Getting better. Services for People Affected by Drug and Alcohol Misuse in Coventry. Your notes

Transcription

1 Getting Better 2010 Notes Your notes Getting better 2010 Services for People Affected by Drug and Alcohol Misuse in Coventry For further information about this directory or to get more copies contact the Community Safety Team on

2 Getting Better 2010 Contents About treatment Contents Help available for drug and alcohol users and their families in Coventry is changing. This guide outlines the current range of services available for people affected by substance misuse living in the city. There are around 2,000 people who use heroin or crack in Coventry. Well over half receive help from treatment agencies each year. Most refer themselves to treatment agencies, but some are encouraged or ordered to attend through the criminal justice system. Government figures suggest every pound spent on drug treatment saves two and a half times that in crime and health costs. Around 5% of the adult population more than 11,000 people in Coventry are 'harmful drinkers'. These are individuals whose health has already been damaged because of their level of drinking. Depending on individual circumstances, the aim of treatment for substance misuse varies and could be; Client Aims To inject drugs more safely and reduce the risk of Hepatitis B, C and HIV viruses and infections To control and reduce the amount of alcohol or drugs being used and generally improve health To stop using alcohol and drugs completely and remain abstinent To find employment Services that may support these aims Use of clean injecting equipment from needle exchanges Learning safer injecting techniques Hepatitis B, C and HIV testing, vaccination and treatment Use of safer substitute medication like methadone instead of heroin Talking therapies to help sort out individuals problems Help to resolve practical problems like housing, etc - which may be causing substance misuse Complementary therapies like acupuncture Community detoxification and daily support to help remain drug and alcohol-free Help with housing Out-of-area rehab placements and resettlement Help with leisure and learning opportunities Training and support in finding work This directory is split into sections to identify agencies providing (medical and psychological) treatment help with housing help with social integration, education and employment help for sex workers self-help other support. The listing of each service includes icons to identify whether it supports drug users or alcohol users or both. Services without icons provide support regardless of substance misuse. Needle exchange 4-5 Treatment CDT 6-7 TTP Counselling 8 Swanswell Alcohol Services 9 Compass 10 Arrest referral 11 In-Patient detoxification and residential rehabilitation 12 Help for parents and families TTP Counselling Family Service 13 Parenting services 13 Help with housing Swanswell Supporting People Services 14 Hands 14 Homelessness services 15 Help with social integration, education and employment Engage 16 Progress 2 Work / Community interrogation Team 17 Job Centre Plus 17 Help for sex workers Embrace 18 Kairos Women Working Together 18 SWISH 18 Self help AA/NA 19 Web-based support 19 Other support available 20 Confidentiality and what clients can expect 21 Making a referral 21 Treatment map

3 Getting Better 2010 Needle exchange Getting Better 2010 Needle exchange Needle exchange for anyone injecting illegal drugs Clean needles are essential to protect drug users and the wider community from blood borne viruses like Hepatitis B and C and HIV and prevent infections. Standard needle packs are available free from a network of pharmacy needle exchanges around the city. Three standard packs are available: 1ml pack (incl 10 x colour coded 1ml syringes for surface veins) 2ml orange pack (incl 10 x 2ml syringes and 5/8" needles for deeper veins) 2ml blue pack (incl 10 x 2ml syringes and 1" needles for deeper veins and high risk areas) Normally one pack will be given out at a time and returns are expected. CDT also provides a needle exchange where a greater variety of injecting equipment is available. Participating pharmacies are below. Mon-Fri Sat Sun late Medicare, Chace Avenue Boots, Quorn Way Broomfield, Broomfield Park Lloyds, Remembrance Rd M Hussain, Harnall Lane East Spires, Walsgrave Rd S K, Harnall Lane East Monarch, Prior Deram Walk Monarch, Radford Rd Lloyds, Earlsdon Street Lloyds, Jubilee Crescent Lloyds, Tile Hill Lane Boots, Jubilee Crescent Kara s, Binley Road Boots, Stoney Stanton Road Kara s, Acorn Street Lloyds, Riley Square Vantage, Far Gosford St Imperiun, Wheelwright Lane CDT, Ironmonger Row Longford Primary Care Ctr. Longford Rd Boots, Cross Cheaping Heath, Heath Crescent Boots, The Precinct Stoney Stanton, Stoney Stanton Road 4 5 Mon-Fri Sat Sun late

4 Getting Better 2010 Treatment Getting Better 2010 Treatment Journey CDT for anyone wanting to bring their drug use under control or reduce their drug use CDT Treatment Journey CDT is for adult (18+ years) drug users who need help to stabilise or reduce their drug use. The aim of treatment is to reduce the harm caused by illegal drug misuse. Treatment for heroin users may include helping users switch to substitute medication like methadone or subutex. Treatment for users of other drugs like crack, cocaine and cannabis may include talking and complementary therapies and practical advice. All clients receive one-to-one support from a keyworker as part of an individual care plan. Some CDT clients do not have to visit the treatment centre but can instead receive support at their local GP surgery (if the GP is part of the shared care scheme) or at community clinics (currently held in Bell Green and Willenhall). Drug specific advice and information Needle exchange Care planning Shared care and locality clinics Substitute medication prescribing Talking therapies Hepatitis B, C and HIV screening, testing, immunisation Complementary therapies Community detoxification Ironmonger Row Coventry CV1 1FD Tel: or freephone (available 24/7) Monday Tuesday Wednesday Thursday Friday 9am 7.00pm 6 7

5 Getting Better 2010 Treatment Getting Better 2010 Treatment TTP Counselling for drug or alcohol users who want to become abstinent Trust the Process Counselling (TTP) is for adult (18+ years) drug and alcohol users who need support in becoming and remaining abstinent. TTP is a community-based rehab for adult drug or alcohol users who need help to become and remain free from drugs and alcohol. Clients coming off drugs or alcohol take part in regular groupwork with others in a similar situation and may receive medical input from nurses from CDT as part of a detox. When drug and alcohol-free, clients take part in a three-month 12-step programme of daily groupwork. Shared housing is available for some clients engaging in the programme. Drug and alcohol specific advice and information Daily groupwork Counselling, including family therapy Complementary therapies Shared housing with others in recovery 4 The Quadrant Coventry CV1 2EL Tel: or Monday Tuesday Wednesday Thursday Friday 9am 8pm Swanswell Alcohol Services for adults (18+) affected by alcohol misuse Swanswell Alcohol services are for adults (18+) affected by alcohol misuse. The aim of treatment is to help people who want to change their drinking. This can be cutting down or stopping. Swanswell work in different settings across Coventry including some GP practices (if the GP is part of the shared care scheme). Swanswell also support people who are worried about someone else s drinking. Alcohol specific advice and information Care planning Shared care Talking therapies Complementary therapies Community detoxification Hospital liaison Swanswell House Norton Street Coventry Tel: Duty service Monday 9am 6:30pm Monday 9am 12 noon & 5pm 6:30pm Tuesday Tuesday 9am 12 noon Wednesday Wednesday 9am 12 noon Thursday Thursday 10am 12 noon Friday Friday 9am 12 noon 8 9

6 Getting Better 2010 Treatment Getting Better 2010 Treatment Compass for young people (under 18s) affected by drug and alcohol misuse Arrest Referral for drug or alcohol using offenders needing help to engage in treatment This service is available to any child or young person, under 18 years of age, who is experiencing problems related to their drug or alcohol use. Compass helps children and young people move away from problematic substance misuse aiming to progressively integrate them back into mainstream services to enable them to achieve their full potential. Clients will receive one-to-one support from a Compass worker as part of an individual care plan which is developed according to their age, needs and capability. Wherever possible, Compass staff will encourage the child or young person to involve their family and other professionals in their treatment. Children and young people can have appointments either at our centre base or at a wide variety of youth agencies across Coventry. Drug and alcohol advice and information Targeted group-work/activities Individually tailored support for parents and carers Professional support and consultation Talking therapies Specialist harm reduction Family interventions Pharmacological interventions Transitional care and aftercare Coventry's Arrest Referral (AR) service is for adult (18+ years) drug and alcohol users who have come into contact with the police. The AR service is a team of drug workers primarily based within police custody cells to help people access the right treatment service. The aim of the service is to make contact with drug and alcohol using offenders and encourage addicts to get started in treatment through outreach, home visits and escorting individuals to appointments. AR workers will provide some brief interventions to help reduce drug or alcohol use. Drug specific advice and information Brief interventions Care planning Talking therapies Home visits Escorting to appointments Referral to specialist agencies West Midlands Police Little Park Street Police Station Coventry Tel: ext Warwick Row Coventry, CV1 1ED Monday 7am 10pm Office Tel (professionals): Tuesday 7am 10pm Free phone (young people): Wednesday 7am 10pm Thursday 7am 10pm Friday 7am 10pm Monday 10am 6pm Saturday 8am 4pm Tuesday 10am 6pm Sunday 8am 4pm Wednesday 10am 6pm Thursday 10am 6pm 10 Friday 9am 4.30pm 11

7 Getting Better 2010 Treatment Getting Better 2010 Help for parents and families Detox and rehab placements for drug and alcohol users unable to become abstinent in the community Inpatient detoxification and residential rehabilitation placements are for drug or alcohol users who want to cease use of substances but are unable to do so while living in the community. Detox and rehab involves clients staying at a specialist treatment facility for a few weeks or months, receiving medical help in coming off drugs and a daily programme of counselling and support. The aim of the service is for addicts to stop using drugs or alcohol completely and learn to live a drug or alcohol-free life. Placements for drug users are available at units outside Coventry and are most suitable for clients: whose mental or physical health means they are unsuitable for a community detox who need to move away from Coventry permanently in order to live a drug-free life. A variety of providers are used, depending on need, but can range from short 6 week placements (eg. for clients in employment) to longer placements with 'move-on' housing and support (eg. for those resettling elsewhere). Placements for alcohol users concentrate on short placements at a medical detoxification unit, although clients may be able to access residential rehabilitation subject to assessment. Clients returning to Coventry can access TTP Coventry to continue their rehabilitative placement on discharge. TTP Counselling Family Service for parents and carers of drug or alcohol users, including partners and siblings The aim of support is to ensure people living with or looking after drug or alcohol users are well informed about substance misuse and available treatment and have the emotional support to cope better with difficult situations to help improve family relations. Services offered: Drug and alcohol and treatment-related advice and information Regular self-help group meetings with other parents & carers One to one counselling Family therapy Training For contact details and opening hours, see page 8 Compass for the parents of young people (under 18s) misusing drugs or alcohol For contact details and opening hours, see page 10 Parenting services positive parenting programmes for families Services differ from one provider to another but generally include: Drug specific advice and information Detoxification Groupwork Counselling, including family therapy Complementary therapies Accommodation Services include: Tip sheets for everyday problems experienced by parents Practical advice and information One-to-one support Seminars Group support separate groups for parents of primary school age children (and younger) and parents of teenagers Access to placements is via assessment from treatment agencies Referrals to parenting services can be made through Parenting HQ on (eg, CDT, TTP, Swanswell)

8 Getting Better 2010 Help with housing Getting Better 2010 Help with housing Swanswell Supporting People Services for drug or alcohol users who need help keeping their accommodation Homelessness Services for homeless people in Coventry Swanswell supporting people services are for adults (18+) who have problems with drug and/or alcohol use, where this is putting their ability to keep their home at risk. The aim of the service is to help people with the practical difficulties caused by their drug and/or alcohol use. Swanswell helps people to gain the skills they need to sort out problems with keeping their home, managing their money and paying bills, finding training or work and other difficulties. Housing, benefits and money advice and information Support planning One-to-one support Appointments at Swanswell, in the community or in client s own homes Advocacy at tribunals or appeals Swanswell House Norton Street, Coventry Tel: Monday - Friday Hands Listed below is a range of services commissioned specifically to assist homeless people in Coventry: Service description Service / Provider Contact 'Direct access' residential accommodation for men The Chace (Whitefriars) (18+ years). Max stay for Lincoln Street Hostel new clients is 3 months. (Salvation Army) Mens / womens 'longer term' residential accommodation Rough sleeper team Floating support to help single homeless people sustain their tenency (longer term support) Mediation / floating support for young people 16-25, to try and prevent parental/ carer eviction Floating support for families living in bed & breakfast accommodation, and for up to 6 weeks after rehousing Coventry Cyrenians Coventry Cyrenians Coventry Cyrenians Coventry Cyrenians Valley House general enquiries only (referrals only via City Council's Housing Options Team) for adult male alcoholics s Hands operates supported accommodation, with a safe family environment, for homeless / vulnerable housed male alcoholics aged 25 years and above, who wish to stop drinking and stay stopped. Clients must be abstinent (and drug free) to be accepted into the main accommodation. Clients can live within the accommodation for one year, with the opportunity to access long-term accommodation at the end of their stay. Hands provides facilities for community based alcohol detoxification for suitable individuals. Housing bond and floating support to assist single people to access housing in the private rented sector Floating support to assist clients living in hostels to 'move-on' into their own accommodation on either via Coventry Homefinder, or into the private rented sector Coventry Jesus Centre Stonham Referrals only via the Chace & Salvation Army 14 Tel: / openhandscoventry@btinternet.com 15

9 Getting Better 2010 Help with social integration, education and employment Getting Better 2010 Help with social integration education and employment Engage leisure and learning activities for adult drug users Engage is for adult (18+) drug users wanting or needing help in gaining or regaining social and leisure interests. The aim the service is to provide meaningful activities for drug users and help them widen social circles and improve their physical and mental health. Clients can access short 'taster' sessions in a range of activities and develop an interest in a chosen area by participating in a 5-14 week programme. Activities vary from time to time and may include fitness training, computer gaming, fishing, home decorating, car maintenance and cookery, etc. Clients are helped to continue their participation in their chosen activities by being introduced to mainstream provision. Short taster sessions 5-14 week programmes Support accessing mainstream activities Activities available around the city Willenhall Education, Employment and Training Centre Robin Hood Road, Coventry, CV3 3AN Tel: Monday Tuesday Wednesday Thursday Friday P2W / Community Integration Team for adult drug or alcohol users who want to get back into training or employment The aim of support is to help clients improve their skills, remove barriers to employment and get into paid work. Training and employment-related advice and information Careers guidance Help accessing employability and basic skills training Help accessing job-specific training Job search CV writing and job applications Support during the first 13 weeks of employment Ironmonger Row Coventry CV1 1FD Tel: or freephone (available out of hours) Monday Tuesday Wednesday Thursday Friday Job Centre Plus mainstream employment support A range of employment support is available from JobCentrePlus: Cofa Court, Cheylesmore Coventry CV1 2HJ Tel:

10 Getting Better 2010 Help for sex workers Getting Better 2010 Self help Help for sex workers A number of organisations provide a range of specialist support for sex workers. Three of these are listed below. Embrace Services offered: Evening outreach (Mondays 8pm-10pm) Day time drop-in (Tuesdays 11am-2pm) One to one appointments Mentoring Activity sessions Kairos Women Working Together (WWT) Services offered: Evening Outreach & Drop In with Needle Exchange (Wednesdays & Fridays 8pm-10pm) Womens Group with IT Tuition (Wednesdays 1pm - 2pm) Floating support & Advocacy One to One Befriending Scheme Sex Workers Into Sexual Health (SWISH) Services offered: Evening outreach Sexual health advice and information Free condoms Needle exchange Self help Alcoholics Anonymous and Narcotics Anonymous Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are independent, voluntary-run fellowships supporting recovering addicts through self help. AA There are a number of AA fellowship meetings held in Coventry throughout the week. Meetings change from time to time, so anyone interested in attending should contact the Coventry and Warwickshire helpline on (staffed daily from 6.30pm to 10.30pm) or visit NA There are currently three regular NA meetings held in Coventry. Meetings change from time to time, so anyone interested in attending should contact the NA helpline on (staffed daily 10am to 10pm) or visit Web-based support There are a number of self-help internet websites providing support to people recovering from drug or alcohol misuse. One of the most well-know support sites is Wired into Recovery which can be accessed by visiting NA also run on-line meetings for recovering drug users at Other web-based self help groups are available. : Embrace Kairos SWISH East Street, St Peter's Centre, Terence Higgins Trust Hillfields, Charles Street, Hillfields, 10 Manor Road Coventry CV1 5LS Coventry CV1 5NP Coventry Tel: Tel: Tel: Web: Web: Web:

11 Getting Better 2010 Other Support Available Getting Better 2010 Confidentiality & Making a referral Other support available Confidentiality and what clients can expect There is a range of other services which may support the recovery of drug users, their carers and families. Some of these are listed below: Abacus Counselling Services Counselling and advice Benefits Service (Coventry City Council) Advice, information and assistance on all welfare benefits Cruse Bereavement Care Support for bereaved people Coventry West Credit Union Savings accounts and relatively low cost loans to members Crisis Intervention and Home Treatment Team Emergency help for people aged having a crisis with their mental health FRANK National drug helpline It's Your Call Anti social behaviour reporting line (to report discarded needles) MIND Support, training and self help for those affected by mental ill-health Relate Support to help people build better relationships Samaritans Listening / befriending service for people who are feeling suicidal and those passing through a crisis All agencies treat client information as strictly confidential and under normal circumstances pass on personal information to agencies only when they have the express permission to do so from the individual. There are a number of circumstances where information will, however, be passed to other agencies with or without the client's permission. These include: where a child is at risk of harm or likely to be at risk of harm where there is concern that a client intends to do serious harm to themselves or a third party where a court has ordered information to be disclosed Each service will explain its confidentiality policy to all clients at first point of contact. Making a referral to a drug or alcohol service To make an effective referral, please contact the relevant organisation directly to make a specific appointment for the individual. Do not simply pass the details of the service to the client. The individual should be told that a referral has been made. The first appointment will help establish the needs of the individual, whether the service is the best one to support the individual and start planning what help is to be given. Key information needed to make an effective referral is: Client details; name, date of birth, address and telephone number Main problem substance Known risks to self or others Whether the client has been made aware of the referral How and when the client would like to contacted by the agency Details of the referrer; name, job title, agency and contact details Anything else you think is important for the agency to be aware of 20 21

12 DRUG AND ALCOHOL SERVICES FOR ADULTS Current drug and alcohol users Needle exchange pharmacies various Pharmacies providing free injecting equipment to prevent the spread of blood borne viruses. > Recovering drug and alcohol users (ie. who have recently become abstinent) West Midlands Police - Arrest Referral Service Drug and alcohol workers based in custody cells to engage with drug using offenders and encourage them to enter treatment. Including: Advice and information, 1-to-1 support CDT (Community Drug Team) Treatment for current adult drug users, to help clients reduce the harm they cause themselves and others. Advice and information Keyworking / 1-to-1 support Substitute medication (methadone, etc) Complementary therapies Including: Detox at home Assessment available at drop-in or by appointment. TTP (Trust the Process) Counselling Structured 12-week day programme for adult drug and alcohol users who have achieved abstinence, helping them learn to live a drug/alcohol-free life. Including: Daily group counselling Weekly 1-to-1 counselling and family therapy Employability course Healthy lifestyle sessions Direct referrals contact: Direct referrals contact: Out-of-city detox and rehab placements Residential placements to help clients stop using drugs and learn to live a drug-free life. Clients must be engaged with CDT/TTP for assessment. Swanswell Alcohol Services Treatment for current alcohol drug users, to help clients reduce the harm they cause themselves and others. Including: Keyworking / 1-to-1 support Advice and info Detox at home Assessment available at drop-in or by appointment. Direct referrals contact: In-patient detox Woodleigh Beeches Placements to help clients stop using alcohol. Clients must be engaged with Swanswell for assessment Swanswell Supporting People Services Support to promote independent living by helping adult drug or alcohol users gain the skills they need to sort out money and housing problems Engage (Run by Willenhall Education, Employment and Training Centre) Activities for adult drug users to improve health, widen social circles, develop social and employment-related skills Progress2Work Employment support including advice and information, CV writing, job search and help preparing for interviews Parents and carers of drug users TTP Counselling Family Service Support for the parents and carers of drug users (user themselves may or may not be in treatment). Including: Weekly group support sessions 1-to-1 counselling Advice and info