Extended Care – duration dependent on individual requirementsThe aims of the secondary programmes are to continue to build on the positive gains made during primary treatment. Clients are encouraged to continue to identify what needs to change and how change can be implemented. They are also encouraged to examine feelings, attitudes, behaviours and relationships to ascertain in what way these may be self-defeating. They will undertake an inventory of their personal qualities which can then be used in taking positive steps towards recovery.
Encouragement with modifying self- defeating behaviours, striving for openness and honesty in all aspects of life, to improve relationships, to handle negative feelings constructively and to set realistic, attainable goals.
The core programme consists of a rolling schedule of didactic, experiential group-work sessions dealing with elements of recovery. The programme is based on those approaches that are indicated by research to be effective in assisting people to end their substance misuse. These approaches include Cognitive Behavioural Therapy, 12 Step Facilitation, Relapse Management and Prevention, Problem Solving. Decision making and Goal Setting.
We are continually evaluating our services to ensure maximum benefit to the client, thereby enabling us to reduce the risks of harm. The activities we provide to achieve this are:
Educational Workshops on varied topics including:
Relationships, personal responsibility, anger and stress management, health and wellbeing, nutrition and exercise, managing finances, conflict resolution, relapse prevention and self esteem.
In addition we aim to ensure that the client has a smooth transition from treatment back into everyday life. We assess each individual to ascertain what specific difficulties they may have to overcome and with this information create a bespoke care plan to incorporate resolution of these issues, which may include:
Education – resuming or beginning
Employment – resuming or beginning
Lack of Confidence
Lack of Social Skills
Lack of Life skills
Mental and/or physical health.
Secondary Addiction Treatment Support
The client will be fully engaged in the care planning process and will be supported in working towards achievable goals. Regular care plan reviews will enable both staff and clients to monitor progress and move safely on to the next goal. Clients will also be involved in domestic tasks, gardening tasks and peer mentoring and support to engender self esteem and confidence and a sense of responsibility. Voluntary work and new hobbies or interests will be encouraged.
The more involved and proactive the client is in the goal setting and achieving, the more likely the outcome will be long term and enduring recovery. The ability to face up to and deal with difficulties gives a sense of achievement that will encourage the client to see this as their ‘normal’ behaviour, thus there will be less likelihood of a catastrophic event causing relapse.
Approximately 30 hours per week will be spent in structured groups, some of which will be used to reiterate the learning from Primary Care. In addition we provide yoga classes, art groups and acupuncture which are available to all. Attendance at self help groups are fundamental to this programme.
We employ a number of methods in order to monitor change in each individual including ongoing assessment by the counsellors, through the group work process and by support workers interaction with the clients as they go about their day to day scheduled activities.
Multi-disciplinary notes are made at the end of each day for each individual, these notes will be used to inform the team at handover each morning and in regular case reviews and will be part of the information used in the timely addressing of any issues and adjusting an individuals care plan. All staff are trained to provide intervention to ensure the best possible retention in treatment, thereby resulting in improved outcomes.
We endeavour to work closely with external agencies to ensure that the service users have a network of support available to them. A wide range of services may be necessary for an individual to successfully recover from a long term substance misuse problem.
These may include:
Education, training, voluntary work and employment advice
Safeguarding services for dependent children
Primary and/or acute health services for additional medical problems
Clinical mental health services
We make contact with the agencies our service users may need and, where possible arrange fast track referral protocols to give clients accelerated access to the services they need at a crucial time in their treatment journey. The need for additional services may be identified at assessment or care planning stage and the interventions/referrals are scheduled ahead of time to ensure that the services are accessible when required.
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