Substance Misuse Treatment Pathway
Turning PointRecovery
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Agency
Lifeline Project
PSI Service
Turning Point Recovery Support
Lifeline Project Harm Reduction
TURNING POINT
TURNING POINTS’ function with the partnership is
RECOVERY NAVIGATION
Turning Point has 5 separate teams
• Safeguarding• Community• Hospital• Criminal Justice• Recovery Hub
Sunderland WeaR TLC Pathway for Community Referrals
DUTY / SPOC
(0800 234 6798)
Self (0800 234 6798)
GP (0800 234 6798)
Other Agencies (0800 234 6798)
Inwards Referral (0800 234 6798)
Triage assessment completed. Entered onto Illy under ‘Recovery Support’ modality and activity added
to inform of outcome.
Allocated to hub relevant to locality Postcode or Criminal Justice Activity
Senior Recovery Navigator checks log daily and allocated new referrals to Recovery Navigator
Comprehensive Assessment Pack completed at location appropriate to service user (inc. Risk
Assess and Care Pan). Enter MI modality to Illy. Onwards referrals made to Partnership.
If specialist treatment
services are not required:
BI/advice given/ signpost. Entry
closed on Illy
Service User offered Peer
Mentor support and Warm
Welcome prior to assessment.
Peer Mentor will offer support throughout
TP to conduct reviews bi-monthly (min) as part of Recovery Navigation. To arrange MDT with
other partner agencies where appropriate
Exit (Reason documented on Care plans and Illy).
Employment SMART Accommodation Etc Specific Treatment
Services
SITE
TP/Peer Mentor to contact up to 6 months after closure to prevent representations
Triage Outcome: Psychosocial Triage Outcome: Recovery Support
Recovery Pack completed
Ongoing Peer Support
Recovery Check up 6 monthly (min)
As required
P.20
Community Referral Pathway
Recovery HubWorkers refer to the Recovery Hub when they have finished Structured treatment, or they are stable on medication and looking to move on.• Peer Mentors – offer support and motivation to
clients at all stages of recovery• Mentors facilitate Introductory Coffee Groups at
beginning of the treatment stage• Mentors offer Phone and 1-1 Support throughout
treatment journey• The Recovery Hub runs sports teams, a Music
Group and sponsors SMART Recovery Groups. • Peer Mentor Education Courses
LifelineProjectReducing harm, promoting recovery, challenging inequalities
Psychosocial Interventions in Substance Misuse
Psychosocial Interventions• Psychosocial Interventions assist in changing maladaptive
thought processes and promoting positive behaviour change.
• To do this interventions are designed to empower and motivate individuals to achieve their recovery goals providing them with the necessary knowledge and practical tools.
• Psychosocial Interventions are the psychological and therapeutic component within the treatment system and assist recovery alongside pharmacological treatments.
Cycle of Change
Motivational Interviewing (MI)
MI
Cycle of change
Projective hypothetical
Cost Benefit Analysis
Interaction Techniques
Resistance Strategies
Motivational Statements
International Treatment Effectiveness Project (ITEP)
Node Link Maps
• Free• Guided • Hybrid
Changing Thought
Processes
• Mind Traps• Ways of
Thinking
ITEP
Cognitive Behavioural Therapy (CBT)
CBT
Understand Automatic Thought Patterns
Giving Positive
Feedback
Anxiety and Impulse
Reduction
Cognitive Rehearsal
Developing New
Behaviours
Reality Testing
Alternative Perception
Socratic Questioning
Coping Skills
Coping Skills
Decision Making
Managing Thoughts
and Cravings
Managing Emotions
Negative Thinking
Pleasant Activities
Intimate Relationships
Post-Acute Withdrawal
Planning
Positive Support
Networks
Handling Criticism
Planning for Emergencies
Problem Solving
Summary
• Individuals who seek support around their substance misuse are very different from one another, each has their on journey and goals
• The substance misuse treatment pathway is developing to ensure each individual can access the most appropriate support for their needs
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