UK professional treatment services are grouped into 4 Tiers. Each tier offers a greater level of support than the previous one, with Tier 4 offering the most comprehensive level of service: Tier 4
The 4th tier is residential based addiction treatment, where clients leave their own community and stay in accommodation connected with the service during their treatment. Examples: Residential Rehab Centres Interventions: Prescribing and detox, structured residential programmes, counselling, group therapy, aftercare, support on returning to the community Duration: Daily / 6 to 26 weeks Approaches: Total Abstinence / Harm Reduction
Tier 3
The 3rd level of services is community based addiction treatment, where clients stay in their own community and accomodation during their treatment. Examples: Community Treatment Services, Abstinent-based Community Rehab Centres Interventions: Prescribing and detox, structured day programmes, counselling, group therapy, aftercare Duration: Daily / 6 to 12 weeks. Approaches: Total Abstinence / Harm Reduction
Tier 2
This 2nd level of services is open-access basic addiction services. Examples: Drug and Alcohol Services, Drop-in Services, Community Drug and Alcohol Teams Interventions: Assessment, information, advice, harm reduction: referral to higher tier services Duration: Weekly or monthly appointments / mid term Approaches: Total Abstinence / Harm Reduction / Safer Using
Tier 1
The 1st level of services is made up mainly of general healthcare services that are not specialist drugs services. Examples: GP's, Hospital A&E Departments, Pharmacies, Social Care Agencies Interventions: Assessment, information, advice, harm reduction: referral to higher tier services Duration: Individual appointments / short term Approaches: Total Abstinence / Harm Reduction / Safer Using |