Alpha Harmreduction 2


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  • We are from Alpha House
  • Alpha Harmreduction 2

    1. 1. SHarm Reduction and theEvolution of a Continuum of Care Modelin a Mainstream Agency
    3. 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. 4. A day in the life of Alphashelter 0700-1900
    5. 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. 6. S 2012 – shelter passed out 1518 1cc needle kits, and1984 3cc needle kitsS 2012 – total needles passed out 17510
    7. 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. 8. S Doctor in twice a weekS Nurses are in dailyS SOS mental health in once a weekS Trauma specialist in weekly
    9. 9. S YogaS Computer educationS DrummingS PhotographyS Music LessonsS Women of Alpha Group
    10. 10. S Calgary Sexual HealthS Literacy classesS Friendship CircleS Money mentorsS AIDS Calgary
    11. 11. S I.DS PrescriptionsS Treatment ApplicationsS Gift Of Sight ReferralsS AISH applicationsS Alberta Health Care numbers
    12. 12. A night at Alpha shelter 1900-0700
    13. 13. How does shelter fit into thecontinuum?
    15. 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. 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. 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. 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. 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. 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. 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. 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. 24. DOAP Team Respects ClientChoicesS We believe ourclients have the rightto choose their lifestyleS We are there tominimize dangerinvolved with highrisk activities
    25. 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. 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. 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. 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. 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. 30. DOAP Team Provides VerySpecial Opportunities
    32. 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. 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. 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. 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. 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. 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. 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. 39. S 24 hour staff supportS Controlled entryS Harm reduction suppliesS Support with medication needsS Assisting clients with meeting basic needs
    40. 40. S Unit inspectionsS EducatingS For all programs client satisfaction surveysS Client story