1. 1 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Springhill Residential AOD Treatment Centre By: Andrew McGarrol, Programme Facilitator & Dianne Lindsay, Counsellor

2. 2 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Content: Who-What-Where-Why-How? n What are we? n Who are we? n Who comes here? n Referral pathway n Client pathway n What do we do? n What resources we use? n Attrition rate n What results we expect n Smoke free n Changes n Questions

3. 3 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga What Are We? n Springhill Residential Alcohol and Drug Treatment Centre n DHB run n Eight week stay n In sunny South Napier n 12 beds n Private clients possible

4. 4 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Who Are We? n Kim HennekerAssociate Clinical Manager n Tim BevinMedical Officer n Giles Newton-HowesConsultant n Andrew McGarrolProgramme Facilitator n Tony WilsonRegistered Nurse n Lydia FoySocial Worker n Dianne LindsayCounsellor n Paul AtkinsonCounsellor n Stacy DowningAdministrator n Seven Supervisors

5. 5 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Who Comes Here? Men and women over the age of 19 with: ä Alcohol and / or other drug addiction ä Motivation for abstinence ä Stabilised dual diagnosis (mental health) ä Manageable medical issues ä Manageable physical disability ä Not mandated by justice system

6. 6 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Referral Pathway? n Completed referral form n Risk assessment n Comprehensive assessment n Blood test results – please send results if you have had tests done n Recent psychiatric report / consultant letter n Relevant information regarding detox management n Early exit plan n Smoker / non smoker n Financial information – beneficiary / private payer n Signed agreement n Residential Alcohol and Drug Service Eligibility Form (MH13)

7. 7 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Client Pathway n 8 weeks- It’s a start! n Three phases: ä Entry / early treatment ä Middle treatment ä Late treatment / discharge.

8. 8 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga What do we do? n Process groups n Family systems n Tikanga Maori awareness n Men’s and women’s issues n Relapse prevention n Relaxation/visualisation n Exercise n Managing distress n Life skills n Self talk n Life story n Work therapy n Art n Yoga n Pre-engagement group n Individual counseling n Clinical reviews n Structure/discipline/responsi bility n AA, NA, Relapse prevention groups

9. 9 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga What Resources Do We Use? n Detoxification nurse n Hastings Gambling Services n Community speakers – Family Centres, Budget Advice, Dove etc n Access to Mental Health and hospital services

10. 10 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Attrition Rate

11. 11 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga What Results Do We Expect? Good if: n Motivation high n Supports good Poor if: n Ambivalent about attending n Few positive supports n Developing a relationship in treatment or soon after n Use while in treatment n “Cruise” while in treatment (fail to change) n Don’t engage with agencies after discharge

12. 12 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Smoke Free….. n Springhill has been smoke free since May 5 th 2008 n Research supports smoke free n Referrers need to begin nicotine replacement therapy before entry with clients coming to Springhill n Change is not preventing referral rates

13. 13 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga What Changes Are Happening? n The Rebuild….

14. 14 … CARE … COOPERATE … DELIVER … LEARN … Manaakitanga. Whanaungatanga Rangatiratanga. Kotahitanga. Mohiotanga Wairuatanga Questions