Transcript Tabor Lodge Addiction and Housing Services Limited

Tabor Lodge Addiction and
Housing Services Limited
Cork
Mick Devine MIAAAC
 Clinical Director Tabor Lodge Addiction and Housing Services
Limited
 Voluntary Rep on National Drug Rehabilitation Implementation
Committee
 Secretary Addiction Treatment Centres Ireland (ATCI)
 Voluntary Rep on Southern Regional Drugs Task Force
Finbarr Cassidy MIAAAC
 Treatment Manager Fellowship House
 Voluntary Rep on Cork Local Drugs Task Force
 Chair of Southern Voluntary Cluster
Eileen Crosby MIAAAC
 Treatment Manager Renewal
Introduction
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Caring for People with Addictions and for their
families since 1989
Delivering 28 day Residential Tier 4 Service with
over 230 admissions annually
3 Month Step-Down Facilities for men and
women with over 50 admissions to each facility
annually
Delivering Community Based Family Support
Services with over 5,000 attendances annually
52 Week Continuing Care Services with over
5,000 attendances annually
Accredited by CHKS
The main drug of choice of the addicted population
attending services is alcohol
REASON FOR REFERRAL
Alcohol
Prescription Painkillers
Cannabis
Opiates
Cocaine
Other stimulants
Benzodiazepines
Others
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These 181 patients were all categorised as
“chemically dependent to alcohol” according to
the Diagnostic and Statistical Manual of the
American Psychiatric Association, 4th edition
DSM IV.
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Since the dependence on alcohol indicates an
addiction, the issue of minimum pricing is not
relevant. The alcohol will be obtained by fair
means or foul regardless of the price.
 Roscommon
 Report
Child Care Case
of the Inquiry Team to the Health
Service Executive
 27/10/2010
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4.9 Alcohol and Drug Dependency
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There was evidence to suggest that both parents had a
considerable dependence on alcohol, upon which much
of the family income was spent. This preoccupation with
alcohol clearly affected their parenting capacity. It was
manifested by the children often being left alone when
the parents were in the pub and by the older children
having to fulfil adult roles such as minding and feeding
younger siblings.
The purchase of alcohol was also tolerated by home
management staff when the mother was brought
shopping.
Tabor Lodge Annual Report 2010 Table 2
2006
2007
2008
2009
2010
SELF
75
80
87
74
96
FAMILY/FRIEND
71
63
47
50
47
COURT/PROBATION
SERVICES
27
32
32
24
11
G.P.
18
20
25
20
21
OTHER TREATMENT
CENTRE
16
16
18
21
17
SOCIAL SERVICES
5
6
15
19
18
HOSPITAL
4
11
8
6
5
EMPLOYER
9
8
7
7
8
COUNSELLOR
4
2
A & E LIASON WORKERS
2
OUTREACH WORKER
10
MENTAL HEALTH
INCLUDNIG
PSYHICATRIST
4
TOTAL
229
236
241
233
239
National Drugs Strategy (interim)
2009 - 2016
Action 32
 Develop
a comprehensive integrated
national treatment service using a 4 –Tier
Model Approach
MTC Review of Tier 4 HSE Funded
Residential Rehabilitation Services
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Chapter 8 Recommendations
The key recommendation from this report is that there needs to be
one agency nominated to provide funding for residential treatment to
agencies who have reached the mandatory standards of care
required to provide residential treatment (Approved Centres) and
that there is criteria agreed to assess the suitability of a person for
residential treatment.
Where services are required within approved centres, funding
should be provided, based upon agreed outcomes, at a level to
ensure that the organisation can remain viable.
Access and referral to residential services should be standards
based upon best practice.
Aftercare and relapse prevention should form an essential element
of an individual’s treatment package.
Roisin Shorthall TD Minister of State at the Dept of Health at NACD
seminar “A Family Affair” October 18th 2011
“I am very focused on ensuring that there
is an increased emphasis on moving
people on from drug treatment to a drugfree life where that is achievable.
It is my belief that there has been
insufficient focus on this ambitious goal in
the past”
Recommendations
to Joint Committee
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Tackle Ireland’s National Alcohol problem. Minimum pricing does not
do this but rather increases the market share of the more
established brands.
Cultivate nationally a more responsible relationship with alcohol
thereby supporting those chemically dependent to alcohol in their
efforts to establish a sober lifestyle.
The chief means to achieve this goal is through higher taxation and
controls on advertising.
Services providing comprehensive Treatment and Rehabilitation to
the chemically dependent must be funded properly.
Prioritise the implementation of Action 32 of National Substance
Misuse Strategy (interim) 2009 – 2016.
Implement the recommendation of the MTC Review of HSE Funded
Tier 4 Residential Rehabilitation Services
Endorse Minister Shorthall’s ambition to progress beyond harm
reduction strategies to abstinence-based solutions
Conclusion
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The main drug of choice in Ireland is alcohol
 Addiction to alcohol has a devastating impact on
those involved and their family
 The chemically dependent population should
pursue an abstinence based solution
 To achieve this comprehensive Treatment and
Rehabilitation Services must be securely
established by the State
 Tabor Lodge Addiction and Housing Services
Limited is a model of excellence in Treatment
Provision