Development of a district training strategy.

This paper reiterates the need for training in addiction for primary care workers and proposes motivational and structural explanatory frameworks to further our understanding of the difficulties in recruitment of staff from the variety of occupational groups to substance misuse training. This analysis is applied to inform the design and delivery of training locally. The basic tenets of a district training strategy are derived from this analysis and the training strategy for the two Leeds District Health Authorities is described. The strategy is based upon identification of the specific occupational needs of each primary care worker group at each stage of their career, and upon the utilization of available resources to fulfil their training needs in the occupation specific context. The different occupational groups have different roles to play in the prevention and management of substance misuse and the specific skills required will be closely tied into their particular role and based upon pre-existing skills. The resources for and methods of implementing the strategy are described.