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Matt Talbot Services is a voluntary organisation providing drug and alcohol treatment services to young people and their families.
Service Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Day Treatment Services Cork City  Supported by  H.S.E. South, Drug/Alcohol Services.   Probation Services, Y.P.F.S.F., S.R.D.T.F, Dormant Accounts,  Irish Red Cross Cara Lodge Residential Treatment Centre  West Cork  Supported by: Interdepartmentally Funded, Dept. of Health, Dept. of Justice, Dept. of Education, The SRDRTF, Mercy Solidarity Fund Day Programme Youth Enterprise. Training/Activity  Supported by Probation Services, FÁS.VEC . What we provide
THE PEOPLE WE SERVE:  Young People and Families Multi Disciplinary Teams Manager Trabeg Services Manager Cara Lodge Manager YES Day Programme Chairperson Research  and Development  Director of Services Executive Committee Chief Executive Officer Financial Board of Directors
MULTI-DISCIPLINARY TEAM Social Care  Team  Psychotherapist Cognitive Behavioural Therapist Addiction Counsellors Practical Instructors Art Therapist MA Student Family Counsellors Consultant Psychiatrist Forensic Psychologist Teachers Computers Arts/ Crafts Horticulture
Policy Context ,[object Object],[object Object],[object Object],[object Object]
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Numbers young people referred  in last 3 years 2008 2009 2010
Sources of Referral 2010 .
Profile of Young Poly Drug User 2010   72 % presented with mental health issues 93% Involved in the Juvenile Justice System 60% From socially  excluded designated areas of disadvantage 70% using substances by age 11 68% of young people experienced trauma 54 %   Early school leavers  no formal qualification 58% Combination of alcohol and benzodiazepines 4% In Care 35% Violent Crime 73% From one parent families 38% Involved with Youth Homeless Services
Poly Drug Profile 2010 % % % % % % % % % %
Profile of Crimes Committed by Young People 2010 % % % % % % %
[object Object],[object Object],Listen!!
[object Object],Evidence Based Practices
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Young People need Case Managers who can advocate for them across the entire treatment  continuum.
Harm Reduction Approach ,[object Object],[object Object],[object Object],[object Object],[object Object]
Developments 2010 –  Enhancing Best Practice Bio Psycho Socio-legal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other developments…. Accreditation Forensic Psychologist Family Therapist Networks & Partnerships Networks & Partnerships Quads  and CHKS (Caspe Healthcare Knowledge Systems-UK Accreditation Body) Interventions with young people and staff training Evaluation of family programmes Family therapy ,[object Object],[object Object],3. Rutgers University, USA Centre for Drug and Alcohol Research
[object Object],[object Object],[object Object],[object Object],Art
Why are young people difficult to work with?  ,[object Object],[object Object],[object Object],[object Object]
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Individuation  ,[object Object]
Separation ,[object Object]
Autonomy ,[object Object]
Co-operation ,[object Object]
To Sum Up Mastering the developmental tasks of adolescents is a very frustrating process….  for adults.
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Two things in common 1.They had no choice about coming to our service. 2. They had no level of acceptance that they had a drug/alcohol problem
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[object Object],Ak 47 Devil's Dandruff Finger Cocaine Best Buzz of All!! The Dove is back...but stronger!! Charge  Sheet Stimulants Depressants Hallucinagenics
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Gang Neighbourhood Family Young people’s choices to use drugs are often made as a result of their wider experience of society. Young Person
Enhancing Outcomes through Client Driven Treatment ,[object Object]
[object Object],Engagement Pre-Treatment Programme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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CARA LODGE ,[object Object],[object Object],[object Object],[object Object]
“ One size fits all” treatment only works for the client who happens to fit that modality – the rest are square pegs being forced to fit through round holes.
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More is not necessarily better and, in fact, can produce diminishing returns.
Engaging the young person in Treatment  requires us to focus on the client's strengths, resiliency, and what motivates him.
The important treatment question is “What does the young person want?” The challenge is to create an ethical balance between what the client wants and what is  clinically determined
A Day at Cara Lodge… Hi Counsellor
Weekend Activities include: Fishing, hill walking, horse riding, cinema, outdoor adventure, pitch and putt, soccer and football .
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Cara Lodge Residential Treatment Service Outcomes 2010 3 16 6 6
After Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Structured Training/Activity Day Programme
Y outh  E nterprise  S cheme Low self esteem Alcohol Misuse Boys 16-18 years Who have……. Poor Health Difficulties engaging Ongoing involvement with Justice System Drug Misuse Difficulties in sustaining relationships Lost opportunities of education Ambition Positive mental well being Reduced offending Increased positive relationships Increased Self Esteem Reduction in alcohol and drug misuse Certification in education Why? Outcomes In Partnership with the Probation Service
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Matt Talbot Services Presentation

  • 1.
  • 2.
  • 3. Matt Talbot Services is a voluntary organisation providing drug and alcohol treatment services to young people and their families.
  • 4.
  • 5. Day Treatment Services Cork City Supported by H.S.E. South, Drug/Alcohol Services. Probation Services, Y.P.F.S.F., S.R.D.T.F, Dormant Accounts, Irish Red Cross Cara Lodge Residential Treatment Centre West Cork Supported by: Interdepartmentally Funded, Dept. of Health, Dept. of Justice, Dept. of Education, The SRDRTF, Mercy Solidarity Fund Day Programme Youth Enterprise. Training/Activity Supported by Probation Services, FÁS.VEC . What we provide
  • 6. THE PEOPLE WE SERVE: Young People and Families Multi Disciplinary Teams Manager Trabeg Services Manager Cara Lodge Manager YES Day Programme Chairperson Research and Development Director of Services Executive Committee Chief Executive Officer Financial Board of Directors
  • 7. MULTI-DISCIPLINARY TEAM Social Care Team Psychotherapist Cognitive Behavioural Therapist Addiction Counsellors Practical Instructors Art Therapist MA Student Family Counsellors Consultant Psychiatrist Forensic Psychologist Teachers Computers Arts/ Crafts Horticulture
  • 8.
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  • 11. Numbers young people referred in last 3 years 2008 2009 2010
  • 13. Profile of Young Poly Drug User 2010 72 % presented with mental health issues 93% Involved in the Juvenile Justice System 60% From socially excluded designated areas of disadvantage 70% using substances by age 11 68% of young people experienced trauma 54 % Early school leavers no formal qualification 58% Combination of alcohol and benzodiazepines 4% In Care 35% Violent Crime 73% From one parent families 38% Involved with Youth Homeless Services
  • 14. Poly Drug Profile 2010 % % % % % % % % % %
  • 15. Profile of Crimes Committed by Young People 2010 % % % % % % %
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Young People need Case Managers who can advocate for them across the entire treatment continuum.
  • 22.
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  • 24.
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  • 26.
  • 27.
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  • 32.
  • 33. To Sum Up Mastering the developmental tasks of adolescents is a very frustrating process…. for adults.
  • 34.
  • 35. Two things in common 1.They had no choice about coming to our service. 2. They had no level of acceptance that they had a drug/alcohol problem
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Gang Neighbourhood Family Young people’s choices to use drugs are often made as a result of their wider experience of society. Young Person
  • 41.
  • 42.
  • 43.
  • 44.
  • 45. “ One size fits all” treatment only works for the client who happens to fit that modality – the rest are square pegs being forced to fit through round holes.
  • 46.
  • 47. More is not necessarily better and, in fact, can produce diminishing returns.
  • 48. Engaging the young person in Treatment requires us to focus on the client's strengths, resiliency, and what motivates him.
  • 49. The important treatment question is “What does the young person want?” The challenge is to create an ethical balance between what the client wants and what is clinically determined
  • 50. A Day at Cara Lodge… Hi Counsellor
  • 51. Weekend Activities include: Fishing, hill walking, horse riding, cinema, outdoor adventure, pitch and putt, soccer and football .
  • 52.
  • 53. Cara Lodge Residential Treatment Service Outcomes 2010 3 16 6 6
  • 54.
  • 56. Y outh E nterprise S cheme Low self esteem Alcohol Misuse Boys 16-18 years Who have……. Poor Health Difficulties engaging Ongoing involvement with Justice System Drug Misuse Difficulties in sustaining relationships Lost opportunities of education Ambition Positive mental well being Reduced offending Increased positive relationships Increased Self Esteem Reduction in alcohol and drug misuse Certification in education Why? Outcomes In Partnership with the Probation Service
  • 57.

Notas del editor

  1. I think we suffer from a crises of ideas, but the young people are full of ideas
  2. Most effective treatment outcomes.
  3. Young people find it impossible to navigate with multiple agency involvement.
  4. Tracked outcomes in four key domains.
  5. Its CBT based with a focus on coping skills and life changes.