Outcome monitoring is being required by service purchasers. Chester’s drug and alcohol service introduced a computerised system to measure change in a client, focusing on drug; health; social factors and financial and legal factors related to drug use. Clients rate themselves on each question. Client concern has been negligible and staff resistance overcome by involving them at all stages in the development of the system. Unresolved issues include deciding which outcomes matter most, establishing that change is due to the service, and measuring benefits for the community.
Additional keywords: outcome measurement / evaluation of drug services