Counselling for the Whole Community Fair, Equitable & Accountable

Being responsible for the provision of services paid for through public funds places a pressure on DAPL like never before. Not only do we have to be accountable, we want to be accountable. The easier we make it for everyone to see that counselling benefits our communities the more secure the provision becomes for those we serve. Being openly accountable, honest and measured in our processes brings the opportunity to review, question and experiment with how we deliver counselling across the whole region. In shaping the future of DAPL we have three key considerations: What is best for the clients and the community. What ensures the security of the service in the community How do we safeguard our employees wellbeing. As you will see from this presentation each stage of the process is clearly defined and explicit. We aim to ensure that our service is fairly available across the whole of Fife, that we support the recovery message and that we do everything we can to ensure that our staff are protected from excessive work loads and stress.

Our guides for all our processes are:

Trauma Informed Service Provision Client's Expressed Opinion Evaluation Tools Counsellor's Professional Judgement Trauma Informed Service Provision Structured Decision Making Model ➤ The counselling service provided by DAPL is based on a six session model. At any point where the client expresses additional or current trauma the counsellor will have the capacity to renegotiate the basic contract to plan up to three additional sessions to support the specific issue. Through ethical and responsive management of the sessions the client or counsellor can bring the counselling process to an end before the 6 sessions are completed. This may be supported by the evaluation scoring process, change in life events or through the choice of the client. The counsellor will offer appropriate signposting to other agencies that can either enhance the client’s wellbeing or better support the client with their current or ongoing issues. Further to this initial six session engagement the client may use and reuse the service as often as they feel it is of benefit to them. It is suggested that the client allows six weeks between reconsidering a re-referral. This will ensure that there is some safeguard against the client becoming over dependant on the service. It also ensures that the limited resources that we have can be offered with some parity across the whole of Fife. This model is applied across the entire service to ensure that there is no discrimination with regards age or geographical location. The Counselling Team will use YP CORE evaluation to support decision making. This psychological evaluation tool will support the design of the very best service possible for the client. The client’s and the counsellor’s feelings, opinions and experiences will also support the design of the care plan.

Assessment Your Pathway to Recovery- Counselling Universal Services Issues Specific Services Further Intensive Services Your Pathway to Recovery- Counselling Feeling better and referring on Can happen at any point Along the 6 session Journey Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Assessment Relapse and Trauma can happen At any point along the 6 session Journey- Actions Planned   Truama Explored 1 Exploring & management of the trauma 2 Ongoing Planning 3 Relapse Prevention Trauma Management

It’s the client’s journey & our job to maintain the path Following the Pathway It’s the client’s journey & our job to maintain the path Events Actions 1st Contact The client makes contact with DAPL either directly or more commonly through the guidance staff or social workers. Are they looking for our service? Gather all required information F1 DATA search on client Allocate to F2

F1 YP To support the process every stage of the client’s journey is supported by the map, the forms and the expertise of those managing the system. The system and indeed the Pathway only works when we manage all aspects of communication effectively: Verbal Physical Written Electronic By following the system map we will ensure that client’s get the service they need and one we can provide. If we can’t provide it we can direct them to someone who can.

It’s the client’s journey & our job to maintain the path Following the Pathway It’s the client’s journey & our job to maintain the path Events Actions The client/referrer has provided DAPL with all relevant information The Admin Team will allocate the client to one of these options depending on presenting factors: Accept for ASSESSMENT Send out U12 Pack Referred to Area Coordinator for discussion

It’s the client’s journey & our job to maintain the path Following the Pathway It’s the client’s journey & our job to maintain the path ASSESSMENT Actions The client meets with a member of the DAPL team Using the Assessment process the client’s treatment and care plan will be designed. They may find the Assessment session enough but will potentially access: Counselling

The Assessment Assessment PAPERWORK & ACTIONS MOTIVATIONAL INTERVIEW ABI DBI SAFETY PLANNING (2) CONTRACT (5) CORE YP (25) DAPL LIFE STORY ASSESSMENT (10) SMR (Drug Use Only) TREATMENT GIVE INFORMATION GAIN INFORMATION Assessment The Assessment will be delivered using Motivational Interviewing and will incorporate ABI, DBI & Safety Planning throughout as appropriate.

Actions Events HOW DID I DO TODAY Ask the client for feedback after the first assessment Give the client the “How did I do today” link Ask them to complete online

Therapeutic Client Assessment Life Story

CORE YP A Measure of Psychological Distress

SMR25 The Scottish Drug Misuse Database (SMR25) offers a profile of the misuse of drugs, based on anonymous information about new problem drug users seen at a broad range of services across Scotland. Services contributing to the Database consist mainly of specialist drug services and general practitioners. The system has been in operation in Scotland since August 1990.

ABI Brief interventions are not overly complex and can be delivered by professionals in a range of health and social care settings once the adequate training requirements have been met. (Health Scotland ABI Briefing Paper April 2017)

DBI A DAPL YP Drug Brief Intervention must consist of: Exploration of what drugs are being used Find out how much is being used Find out how the client uses Is this behaviour a child protection issue? Explore practical ways of reducing harm Explore practical ways of preventing overdose Referral to Social Work where appropriate Referral to Addiction Services where appropriate Is the client aware of the legal issues around their drug use?

SAFETY PLANNING

ALLOCATED TO COUNSELLING Think about what you need? A digital storage file on a secure computer A separate digital folder for each client Read the Assessment Material Secure storage for any Art Work produced Think about what you need to do? Contract CORE YP @ 3 & 6 weeks SMR 25b (the update) Final Outcome Form

FINAL SESSION PAPERWORK & ACTIONS DAPL FINAL OUTCOME CORE YP SMR 25b INFORMATION GAIN GIVE FUTURE TREATMENT PAPERWORK & ACTIONS DAPL FINAL OUTCOME CORE YP SMR 25b SIGNPOST TO OTHER SERVICES CLIENTS CAN RETURN TO SERVICE AFTER A BREAK

POST SERVICE FEEDBACK

Your work is only finished when… WEEKLY STATISTICS Your work is only finished when… LT 6 JK 2 SI 32 MD DNA