A service evaluation of a cognitive assessment pathway in a substance misuse service

A service evaluation of the development of a cognitive assessment pathway in an addictions service, Recovery Intervention Services Ealing (RISE) in Central and North West London (CNWL) NHS Foundation Trust was completed. Research has shown that people with Substance Use Disorders (SUDs) have moderate deficits in episodic memory, attention, executive functions, and decision-making. The presence of cognitive impairments affects the ability to take part in psychosocial interventions and is associated with relapse. To aid recovery, prevent relapse and inform prognosis, a cognitive pathway was developed in the service to assess, formulate and tailor intervention to support rehabilitation and assist in future referrals. Similar pathways have been trialled in other trusts in South Wales and Northern Ireland. Our cognitive pathway introduced at RISE, is the first of its kind to be set up in Central and North West London NHS Trust. This evaluation describes the process of development, increasing professional interest for referral to the pathway, and the benefits experienced by service users after engaging in cognitive assessment. An evaluation of the development of a cognitive assessment treatment pathway has not been published by other addictions services in England. Recommendations are provided for drug and alcohol addiction services to consider in developing a cognitive assessment pathway as part of the core service offer, integrated with therapeutic and psychosocial interventions.