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20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues in Northern Ireland.

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Presentation on theme: "20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues in Northern Ireland."— Presentation transcript:

1 20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues in Northern Ireland

2 opportunity youth _________________________________________________________________________________________________________________________________________________________ OY is the leading provider of support services to young people, adult offenders and their families in Northern Ireland

3 opportunity youth _________________________________________________________________________________________________________________________________________________________ OY deliver services in 3 main areas:  Health  Youth Justice  Employability

4 opportunity youth _________________________________________________________________________________________________________________________________________________________ OY worked with almost 20,000 people last year & approximatley 129,000 over the last 20 years Primary provider of alcohol & drug services to young people - AD:EPT, CHILL, DAISY East, DAISY West & Targeted Education Largest provider of alcohol & drug services to adults – AD:EPT & Community Support

5 The beginning...1993

6 Opportunity Youth working holistically to motivate change

7 Alcohol & Drugs always a focus UUJ School of Education - 3 Year study (McAleavey, G. & McCrystal, P., 1996) Total sample 498 16-17 year olds Alcohol Pre-OY intervention - 94% reported they drank alcohol to excessive levels Post-OY Intervention – 30% claimed they had reduced consumption while 24% indicated a strong wish to do so

8 Alcohol & Drugs always a focus UUJ School of Education - 3 Year study (McAleavey, G. & McCrystal, P., 1996) Total sample 498 16-17 year olds Drugs Pre-OY intervention - 83% reported they used drugs Post-OY Intervention – 36% claimed to have stopped

9 1998 OY recognised the necessity to review practice and add value 1 st Voluntary Sector organisation to accredit learning and offer a formal qualification for drug & alcohol awareness through OCN To date 13,250 learners registered for accreditation while 11,042 learners completed – all accreditations have had a drug & alcohol component

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11 1999 OY commences drug & alcohol service delivery in Hydebank YOC 1 st Voluntary Sector organisation to provide this service within the prison estate QUB – Dept of Criminology (O’Mahony, D. 2003) Use of drugs within the centre decreases by 19% Access and availability of support and advice increases by 25% Increase in information on drugs and adverse effects by 17%

12 1999 Vital Voices – Hillary Clinton Initiative Lift practice seen in Chicago - Therapeutic Mentoring 1 st Voluntary Sector organisation to deliver mentoring in this way

13 2001 OY offered the opportunity to deliver therapeutic mentoring as an intervention to engage and motivate young people to change behaviour in relation to their drug & alcohol use 1st adolescent drug & alcohol treatment service in Northern Ireland is piloted CHILL...

14 CHILL Evaluation (Courtney, R. 2004) The client survey provided considerable evidence that major improvements were brought about by the CHILL service. Of particular significance are the following: 100% Decrease in the number who missed 7 or more days at school or work due to substance abuse in the previous 4 weeks 100% Decrease in weekly spending on solvents 99% Decrease in the number of times clients overdid it on drugs 95% Decrease in the number engaging in vandalism 94% Decrease in the number joy-riding 90% Decrease in dangerous activities 87% Decrease in number of days per week inhaling solvents

15 85% Decrease in amount of money spent on alcohol each week 77% Decrease in the number engaging in theft 76% Decrease in the number of days clients take drugs per week 76% Decrease in the number of clients in trouble at school/work due to alcohol/drugs/solvents 75% Decrease in the number having unprotected sex 73% Decrease in the number who described their health as poor or very poor 72% Decrease in the number of days clients overdid it on alcohol

16 65% Decrease in being a victim of violence when taking alcohol/drugs/solvents 60% Decrease in level of violence when taking alcohol/drugs/solvents 59% Decrease in risk-taking in past 4 weeks 58% Decrease in anger/aggression when taking alcohol/drugs/solvents 58% Decrease in the number of days clients overdid it on solvents in past 4 weeks 56% Increase in the number who had not felt low or depressed in past 4 weeks 55% Decrease in number of clients with high or very high anxiety in past 4 weeks 49% Increase in good confidence/self-esteem

17 The impact of Mentoring as an intervention is highlighted as statistically significant in 3 important areas: Reducing the frequency of young people overdoing it on alcohol Reducing the number of days that young people take drugs Reducing the money that young people spend on alcohol

18 2003 OY commence the delivery of the 1 st alcohol and drugs throughcare service for young offenders in NI QUB – Dept Criminology (O’Mahony, D. & Chapman, T., 2005) Sample: 138 young people aged 18-21years  2% of participants claimed to have given up drinking alcohol post-release.  Over two fifths of participants (44%) had reduced the amount of alcohol they consumed  Only 15% of participants said they were drinking more  Over one third of participants (38%, compared with 67% of pre-release participants) often went on drinking binges  One third of participants (33%) said their key worker had helped them reduce their alcohol consumption

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20 2006 Procurement of drug and alcohol services commences... CHILL expands from Belfast & South Eastern Trust areas to Western Trust area

21 2008 Procurement of drug and alcohol services develops... Opportunity Youth with partners develop the 1 st multi-component intervention treatment service for young people offering mentoring, counselling, family support, systemic family therapy and therapeutic groupwork DAISY....

22 DAISY Highlights: 98% reported positive changes in their lives 86% demonstrated a reduction in alcohol use 79% demonstrated a reduction in drug use 98% reported an overall positive change in their family

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24 2009 SETrust become responsible for Healthcare in Prisons and procure drug & alcohol treatment services OY develop the 1 st multi-component intervention treatment service for young people and adults in prison offering core harm reduction, brief interventions, mentoring, counselling, therapeutic groupwork, pre release and family support. AD:EPT...

25 AD:EPT Highlights: 95% reported a positive change in their lives 80% reported a reduction in their drug use 97% stated they would recommend AD:EPT to others in a similar position 61% stated that they would change their alcohol alcohol behaviours on release

26 2012 Opportunity Youth successfully apply to BIG’s Impact of Alcohol Fund OY develop the 1 st shared care dual diagnosis model of service delivery for young people in Northern Ireland CAMHS/DAAMHS support the work of DAISY in the Belfast Trust area

27 ‘Change is the law of life and those who look only to the past or present are certain to miss the future.’ John F. Kennedy

28 The Future... Keen to continue to lead and develop innovative practice based on continuous learning Recently tendered for One Stop Shop initiative – awaiting outcome Completed 2 nd stage application to BIG’s Impact of Alcohol regional awards – awaiting outcome Continuing to offer holistic services to all – which will ALWAYS include an alcohol & drug input


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