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Alpha Harmreduction 2


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  • We are from Alpha House
  • Transcript

    • 1. SHarm Reduction and theEvolution of a Continuum of Care Modelin a Mainstream Agency
    • 3. S Opened as a low barrier shelter in 1981S In 2008 our building expanded to two stories, doublingour numbers from 60 to 120S In 2009 we began to operate 24 hours as a shelter
    • 4. A day in the life of Alphashelter 0700-1900
    • 5. S 2011 – Shelter saw 84 000 admissionsS 2012 – Shelter saw 87 000 admissionsS 30% of our clients are femaleS 50% of our clients are Caucasian, 49% areAboriginal, 1% Other
    • 6. S 2012 – shelter passed out 1518 1cc needle kits, and1984 3cc needle kitsS 2012 – total needles passed out 17510
    • 7. S Shelter sees between 200-250 clients dailyS Over night we hold 120+ in the summerS During the winter we hold 160+S We are at 102% occupancy all year long
    • 8. S Doctor in twice a weekS Nurses are in dailyS SOS mental health in once a weekS Trauma specialist in weekly
    • 9. S YogaS Computer educationS DrummingS PhotographyS Music LessonsS Women of Alpha Group
    • 10. S Calgary Sexual HealthS Literacy classesS Friendship CircleS Money mentorsS AIDS Calgary
    • 11. S I.DS PrescriptionsS Treatment ApplicationsS Gift Of Sight ReferralsS AISH applicationsS Alberta Health Care numbers
    • 12. A night at Alpha shelter 1900-0700
    • 13. How does shelter fit into thecontinuum?
    • 15. S Social Detox (30+Years in Calgary)S 30 Detox Beds (20men + 10 Women)S 12 Transitional BedsS Accept clients takingMethadoneS Harm ReductionPrinciplesOverview & BriefHistory
    • 16. S Selection Priorities:S `Taking a break` vs. Treatment orientedS Support for those injured or most vulnerableS Engage those who have relapsedS Support clients needing detox before treatmentS Adapting to client needsS Intake can be done at 4 AM if a client cannot waitS A client who is intoxicated can be brought in if we can preventtriggering othersHarm Reduction &Intake Process
    • 17. S Continuity of Care within AgencyS Referral to and from: Housing, Transitional beds, Shelter andD.O.A.P.S Programming & Partnerships in DetoxS Meeting clients basic needs: 3 meals/2 snacks dailyS Withdrawl Assessment/Management dailyS Daily Presentations/ActivitesS CUPS Medical provides onsite servicesS Safeworks, CMHA S.O.S., Onsite CounselingS Acupuncture & YogaS Sharing Circle, Drumming Circle, and weekly Sweat LodgeS 12 Step meetings and Double TroubleHarm ReductionWhile in Detox
    • 18. S Referral to Treatment and SoberServicesS Referral to Shelter or back homeS In case of relapse while in Detox:S Client can be referred to shelterand brought back once soberS When clients discharge:S Staff ensure that the dischargedoes not put the client in moredanger (bad weather, intoxicationlevel)Harm Reductionat Discharge
    • 19. S Joe S. (not his real name)S Client`s challenges: Alcohol addiction, Mental Health,Physical HealthS Initial presentationS DetoxS TreatmentS Market HousingS Place Based HousingA Case Study
    • 21. What Does DOAP Team StandFor?S Mainly Serving the Downtown area, Beltline and East VillageS Outreach and engagement of Individuals on the streetS Specializing in addiction issuesS Building Partnerships
    • 22. What Does DOAP Team Do?S We work with individuals inthe community madevulnerable by theiraddiction andhomelessnessS Provide transport andreferrals to servicesS In 2012 DOAP Teamcompleted 18 825transports
    • 23. What Does DOAP Team Do?S Aim to decreaseinappropriate use ofemergency servicesS Educate the public andfoster an understandingof issues our clients faceand how we can help
    • 24. DOAP Team Respects ClientChoicesS We believe ourclients have the rightto choose their lifestyleS We are there tominimize dangerinvolved with highrisk activities
    • 25. How Calls Are TriagedS Calls are triaged byassessing level ofvulnerability, and thereferral sourceS Factors used to assessvulnerability;S intox levelS locationS weatherS medical concernsEmergency services referralsare regarded as highpriority
    • 26. Who Are DOAP Team’sPartners?S Over the years we have createdoutstanding relationships withservices such as;S Shelter providing agenciesS Alberta Health ServicesS Detox and Treatment centres
    • 27. DOAP Team’s Relationship WithEmergency ServicesS In 2011 DOAP Team responded to 748 by the CalgaryPolice Service.S In 2012 that number increased to 1,224S From 2011-2012, Calgary Transit referrals increased from173 to 520S New phone dedicated to handling CPS, EMS and CTScalls
    • 28. Does DOAP Team ProvideSupplies?S We always carry certainsupplies in the vanincluding;S CondomsS Injection suppliesS Bag lunchesS Providing such supplies isa great way to engage aclient
    • 29. Our Van is More Than Just aVanS Though we have an officein Alpha House our vanserves as our main officeS Our van serves as a safeenvironment in which tomeet a client
    • 30. DOAP Team Provides VerySpecial Opportunities
    • 32. Encampment OutreachS First point of contact;engagement and rapportbuilding, housing triage team forall housing programsS Most vulnerable are housed first;less vulnerable may be referredto other, more suitable programsS Utilizes mental health worker;support from CUPS outreachnurse
    • 33. S 350 referred individuals have been housedand supported from June 2010 to present ;with a 90% retention rate. These numbersdo not include the referrals that have beenreferred to other community programs
    • 34. S Open communication between team, client and housing locatorto guarantee best fit housing is foundS Ensuring location of housing is suitable and allows for clientself-sufficiency in the futureS All basic necessities in home at move in; provide the feelingthat home feels like a homeS Once stable in housing, transferred to case manager for longerterm support and assistance
    • 35. S Meeting the client where they are at; go directly to the client’scampS Supply basic needs; blankets and foodS Harm reduction supplies; condoms, needles, sharps binsS Welfare checks at campsS Transport to safer placeS Safety planning
    • 36. S The importance of a home visitS Individualized service planS Address medical needsS Participants showed a reduction in inappropriate use of thepublic systems; including but not limited to reducedincarcerations, reduced emergency room visits and reduced in-patient hospitalization
    • 37. S Allowing the client to choose their own housing and relatedsupportsS Individuals receiving case management and housing supportshave demonstrated improved self-sufficiency, health andmental health stabilityS Client story
    • 38. S Creative housing options, models and ideas (i.e. clientsupportive housing ) as there was a lack of support for clientswho could not re-integrate to independent livingS Identified and quantified the need for permanent supportivehousing for individuals who are not suited to market levelhousingS Three buildings with 24 hour staff supported self-containedunitsS Assessments are completed to ensure proper placement for
    • 39. S 24 hour staff supportS Controlled entryS Harm reduction suppliesS Support with medication needsS Assisting clients with meeting basic needs
    • 40. S Unit inspectionsS EducatingS For all programs client satisfaction surveysS Client story