For Services

Services are increasingly encountering presentations of ketamine use that do not align with traditional models of substance use treatment.

Individuals may experience significant and progressive harm without clear dependence or sustained social breakdown.

This creates challenges for:

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• identifying clinically meaningful risk

• making consistent decisions about intervention

• selecting responses that reflect the nature of presentation

Without a structured approach, intervention may be delayed, inconsistent, or misaligned with how harm is developing.

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What KASPR Enables

KASPR provides services with a structured and consistent way of working with ketamine-related harm.

It enables teams to:

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• organise clinical understanding in a shared and practical way

• make clearer and more consistent decisions about intervention

• align responses with the needs of the individual

• maintain continuity as presentations change over time

This supports a more coherent and clinically meaningful response across services.

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Working Within Existing Systems

KASPR is designed to integrate within existing service provision.

It does not require the creation of separate pathways or standalone services.

Instead, it provides a framework that strengthens current systems, supporting more effective use of existing resources.

This allows services to improve their response to ketamine-related harm without disrupting established delivery models.

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Delivery in Practice

KASPR can be applied within routine clinical work across a range of settings.

It supports:

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• one-to-one work with individuals

• delivery within existing treatment programmes

• consistent use across multi-disciplinary teams

It can be used flexibly across different levels of need, allowing intervention to adapt as presentations change.

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Implementation and Support

KASPR is supported through a structured implementation approach, designed to embed the framework within everyday practice.

This may include:

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• practitioner training in the KASPR model and its clinical application

• team-based workshops to support consistent adoption

• clinical supervision and reflective practice

• structured manuals and intervention materials

• service development support

This enables services to implement KASPR in a way that is sustainable, consistent, and aligned with existing provision.

Outcomes for Services

KASPR supports measurable improvements in how ketamine-related harm is identified, understood, and responded to.

This includes:

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• earlier identification of emerging harm, through recognition of sentinel symptoms

• more consistent clinical decision-making, reducing variation between practitioners

• better alignment between presentation and intervention, improving the relevance and effectiveness of responses

• improved engagement with individuals, through interventions that reflect lived experience

• greater continuity of care, as presentations change over time

• more effective use of existing service capacity, reducing reliance on late or crisis-led responses

Over time, this supports:

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• reduction in escalation of harm

• improved stability and functioning

• reduced pressure on acute and specialist services

KASPR enables services to move from reactive, threshold-based responses to earlier, structured, and clinically guided intervention.

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Next Steps

KASPR can be introduced through training, supervision, and service development support.

Services may wish to explore:

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• implementation within current provision

• pilot delivery and evaluation

• workforce development and training