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Community Based Rehabilitation on
Tyneside
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North East charity working in the areas of homelessness, addiction, offending, training and employment.
Key Organisational Characteristics• Service User Led: clients help to shape services; needs-led;
• Entrepreneurial– Innovation - Seek to fill gaps in provision rather than duplicating services
or competing with what is already there
– Risk Taking – willing to take calculated but genuine risks - both financial and practice
– Sustainability– what is the long term potential
– Create employment through existing services and social enterprise
• Evidence based – i.e. what works? Learn from others - if its not there develop it and evaluate it.
• Partnerships – within voluntary, public and private sectors
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Why Set up Community Rehabilitation?
Worked with a group of recovering addicts. Collectively we came to the conclusion that:
• Clients were being let down - trapped in the system• Clients had very low ambitions for themselves • Residential treatment referrals were often inappropriate• No local community based abstinence treatment• Little in the way of sober housing or real routes into work • Success stories were all imported
So...... We did something about it
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Community Based Rehabilitation System
• Taken 5 years to develop and its still growing
• User led – we listened to what wasn’t working or where there was a gap and tried to fix it
• Enormous amount of help provided by others already out there – AoA, Acorn Housing, NTA, UWS, CCAR, New York OASAS;
• Journey we’ve tried to do with others, esp those in short and long-term recovery who have “insider knowledge” having first hand experience of the treatment system
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Oaktrees
12 step day treatment
centre
SoberHousing
Elliott HouseDirect Access
Hostel
40 beds (10 D&A)Ridley Villas
Women & children5 flats
Westbridge
Abstinence based -12 beds
SatelliteHousing
Women & children5 flats
Recovery CentreEmployment
Service
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EMPLOYMENT
ACCOMODATION
ADDICTION
RECOVERY
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Oaktrees – Abstinence Based Treatment• AoA - SHARP model
• 22 places - 12 weeks duration, 5 days per week: 9.30am -4.00 pm
• Clients expected to attend AA or NA meetings as part of treatment
• Clients live at home or in safe accommodation
•Referrals via treatment services who retain links for the duration of treatment
• 35% completion rate; as it is a local service all non-completers remain in treatment
• 43% starting treatment are women; 80% are mothers;
•Nine 12 step groups run from premises: AA, NA, Women’s NA, Cocaine Anonymous, Emotions Anonymous
• Currently completing an audit and evaluation of the programme
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Accommodation• Need for safe and supported housing for those who don’t have adequate accommodation
• Denmark Street – 4 bed shared house for those nearing the end of programme; low rent level
• Elliott House Direct Access hostel – 10 beds for people in treatment
• Westbridge – 12 beds for people who are abstinent
• Ridley Villas – 5 flats for women and their children• 5 independent properties as move on for women and children
• Additional houses in pipeline – homes for life - recovery community? shared ownership?
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Employment Project• As a rule, work is good for people – we promote and encourage the notion of work
• Training is a means to an end, not an end in itself
• Ready for Work’ Programme - provides:
• Volunteering• Pre-employment training• Recovery orientated employment course• Work placements with local businesses• Job coaching• Jobs (11 in the first 4 months)• Website to match employers and job seekers – launch April 1st
Sage UK, Northern Rock, Carillion Building, Greggs, Barclays Bank, Marks & Spencer, TSG (Technology Services Group), KPMG, Royal Mail, John Lewis, Gentoo, Northumbrian Water, PWC, Morrisons, Marriott, NRG and many smaller companies.
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Recovery CentreBased upon the CCAR model of Recovery Centres:• A safe place to continue to recover and give back • A place with positive social networks• Telephone Recovery Service• Peer-to-peer recovery support & recovery coaching• Volunteering opportunities• Recovery groups and workshops• Links to recovery housing• Recovery oriented employment support• Family Work• Promotion of the wider recovery movement
speakerseventsLiterature
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Recovery Centre
"We need to create communities with oomph – people who are in charge of their own destiny, who feel that if they
club together and get involved they can shape the world around them".
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Where Does the Money Come From?
PTB DIP SP PCT HB Rent GrantMakingTrusts
Other
Oaktrees Day Treatment
Independent Housing
Elliott HouseDirect Access Hostel with addiction workersWestbridgeAbstinence AccomRidley Villas Women & ChildrenSatellite Housing
Employment Service
Recovery Centre
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Business Model
• Spread the load – use a variety of funding sources and across authorities• Self funding – esp housing; ensure it pays for itself•Raise Working capital
Liquidise assets – esp for purchase of propertyBonds/ social investment
• Corporate Social Responsibility - Use CSR to add in kind value through training, donations, • Social enterprise – provide opportunities for clients and profit to support services• Other - SIBs, PBR and alternative funding esp when there is a good evidence base and clear cost-benefits
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Community Based Rehabilitation
Development has been a journey we’ve tried to do alongside others:
• Occasionally its been too quick for commissioners – but when they captured the vision they have supported us in developing it • Almost always too quick for most other treatment providers – an on-going problem • Never too quick for our service users