Review Of Residential Treatment Needs in Challenging Times

1. Review Of Residential TreatmentNeeds in Challenging Times Noreen Oliver MBE Founder & CEO The BAC O’Connor Centre – Staffordshire Chair RGUK ( Recovery Group UK)

2. Challenges or Real Opportunities for the Residential Sector • What is Recovery ? • How do we Balance the System • Do we have enough Beds • Community Rehabilitation V Out of County • What do Recovery Oriented Services look like ? • Are Residential Services part of the system or do we sit outside ?

3. Taking Stock ! • Challenge to the historical model of residential rehabilitation – out of County. • Our miracle, behind closed doors – Collaborators in a shared journey • Addressing the needs of the local & national residential population • 86% of 240 individuals interviewed in 1999, requested rehab in their community. • Closer collaboration between rehabilitation providers to deliver aftercare needs & long term outcomes • Families – Part of the rehabilitation process

4. Adapting to Change • A model that does not divide the treatment sector • A model that is inclusive, not exclusive, removing silos of Tiers • A model that unites us and places the service users aspirations at the heart of delivery • A model that will enable us to move the Drug & Alcohol debate forward – in that no-one size fits all and the Recovery Journey begins when a service user walks through any of our doors • A model that is commissioned to provide choice, promote ambition and offers equality in service provision. • A model that is driven by quality and meaningful outcomes that make a difference to individuals, families and communities.

5. Bringing Recovery Home • Closer collaboration & respect between services – Bridging the Gap. • Partnerships & Integration • Shared care & Seamless Care pathways • Collaborators in a seamless whole systems approach, • Community ownership of the Recovery Journey – Enabling Communities to have ownership of the recovery agenda

6. More for Less or simply redesigning what we do ? • Detoxification, - Seamless Care Pathway • Shared care – GP’s, Police, Social Care, Community Drug Teams, Local Hospitals. • Ownership of commissioners, Community Safety partnerships, LSP, Borough & County Councils • Pre – Rehabilitation – Placement Criteria • Seamless interface.

7. Preparation for Rehab • Community drug team, service users, RIOT & BAC • Preparing for rehab • What to expect • Immediate issues • Boundaries • Goals & Aspirations

8. Taking Advantage of a Residential Setting Medically supervised detoxification services in this unit. • 4 Beds JCU – Drugs • 2 Beds PBC – Alcohol • Shared care – Community Drug Team, Hospital, MHU – All referral Points • Daily Complimentary Therapy • BBV Screening / immunisation - Addaction • Physical & Mental Health Needs CMHT, Queens Hosp,, GP. • Nutritional needs • Care -plan – Holistic Needs • Introduction to Key Therapist • Riot/ Peer mentor • Light Motivational Therapy / Aspirations • Wrap around needs _ Housing, Debts – Trent & Dove, CAB, Debtors Team – Specialist Doctor ( MHT & BAC) RMN & RGN’s, Support workers – input from team

9. Re- integration – Long Term Outcomes • Is Therapeutic rehabilitation enough ???? - challenge to the recovery period of 1-2yrs • Vital partnerships with agencies who historically sit outside the treatment sector. • Incorporating as part of the package partnerships with Housing, Education. Work placements.

10. Bridging That Gap • Housing – Good Tenancy modular programme – Trent & Dove • Managing Debts- Budgeting – in House & CAB • Independent Living Skills – in house & Trent & Dove • Assertiveness/ Motivation _ In House • Social/ Support Network – AA/NA – Ex service user’s group • Nutrition/ Healthy living/ - East Staffs PCT/in House Chef • Building a Structure for living in the Community • CV’s Interviews – Role play - in house/Rotary • Literacy & Numeracy skills, Collage, NVQ’s and recognised qualifications – Derby/ Burton Collage • Life Skills – Derby/ Burton Collage • Voluntary/ Work placements- Voluntary Bureau/ YMCA/ Staffordshire County Council – Local Employers • Outside activities – sport, social activities.

11. Preparing to move onto Independence • Semi independent flats – 2- 6 months licence • Key Deposits, • Semi integration into the community • Service users live independently – pay their own bill, Electric metres, food, cooking etc • Have the support of the rehabilitation unit • Weekly Aftercare/ one to one’s • Work placements/further Education/ voluntary work • Use of facilities i.e. Gym • Participation in Social activities • Move on – Guaranteed move on flat. • Floating Support to support individuals with the preparation and transition into independent living in the community in with follow up in the community for 2 years

12. Recovery Champions • R.I.O.T (Recovery Is Out There) • R.I.O.T is a service user forum run and maintained by service users. Its primary objectives are to provide a support service for service users, going into or having been through recovery to communicate developments in treatment to advocate abstinence and to promote this effectively at all levels, locally and nationally. • R.I.O.T works within the Community Drug & alcohol teams, DRR, Prolific, A&E, Cells, HMP and schools • 50% of staff at BAC O’Connor are ex Service users who have gone onto to qualify to NVQ, Diploma or degree level.

13. Big Society – Raising the Bar • Moving away from traditional models or add onto traditional models • Need to become more ambitious, more business focused. • Need to Plug gaps to long term outcomes and sustain recovery - Social enterprises • Focus closer on local delivery & partnerships • Skill the workforce • Balance the System by providing evidence of what we do and why we do it – data, cost effectiveness, family interventions, • PBR – Face the fear and do it anyway

14. Thank You Noreen Oliver MBE BAC O’Connor Centres Staffordshire noreen@burtonaddictioncentre.org.uk