The BAC O' Connor Centre

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					The BAC O‟ Connor Centre

           Community Rehabilitation
              A Partnership Model

                              Presented by

                                Kendra Gray
             Aftercare Resettlement Manager
Theory of the BAC

  The BAC is a miniature of life in the community where we learn the lessons
                  of life, without a drink or drug in our hand.

Where we will meet people we love and people we hate; folk to tolerate;some will
        cause grief and others will fall over themselves trying to help.

There will be rules not to be broken and time schedules we must keep. We must
keep ourselves and our environment clean and tidy – wipe our feet and don‟t get
                                 mud on the carpet.

                       DOES THIS SOUND FAMILIAR?

    Of course it does! Because it‟s just like any normal home in the Country.

   For us it ceased to be the norm – therefore The BAC goes back to basics
Models of Care
                                Tier 1
                     Generic Services, A & E, GP‟s
                        Non Specialist Services
                                   Tier 2
                             Needle Exchange
                        Low Threshold Interventions
                Brief Interventions – 1/1 Motivational work
                                Sign Posting.
                                   Tier 3
      Community prescribing – Maintenance – Methadone-Subutex-
                        Community Detoxification
   Drug Testing & Treatment Orders – (DRR) Drug Rehabilitation Orders
                      Prolific Offender Scheme
                           Structured Daycare

                             Tier 4
                         Inpatient services
                  Community/Residential Rehabilitation
Community Rehabilitation
The Forgotten Tier
 Choice

 Home or Away

 A community programme with an array of partners with ownership.

 NHS Trust, GP‟s, Social Services, Community orders, Housing Associations
  Trent & Dove, Employment, Education with Family/Partner, PCT, Police,
  Borough Council, Community Safety Partnership, Substance Misuse Local
  Development Group, Coors Brewery

 Family/Significant Others
Tier 3 - The Developed Tier
Community Rehabilitation Evolving
 Daycare - 5 days a week 1998/1999
 6 days a week 1999/2000

 Saturday programme introduced

 Out of hours bleep service/change of programme

 Relapse Interventions

 Service User Committee
A change of direction 2000

   Supported housing – independent living skills

   Full-time Alternative therapists

   Specialist and family therapists

   Mental Health

   Shared Care – Local GP‟s

   Fitness and gym – outward bound

   Peer Supporters

“ providing a rehabilitation in the community in which addiction
has developed, allows clients to face life without drugs in an
everyday setting that is proactively geared to protect them at all
times. They can learn to take up life‟s challenges, and be
supported in doing so, in the environment in which they are likely to
continue their lives”.

                                               Professor David Clarke, 2004
                                                       Swansea University
                                               Independent Evaluation 2004
 Week 2 – 14+

 Structured daily programme

 A collective range of therapy – CBT, Group, Gestalt, Reality, Client
  Centred, Rational Emotive, Behavioural, Transactional Analysis, Ego
  States, Neurolinguistic Programming

 Specialist therapy

 One to one person centered

 Complimentary therapy – relaxation, sleep techniques, Nutrition,
  Acupuncture, Reflexology

 Anger & Stress Management
(part of the Staffordshire County Drug Interventions Programme DIP a
partnership with NHS Trust)

 Commences on day one of rehabilitation.

 Four week programme following rehabilitation

 One : One support

 Workshops
       Life skills
       Housing and debt issues
       Education
       Employment
       Personal awareness
What happens after?

 Two – Year Aftercare
       Saturday group
       1:1 therapy
       Relapse Prevention
       Two Year follow up
       Thursday Evening Group

 Yearly Christmas Party with Presentations

 Charity events
        5 a side football tournaments

 Service user plays and drama‟s

 Prevention work in schools by ex-service users
Community Rehabilitation, North and South
 Community rehabilitation with a choice of supported accommodation which
  can cater for up to 24 residents, via social services, criminal justice and
  prolific offenders.

 Shared care, supported detoxification – 7+

 Services to prolific offenders project – Therapist & Complimentary Therapy

 Resettlement/independent living skills

 Two year Aftercare (incl. For those returning from residential)

 DIP (Drug Intervention Programme) in partnership with NHS Trust-
  Resettlement-independent living skills

 Service User Care – The Future

 And the choice of residential out of county
Key to Success

 Is a seamless service between all agencies together which is co-ordinated
  from the initial point of contact. Too many times clients jump through too
  many hoops.

 Development of partnership working has proved invaluable

 Service user consultation and feedback

 The success rate of the BAC Centre is the highest in the country, with an
  average of between 64% - 66% completion with two year continuing

 The National Treatment Agency monitoring data service (NDTMS) shows
  80% - 88% completion.
The future of BAC O’Connor

 A seven bedded detoxification unit is planned for April 2007.

 Recognised as best practice by National Treatment Agency – BAC Model is
  being duplicated in West Midlands

 The BAC has been awarded a „Tackling Drugs, Changing Lives‟ Home
  Office Award for the West Midlands.

 BAC has also been nominated for a Criminal Justice award, again through
  the Home Office.
 Service User Comments

                                 Faith                               Hope
    BAC has
    helped me                                  Trust
    myself and
    find out who I
    really am.
                                                                 Hopeful for
                                                                 the future.
                                                                 One day at
                                                                 a time

HOW – Honest, Open and
Willing is all you have to be.           BAC has made me
                                         grateful and positive
                                         for the future.
BAC has helped me live my
life without drugs and drink