Developing good links a practice model'

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Developing good links- a practice model.
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OVERALL AIM.

• To reduce the adverse impact of problematic
  substance use and deprivation for children young
  people and their families.

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Practice developments.

• Working with woman with a therapeutic abstinence
  based model
• Children living in the residential setting with
  the parent.
• Empowerment and self actualisation
• Lapse and Relapse Management
• child centred.

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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.

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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.

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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 syndrometo concept of carousel

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ABERLOUR MODEL.

• 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.

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ABERLOUR MODEL.

• 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.
• 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.
• 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.

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ABERLOUR MODEL.

• Residential short and longer stay
• Childrens admission with an individual support
  plan. Where this is not deemed in the childs
  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.

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ABERLOUR MODEL.

• 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/option
  s/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

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• ABERLOUR MODEL

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ABERLOUR MODEL.

• 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

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ABERLOUR MODEL.

• 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

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ABERLOUR MODEL.

• 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
  
• 
  
• Service Delivery
  
• Individualised care packages
• Pro Social modelling
• Family Group Conferencing

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ABERLOUR MODEL.

• 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

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ABERLOUR MODEL.

• DAY PROVISION OUTREACH
• Service Provision
• Assessments including Childrens 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

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ABERLOUR MODEL.

• 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

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ABERLOUR MODEL.

• Outcomes
• Adult
• Improved parenting
• Harm reduction / minimisation
• Stability in parent / child relationship
• Increased stability when living in community
• Child
• Enhanced social skills
• Increased resilience