THE PROJECT:. THE PROJECT HAS BEEN SET UP TO WORK WITH ALCOHOL DEPENDENT PEOPLE IN SUPPORTED HOUSING IN PORTSMOUTH.PRIMARILY TARGETING MILL HOUSE, THE MAIN HOMELESS HOSTEL IN PORTSMOUTH.TAKING A SELF-HELP SUPPORT GROUP AND THE CONCEPT OF RECOVERY INTO SUPPORTED HOUSING.THE DEVELOPMENT OF TWO
1. PEER RECOVERY FACILITATORS PROJECT
PORTSMOUTH CITY COUNCIL
2. THE PROJECT: THE PROJECT HAS BEEN SET UP TO WORK WITH ALCOHOL DEPENDENT PEOPLE IN SUPPORTED HOUSING IN PORTSMOUTH.
PRIMARILY TARGETING MILL HOUSE, THE MAIN HOMELESS HOSTEL IN PORTSMOUTH.
TAKING A SELF-HELP SUPPORT GROUP AND THE CONCEPT OF RECOVERY INTO SUPPORTED HOUSING.
THE DEVELOPMENT OF TWO PEER RECOVERY FACILITATORS.
3. MILL HOUSE Mill House has 47 bedrooms that accommodate men and women between the ages of 18 and 65.
Direct Access Hostel that has been helping homeless people in Portsmouth since 1977.
Mill House is not permanent accommodation and it is hoped that clients will move on to more appropriate accommodation as soon after their assessment as is possible.
Residents of this and similar supported accommodation have amongst the worst health prospects in the city. In addition to alcohol misuse, drug misuse and mental health issues are common.
4. SMART RECOVERY SELF MANAGEMENT AND RECOVERY TRAINING.
BORN OUT OF REBT, CBT AND MET.
EVIDENCED BASED MODEL THAT DEALS WITH ADDICTIVE PROCESSES.
PEER LED MEETINGS THAT FOCUS ON SELF RESPONSIBILITY AND EMPOWERMENT.
A SET OF TOOLS AND SKILLS TO CHALLENGE IRRATIONAL THINKING AND BELIEF SYSTEMS.
5. Four-Point Program Motivation to Abstain - Enhancing and maintaining motivation to abstain from addictive behavior
Coping with Urges - Learning how to cope with urges and cravings
Problem Solving - Using rational ways to manage thoughts, feelings and behaviors
Lifestyle Balance – Balancing short-term and long-term pleasures and satisfactions in life
6. TARGETS 1: 4 GROUPS TO BE ESTABLISHED IN SUPPORTED HOUSING VENUES.
2: 40 PEOPLE ATTENDING AT LEAST 3 SESSIONS BY 31ST MARCH 2011.
3: 10 PEOPLE WILL HAVE ATTENDED A FIRST APPOINTMENT AT A TREATMENT SERVICE.
4: 5 PEOPLE WILL HAVE ACCESSED A DETOXIFICATION SERVICE.
7. TEETHING PROBLEMS UNSUCCESSFUL RECRUITMENT OF ONE OF THE PEER FACILITATORS VS LIMITED CAPACITY OF ONE FACILITATOR.
INITIAL COMMUNICATION WITH SUPPORTED HOUSING NOT AS POSITIVE AS WAS HOPED FOR.
CREATING A COUNTER-CULTURE WITHIN THE SPECIFIED SERVICES.
8. OUTCOMES 1: GROUPS WILL BE SUCCESSFULLY ESTABLISHED IN SUPPORTED HOUSING LOCATIONS.
2: GROUP ATTENDEES WILL REDUCE THE AMOUNT OF ALCOHOL THEY CONSUME.
3: GROUP ATTENDEES WILL BE REFERRED TO AND ENGAGE WITH OTHER TREATMENT SERVICES.
9. CASE STUDY 1
A male aged 44 who attended the group consistently over a period of over 12 weeks.
He presented with both heroin dependence and heavy alcohol misuse.
The group helped him to address his defeatist attitude toward accessing help.
Whilst attending he engaged with Narcotics Anonymous again.
He also accessed the Pushing Change service user group.
He successfully completed 4 weeks detox.
With help from the group he also changed his mind regarding residential rehab.
Now currently alcohol and substance free and is now 4 weeks into a 12 week stay at a residential rehab.
He wants to continue to secondary treatment if funding is approved.
10. CASE STUDY 2 Male aged 33 who also has a significant enduring history of substance and alcohol misuse.
Presenting with heavy alcohol and poly-drug misuse.
Consistent attendance of the groups.
Now resident at follow-on clean and dry support accommodation.
Currently drug and alcohol free whilst still engaging with Tier 3 treatment services.
He has also engaged with educational programs and is rebuilding family relationships.
He has also taken an active role within Pushing Change and Over Dose Prevention workshops.
11. So???? A SUCCESS??? Anecdotally feedback suggests that the culture in the hostel is changing. contemplating change.
Previously the hostel was perceived as somewhere where change was not sought.
In total 21 people have attended the group.
Of these 5 have gone on to access treatment.
2 have gone on to successfully complete a detox and are currently in residential rehabilitation.
12. SERVICES ACCESSED: Alcoholics Anonymous.
ACT (Acceptance Commitment Therapy)
Pushing Change. (Service User Group and Advocacy service)
The Buddy Scheme.
Portsmouth Counselling Services.
Adult Mental Health.
13. WHAT NOW??? WE HAVE NOW RECRUITED A SECOND FACILITATOR.
WE ARE ABOUT TO START OUR SECOND GROUP IN ANOTHER TWO SAINTS HOSTEL.
WE ARE IN COMMUNICATION OTHER SERVICE PROVIDERS WITH A VIEW TO SETTING UP FURTHER GROUPS.
14. MY FAVOURITE SUBJECT: ME!! Wayne Liversedge
Peer Recovery Group Facilitator