20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues...
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Transcript of 20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues...
![Page 1: 20 Years on.... Delivering innovation and developing practice to deal with alcohol and drug issues in Northern Ireland.](https://reader031.fdocuments.in/reader031/viewer/2022020306/551c306f550346ad4f8b62de/html5/thumbnails/1.jpg)
20 Years on....
Delivering innovation and developing practice to deal with
alcohol and drug issues in Northern Ireland
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opportunity youth_________________________________________________________________________________________________________________________________________________________
OY is the leading provider
of support services to
young people,
adult offenders
and their families
in Northern Ireland
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opportunity youth_________________________________________________________________________________________________________________________________________________________
OY deliver services in 3 main areas:
Health Youth Justice Employability
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opportunity youth_________________________________________________________________________________________________________________________________________________________
OY worked with almost 20,000 people last year& approximatley 129,000 over the last 20 years
Primary provider of alcohol & drug services to young people - AD:EPT, CHILL, DAISY East,
DAISY West & Targeted Education
Largest provider of alcohol & drug services to adults – AD:EPT & Community Support
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The beginning...1993
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Opportunity Youth working holistically to motivate change
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Alcohol & Drugs always a focus
UUJ School of Education - 3 Year study(McAleavey, G. & McCrystal, P., 1996)
Total sample 498 16-17 year olds
Alcohol
Pre-OY intervention - 94% reported they drank alcohol to excessive levels
Post-OY Intervention – 30% claimed they had reduced consumption while 24% indicated a strong wish to do so
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Alcohol & Drugs always a focus
UUJ School of Education - 3 Year study(McAleavey, G. & McCrystal, P., 1996)
Total sample 498 16-17 year olds
Drugs
Pre-OY intervention - 83% reported they used drugs
Post-OY Intervention – 36% claimed to have stopped
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1998OY recognised the necessity to review practice and add value
1st Voluntary Sector organisation to accredit learning and offer a formal qualification for drug & alcohol awareness through OCN
To date 13,250 learners registered for accreditation while 11,042 learners completed – all accreditations have had a drug & alcohol component
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1999OY commences drug & alcohol service delivery in Hydebank YOC
1st Voluntary Sector organisation to provide this service within the prison estate
QUB – Dept of Criminology (O’Mahony, D. 2003)• Use of drugs within the centre decreases by 19%• Access and availability of support and advice
increases by 25%• Increase in information on drugs and adverse effects
by 17%
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1999
Vital Voices – Hillary Clinton Initiative
Lift practice seen in Chicago -
Therapeutic Mentoring
1st Voluntary Sector organisation to
deliver mentoring in this way
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2001OY offered the opportunity to deliver therapeutic mentoring as an intervention to engage and motivate young people to change behaviour in relation to their drug & alcohol use
1st adolescent drug & alcohol treatment service in Northern Ireland is piloted
CHILL...
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CHILL Evaluation (Courtney, R. 2004)
The client survey provided considerable evidence that major improvements were brought about by the CHILL service.
Of particular significance are the following:
• 100% Decrease in the number who missed 7 or more days at school or work due to substance abuse in the previous 4 weeks
• 100% Decrease in weekly spending on solvents• 99% Decrease in the number of times clients overdid it on
drugs• 95% Decrease in the number engaging in vandalism• 94% Decrease in the number joy-riding• 90% Decrease in dangerous activities• 87% Decrease in number of days per week inhaling solvents
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• 85% Decrease in amount of money spent on alcohol each week
• 77% Decrease in the number engaging in theft• 76% Decrease in the number of days clients take
drugs per week• 76% Decrease in the number of clients in trouble at
school/work due to alcohol/drugs/solvents• 75% Decrease in the number having unprotected sex• 73% Decrease in the number who described their
health as poor or very poor• 72% Decrease in the number of days clients overdid
it on alcohol
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• 65% Decrease in being a victim of violence when taking alcohol/drugs/solvents
• 60% Decrease in level of violence when taking alcohol/drugs/solvents
• 59% Decrease in risk-taking in past 4 weeks• 58% Decrease in anger/aggression when taking
alcohol/drugs/solvents• 58% Decrease in the number of days clients overdid it on
solvents in past 4 weeks• 56% Increase in the number who had not felt low or
depressed in past 4 weeks• 55% Decrease in number of clients with high or very high
anxiety in past 4 weeks• 49% Increase in good confidence/self-esteem
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The impact of Mentoring as an intervention is highlighted as statistically significant in 3 important areas: Reducing the frequency of young people overdoing it on alcohol
Reducing the number of days that young people take drugs
Reducing the money that young people spend on alcohol
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2003OY commence the delivery of the 1st alcohol and drugs throughcare service for young offenders in NI
QUB – Dept Criminology (O’Mahony, D. & Chapman, T., 2005)Sample: 138 young people aged 18-21years 2% of participants claimed to have given up drinking
alcohol post-release. Over two fifths of participants (44%) had reduced the
amount of alcohol they consumed Only 15% of participants said they were drinking more Over one third of participants (38%, compared with 67%
of pre-release participants) often went on drinking binges One third of participants (33%) said their key worker had
helped them reduce their alcohol consumption
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2006
Procurement of drug and alcohol services commences...
CHILL expands from Belfast & South Eastern Trust areas to Western Trust area
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2008
Procurement of drug and alcohol services develops...
Opportunity Youth with partners develop the 1st multi-component intervention treatment service for young people offering mentoring, counselling, family support, systemic family therapy and therapeutic groupwork
DAISY....
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DAISY Highlights:
98% reported positive changes in their lives
86% demonstrated a reduction in alcohol use
79% demonstrated a reduction in drug use
98% reported an overall positive change in their family
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2009SETrust become responsible for Healthcare in Prisons and procure drug & alcohol treatment services
OY develop the 1st multi-component intervention treatment service for young people and adults in prison offering core harm reduction, brief interventions, mentoring, counselling, therapeutic groupwork, pre release and family support.
AD:EPT...
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AD:EPT Highlights:
95% reported a positive change in their lives
80% reported a reduction in their drug use
97% stated they would recommend AD:EPT to others in a similar position
61% stated that they would change their alcohol alcohol behaviours on release
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2012
Opportunity Youth successfully apply to BIG’s Impact of Alcohol Fund
OY develop the 1st shared care dual diagnosis model of service delivery for young people in Northern Ireland
CAMHS/DAAMHS support the work of DAISY in the Belfast Trust area
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‘Change is the law of life and those who look only to the past or present are certain to miss the future.’
John F. Kennedy
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The Future...Keen to continue to lead and develop innovative practice based on continuous learning
Recently tendered for One Stop Shop initiative – awaiting outcome
Completed 2nd stage application to BIG’s Impact of Alcohol regional awards – awaiting outcome
Continuing to offer holistic services to all – which will ALWAYS include an alcohol & drug input