FREE ELECTRONIC LIBRARY - Dissertations, online materials

Pages:   || 2 | 3 | 4 | 5 |

«Learning and legacy JULY 2016 Contributors: Mark Wood, MSc, MFDAP (Chief Executive) “Transitions is a well needed service, which is well ...»

-- [ Page 1 ] --

Transitions Residential Therapeutic Communities


Learning and legacy

JULY 2016


Mark Wood, MSc, MFDAP (Chief Executive)

“Transitions is a well needed service, which is well conceived”

Professor Adrian Bonner, Specialist Services Adviser (incl addictions) to the Salvation Army.

“Transitions is a thrilling vision for an important mission”

Pete Greig, Founder of 24-7 prayer and Director of Prayer for HTB and Alpha International.

Council of Reference:

Professor Adrian Bonner, Specialist Services Consultant to the Salvation Army internationally Dr Andy Partington, Former Director of Yeldall Manor (Residential Rehabilitation Centre) Huseyin Djemil, Director of Green Apple Consulting (A specialist substance misuse consultancy) Steve Clifford, General Director of the Evangelical Alliance Pat Prosser, Training Adviser to Life For The World Trust (national Christian addictions charity) Pete Greig, Founder of 24/7 prayer and Director of Prayer for HTB and Alpha International Laurence Singlehurst, Director of Cell UK and former Director of YWAM England Dr Jo-Joy Wright, Consultant Clinical Psychologist with children and adolescents, and member of the Christian Child Care Forum Contents p.5 Introduction to Transitions RTC

- Responding to need

- A window of opportunity

- Uniquely vulnerable - young people with drug/alcohol dependence problems

- The transition from young people’s to adult services p.7 The focus on youth in transition p.8 Vision, Mission, Values, Values p.9 Business plan summary

- Vision

- Need

- Finance and Funding

- Outcome Measures

- Company strategy

- Referrals p.14 Challenges and solutions

- Shared Lives

- Host pack p.16 Regulations

- Benefits and funding for supported housing p.18 Starting over p.20 Appendix 1: Programme overview p.21 Appendix 2: Evidence base p.23 Appendix 3: Organisational structure and map p.25 Appendix 4: Shared Lives - Ongoing costs and funding p.28 Appendix 5: CQC definitions of residential treatment and recovery houses p.34 Appendix 6: Financial projections Introduction

Purpose and aims of this learning and legacy document:

 Clarify the unique situation facing young people and young adults with addictive behaviour in the UK.

 Present the rationale and evidence base for Transitions innovative approach.

 Clearly explain the different options considered and elucidate the decision making process.

 Reflect on our experience and suggest learning for others who are considering setting up similar projects This document chronicles the learning of charitable company Transitions Residential Therapeutic Communities, who set out on a journey to establish a Residential Therapeutic Community (RTC) for 16-25 year olds with drug/alcohol problems and addictive behaviour.

Transitions was founded by Mark Wood, who has both the practical experience and qualifications necessary to lead the organisation. Mark is supported by a strong team of trustees chaired by Doctor Phil Moore, a GP involved in health commissioning.

As a newly established Charitable Company Limited by Guarantee, Transitions was primarily concerned with serving London and the home counties by providing holistic treatment for 16-25 year olds with addictive behaviour. This would be unique in the UK as the only residential service offering transitional support and treatment for under-18s through to 25 year olds with drug/alcohol and other addictive behaviour.

We planned to open our first RTC in Hertford in February 2016, as a pilot project for 1 year, and as a result of our evaluation and learning from the pilot, we hoped to open further Residential Therapeutic Communities in other locations.

It is widely known in the drug and alcohol field in the UK that there are no residential treatment services for under-18s, and this has been confirmed by our research. Young people’s residential rehabilitation has always been a complex and challenging arena. Before embarking on the journey to establish our first RTC we were already aware that Middlegate Lodge in Lincolnshire, often touted as the last residential rehab for young people, had closed in 2011 due to lack of funding. We then discovered a hidden gem, Companions in Stafford, but this too closed in the summer of 2014.

So why set out on this journey?

Responding to need A report in 2013 from the Centre for Social Justice states “one in 20 adults in England (1.6 million) is dependent on alcohol and one in 100 (380,000) is addicted to heroin or crack cocaine.” When combining the costs of alcohol harm and illicit drugs, the financial burden alone is a huge £35 billion.1 No quick fix: Exposing the depth of Britain’s drug and alcohol problem. Centre for Social Justice.

1 August 2013.

Youth substance use is also a significant issue – levels of cannabis use and binge drinking in the UK are some of the highest in Europe1, and new psychoactive substances (nicknamed ‘legal highs’) have made a dramatic impact on youth substance use. According to the United Nations Office on Drugs and Crime “The largest market for legal substances that imitate the effects of illicit drugs in the European Union is the United Kingdom”2 amongst 15-24 year olds.

To cap it all off over 20,000 young people are receiving specialist support for drug/alcohol misuse on a yearly basis3. Other potentially addictive behaviours, such as self-harm and eating disorders are also increasing, and these are sometimes associated with drug/alcohol misuse.4 5 A window of opportunity “Addiction is a developmental disease - it typically begins in childhood or adolescence.” (National Institute on Drug Abuse).

In 2011 a government research report entitled “Specialist drug and alcohol services for young people – a cost benefit analysis” estimated the average lifetime cost of a young person becoming an adult drug or alcohol user at £46,145 - £91,964. The report demonstrated every single £1 spent on treatment for adolescents results in £5 to £8 of savings compared with addressing the problems later on. 10 Academic research suggests 30% - 40% of teenagers who use alcohol and cannabis (moderate/heavy usage) will develop substance misuse problems in adulthood. However, for those using class A drugs, 95% will continue as adults.6 Therefore, treatment for young people and young adults is vital before they develop entrenched substance use and addiction, and the UK government drug strategy recognises this. For “young people who develop dependency, the aim is to become drug or alcohol free.

This requires structured treatment with the objective of achieving abstinence”.7 Uniquely vulnerable - young people with drug/alcohol dependence problems There is widespread recognition that young people in treatment for drug or alcohol problems have multiple needs, and a complete package of care is essential including treatment, supported housing, 2 United Nations Office on Drugs and Crime.

http://www.unodc.org/unodc/secured/wdr/wdr2013/World_Drug_Report_2013.pdf, p.87 3 Statistics on Drug Misuse in England: 2013. Lifestyles Statistics, Health and Social Care Information Centre 4 Truth hurts: report of the National Inquiry into self-harm among young people. London: Mental Health Foundation. 2006.

Eating disorders in the UK: service distribution, service development and training. Report from the 5 Royal College of Psychiatrists’ Section of Eating Disorders. March 2012.

http://www.rcpsych.ac.uk/files/pdfversion/CR170.pdf 10 Department for Education. Research Brief. Specialist drug and alcohol services for young people – a cost benefit analysis [Online]. Available at https://www.education.gov.uk/publications/eOrdering Download/DFE-RB087.pdf 6 Specialist drug and alcohol services for young people – a cost benefit analysis. Frontier Economics. 2011.

Drug Strategy 2010 Reducing Demand, Restricting Supply, Building Recovery: Supporting People to 7 Live a Drug Free Life. HM Government. 2010.

reparenting and education support.7,8,10 Transitions holistic programme will address this (see Appendix 1).

There is also a clear link between drug/alcohol misuse and mental health problems in young people9.

Where this is the case, extra support will be provided as necessary.

Hertfordshire’s Drugs Strategy highlights concerns about failing to meet the needs of looked after children over the next 2-3 years, with numbers likely to increase, and “other vulnerable groups that are of high priority, namely young people not in education, employment or training, truants and excludees and those with unsettled accommodation.”10 Transition from young people’s to adult services In line with national strategy recommendations concerning youth in transition to adult services, Hertfordshire’s Drugs Strategy also recognises the importance of providing age appropriate treatment for 18-24 year olds. In fact several years ago the Drugscope report ‘Young people’s drug and alcohol treatment at the crossroads', suggested a service was created specifically for 16-25 year olds “who are developing more serious substance use problems that do not correspond to existing concepts of ‘problem drug use.’”8 A government report on children’s residential homes underlines this, as it reminds us there are a greater percentage of older children in care than previously, and those above school leaving age now make up a substantial minority. “Transitions become increasingly important, including access to adult services (Stein and Munro, 2008)”.10 The focus on youth in transition Transitions RTC planned to establish a residential service offering treatment and transitional support for 16-25 year olds with drug/alcohol and associated addictive behaviour.

This would be unique in the UK and there were 2 key reasons why we decided to go for young people aged 16 -25, rather than focusing exclusively on under 18s. One was simply practical and the other was in recognition of the identified needs of this group and lack of service provision. In order to work 7 Drug Strategy 2010 Reducing Demand, Restricting Supply, Building Recovery: Supporting People to Live a Drug Free Life. HM Government. 2010.

Drugscope. Young people’s drug and alcohol treatment at the crossroads: what it’s for, where it’s at 8 and how to make it even better [Online]. Available at http://www.drugscope.org.uk/Resources/ Drugscope/Documents/PDF/Publications/YoungPeopleCrossroadsReport.pdf (accessed on 25 th May 2012).

Mental illness, Offending and Substance Misuse leaflet. Royal College of Psychiatrists (2012).

9 http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/mentalillness,offendingand.aspx Hertfordshire Drugs Strategy Plan for 2012-2015.

10 11 Living in Children's residential homes. Research Report. David Berridge, Nina Biehal, Lorna Henry. March 2012.

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/184079/DFE-RR201.pdf with young people under 16 years of age, Transitions would have needed to be registered with Ofsted as an education provider. This was felt to be too time consuming for a small charity trying to pioneer a new approach to young people’s rehabilitation.

The level of demand for this type of specialist service for under-16s was unclear, whereas research has clearly demonstrated reasons to approach young people in transition to adulthood as a distinct group with unique needs concerning substance misuse. There is a clear need for this type of service especially for care-leavers, young offenders, homeless young people and young adults, and other adolescents who need an intensive package of treatment and support.

Despite the clear evidence for providing a specialist service to this age group, it is fraught with complexities.

 While 16-25 year olds with drug/alcohol problems and addictive behaviour clearly need relevant treatment, probably only a relatively small percentage require residential treatment.

This age group is also not renowned for engaging in abstinence based services, which residential rehabilitation is by necessity.

 Of those who would benefit from a service like Transitions, it is likely that a significant proportion would be presenting with a dual diagnosis ie. a mental health and substance misuse problem.

 Statutory services would not consider placing under-18s in the same building as over-18s, due to safeguarding concerns, namely the risk posed to vulnerable young people by older residents.

However, none of these potential obstacles were insurmountable, and when a local family offered their home for us to pilot the project we felt this was an adventure God was leading us on.

Vision, Mission, Aims & Values We spent the first year building our team and agreeing our vision, mission, aims and values, while we considered the next steps necessary to set up Transitions and explored different legal organisational structures.

Our Vision is:

“A Residential Therapeutic Community for young people aged 16-25 with drug/alcohol problems and other associated addictive behavioural issues.”

Our Mission is:

“Transitions RTC” is about journeying with young people to support them, in adolescence, making the transition to a life free from addictive behaviours through spiritual transformation, personal development and growth, discovering their purpose and experiencing fun and freedom.

Our mission is inspired by the story of the success of a group of dispossessed homeless people, crossing the Jordan river, making the transition to the promised land and learning to live life God’s way.

 We Aim to be:

 Residential  Therapeutic  Community-focussed  Appropriate primarily for 16-21 year olds.

 Serving young people primarily from the home-counties and London  A progressive, responsive and abstinence-based programme.

 Accommodating young people of both genders – initially we will provide for whichever gender is least catered for.

 A spiritual Christian response.

We Value:

Pages:   || 2 | 3 | 4 | 5 |

Similar works:

«Comment réserver sa Place d´Examen sur Ordinateur Ce guide mis à disposition par l´IBLCE, s´adresse aux personnes qui doivent réserver leur place d´Examen sur Ordinateur Table des matières Comment vous enregistrer afin de réserver votre place d´examen..4 Enregistrement par téléphone...5 Figure 1: IBLCE Page d´accueil Figure 2: Service clientèle Enregistrement par le biais d´un compte WEB Figure 3: IBLCE Page d´accueil Figure 4: Page d´inscription Figure 5: IBLCE info-bulle...»

«Learning of Protein Interaction Networks Yanjun Qi CMU-LTI-08-006 Language Technologies Institute School of Computer Science Carnegie Mellon University 5000 Forbes Ave., Pittsburgh, PA 15213 www.lti.cs.cmu.edu Thesis Committee: Ziv Bar-Joseph (Carnegie Mellon University, Chair) Judith Klein-Seetharaman (University of Pittsburgh & Carnegie Mellon University, Chair) Christos Faloutsos (Carnegie Mellon University) Jaime Carbonell (Carnegie Mellon University) Baldo Oliva (Universitat Pompeu Fabra,...»

«Korean adoption/adoptees references 1957-2004 Books and brochures An, Ûi-jông, Auja! Sêsangên paboran ôbdanda [Alas! It is said there are no fools in this world], Seoul, 2002. Anthony, Joseph, The rascal and the pilgrim. The story of the boy from Korea, New York, 1960. Baker, Larry, The flamingo rising, New York, 1997. Bauman, Sông-dôk, Nae irûmûn Pûraiôn Sông-dôk Baumanibnida. Brian Sungduk Bauman´s life story [My name is Brian Sông-dôk Bauman], Seoul, 1997. Bishoff, Tony and...»

«By Martyn Atkins General Secretary of the Methodist Church in Britain Discipleship..and the people called Methodists Discipleship. and the people called Methodists By Martyn Atkins General Secretary of the Methodist Church in Britain With grateful thanks to many friends and colleagues who have helped in a variety of ways to enable this book to be produced, and without whose input it would never have been completed at all. Introduction This short book is about Christian discipleship from a...»

«इंटरनेट मानक Disclosure to Promote the Right To Information Whereas the Parliament of India has set out to provide a practical regime of right to information for citizens to secure access to information under the control of public authorities, in order to promote transparency and accountability in the working of every public authority, and whereas the attached publication of the Bureau of Indian Standards is of particular interest to the public, particularly disadvantaged...»

«CUTTING NET MIGRATION TO THE TENS OF THOUSANDS: WHAT EXACTLY DOES THAT MEAN? Professor John Salt and Dr. Janet Dobson Migration Research Unit, Department of Geography, UCL MRU Discussion Paper November 2013 The assistance of Victoria Bauer in the production of tables and figures is gratefully acknowledged Migration Research Unit UCL Discussion Paper Table of contents EXECUTIVE SUMMARY 1. INTRODUCTION 2. WHAT IS NET MIGRATION AND WHY DOES IT MATTER? 2.1 The definition of net migration 2.2 The...»

«Instrumentos de Clasificación y Certificación de Edificios La certificación es en muchos casos un incentivo necesario para la implementación de prácticas sustentables en el mercado. Esto se debe a que cuantifica y confiere reconocimiento formal, por una institución de alta credibilidad ante el mercado, del valor de la inversión realizada en la sustentabilidad (ecológica y económica) del edificio, agregando valor de manera palpable. Hay diversas certificaciones disponibles para...»

«City of Sacramento 2013-2021 Housing Element HCD Review Draft | September 5, 2013 Cover photo credits: Gelfand Partners Architects, Mintier Harnish, and Affordable Housing Design Advisor H-T HOUSING ELEMENT: Table of Contents Table of Contents H-E EXECUTIVE SUMMARY Sacramento’s Housing Challenges The City’s Housing Strategy Meeting Our City’s Housing Needs H-1 INTRODUCTION 1.0 Purpose 1.1 State Law Requirements 1.2 Regional Housing Needs Allocation 1.3 Public Participation 1.4...»

«NOT PROTECTIVELY MARKED ITEM 10 PART ONE To: Audit Committee 31st March 2015 Date: By: Johanna Burne, Chief Executive, Office of the PCC Helen Bayliss, Head of Service Quality Title: ANNUAL REVIEW OF RISK MANAGEMENT ARRANGEMENTS Purpose of report To present a report on risk management arrangements for Surrey Police and the Office of the Police & Crime Commissioner. Recommendation The Committee reviews the arrangements for risk management. Equality and Human Rights Implications: None arising...»

«Federal Reserve Examination Procedures Section 5 of the FTC Act – Unfair or Deceptive Acts or Practices I. BACKGROUND Section 5(a) of the Federal Trade Commission Act (FTC Act) (15 U.S.C.Section45) prohibits “unfair or deceptive acts or practices in or affecting commerce.” This prohibition applies to all persons engaged in commerce, including banks. The Board has affirmed its authority under section 8 of the Federal Deposit Insurance Act to take appropriate action when unfair or deceptive...»

«SECURITIES AND EXCHANGE COMMISSION Washington, D.C. SECURITIES ACT OF 1933 Release No. 10119 / August 10, 2016 SECURITIES EXCHANGE ACT OF 1934 Release No. 78532 / August 10, 2016 INVESTMENT ADVISERS ACT OF 1940 Release No. 4476 / August 10, 2016 INVESTMENT COMPANY ACT OF 1940 Release No. 32210 / August 10, 2016 Admin. Proc. File No. 3-15737 In the Matter of the Application of THOMAS C. GONNELLA OPINION OF THE COMMISSION BROKER-DEALER PROCEEDING CEASE-AND-DESIST PROCEEDING INVESTMENT ADVISER...»

«Rules of PJSC Aeroflot for Air Carriage of Passengers and Baggage RI-GD-190А Page 1 of 49 APPROVED by Order No. 189 of the General Director of PJSC Aeroflot dated June 2, 2015 Rules of PJSC Aeroflot for Air Carriage of Passengers and Baggage Rules of PJSC Aeroflot for Air Carriage of Passengers and Baggage RI-GD-190А Page 2 of 49 TABLE OF CONTENTS 1. Scope of Application 2. Regulatory References 3. Terms, Definitions and Abbreviations 4. Air Carriage of Passengers 4.1. Main Terms and...»

<<  HOME   |    CONTACTS
2016 www.dissertation.xlibx.info - Dissertations, online materials

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.