Transcript Methods - Edinburgh Voluntary Organisations Council

Needs Assessment: Young
People’s Drug and Alcohol
Services in Edinburgh City
EADP Children, Young
People and Families
Network Event
7th March 2012
Joanne Winterbottom
Summary
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Background and Context
Methods
Conclusions and Recommendations
Questions
Summary
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Background and Context
Methods
Conclusions and Recommendations
Questions
Policy Context
National
 Road to Recovery: A New Approach to
Tackling Scotland’s Drug Problem
Changing Scotland’s Relationship with
Alcohol
Local
 EADP Needs Assessment of Drug and
Alcohol Problems in Edinburgh
 EADP Alcohol and Drug Strategy 2011-14
 EADP Children, Young People and Families
Action Plan
Aim
to inform implementation of priorities 1
and 3 of EADP Children, Young
People and Families Action Plan:
 Fewer children and yp using drugs
and children and yp choosing to drink
alcohol start later and take fewer
risks
 More children and yp receive
appropriate and timely support for
alcohol and drug use
Objectives
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Identify prevalence of alcohol and
drug use among young people
Map existing services
Explore young people’s perceptions
of effective services
Provide an overview of models of
good practice
Make recommendations regarding
priorities and models of service
Summary
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Background and Context
Methods
Conclusions and Recommendations
Questions
Methods
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Review of strategic literature,
evidence and project information on
models of good practice
Review of prevalence data
Service profile surveys
Staff and manager interviews and
focus groups
Young people focus group and
interview
Review of Evidence
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Published literature, policy
documents & research
From last 10 years
Scotland and rest of UK
Drug and alcohol data
Good practice guidance
Project evaluations where available
Service Profile
Aimed to engage organisations that:
 Provide specialist treatment,
rehabilitation, and support targeted
at young people
 Engage young people who are more
vulnerable to drug and alcohol use
 Work with within Edinburgh city with
yp aged under 19 (statutory funding)
Of 40 potential organisations identified,
25 completed surveys
Staff & Management Interviews &
Focus Groups
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Identified through discussion with
steering group
Total 59 participants
Statutory and voluntary sector
partners
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substance misuse
health
social care
housing/homelessness
youth sectors
Youth Engagement
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Aimed to involve YP aho access
services as well as YP from groups
known to be vulnerable
15 YP involved through interviews (9)
and focus group (6)
Total numbers fewer than anticipated
despite efforts and incentives
Reflects challenge faced by services
engaging with YP with chaotic
lifestyles
Summary
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Background and Context
Methods
Conclusions & Recommendations
Questions
Conclusions &
Recommendations
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Definitions, Principles and Processes
Service Development
Service Delivery
Workforce Development
Partnership Working
Definitions, Principles, Processes
1.
2.
Agree common definitions (or
range of indicators) and key
principles
Specific research into drug and
alcohol use among young people
from different equality groups
Definitions, Principles, Processes
3.
Agree guidance and support in
relation to:
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Roles and limits of services within
tiers model
Identifying and responding to young
people’s needs
Referral pathways
Monitoring requirements
Tier 1:
Universal (nonspecific) generic
and primary
services
Tier 2: Services
offered by
practitioners
with some drug
& alcohol
experience
Tier 3: Services
provided by
specialist teams
Tier 4: Highly
specialised
services
Model 1: Holistic youth
work provision
Universal access (via
drop in)
Information & advice
available on range of
topics
Main focus advice and
info; prevention and
education
Some scope to provide
1:2:1 support
Model 2: Prevention and Education
street work
Targeted approach via street work –
usually aimed at areas/groups with
known youth disturbance/ street
drinking/risk behaviour
Provide information, advice &
signposting service – sometimes
provide condoms etc.
Some scope to provide more in-depth
prevention & early intervention i.e.
delivery of brief interventions
Model 3: Prevention &
education outreach
Delivery of group
work via other existing
services i.e. schools,
youth centres, social
work services etc.
Main focus is
prevention & education
Supporting
Tiers 1 and 2
Model 5: Specialist drug and alcohol service with open
access
Low threshold drug and alcohol specific service
Main focus is early intervention and treatment options
provided on 1:2:1 basis
Delivery either through service base (often clinical
setting or social work office); some scope for delivery via
existing youth provision/schools
Model 6: Specialist with integrated
drug and alcohol service
High threshold drug and alcohol
service – often integrated into other
highly specialised social work
provision
Model 4: Specialist drug
and alcohol support for
services
No direct service
provision. Support
provided to existing
services i.e. schools,
social work to better equip
them to work with young
people on specific issue.
Most commonly used
within mental health
sphere
Some scope to extend
delivery to include
support to wider youth
facing services
Service Development
4.
Development of services:
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Specialist youth work posts
Specialist support for young people
who use cannabis
Increased options at Tier 2: one-toone counselling and ongoing support
Increased options at Tier 3 and 4
Service Development
5.
Investigate potential for
organisations that provide support
for services to build capacity in
relation to working with young
people in family context and
providing support for parents
Service Delivery
6.
7.
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Consistency in relation to age
ranges
Robust EqIAs of individual services
Improved promotion and
awareness raising including:
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Marketing and communication
targeted at young people
Guidance for use of media and
communication with general public
Workforce Development
9.
10.
Training Needs Analysis for staff
across tiers and prioritisation to
form workforce development
programme
Specific training for specialist
youth worker posts
Partnership Working
11.
12.
Greater links across topics. E.g.
youth health, tobacco, sexual
health
Collaborative approach and youth
involvement
Questions
Contact details
Email: [email protected]
Tel: 0141 445 5858 / 07738 706998
www.createconsultancy.com
Group Discussion
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What are the implications for
service planning?
What are the implications for
service delivery?
How do we assure that the
recommendations are taken forward
through a partnership approach?