1 themungofoundation Developing a Range of Effective Responses Una Munro

2 Introduction  Who we are  What we do  A case study  Key lessons  New developments  Conclusion

3 Who we are Previously the Archdiocese of Glasgow Community Social Services 38 Projects/Services 5 Service Areas : themungofoundation 1st April 2004 Learning Disabilities/Sensory Impairment Mental Health Elderly/Dementia Young People Homelessness & Substance Misuse

4 Young People, Homelessness and Substance Misuse Red Tower - Residential 12 week providing detoxification, respite and short term rehabilitation (18 years +) De Paul House – Supported accommodation for young homeless (16 – 25 years) Fairstart – Supported Accommodation for young mothers with children aged 0 – 10 years (16 – 25 years) London Road – Rough sleepers projects (12 week) (16 – 25 years) A S I S T – Outreach support for vulnerable young people (16 – 25 years) Ar Caladh – Residential facility providing medical and social support to vulnerable young people experiencing difficulties with drug and alcohol use

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7 Red Tower Case Study Stage One ( ) Approx Context Chaotic IV Drug Misuse Response to possible HIV epidemic Jointly registered: Nursing Home & Residential Social Care Client Profile Gender (mixed) IV Heroin use Average age 25 Criminal justice involvement Family support Programme Outreach 24-hour nursing care Visit-contracted GP Medically supervised detox Structured group work programme Key worker system Basic assessment Targeted Outcomes Abstinence Return to the community

8 Stage Two( ) Context Recognition of underlying issues Introduction of comprehensive assessment Change in ethos (individualised) Formal referrals by local authorities Client Profile Average age 23Co-Morbidity Polydrug useMental health Hep CHomelessness HIV educationNo family support Programme Introduction of Europ-ASI Assessments Enhanced key worker system Individualised Detox Structured group work - phased approach One to one (workbooks) Community links Partnership working Targeted Outcomes Improved health Abstinence or stabilisation (linked with GP) Establish client’s links with community Aftercare/self-help groups/care manager Accommodation

9 Stage Three( ) Approx Context Glasgow City Council/Greater Glasgow NHS Board joint review of purchased addiction services Capacity building Client Profile Drug and alcohol & stimulant misuse Most chaotic & vulnerable lifestyles Homelessness/mental health issues Recognitise parenting responsibility Programme Single shared assessment Individualised detox Child protection in projects Parenting interventions/equality issues Training & employment pathways Basic living skills in programme Treatment options for stimulant users Targeted Outcomes Drug-free or stabilised on prescription Positive relationship with partner agencies Understanding of care plan & development issues Improved relationships with family /understand child issues Next stage in care plan agreed i.e. rehab aftercare, supported acc

10 The Vision that underpins all our services and all that we do This vision has developed as a result of our own experiences of working with vulnerable socially excluded people for over 20 years within Glasgow Communities Phased Approach Client Centred Approach - Working with individual at his/her own pace. - Helping them to identify and work on their own identified issues to allow them to achieve positive steps forward in their lives. Comprehensive Assessment - A holistic review of where the individual is at, using the SSA, and establishing where they wish to go (assessment of motivational levels) Medical/Health Psychiatric Employment and Training/Support Drugs Alcohol Family/Social Psychological Housing/Resettlement Support Partnership Working - Throughout all phases Environment The importance of creating a positive socially inclusive culture, which includes mainstreaming equality as a core ethos of management and all staff Staff training Key Lessons More manageable Outreach Pre Entry Support

11 Young People, Homelessness and Substance Misuse Red Tower Drug detox Short term rehab 12 week programme Long Term Drug Rehab 18+ years A S I S T Outreach support years Ar Caladh Assisted withdrawal residential care home years 12 weeks De Paul House Housing support Care support Homeless young people years Fairstart Housing Support years London Road RSI Project 12 weeks years Supported Flats

12 Ar Caladh Provides Residential treatment providing specific health related services Assisted withdrawal and an enhancement of mental health provision Short term rehabilitation Capacity to accommodate 8 young people Intensive Support for Young People For individuals with intensive support needs including the following: Drugs and or alcohol issues Mental and/or physical health issues Homelessness issues Social instability Importance – Alternative prescribing

13 Long Term Drug Rehab Provides Mixed sex core residential settings for 10 service users Gender sensitive, flexible and therapeutic programmes Length of stay determined by the individual’s progress between 6 – 9 months It will prepare individuals for the most sustainable form of accommodation and into appropriate services. For individuals with a complexity of issues including: Severe drug dependency Mental health issues Currently homeless Risk of serious illness/death Unsuitable for more structured services

14 12 Supported Flats  Providing a stepping stone to independent living for service users from Red Tower  Provided throughout the Glasgow area  Offering housing support, relapse prevention and access to appropriate services for those individuals who can sustain themselves in the community with the necessary support

15 Conclusion 1 Getting the Basics Right Effective Assessment Tools Safe secure environment Flexible detox User involvement Appropriate interventions Developing a range of effective responses depends on 2 key factors Non discriminatory ethos Flexible tailored programmes Well-trained staff Gender sensitive groups User involvement

16 2But it goes deeper than that. It is about the values and principles that underpin service provision The service needs to be client driven It is about empowering the clients to take ownership and understanding of their issues and working through them The atmosphere is crucial – it must be supportive and non judgemental Staff have to work at clients’ own pace – measuring success in tiny steps Service users must feel that they have long term goals which they can buy into

17 The key is to develop relationships built on trust and mutual respect. Only then will an individual start to re-discover their self esteem and sense of worth, allowing them to start to tackle some of their issues. FINALLY If you have the basics and the right Values, Principles and Practices you can develop a whole range of services to meet the complexity of each individual’s needs.