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Mannix Magee Activating Rural Communities (ARC) Network Event Creggan Healthy Living Centre 5 th March 2009.

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Presentation on theme: "Mannix Magee Activating Rural Communities (ARC) Network Event Creggan Healthy Living Centre 5 th March 2009."— Presentation transcript:

1 Mannix Magee Activating Rural Communities (ARC) Network Event Creggan Healthy Living Centre 5 th March 2009

2 Historical context Irvinestown Trustee Enterprise Company Ltd 1992 Irvinestown Community Partnership ARC HLC Ltd 2000 Irvinestown Fairs and Market Trustees 1908

3 Challenges

4 Community Response

5 ARC HLC Ltd. SOLACE: A Befriending and Advocacy Programme Using Harm Reduction Funded by WDACT: Initiated in December 2002: Delivering Services at present in North Fermanagh 2006 – 2009 Won the tender for delivery 2009 – 2011 with 3 one year options

6

7 Priorities for Action Government Policy Framework Addressing Community Safety issues Targeting those at risk and vulnerable Reducing illicit drug use Harm reduction approaches Addressing Binge Drinking Local Community Needs Analysis Sallyswood Report – “Community group involvement” – “There are presently no facilities at times of abstinence” – “Local services to engage while on the street” while on the street” – “Alternatives in the community” – “Service availability when in relapse”

8 ARC HLC Ltd SOLACE ADVOCACYADVOCACY BEFRIENDINGBEFRIENDING Harm Reduction In Crisis (Level 4 ) IMT 1/2 Coming out of or going into crisis (Level 3) IMT 3/4 Involved in worthwhile daily activities /Reasonably stable emotionally (Level 1) IMT 7/8 In need of emotional/practical help (Level 2) IMT 5/6 Phone: Mob: Fax: The Rock 44, Mill St Irvinestown BT94 1HP Better to Light a Candle than Curse the Dark

9 Harm Reduction The International Harm Reduction Association defines Harm Reduction as “policies and programs which attempt primarily to reduce the adverse health, social and economic consequences of mood altering substances to individuals, drug users, their families and their communities.” It does not condone or encourage drug/alcohol use because it recognizes that there are risks involved and problems may follow. Secondly, harm reduction, as defined above, does not reject abstinence. In fact, some claim the most effective means to reduce harm is not to engage in drug/alcohol use in the first place. Harm reduction is a complementary strategy that sits beside supply control and demand reduction. Its key focus is on outcomes rather than actual behaviours per se. It is realistic and recognises that alcohol will continue to be used extensively in many communities and will continue to create problems for some individuals and some communities. Harm reduction is non-judgemental about the use of alcohol but is focused on reducing the problems that arise. It is pragmatic – it does not seek to pursue policies or strategies that are unachievable or likely to create more harm than good. Harm reduction recognizes individual human rights – it is rooted in an acceptance of individual integrity and responsibility.

10 Harm Reduction

11 Befriending “ Befriending - is a process whereby two or more people come together with the aim of establishing and developing an informal and social relationship… Ideally the relationship is non-judgemental, mutual, purposeful and there is commitment over time.” (Home Office & Joseph Rowntree Foundation))

12 YOUR ADVOCATE SHOULD: Give you power so that: Your views and feelings are heard and you feel fully involved in decisions that are being made about your life Your rights are met by people who make decisions about you. Speak up for you by: Helping you to speak up for yourself, OR Putting your views across for you. Support you by: Giving you information and advice about your rights and any worries you have Helping you make choices about what you feel is best for you. Help you by: Sorting out problems and issues with the people who are involved in your life Making a complaint if you are not happy about something or Finding you a solicitor if your legal rights aren’t met;

13 Referral – open – basic referral form completed Client information completed Individual hard copy folder opened and secured No contact in 3 months, an exit letter is generated The service continues to remain available Pathway

14 AUDIT Alcohol Use Disorder Identification Test ZONE 1 ZONE 2 ZONE 3 ZONE 4 Low Risk Hazardous Harmful Dependence 0 – 7 8 – – HAZARDOUS DRINKING refers to a pattern of drinking that is associated with high risk of psychological or physical problems in the future. HARMFUL DRINKERS are already suffering or experiencing these problems DEPENDENCE DRINKERS are experiencing symptoms of dependence including impaired control or a subjective experience of compulsion to drink BINGE DRINKING Five or more drinks (men) four or more (women) in one session equates to binge drinking. (Guideline) “The culture within which our attitudes have been formed mitigate against people behaving in a rational manner when out socialising.”

15 Levels of Support Level of Support Total Hours/weekLevel of Need Level 4 –Daily Contact 3 -7 Resettlement/crisis (IMT:1,2) Intervention Level 3 -2/3 visits per week 2-3 At risk of falling (IMT: 3,4) into crisis Level 2 -1 visit per week 1-2Need for practical & (IMT:5,6)& a phone callEmotional support Level 1 -1 visit per month > 1Occasional emotional & (IMT;7,8)& a phone callPractical help FSW; _______________________ Dev. Officer; ____________________

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17 INTERVENTION Apr '08MayJuneJulyAugSeptOctNovDecJan'09Feb'09Mar-09Total BEFRIENDING Catering Centre Contact Family Home Visits Listening Phone Visits Shopping Street Contact ADVOCACY CAB CMT DHS Legal Medical NIHE P2W PBNI PSNI Round Table Social Worker SVP Counselling Harm Reduction Cook-It Complimentary Therapies Detox Education Health ICT Industrial Therapy Information

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19 Client reference Date of initial assessme nt (dd/mm/y y) DOB (dd/mm/y y) EthnicityMain drugSecondary drug Personal responsibility Social contact / networks Managing physical health Mental and emotional health Daily lifestyle Crime and community safety Relationships Alcohol consumption / dependency Drug use / dependency Accommodation 302/04/0816/07/79WhiteAlcoholCannabis /04/0802/06/71White Prescription drugs 502/04/0814/06/76WhiteCannabisBenzodiazepines /04/0803/02/51WhiteAlcohol /04/0801/08/73WhiteAlcohol /04/0811/11/47WhiteAlcohol 102/04/0806/06/56WhiteAlcohol /04/0821/07/61WhiteAlcohol /04/0811/03/44WhiteAlcohol /04/0818/10/74WhiteCannabisLSD /04/0818/06/81WhiteBenzodiazepinesHeroin /04/0817/02/72WhiteAlcoholCannabis /04/0801/05/78WhiteAlcohol /04/0829/03/50WhiteAlcohol /04/0822/12/56WhiteAlcohol 203/04/0831/12/45WhiteAlcohol /04/0828/12/78WhiteHeroinBenzodiazepines /04/0809/07/61WhiteAlcohol /04/0821/05/63WhiteAlcohol /04/0803/10/86WhiteAlcoholEcstasy

20 IMT USE (a) Agency – 1.shows success: 2. Informs training needs: 3 supports care planning (b) Client/FSW – 1. Shows complex needs: 2. Motivator in change process: 3. Can and does identify areas of ongoing need (c) Commissioners – 1. Delivers message that BOI do lead to change: 2. Links well to best value: 3. Variety on the wheel leaves it possible to communicate with several target groups Health Board : 1. Decisions can be evidence based: 2. Provide data for future planning: 3. Opportunity for data collection for agency comparison Partnerships: 1. Offers evidence of Community/Voluntary services are professional: 2. Useful report back mechanism to referral agencies: 3. Useful for report back to funding agencies (BOI – brief and opportunistic interventions)

21 Better to light a candle than curse the dark! Its good to know we haven’t been forgotten about Don’t worry we won’t abuse this place


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