Evaluation of the move to remote delivery of drug and alcohol services during the COVID-19 pandemic: a study protocol

Background: Substance misuse is a significant global health concern. In the UK, the prevalence of substance misuse use and the number of alcohol and drug related deaths are increasing, and individuals with substance dependency issues are entitled to access treatment services. However, the COVID-19 pandemic created significant challenges for public services, including drug and alcohol treatment, and resulted in significant service reconfiguration and a shift from in-person to remote delivery. This study aims to evaluate the delivery of drug and alcohol services in a large metropolitan area in England during the COVID-19 pandemic. It aims to understand the impact of service reconfiguration for services, staff and service users, and to use this understanding to inform the future optimised design of services. Design and methods: The study has five workstreams within a mixed methods framework: 1) Systematic review of literature; 2) Qualitative process evaluation with service providers (digital timelines, focus groups and interviews); 3) Qualitative process evaluation with service users (interviews, focus groups, text based conversations and case studies); 4) Quantitative outcomes and health economic analysis; 5) Data synthesis and dissemination. Expected Impact of the study for public health: The breadth of the study, its novel nature, and the importance of substance misuse as a public health issue, mean that this study will provide valuable findings for those who commission, deliver and use drug and alcohol treatment services nationally and internationally. There will also be important learning for the effective remote delivery of services in sectors beyond drug and alcohol treatment.