Before refeeral ensure that client meets all 4 criteria, if not then please refer to generic substance use services in the first instance.

Physical health problems, offending behaviour, challenging behaviour, borderline personality disorder, repeated A&E visits/hospital admissions in the past 2 years, history of homelessness, identified as not ready for recovery.

Had repeated attempts to access services in the past 2 years, excluded due to behaviour or non compliance, frequent non-attender, history of non-engagement and not actively engaging with services, at risk of discharge, incidence of non-fatal overdose