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Matt Talbot Adolescent Services Continuum of Care

Matt Talbot Adolescent Services Continuum of Care. Treatment Research. American Academy of Child and Adolescent Psychiatrists 2006

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Matt Talbot Adolescent Services Continuum of Care

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  1. Matt Talbot Adolescent ServicesContinuum of Care

  2. Treatment Research American Academy of Child and Adolescent Psychiatrists 2006 In the knowledge that substance misuse is multi-determined and influenced by the interplay of so many variables the academy recommended and outlined the key domains for an effective assessment Combining CBT and MET shows the most effective treatment outcomes

  3. Treatment Models MET : Is respectful to where the young person is at It acknowledges choice It uses ambivalence to motivate change. CBT: Is based on a collaborative model It guides a young person through a process of assessment, problem formulation, treatment, monitoring and evaluation It focuses on the here and now. Is fun, interesting and engaging.

  4. Assessment Research The report from the Working Group on Treatment of Under 18 year olds Presenting to Treatment Services with Serious Drug Problems recommended that there should be an emphasis on service design which encourages and retains young people in treatment services. A need for addiction services to address a specific needs of children and adolescents ‘and that they are not’ treated in an adult orientated framework

  5. Assessment Research The National Children’s Strategy set out two main goals which are : Children will have a voice in matters which affect them and their views will be given due weight according to their age and maturity Children lives will be better understood – their lives will benefit from evaluation research and information their needs and rights

  6. Research Outcomes 100%significantly reduced substance use 100% improved academic attainment 96% imp. in overall health 80 % attaining FETAC Junior Cert or Leaving Cert 10% went on to third level education 90% reduction of criminalactivity 90% improved family relationship 90% change in problem behaviour

  7. Challenges for MTAS Changing trends in drug use. Increased homelessness and difficult living arrangements. Social exclusion remains a major contributing factor. Increased numbers of young people with serious drug problems ending up in prison or dead.

  8. The philosophy of working with young people in MTAS is one of unconditional positive regard with a deep respect for the dignity of each young person. The therapeutic relationship, the treatment environment and the treatment strategies facilitate the young person having greater insight into their needs and empowering them to make choices about their lives. All aspects of the young person’s needs are met in a holistic way. MISSION STATEMENT

  9. 1977-1996 St Francis Training centre a voluntary organisation committed to working with vulnerable young people in Cork city. 1987 The drug related deaths of five young boys, and the advise of 2 specialists in addiction treatment from USA, brought about a focused day and residential services. 1997 Matt Talbot Adolescent Services (MTAS) was founded in October 2000: A Regional needs analysis was completed , in 2002 Interdepartmental funding was secured for provisions of a residential centre. History of MTAS

  10. Board Of Management The Board Of Management is made up from statutory (JLO and Probation), voluntary, community, parents, business and experts in drug treatment.

  11. The National Drugs Strategy 2009- 2016 Action 49: identified the need for the development of a protocol for treating under 18 year olds presenting with serious drug problems Action 60: called for treatment services for young people that include family involvement and community integration

  12. Profile of Young Person 95 %Involved in mental health services 75% From classified disadvantaged areas 85% Truancy from school or suspended 15% Traveller’s background 60% Diagnosed with learning disability 45% One Parent Family 85 % Diagnosed with behavioural problems

  13. Stop or reduce drug use. A reduction in severity of their bio psycho social problems Reduced criminality Reduced problem behaviour such as violence , school problems and strained family relationships. Strengthening the protective factors in the family Reintegration back into the family and community What we aim to achieve for the young person

  14. UseSeverity Continuum Dependency Individual Care Plan Pre-Treatment TREATMENTCONTINUUM relapse

  15. Length of stay 3 months – determined by individual’s presenting need (Extended by Clinical Review) Programme divided into 3 phases. Capacity for 6 young people Cara Lodge Residential Treatment

  16. Cara Lodge • Recover from PAWs – Counselling • Interrupt the pre-occupation with drugs- daily structured activities • Recognise the possibility of an alternative lifestyle- fun • Learn non-chemical stress Management/ anger management plan- individual treatment plan • Development of a relapse plan-Aftercare Counsellor • Develop hope and Motivation – staff

  17. Case Management System Individual Treatment plan

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