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

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: 02868628737 Mob: 07990796778 Fax: 05601158685 E-mail: Mannix.magee@archlc.com www.irvinestowndevelopment.com 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 – 15 16 – 19 20 - 40 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; ____________________

17. INTERVENTION Apr '08MayJuneJulyAugSeptOctNovDecJan'09Feb'09Mar-09Total BEFRIENDING Catering 12610111911211610814210996102001130 Centre Contact 229183216204210197258199174185002055 Family 56221114151210202900144 Home Visits 5134362837343624372600343 Listening 131165120137138131137138125139001361 Phone Visits 187236172198190187195190178198001931 Shopping 54479565500050 Street Contact 12848232423 21242900235 ADVOCACY CAB 1412614161012236300116 CMT 12302225400021 DHS 191615181917 16141200163 Legal 321084504460046 Medical 1211191214 1084500109 NIHE 11121718211622257800157 P2W 12513468180039 PBNI 00422265300024 PSNI 24358407500038 Round Table 1001001000003 Social Worker 01232213010015 SVP 653 68 Counselling 00000008940021 Harm Reduction Cook-It 4000000000004 Complimentary Therapies 12849 006430058 Detox 0120000013007 Education 4642513625403836263700377 Health 111216131012034212700156 ICT 0016800054120045 Industrial Therapy 3836413938 36 23000325 Information 4738584046454042253800419 0000000000000 0000000000000 0000000000000 0000000000000

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 302/04/0816/07/79WhiteAlcoholCannabis6565435557 402/04/0802/06/71White Prescription drugs 502/04/0814/06/76WhiteCannabisBenzodiazepines4343133317 602/04/0803/02/51WhiteAlcohol 8767786787 802/04/0801/08/73WhiteAlcohol 5444364387 102/04/0811/11/47WhiteAlcohol 102/04/0806/06/56WhiteAlcohol 7666485687 102/04/0821/07/61WhiteAlcohol 5443384487 102/04/0811/03/44WhiteAlcohol 4444383587 102/04/0818/10/74WhiteCannabisLSD7666576557 102/04/0818/06/81WhiteBenzodiazepinesHeroin5464465547 203/04/0817/02/72WhiteAlcoholCannabis3344333347 203/04/0801/05/78WhiteAlcohol 7655485687 203/04/0829/03/50WhiteAlcohol 7566485787 203/04/0822/12/56WhiteAlcohol 203/04/0831/12/45WhiteAlcohol 5544385687 203/04/0828/12/78WhiteHeroinBenzodiazepines5434354537 303/04/0809/07/61WhiteAlcohol 5554585567 303/04/0821/05/63WhiteAlcohol 5554375487 303/04/0803/10/86WhiteAlcoholEcstasy5333214386

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