DASSA Referral Form - for health professionals
DOCX 136 KB
A form for health professionals to refer clients to DASSA services.
The DASSA referral resource includes a 1) DASSA referral guide, 2) DASSA referral form and 3) Referral information for clients. This resource is available as a clinical template for import into most GP practice software.
To maximise the efficiency and accuracy of the referral, DASSA strongly recommends that the resource is imported into your practice software and completed electronically.
You or your practice manager can access these resources from the Adelaide Primary Health Network website using the search function or entering https://adelaidephn.com.au/resources into your web browser, then:
Alternatively, complete the form as directed in the ‘DASSA Referral form guide (DOC 125KB)’ and attach the patient’s medical/mental health history and current medications to this referral. Details of where to send the referral form are included on the form. (Where to Refer)
When making a referral:
DCP staff wishing to refer clients to DASSA Inpatient and Outpatient Services please use the folllowing referral form:
Eligibility: Inpatient withdrawal is available for patients who cannot be safely managed in their community, are independent in their daily living activities and:
This service provides assessment and inpatient medical detoxification for people withdrawing from alcohol and a range of other drugs. The service is free and confidential. Services are located at Glenside Health Services, 226 Fullarton Road, Eastwood SA 5063.
Use the DASSA Referral Form (DOC 125KB) to refer patients/clients to this service.
Patients/clients can also contact the Alcohol and Drug Information Service (ADIS) on 1300 13 13 40 to be assessed for admission to inpatient withdrawal management services.
The Inpatient Withdrawal Services (Short Stay Admission) — Information for clients (PDF 165KB) and their families brochure can be downloaded for your patients/clients.
Direct transfers from acute hospitals to DASSA Withdrawal Services can be arranged for higher risk patients needing inpatient withdrawal, who have been medically cleared, are not subject to any Mental Health Treatment Orders, are not needing IV treatment, and are able to attend to their own activities of daily living. Transfer may be arranged on the same day, but is often deferred to the following day due to bed availability.
Eligibility: Where patients and clients need multi-disciplinary medical, nursing and allied health interventions, DASSA is able to provide a range of services and ongoing care (see below).
Clients/patients needing less intensive interventions (e.g. those who have already ceased their substance use, or reduced it to low levels, who primarily need relapse prevention interventions) will be referred to other services.
Contact details of the DASSA metropolitan outpatient clinics and country counsellors are available here DASSA Community clinic and country counsellor contact list (PDF 90KB).
To determine the appropriate metropolitan clinic to refer patients/clients to, see the Map of DASSA metropolitan catchment areas (PDF 125KB).
Use the DASSA Referral form (doc 125KB) to refer patients/clients for these services.
Referred patients/client will undergo an initial comprehensive assessment by a clinical staff member. Appropriate treatment options will be explored. The DASSA clinician will communicate the outcome of this assessment back to the referring service.
Besides opioid dependence, some other substance dependencies can be treated with medications.
For alcohol dependence, acamprosate, naltrexone or disulfiram are the more frequently prescribed medications.
DASSA clinicians can commence these medications and provide advice to the referring GP or specialist for continued provision of this treatment.
As part of a comprehensive treatment plan, Modafinil may be used by DASSA services to assist with methamphetamine withdrawal.
As with most specialist services, patients are normally referred back to their GP, when their clinical situation has stabilised.
For ongoing support managing patients with drug and alcohol issues Drug and Alcohol Clinical Advisory Service can be contacted by telephone (08) 7087 1700 from 8:30am to 10.00pm 7 days/week including public holidays or e-mail your enquiry to: HealthDACASEnquiries@sa.gov.au
Out of these hours, medically urgent calls from a hospital based Medical Consultant, country hospital medical officer or GP will always receive a response.