Transcript Developing good links

Developing good links- a
practice model.
OVERALL AIM.
To reduce the adverse impact of
problematic substance use and
deprivation for children young people
and their families.
Aberlour Child Care Trust
Practice developments.
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Working with woman with a therapeutic abstinence based model
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Children living in the residential setting with the parent.
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Empowerment and self actualisation
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Lapse and Relapse Management
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Aberlour Child Care Trust
child centred.
Working towards success.
• on average 84% of women complete detox
• On average 72% of women admitted with their children
completed detox.
• Women were more likely to complete detox when they
did not have their children with them.
• 1 in 3 women completed the programme.
• Women admitted with their children were more likely to
stay and complete programme than if children not with
them.
Aberlour Child Care Trust
Tensions and lessons learnt
• Length of Pre admission support did not correlate with length of
stay.
• Immediate provision of aftercare effective at supporting lapse and
relapse.
• Frequency of aftercare support critical on leaving residential setting
and returning to community
• Accommodation the single most important factor in successful
reintegration.
Aberlour Child Care Trust
Integrating services.
• Adopting an assessment approach based
on suitability criteria.
• Assessment based on need not service
accessed.
• Continuum of care….moving away from
revolving door syndrome…to concept of
carousel
Aberlour Child Care Trust
ABERLOUR MODEL.
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A Residential Rehab programme of up to six
months which will continue to work towards
abstinence alongside improved parenting and
support to children.
A co-located Day and Residential Assessment
unit which will work towards stabilising
substance use, improved parenting capacity
and provide therapeutic interventions with
children and their families.
Aberlour Child Care Trust
ABERLOUR MODEL.
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A specific assessment of the adults capacity to parent or to develop
a package of support to the child and will include preparation of
Reports when appropriate.
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The development of a support package which could be wholly
community based delivered through individual work using Outreach
as the method of working or group programmes with a Day Centre
setting or a mix of both.
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A period of support within a residential setting. The residential
settings can provide either a practical/supportive package enabling
continuous assessment to inform the package of support required
enabling families to resume independent community living or a
longer period derived from a therapeutic interventions model to
become drug/alcohol free.
Aberlour Child Care Trust
ABERLOUR MODEL.
 Residential short and longer stay
 Children’s admission with an individual support plan. Where this
is not deemed in the child’s interest, support through outreach or
the Day centre alongside the parents care plan.
 Parenting support to partners and extended family members
where this will be of benefit to both the parent and child or the
child. Where the partner also has problematic substance use it is
envisaged that Aberlour may not be the sole provider of services
but would retain responsibility for parenting and family work.
 Movement between both Residential components and the Day
service. Clearly the value in this model is its potential flexibility
therefore it will be important to ensure that if the support package
breaks down or is no longer deemed suitable the family can move
from either residential setting.
Aberlour Child Care Trust
ABERLOUR MODEL.
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Criteria and Key Components for Proposed Service
Women, age 18+ (no max age limit). Partners & extended family members.
Children aged up to 12 residential – up to 16 at Outreach
A more flexible approach to children being admitted decided through
assessment and in best interests of child
Mix of non-residential short and longer stay residential determined by
assessment/choice/options/resources
Family based approach rather than Adult Residential service approach
Parenting issues remain a core issue
Expectation that parents will be able/willing to parent their child
Women working towards being re-united with children
Post admission support – individual package including groupwork provision
Capacity to work with extended family and partners within programme
Motivation towards change, critically to work towards improved parenting
Supervised medical support to detox, reduce and/or stabilise
Aberlour Child Care Trust
ABERLOUR MODEL
REFERRAL
ASSESSMENT FOR SERVICES
PROVISION OF REPORTS
Residential
Rehab
Programme
Aberlour Child Care Trust
Day Provision / Outreach
Outreach
Pre / post admission support
Parenting Packages
Therapeutic Day Care 0-5 years
Transitional Support 5 – 8 years
Support, advice, advocacy 8+ years
Therapeutic Family Work
New Futures
Residential
Assessment
Programme
ABERLOUR MODEL.
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RESIDENTIAL PROGRAMME
Up To 6 Months
Service Provision
Detox to drug free rehabilitation programme
Parenting
Support to Children
Service Delivery
Groupwork
Individualised key work / family work
Family group conferencing
Individual and groupwork to Children
Aberlour Child Care Trust
ABERLOUR MODEL.
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Criteria for Admission
Motivated to become drug free
Motivated to improve parenting
Outcomes
Adult
Improved parenting
Improved understanding of parental drug use on children
Development of coping strategies and lapse management
Sustained change in problematic drug use
Increased periods of being drug-free
Children
Increased resilience
Enhanced social skills
Aberlour Child Care Trust
ABERLOUR MODEL.
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RESIDENTIAL ASSESSMENT
PROGRAMME UP TO 3 MONTHS
Service Provision (co-located with Day Provision)
Parenting assessment, development of support programme &
intervention
• Detox
• Reduction / maintenance
• Support to Children
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• Service Delivery
• Individualised care packages
• Pro Social modelling
• Family Group Conferencing
Aberlour Child Care Trust
ABERLOUR MODEL.
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Criteria for Admission
Motivated to improve parenting
Motivated to detox
Motivated to reduce / stabilise
Outcomes
Adult
Improved parenting
Stabilised drug use
Longer term goal setting / planning
Child
Increased resilience
Enhanced social skills
Aberlour Child Care Trust
ABERLOUR MODEL.
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DAY PROVISION & OUTREACH
Service Provision
Assessments including Children’s Panel / Court Reports
Outreach to Families (including housing support)
Pre & Post Residential Support
Parenting packages
Therapeutic Day Care to Children 0 – 5 years
Therapeutic Family Work
Transitional support to Children 5 – 8 years
Support, advice, advocacy 8+ years
Aberlour Child Care Trust
ABERLOUR MODEL.
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Service Delivery
Individualised packages
Case work
Groupwork
Family Group Conferencing
Criteria
Recognition of need to improve parenting
Recognition of need for support to child(ren)
Recognition of need to manage drug use
Aberlour Child Care Trust
ABERLOUR MODEL.
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Outcomes
Adult
Improved parenting
Harm reduction / minimisation
Stability in parent / child relationship
Increased stability when living in community
Child
Enhanced social skills
Increased resilience
Aberlour Child Care Trust