Annual Report 2008-2009 Chair’s Report
It gives me great pleasure to welcome you to this year’s Annual Report. I hope it shows you the diverse services we offer anyone affected by substance misuse in Rhondda Cynon Taff, Merthyr Tydfil and Bridgend.
As in previous years, we have endeavoured to use our resources carefully to ensure we maintain quality service provision. The ethos of TEDS is to provide a comprehensive package of care to our service users, their families and carers and the communities in which they live.
In any charitable organisation, there are numerous people and agencies that need to be recognised and the thanks of the Management Committee go to Jean and her staff for continuing to deliver the excellent services we have become known for. I would also like to thank everyone who has provided funding and support to TEDS for their continued confidence in the work we do.
If you have any queries arising from this report please do not hesitate to contact us.
Glyn Evans Manager’s Report
As can be seen from the statistics included in this report 2008/09 has been another incredibly busy year for everyone involved in TEDS.
As well as direct service delivery to our clients, this year we have also been subject to a Health Inspectorate Wales Thematic Review, along with all other substance
misuse providers in Wales. This was a useful exercise for our project to go through, although it did cause capacity issues. We are still waiting for feedback from the Review, which we hope will be positive !
I would like to thank the team, both paid staff and volunteers for all the hard work and commitment they have shown in this year. TEDS strength and reputation lies in the quality of our staff and we wouldn’t be where we are without them.
Once again, we have to report the tragic death of a member of our Team. Norman Michel, one of our Youth Offending Service workers, died suddenly in January. He hadn’t worked for us for long but had already impressed us and the YOS with the quality of the work he was undertaking with the young people he worked with.
This Annual Report is dedicated to his memory.
Jean Harrington MBE Aims & Philosophy
TEDS was established in 1985 as a community response to substance misuse related problems. We cover Rhondda Cynon Taff for all our services and we also deliver some services in the Bridgend County Borough area and Merthyr Tydfil.
We provide a range of services for people who are affected by substance misuse. These services are delivered within a harm reduction framework and are provided free, in confidence and are tailored, as far as possible, to meet individual service user’s needs in a non-judgemental, non-discriminatory way.
The principles of individual choice have always been, and will remain, of paramount importance to TEDS and we maintain the commitment to providing a quality service in all areas of our work.
Management Committee As at 31st March 2009 Co-opted Staff Team PROJECT BREAKDOWN Core Services Home Detox & Counselling Rehabilitation Full range of Delivering a structured Working with GP’s to counselling service to specialist safely detox service substance misuse users in their own interventions Needle ExchangeAdvice & Information Training An important element For service users Working in school’s and of our harm reduction professionals & families with adults to increase knowledge of substance misuse issues Family Support Criminal Justice Youth Offending Service Services Providing vital Working with young support for families Services to clients offenders with substance affected by substance within the Criminal misuse problems Justice System Young Person’s Looked After Progress2Work Services Children Helping clients back into Working with young Working with young training, education or people up to 25 years people in the looked employment after care system Alcohol Project Community Care Alcohol Liaison Working within the Multi agency project Scheme and Alcohol Substance Misuse Team providing services in the Brief Intervention of the Local Authority Community Complimentary Families First Development Therapies Child focussed service for Looking at local Acupuncture & children of parents who are responses to relaxation techniques substance misusers substance related Volunteer Training Strategic Planning/ Social Work Student & Mentoring Placements Developing a Working with partner Providing opportunities for volunteer base to agencies to deliver students to learn about support our work quality services substance misuse ACTIVITY 2008/09 TOTAL CONTACTS No New Clients Re-referred Clients Ongoing Clients Total Individuals NEW & RE - NEW & RE-REFERRED BY MAIN AREA REFERRED BY BRIDGEND NEW & RE-REFERRED BY MAIN DRUG ALCOHOL1221AMPHETAMINES133BENZODIAZEPINES45 CANNABIS187CRACK/COCAINE52 STEROIDS97 NEW & RE-REFERRED BY REFERRAL SOURCE MENTAL HEALTH39 AGENCIES PROBATION FAMILY/FRIENDS90 EXCHANGE 46PRISON/ARREST JOBCENTRE REFERRAL SERVICES NON STATUTORY 214 DRUG SERVICE NEW & RE-REFERRED BY AGE NEEDLE EXCHANGE CLIENTS USING EXCHANGE NEW CLIENTS NUMBER OF UNKNOWN19 RETURN RATE REASON CONTACT ENDED TREATMENT MOVED FROM AREA COMPLETED TREATMENT WITHDRAWN REFERRED TO ANOTHER DECEASED SERVICE DNA INAPPROPRIATE REFERRAL NO OF INDIVIDUALS DROPPED OUT ADVICE ONLY CASE STUDIES Alcohol Brief Intervention Scheme (ABIS)
Tony self referred to TEDS as he was concerned about his escalating alcohol use. His pattern of use was to binge drink three times a week, on days he wasn’t working.
Tony believed that boredom was a contributory factor to his use and we worked with him to identify the triggers and look at developing coping strategies and control techniques. These included alternating soft drinks, restructuring his day and keeping drink diaries to monitor progress.
Tony was supported to attend the gym on his days off and we looked at the option of accessing evening classes at his local college with support from our Progress2Work team.
Tony achieved his target goal of controlled drinking on the weekends only. He has recently started a Health Care course in the evenings at his local college.
Family Support
Mum and Dad were referred to TEDS for support around issues that affected them in respect of their son’s Heroin use.
There was a lack of knowledge and understanding about their son’s drug use that was causing tremendous tension within the family. We looked at effects and risks in great depth with them and, on some occasions, their son took part of the sessions. This proved very effective as it gave them all a greater understanding of each other’s point of view. Communication improved between them on all topics, not just drugs, which meant a calmer environment for them all to live in.
The family now feel in a better position to support their son and respect the decisions he makes. He is currently on a methadone programme and is doing really well.
Community Detox
John is 43 years old, with a history of past illicit drug use, who referred himself to TEDS to get help with his alcohol dependancy. Prior to his alcohol use becoming
problematic, John was a passionate and prolific writer of poetry, some of which had been published. This had stopped as his alcohol use increased.
He had been drinking heavily for 6 years, which increased following the split from his long term partner. His confidence was extremely low and he was very depressed. If he reduced or stopped his alcohol intake, he would experience severe withdrawals. His mental and physical health were deteriorating, he had lost a lot of weight and his sleep pattern was erratic.
He was referred for detox, and after blood tests and a specialist assessment by our Nurse or Relapse Prevention worker, he was assessed as suitable for Community Detox, with his GP prescribing the medication required and also providing additional support throughout the actual detox as required. The detox Nurse visited on a hourly basis throughout the day to ensure John was coping with the withdrawal. He also visited the following day to initiate the Antabuse medication that John would take to minimise the risk of relapse.
With the support of the Relapse Prevention worker, John has remained abstinent for four months and is beginning to think about his poetry again, and is felling much more confident for his future.
A full set of accounts is available on request
A full set of accounts is available on request. If you have any queries regarding this report please email [email protected]
REF: SHA/17137 APPEAL AGAINST HEART OF BIRMINGHAM PCT DECISION FIRSTCARE APPLICATION INCLUSION PHARMACEUTICAL LIST AT ATTWOOD GREEN HEALTH CENTRE, 30 BATH ROW, BIRMINGHAM, B15 1LZ The Application By application dated 29 November 2012, Firstcare (UK) Ltd (“the Applicant”) applied to the Heart of Birmingham Teaching Primary Care Trust (“the PCT”) fo