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Developing good links- a practice model. OVERALL AIM. To reduce the adverse impact of problematic substance use and deprivation for children young people and their families. Aberlour Child Care Trust 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 • Aberlour Child Care Trust child centred. 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. Aberlour Child Care Trust 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. Aberlour Child Care Trust 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 syndrome…to concept of carousel Aberlour Child Care Trust 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. Aberlour Child Care Trust 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. Aberlour Child Care Trust ABERLOUR MODEL. Residential short and longer stay Children’s admission with an individual support plan. Where this is not deemed in the child’s 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. Aberlour Child Care Trust 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/options/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 Aberlour Child Care Trust ABERLOUR MODEL REFERRAL ASSESSMENT FOR SERVICES PROVISION OF REPORTS Residential Rehab Programme Aberlour Child Care Trust Day Provision / Outreach Outreach Pre / post admission support Parenting Packages Therapeutic Day Care 0-5 years Transitional Support 5 – 8 years Support, advice, advocacy 8+ years Therapeutic Family Work New Futures Residential Assessment Programme 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 Aberlour Child Care Trust 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 Aberlour Child Care Trust 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 Aberlour Child Care Trust 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 Aberlour Child Care Trust ABERLOUR MODEL. • • • • • • • • • • DAY PROVISION & OUTREACH Service Provision Assessments including Children’s 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 Aberlour Child Care Trust 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 Aberlour Child Care Trust 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 Aberlour Child Care Trust