlighted the importance of proactive evaluation of programs to ensure their effectiveness and responsiveness.

In 2021 we are embarking on the mid point review of the National Drug Strategy.

Read the NIAS Evaluation report here

Evaluation of Torque

Evaluation of Torque – a Catalyst non-residential rehabilitation program for people involved in the justice system.

UnitingCare ReGen (ReGen) adapted its Catalyst alcohol community rehabilitation program, an evidence based non-residential program to cater for a forensic client group. The new approach to this service model is ‘Torque – a Catalyst non-residential rehabilitation program for people involved in the justice system’.

Torque provides up to 12 treatment places in an intensive, non-residential 6-week program for people with problematic alcohol and/or other drug use issues who are involved in the criminal justice system. It involves intensive group work and individual counselling for people with problematic substance use who have completed withdrawal.

360Edge (then ‘LeeJenn’) undertook a literature review, examined inputs, outputs, processes and outcomes, focusing on key enablers for program inception and completion, participant and staff views and experiences.

Evaluation of Torque and its delivery of services over a 20-month period has shown process improvement and that the Torque program has successfully adapted the Catalyst model, and is providing an effective, community-based AOD intervention for substance users involved with the justice system. We found significant decreases in drug use and offending, improvements in quality of life, decreases in mental health symptoms.

  

Services review

We all want the best results for our clients, but it can be hard to keep up with new research and sometimes programs drift off course.

Whether it’s a program, a service or a whole service system that needs process improvement, our tailored reflective methodology ensures that we capture all the right information to understand what’s working well and what’s not.

We look at how the service environment impacts on workflow, productivity and client outcomes so your team is freed up to give their best.

We follow up with post-review support including professional development, manager development and support and clinical supervision.

When you implement our practical recommendations, your program has the best possible outcomes, with sustainability.

Our service review support includes:

  • Strategic meeting with senior leadership group and/or board
  • External and internal stakeholder consultation and engagement, including consumers
  • Benchmarking through review of the literature and of other programs
  • Review of documentation
  • Data collection, management and analysis
  • Implementation planning for process improvement
  • Reporting

Demonstrating the value of LGBTIQ+ support

In 2021 LGBT!Q+ focused health service Thorne Harbour Health, approached 360Edge to assist in evaluating their methamphetamine support program ReWired2.0 for men who have sex with men (MSM).

We undertook a review of best-practice literature on alcohol and other drug programs for MSM, with a focused on methamphetamine as a drug of concern. From this we developed an evaluation tool to be used to measure the success of the ReWired2.0 program.

With our assistance, Thorne Harbour Health instituted the evaluation tool into the program provided a comprehensive set of outputs on changes in alcohol and other drug use, stages of change, mental health, self-stigma and views on the program.

We summarised these findings as part of a comprehensive evaluation report.

They Understand Clinical Research is Messy

UnitingCare ReGen is committed to evidence-based clinical service provision. To this end we constantly ask how can we do better? What does the scientific literature tell us? What works in a clinical setting? What are the views of consumers of our services? We have chosen 360Edge to assist us to answer these questions on a regular basis. Nicole and the 360Edge team not only have strong academic backgrounds but, importantly, they also have the clinical expertise to know that clinical research can be a little messy at times! It is this skill and understanding combined with professionalism and patience that has really impressed us.

Laurence Alvis, CEO UnitingCare ReGen

Reviewing gender specific AOD services

In 2021 Toora Women Incorporated approached 360Edge to undertake a review of their alcohol and other drugs residential and day programs.

We undertook a  a ‘gap and map’ exercise , including a rapid review of program operations and resources to identify strengths and limitations and areas for possible improvement,

This stage involved a desktop review of existing program documentation as well as a small number of consultations with senior leadership and program staff.

We synthesised our review findings in a comprehensive report for Toora Women senior staff, outlining best practice and evidence alignment of current operations and providing recommendations for enhancement, improvement or expansion of services.

Program Design

A treatment program is more than just group discussion or a manual full of activities.

What stays out is as important as what goes in, and designing an engaging and an effective learning experience for participants is the difference between so-so and great outcomes.

Whether it’s a program for individual treatment, groups or day or residential rehabilitation, 360Edge clinicians know what it takes to engage participants to learn new skills and apply them to the real world.

We use everyday ideas and tools in an innovative way that participants just get. From music to theatre to arts and crafts, we ensure that participants are so interested they cannot help but learn the skills they need to help their recovery.

As part of our treatment program design process we:

  • Undertake consultation with stakeholders
  • Develop program content
  • Design timetables and schedules
  • Develop program manuals and resources
  • Design routine program evaluation

Toora Women Inc Alcohol and other drug day program

Toora Women Inc. is a not-for-profit organisation supporting women with complex issues associated with past or present trauma. After a full service review, Toora Women Inc wanted to revitalise their day program and bring it up to latest best practice.

 

The 360Edge team of clinical specialists developed a program framework with an 8 week timetable, incorporating new and existing programs, such as case coordination. We developed innovative content on a range of topics that are important for women’s health including healthy body image, communication skills, and nourishing relationships, managing moods, exploring family influences, parenting, and other skills for living a full and meaningful life without alcohol and other drugs.

Systems data modelling and costing

Health services are complex, and planning the most effective use of limited resources requires evidence-based systems modelling and costing.

Health services planning should draw upon a  variety of data sources on system capacity, service needs and staffing resources to ensure a sustainable health service, given the patchy and often uncertain funding of the sector. Every new health services venture should be guided by a clear model for the future.

360Edge can deliver specialist expertise in healthcare planning, with a key focus on working within budgetary constraints and ensuring service needs are met as efficiently as possible. We can provide short and long term projections for your service utilising best-practice approaches to complex logistics and health systems analysis.