Nelson Trust Residential Treatment Service. An Integrative and Abstinence-Based Model for Lifelong Recovery. Setting the scene – The Truth about Residential Treatment. Only 0.55% of people requiring treatment in the NHS system get a residential place – 76% receive prescribing treatment
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Nelson Trust Residential Treatment Service An Integrative and Abstinence-Based Model for Lifelong Recovery
Setting the scene – The Truth about Residential Treatment... • Only 0.55% of people requiring treatment in the NHS system get a residential place – 76% receive prescribing treatment • Those who complete residential treatment are 7 times more likely to be drug free after 3 years (Prof Neil McKeganey) • ...and yet 25% of residential treatment centres closed between 2008-2010 – now only 1900 beds in UK
rehabilitation a comprehensive approach • Importance of addressing biological, psychological and social needs in an integrated way • Collaborative approach involving client and their Care Manager in care planning • Developing a therapeutic alliance and creating a sense of safety • Residential programme allows time & space to address breadth and depth of these needs
Residential Treatment: a therapeutic community • The importance of peer identification and support “I am not alone” • Understanding the need for achieving, maintaining and enjoying abstinence • Learning from senior peers, friendship and Recovery Champions in the staff team • Modelling a healthy lifestyle in small “family” groups
Family Services • 98% of clients who engage with family work complete treatment • Parenting issues very prominent for clients – esp. For Women’s Services • Impact on self-worth and emotional wellbeing • Support for the family-members & help to rebuild relationships damaged by addiction
The Nelson Trust Model: A Wrap-Around Service: Integrative Treatment ensive continuity of support • Improved health & wellbeing • Education, Training & Employment service • Resettlement & Move-on Housing • Family Work • Aftercare
What “Recovery” looks like • Journey from chaos to stability • Improved social functioning • A change in orientation which addresses far more than substance use – attitude, offending, social responsibility, work-readiness, supporting peers etc • Developing Recovery Capital
In Their own words… • “I am getting ready to leave the Nelson Trust and I never thought I would be in a position to feel so comfortable with being myself and looking forward to what tomorrow brings” • This place put me on the right path, to deal with my problems, to deal with myself and stop blaming other people. • I was scared to come here. I was constantly fighting. I wanted this big “Switch!” and I would change…it didn’t happen like that. But gradually I got involved. Interested. Learning things I never even knew about. Not drinking. Positive ideas. Enjoying life. Gardening. Reading and writing. I stopped fighting my own ego, I learned how to stop fighting myself. • Recovery has given me freedom. In addiction every day was the same, a gradual progression downwards. Today life is exciting, I’m doing new things. Recovery is about possibilities, finding my potential.