(Summary Version) · therapeutic creative response to the harms caused by problematic substance use...

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(Summary Version)

Transcript of (Summary Version) · therapeutic creative response to the harms caused by problematic substance use...

Page 1: (Summary Version) · therapeutic creative response to the harms caused by problematic substance use and to promote healthy ways to cope with stress. The aim of Education and Training

(Summary Version)

Page 2: (Summary Version) · therapeutic creative response to the harms caused by problematic substance use and to promote healthy ways to cope with stress. The aim of Education and Training

Vision, Mission and Values

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69 E

Values Values are the guiding principles and beliefs that members of an organisation consider important in how people work together. Our values are the standards by which we conduct and manage our relationships in order to carry out our mission.

Safety

Safe Welcoming Environment Psychological and Physical Safety

Respect, Equality and Fairness For Ourselves, Others, and Property Everyone Treated and Valued Equally

Confidentiality Recognise the Need for Privacy Deal with Information Sensitive & Appropriately Acknowledge Boundaries

Transparency Openness & Honesty Clear Communication Accountability

Commitment Attendance, Punctuality and Participation Work Towards Goals Take Responsibility

Peer Support and Teamwork Provide & Accept Support Share Relevant Experiences & Knowledge Cooperation & Support

Turas Training Unit C1 Bluebell Business Park, Old Naas Road Dublin 12.

Phone 10 450 5396 Website www.turastraining.ie Email [email protected]

Company Registration Number 341613 Registered Charity Number CHY 15488

Vision Statement A world free of the harms associated with substance misuse and addiction. Mission Statement Our mission is to provide a holistic rehabilitative education and training programme for people living with addiction in the Canal Communities areas.

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Table of Contents

Introduction 1 Ethos 1 Overview 2 Governance 2 Logic Model 4 Throughput 5 Service Outputs 6 Service Outcomes 10 Outward Referrals 17 Key Performance Indicators 18 Financial Summary 19

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Introduction Turas was founded in 1999 as a rehabilitative education and training day programme designed as a response to the needs of stabilised drug users. Turas is funded by the Health Service Executive (HSE) and the Department of Social Protection (DSP). In 2011 Turas became an official provider of FETAC/QQI courses from level 2 to level 6. The organisation works closely with partners in the Canal Communities Local Drug & Alcohol Task Force, the City of Dublin Education & Training Board (CDETB) and a range of other agencies and training providers.

Our services include a range of integrated psycho-social interventions and education programmes grouped under four pillars: Recovery, Education, Outdoor, and Holistic. This structure promotes a balanced holistic approach ensuring the most relevant and effective interventions and supports are available for services users in order to deal effectively with addiction, achieve certification and improve employability.

Service Ethos The Biopsychosocial Model, developed by the World Health Organisation (WHO, 1981), in our view best accounts for the many factors that influence substance misuse and how they interact. The model identifies biological, personal and social factors along with learning experiences to show how they may influence a person’s disposition to substance use. It also shows that social and

individual factors can be influenced by the consequences of use. Our service attempts to address the psycho-social aspects of service users’ needs along with, for example, tier 2 and tier 3 interventions such as methadone maintenance and community detoxification which service users receive in primary care and other settings.

New Turas Training Logo Introduced in 2017

The logo explained clockwise from top left. Recovery is represented in blue, the colour most associated with the health and caring professions. The image represents a positive journey and contains the colours of all four pillars signifying their interdependence. The education image is gold in colour with the image of a quill. It represents enlightenment and the gold standard of education.

Green represents the outdoors and the natural environment. Spending time outdoors is an essential part of overall wellbeing.

The holistic pillar is symbolised by the colour purple, which is associated with healing, and a yogi which signifies peace and serenity.

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Overview This report provides an account of our organisation for 2017 and details all programme activities and outcomes for the year. The first section gives an over of the governance structures including the establishment of two new subgroups of the board of management, in line with the recommendations in the HSE’s Safer Better Healthcare framework.

The following section deals with the throughput figures for 2017 before moving on to organisational outputs. All outcomes for the year 2017 are then presented in the remaining sections using charts and tables. The report closes with a summary of high level performance indicators and the accounts for 2017.

Governance

Board of Management Francis Ward - Director/ Trustee, Chairperson Philip Nolan - Director/ Trustee, Vice Chairperson & Secretary Pat Carolan - Director/ Trustee, Treasurer Rosanne Edge - Director/ Trustee Michelle Payne - Director/ Trustee

Quality & Safety Committee Philip Nolan - Director/Trustee (Quality & Safety committee chair) Derek Byrne - Trustee Stuart Frazer - Trustee Wendy Monaghan - Trustee Anthony Moyles - Associate Coordinator Trevor Keogh - Project coordinator

Finance & Risk Committee Pat Carolan - Director/Trustee (Finance & Risk committee Chair) Catherine Gorman - Administrator Trevor Keogh - Project Coordinator Donal Ryan - Company Auditor and Committee Advisor

Management Team Trevor Keogh - Project Coordinator Catherine Gorman - Administrator Tony Coffey - Assistant Project Coordinator Anthony Moyles - Associate Coordinator (and CE Supervisor)

Team of Staff Liz Doherty (CE Supervisor) Colin Walshe (CE Supervisor) Karen Cleary (CE Supervisor) Damien Daly (CE Supervisor) Michael Reynolds (CE Supervisor) David Barrett (JI) Darren Kernan (CE) Hollie Kearney (CE) Martin Trehy (CE) Maureen Morgan (Volunteer)

Health & Safety Committee Anthony Moyles (Chair) Catherine Gorman Colin Daly David Barrett Colin Walshe Hollie Kearney

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The logic model above is a graphical description of the relationship between our organisation’s resources, outputs and outcomes.

Logic Model Programme Areas

Recovery Specific Services Rehabilitative Education & Training Services

Aims The aim of the Recovery pillar is to provide a

structured developmental process whereby individuals are facilitated to become fully involved in the process of regaining their capacity for daily life from the impact of problematic substance use.

The aim of the Holistic pillar is to provide a therapeutic creative response to the harms caused by problematic substance use and to promote healthy ways to cope with stress.

The aim of Education and Training pillar is to provide appropriate education and training services and enhance employment and progression opportunities.

The aim of the Outdoor pillar is to improve physical and mental well-being and enhance team-working and problems solving skills through a variety of group-based outdoor activities.

Objectives 1. Conduct a Needs Analysis 2. Develop Integrated Care Plan 3. Deliver appropriate psychosocial

interventions

1. Develop coping skills 2. Develop stress management skills 3. Provide evidence based holistic

treatments 4. Provide creative therapeutic activities

1. Conduct a Needs Analysis 2. Improve education 3. Improve employability 4. Attain QQI & Other Accreditation 5. Progress to further education and/or

employment

1. Engage in a range of outdoor activities in various locations

2. Improve health and wellbeing 3. Achieve QQI and Other

Accreditation

Inputs Health Service Executive Funding Dept. of Social Protection Funding Voluntary Board Members & Subcommittees

Canal Communities Local Drug & Alcohol Task Force Funding Local Drug & Alcohol Task Forces, City of Dublin Education & Training Board Fundraising

Outputs Outputs are measurable units of delivered services to service users. Outputs include day programme components delivered and all other activities and services. Output data is published in our annual reports and on our website at www.turastraining.ie.

Outcomes (measures)

Programme Attendance & Participation

Reductions in Substance Use

Care Plan Goals Achieved

Positive Service User Feedback

Improved Mental Health & Wellbeing

Participation in and Completion of Holistic Programmes

QQI Certification and other Certification

Reductions in Anxiety

Improved Coping Skills

Positive Service User Feedback

Participation in Education & Training Programmes

Awards Achieved

Increased Employability

Defined Career Plan

Improvements In Employability

Participation in and Completion of Experiential Learning Programmes

Outdoor Education Individual Learning Plan Achievements

Improved Physical Wellbeing

QQI and Other Certification

Quality Assurance

HSE Service Level Agreement Quality Standards In Drug & Alcohol Services / Safer Better Healthcare National Rehabilitation Framework Quality and Qualifications Ireland (QQI)

Community Employment Operational Standards Quality Standards in Substance Use Education Mountaineering Ireland Standards Holistic Treatments Best Practice

Results Reduction In/Abstinence from Substance Misuse Improved Quality of Life Personal Development

Independent Living

Educational Attainment Improved Employability

Progression to Further Education/Employment Improved Coping Skills and Life Skills

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Throughput 2017

The throughput refers to the numbers of service users that engaged with a service including the numbers that join and leave in a given period of time. On January 1st 2017 there were 33 service users enrolled and active on the day programme. By December 31st 2017 there were 37 service users enrolled and active on the day programme. Over the course of 2017 we received a total of 78 inward referrals including self-referrals to join our day

programme. Following the induction phase, which includes an initial meeting, assessments and orientation, 34 new service users joined the day-programme in the year. A total of 30 service users finished their time on the day programme in the same period. Turas worked with a total of 65 unique individuals.

No. of New Service Users 2017 (total 34)

N. of Service Users Finishing 2017 (total 30)

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Service Outputs Outputs can be defined as the number and type of measurable service-units that were delivered within a given period of time. The day-programme services in 2017 were delivered in accordance with our holistic strategy of four interrelated pillars Recovery, Education, Outdoor, and Holistic. A structured programme is provided for each service user for up to 19.5 hours per week.

Service users are assisted in selecting the most appropriate schedule for them using a combination of Care Planning, Individual Learning Plans and assessment/consultation with his/her keyworker and CDETB education officer. The chart below describes each pillar in detail along with the number of hours the individual components and services under those headings totalled for the year.

Pillar Description

Recovery/Rehabilitation is a structured developmental process whereby individuals are facilitated to become fully involved in the process of regaining their capacity for daily life from the impact of problem substance use. This programme area includes a number of interventions and approaches including Assessment, Keyworking, Care Planning, Case Management and Drug Information & Education Programmes. 600 hours of recovery focused services were delivered in 2017.

The Education pillar aims to provide appropriate education and training services and enhance employment and progression opportunities. QQI accredited courses range from foundational literacy programme to QQI Minor and Major Awards up to Level 6 and beyond. 540 hours of education and training focused services were delivered in 2017.

The aim of the Outdoor pillar is to improve physical and mental well-being, enhance team-work and problems solving skills through a variety of group-based outdoor activities. Specific services/components include Health & Fitness, and Experiential Learning, Resilience & Team Building. 625 hours of outdoor based services were delivered in 2017.

The aim of Holistic Practice is to provide remedial responses to the harm causes by drug use and develop healthy ways to cope with stress. Holistic treatments and practices include: auricular acupuncture, hypnotherapy and meditation and activities like Art & Design and Crafts. 210 hours of holistic services were delivered in 2017.

No. of Hours Delivered In 2017 Under Each Pillar Heading

List of Components Delivered During 2017

540

600

625

210

Education

Recovery

Outdoor

Holistic

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Pillar Component Pillar Component

Education Addiction Studies 17/18 Holistic Art and Design 3N0608

Addiction Studies L7 Crafts Copper Embossing

Application of Numbers 3N0928 Crafts Dream Catcher

Art and Design 3N0608 Crafts Mosaic (Non certified)

Communications 3N0880 Crafts Pottery

Communications 4N0689 Crafts Pyrography

Computer Applications 4N1112 Crafts Quilting

Computer Applications B10009 Crafts Upcycling

Computer Literacy 3N0881 FRAMME

Computer Literacy BF0133 Introduction to Yoga

Computer Skills M2T11 Recovery AM Checkin

Core Skills-Life Community Awareness

Breakfast Orientation Connect PreInduction

Desktop Publishing 3N0551 Drug Education & Awareness

Drama 4N1875 Group Work

Functional Maths 3N0930 Individual Component

Group Work Induction

Health Related Fitness 4N2666 Introduction to SMART Recovery

Individual Timetable Component Lunch

Information Technology Skills 4N1125 Meditation

Intro to Desktop Publishing Motivation

Mathematics 4N1987 Open Day

Mathematics C10139 Peer Group: Story Telling

Music Appreciation 3N0595 Peer Support

Occupational First Aid 5N1207 RecoverMe

Personal and Interpersonal Skills 3N0564 Reduce The Use 2

Personal Effectiveness 4N1132 Seeking Safety

Preparation For Progression Service User Involvement

Progression Workshop Traditional Boat Building

Supervision & Co-facilitation Training Trip (Educational)

Trip (Educational)

Understanding Interculturalism 4N1121 Outdoor Health Related Fitness 4N2666

Video Production Hillwalking

Word Processing 3N0588 Resilience: Coping Skills

Word Processing 4N1123 Shelter Building & Teamwork

Traditional Boat Building

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Day Programme Sessions Each component has its own descriptor (syllabus) delivery methodology, set of lesson plans, exercises and assessments or assignments. All components fit within a particular pillar. Components vary in terms of their size an delivery time frame. For example, Drug Education & Awareness might have 10 x 1 hour sessions. Other components, particularly those run outdoors like the QQI

component ‘Health Related Fitness’ might require 18 x 5-hour offsite sessions in various locations with additional classroom based theory sessions and debriefings. Other likes checkins are only 15 minutes in length. The chart below shows that a total of 2,077 individual sessions took place as part of the day programme services in 2017.

No. Of Individual Sessions Grouped By Pillar In 2017.

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Keywork Outputs 2017 In 2017 there was a total of 1,154 one-to-one meetings held between keyworkers and service users. The meetings reflect the number of assessments, care planning, checkins, progression planning, outcome reviews, crisis interventions and that took place. Assessment can include the use of one or more the following instruments: AUDITs (alcohol use disorder identification test) CBT Interventions, Comprehensive Assessment, CUDITs (cannabis use disorder identification test), Decisional Balance Scales, DUDITs (drug use identification test), Health Screening Reviews, and Safe Plans. Care Planning forms the majority of the work in terms of time and the number of sessions that

take place between the keyworker and service user. One-to-one meetings recorded as ‘checkins’ are short, focused meetings that typically following up on care plan steps, day programme matters, and sharing of information. The ‘outcomes’ section below provides further details on care planning throughout 2017. ‘Progression’ refers to planning related to the service user’s move beyond the day programme into further education or employment. Interventions take place when there is a crisis or incident in matters such as suicidal ideation, bereavement and a range of other life events.

No. of Keywork Session Grouped By Keywork Activity

Keywork Sessions By Month 2017

0

50

100

150

200

250

300

350

400

450

Assessments Care Planning Checkin Progression Intervention

135

415

235

121 148

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Service Outcomes Outcomes refer to the changes that occur for service users as a result of their participation and engagement in the psycho-social and educational interventions, and other structured programme activities. They are a key measure of the effectiveness of the service and how well it delivers on its aims and objectives. Overall outcomes for the year can be demonstrated by looking at the number of care plan outcomes for each service user along with the number of activities components completed. In this section we will look at all the outcomes starting with care plans. A care plan is a structured, collaborative and client-centred approach to planning, organising and recording all psycho-social interventions and advocacy activities. Our definition of care plans incorporates a number of elements including

assessments, keyworking/one-to-ones and case management. All care plan activities are grouped under one or other of the twelve domains recommended in the National Rehabilitation Framework document. Each one of the twelve domains is further broken down into sub-domains or sub-categories. The table below lists all outcomes for each domain. In 2017 there was a total 329 individual care plans were recorded. The outcomes for each of these individual goals can be achieved, partially achieved (a significant portion of the objective is met), or not achieved. This year a total of 138 care plan goals were achieved, 52 were partially achieved, 88 were not achieved The remaining categories added to together total 51.

Care Plan Outcomes

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Care Plan Outcomes The table below lists the outcomes under each of the 12 care plan domains. Drug use and Alcohol use are the domains with the highest number of care plans with a corresponding number ‘achieved’ and ‘partially’ achieved.

The second chart below is a visual representation of the same information illustrating the nature of service users’ most pressing needs and where the work of the care planning is focused.

Care Plan Outcome By Domain 2017

Domain In

Progress Achieved

Partially Achieved

Not Achieved

Gap/Blocked Cancelled *In

Progress*

1 Drug Use 4 47 27 35 0 4 1 118

2 Alcohol Use 1 16 10 10 0 1 0 38

3 Independent Living Skills 0 14 5 11 0 2 0 32

4 Income and Finance 0 2 0 5 0 1 0 8

5 Physical Health 0 17 1 8 0 1 1 28

6 Mental Health 1 17 2 3 0 2 0 25

7 Family and Relationships 2 2 2 2 0 0 0 8

8 Education and Training 0 7 2 3 0 2 0 14

9 Legal Issues/Offending 3 6 1 0 0 0 0 10

10 Social Recreation 1 1 0 1 0 0 0 3

11 Accommodation 0 3 2 4 1 1 1 12

12 Progression 17 6 0 6 0 4 0 33

Grand Total 29 138 52 88 1 18 3 329

Care Plan Items By Domain

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Subdomains A more detailed report on what care plan goals were achieved is gained by looking at subdomains. For example, under the general domain of Drug Use, there are nine subdomains including abstain/maintain abstinence, complete detox and reduce by goal amount. Clearly defined domains and subdomains are essential in setting, structuring and monitoring specific, measurable, achievable, relevant, and

time-bound, care plan goals. Referrals to other agencies and details about the time and actions involved in each goal are recorded on a regular basis with the service user. The categories that were selected are based on the most regularly identified goals by service users. The tables on next two pages display the outcomes of each domain area with their subdomains.

Subdomains (details of care plans)

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Care Plan Outcomes Details

Objective Status Grand Total Domain Subdomain

In Progress

Achieved Partially Achieved

Not Achieved

Gap/Blocked Cancelled *In

Progress*

1 Drug Use Abstain/Maintain Abstinence 1 20 8 12 0 0 0 41

Access Specialist Service 0 7 4 6 0 1 1 19

Attend/Secure A Course 0 0 2 1 0 0 0 3

Complete Detox 2 0 0 1 0 1 0 4

Follow Treatment Plan 0 1 1 1 0 0 0 3

Increase No. of Methadone Take Aways

0 0 1 0 0 0 0 1

Keep A Diary 0 0 3 6 0 0 0 9

Other 0 1 2 0 0 0 0 3

Reduce By Goal Amount 0 7 4 3 0 0 0 14

Reduce High Risk Behaviour 0 2 0 0 0 0 0 2

Reduce to Zero 1 0 0 0 0 0 0 1

Stabilise Drug Use 0 8 1 5 0 1 0 15

Stabilise on Medication 0 1 1 0 0 1 0 3

Subtotal 4 47 27 35 0 4 1 118

2 Alcohol Use

Abstain/Maintain Abstinence 0 6 3 1 0 0 0 10

Access Specialist Service 0 3 5 3 0 1 0 12

Attend/Secure A Course 0 1 1 1 0 0 0 3

Follow Treatment Plan 0 1 0 1 0 0 0 2

Get More Information 0 1 0 0 0 0 0 1

Keep A Diary 0 0 0 2 0 0 0 2

Reduce High Risk Behaviour 0 2 1 2 0 0 0 5

Reduce to Zero 0 1 0 0 0 0 0 1

Stabilise Alcohol Use 1 1 0 0 0 0 0 2

Subtotal 1 16 10 10 0 1 0 38

3 Independent Living Skills

Access Specialist Service 0 1 1 0 0 0 0 2

Attend/Secure A Course 0 1 0 3 0 1 0 5

Develop Coping Skills 0 1 1 0 0 0 0 2

Get a GP 0 1 0 0 0 0 0 1

Get More Information 0 1 0 1 0 1 0 3

Improve Timekeeping/Attendance

0 8 2 6 0 0 0 16

Other 0 1 1 1 0 0 0 3

Subtotal 0 14 5 11 0 2 0 32

4 Income and Finance

Access Specialist Service 0 0 0 1 0 0 0 1

Attend/Secure A Course 0 0 0 0 0 1 0 1

Manage Finance 0 1 0 1 0 0 0 2

Other 0 0 0 2 0 0 0 2

Resolve Debt 0 1 0 1 0 0 0 2

Subtotal 0 2 0 5 0 1 0 8

5 Physical Health

Access Specialist Service 0 8 0 3 0 0 0 11

Attend/Secure A Course 0 0 0 1 0 0 0 1

Diet/Exercise 0 0 0 2 0 1 0 3

Follow Treatment Plan 0 1 1 0 0 0 0 2

Get a GP 0 1 0 0 0 0 0 1

Medical Card 0 6 0 2 0 0 1 9

Other 0 1 0 0 0 0 0 1

Subtotal 0 17 1 8 0 1 1 28

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Care Plan Outcomes Details Continued

Objective Status Grand Total Domain Subdomain

In Progress

Achieved Partially Achieved

Not Achieved

Gap/Blocked Cancelled *In

Progress*

6 Mental Health Access Specialist Service 0 4 0 2 0 0 0 6

Attend/Secure A Course 0 4 0 0 0 0 0 4

Attend Counselling 1 5 2 0 0 2 0 10

Develop Coping Skills 0 1 0 1 0 0 0 2

Reduce High Risk Behaviour

0 1 0 0 0 0 0 1

Reduce Isolation 0 1 0 0 0 0 0 1

Stabilise on Medication 0 1 0 0 0 0 0 1

Subtotal 1 17 2 3 0 2 0 25

7 Family and Relationships

Access Specialist Service 0 1 0 1 0 0 0 2

Get More Information 0 1 0 0 0 0 0 1

Other 0 0 0 1 0 0 0 1

Parent/Child 1 0 2 0 0 0 0 3

Re-establish Relationships 1 0 0 0 0 0 0 1

Subtotal 2 2 2 2 0 0 0 8

8 Education and Training

Access Specialist Service 0 0 0 0 0 1 0 1

Attend/Secure A Course 0 6 2 2 0 1 0 11

Literacy 0 0 0 1 0 0 0 1

Other 0 1 0 0 0 0 0 1

Subtotal 0 7 2 3 0 2 0 14

9 Legal Issues/Offending

Adhere to Legal Conditions 0 1 0 0 0 0 0 1

Avoid Re-Offending 0 0 1 0 0 0 0 1

Deal with Fine(s) 0 1 0 0 0 0 0 1

Prepare for Court 1 0 0 0 0 0 0 1

Resolve Outstanding Charges

2 4 0 0 0 0 0 6

Subtotal 3 6 1 0 0 0 0 10

10 Social Recreation

Join Group/Club 0 0 0 1 0 0 0 1

Other 1 0 0 0 0 0 0 1

Re-establish Relationships 0 1 0 0 0 0 0 1

Subtotal 1 1 0 1 0 0 0 3

11 Accommodation

Access Specialist Service 0 0 0 2 0 0 0 2

Get More Information 0 1 0 0 0 0 0 1

Manage Finance 0 0 1 0 0 0 0 1

Other 0 1 0 0 0 0 0 1

Secure Long Term Accommodation

0 0 1 1 1 1 1 5

Secure Short Term Accommodation

0 1 0 1 0 0 0 2

Subtotal 0 3 2 4 1 1 1 12

12 Progression Education 5 2 0 2 0 1 0 10

Employment 12 4 0 3 0 3 0 22

Other 0 0 0 1 0 0 0 1

Subtotal 17 6 0 6 0 4 0 33

Grand Total 29 138 52 88 1 18 3 329

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Care Plan Steps The majority of care plans require a number of steps before they can be completed. Many will require a series of small gradual steps and achievements on the way to the bigger goal. It is not always possible to complete every step nor is it necessary to stick with one approach as a service user makes his or her way towards reaching an overall goal. Taking this approach can make difficult tasks more manageable and yield positive interim results along the way, providing motivation to take on the next step.

The first chart below shows the number of steps associated with the higher level care plan goal. In 2017 a total of 329 care plan objectives led to the creation of 780 care plan steps. The majority of those steps were part of drug use goals (290) with the next highest number of steps under alcohol use, mental health and independent living skills respectively. The chart at the bottom of the page shows the outcomes of each of those individual steps, following a similar pattern to the outcomes for higher level care plan objectives.

Care Plan Steps Grouped By Domain

Care Plan Steps Grouped By Outcome

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Component Outcomes In 2017 there was a total of 597components (individual programme modules) undertaken across all four pillars. Ninety-one certified awards were achieved from level 3 to level 7 and 254 non-certified components were completed (e.g. Recover Me. Seeking Safety, Drug & Alcohol Awareness, Motivation, Intro to Yoga). A learner may not have met all assessment criteria or reached the minimum attendance requirement to fully complete a component but may have

achieved more that 70% of the learning outcomes. In those cases an outcome of ‘Part Completed’ was recorded. There are also cases where service users may have started work on a component but moved on from the centre before completing that component. In these cases an outcome of ‘Not Completed’ will be recorded. The portfolio of work may be reopened and completed at a later date.

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Outward Referrals The outcomes achieved in 2017 in care plans and components are the result of a coordinated effort across the continuum of care involving a number of agents and agencies from the community, voluntary and statutory sectors.

The chart below illustrates the number of outward referrals in 2017 (2019 in total), each one linked to a specific care plan objective and care plan step or Individual learning plan item.

Referral Agengies Involved in Shared Care Planning in 2017

Alcoholics Anonymous Ireland 6 Community Response 6 Pieta House - Ballyfermot 4

Ana Liffey Drug Project 6 Department of Social Protection DSP

3 Rathmines College 1

Ballyfermot College 2 Drimnagh Mental Health Centre 4 Revenue 1

Bank of Ireland - Walkinstown 1 Dublin and Dun Laoghaire Education and Training Board - DDLETB Tallaght

3 Rialto Community Drug Team - RCDT

2

Bluebell Boxing Club 1 Dublin City Council - DCC

6 Rialto Youth Project 1

Camden Medical Center 1 Dublin Region Homeless Executive

4 SMART Recovery 23

Canal Communities Local Drug and Alcohol Task Force

6 Dublin Simon Community 2 South Dublin County Council 1

Canal Communities Regional Addiction Service - CCRAS

10 Glen Abbey 2 St. James' Hospital 12

Capuchin Day Centre 1 Hans Webber 1 The Courts Service 7

Caretakers Hostel 1 HSE 6 The Lodge Old County Health Centre

5

Castle Street Addiction Centre 5 HSE Civil Registration 1 The Mews 2

Chris Mee Group 3 Inchicore, Bluebell Community Addition Team - IBCAT

23 The Probation Service 2

Citizens Information 1 Inchicore Health Centre 1 Towards Healing 2

City Clinic - Amien Street 15 Inchicore Outreach Violence Against Women Centre

5 TUSLA 1

Clondalkin Comm. Mental Health Team

9 Ireland T&T Limited 3 URRÚS/Ballymun Youth Action Project

7

Clondalkin Tus Nua : Station 1 2 Irish Prison Service 1 Village Counselling Service 4

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Key Performance Indicators 2017 The table below lists 14 high level key performance indicators for 2017.

No.

Key Performance Indicators - Outcome Targets

2017

1 Complete a Comprehensive Needs Assessment within the first three weeks of the programme of each service user.

Achieved

2 Develop a comprehensive care plan in accordance with best practice standards using SMART goals and regular reviews for each service user

Achieved

3 Provide one-to-one keywork meetings no less than twice a month for each service user as part of case management.

Achieved

4 Provide relapse prevention and harm reduction components every six months for all service users.

Achieved

5 Facilitate peer support groups a minimum of six times a year for all service users.

Achieved

6 Provide health cooked meals each day for service users. Achieved

7 Create an individual learning plan (ILP) for all service users along with a progression plan.

Achieved

8 Review ILPs with every service users a minimum of three times a year. Achieved

9 Provide relevant education and training services for all service users as part of their day programme and individual training plan.

Achieved

10 Provide at least two full-days of outdoor sessions each month for every service user relevant to their health and ability.

Achieved

11 Provide a range of therapeutic holistic activities suitable for each service each week.

Achieved

12 Collect and respond to service user feedback formally three times a year focusing on day programme content and delivery quality.

Achieved

13 Conduct Care Plan and Case Management reviews with the care team no less than three times per month.

Achieved

14 Hold management committee meetings no less than every six weeks Achieved

15 Accurately record all programme activities to produce quantifiable and reliable output and outcomes data

Achieved

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Turas Training Company Limited By Guarantee

(A Company Limited by Guarantee and not having a Share Capital) Extracts from the Audited Financial Statements for the Year Ended 31 December 2017

Income and Expenditure Account for the year ended 31/12/17

Continuing operations

2017 2016

€ €

Income 968,354 1,102,454

Expenditure (971,564) (1,104,012) _______ _______

(Deficit)/Surplus on ordinary

activities before taxation (3,210) (1,558)

Tax on surplus on ordinary activities - - _______ _______

(Deficit)/Surplus on ordinary

activities after taxation (3,210) (1,558)

_______ _______

Balance sheet

as at 31/12/17

2017 2016

€ € € €

Fixed assets

Tangible assets 1,709 -

Current assets

Debtors 49,330 45,372

Cash at bank and in hand 69,340 62,272 _______ _______

118,670 107,644

Creditors: amounts falling

due within one year (121,592) (107,357)

_______ _______

Net current (liabilities)/assets (2,922) 287

_______ _______

Total assets less current

liabilities (1,213) 287

_______ _______

Net assets (1,213) 287 _______ _______

Capital and reserves

Capital reserves account 1,709

Revenue reserves account (2,922) 287 _______ _______

Members' funds (1,213) 287 _______ _______

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Page 23: (Summary Version) · therapeutic creative response to the harms caused by problematic substance use and to promote healthy ways to cope with stress. The aim of Education and Training

Turas Training Ltd.

Unit C1 Bluebell Business Park, Old Naas Road Dublin 12

Phone 10 450 5396 Website www.turastraining.ie Email [email protected]

Company Registration Number 341613 Registered Charity Number CHY 15488