Appendix 14

Briefing note to support staff in positive working arrangements

Planned Care and Addictions

Planned Care and Community Forensic Personality Disorder team

Planned Care and Regional Eating disorder service

The need for this briefing note came out of discussions between the services following a number of Serious Untoward Incidents (SUIs). Whilst on most occasions there are good joint working relationships/arrangements, where these breakdown it is often about poor communication or very set ideas or assumptions about what services do or role responsibilities.

At two SUI reviews it was apparent that the perceived stance “you have to have a care coordinator in planned care before we can get involved” was detrimental to assessment, engagement and the service users’ care and treatment

At another it was apparent that the planned care staff involved had a review and decided to discharge the service user without any involvement of the addictions staff. This was also without working with the service users, and no subsequent communication resulting in addictions staff thinking that care and treatment in relation to mental health needs was still being provided.

It should be noted that care packages agreed with service users through the Multi- Disciplinary Team (MDT) process should only be changed following agreement with the service user and all other colleagues involved in the package of care. It is the responsibility of all clinicians involved in the care package to ensure good communication of any proposed changes using the full range of means of communication available, e.g. meetings, telephone, electronic patient records (RIO).

1. Planned Care and Addictions

There is sometimes an assumption the service user whose assessment identifies issues with alcohol use automatically equates to a referral to the Northumberland Tyne and Wear (NTW) addictions services.

NTW only offers addictions service North of Tyne. Additionally there are a range of services that can provide appropriate interventions for addictions. Information about these is attached as Appendix 1. NTW addictions services are very willing to provide advice regarding services, and indeed about whether they are the appropriate service to assist with care planning prior to any referral. However, this advice needs to be informed by a recently completed AUDIT tool within the assessment.

Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

Project ANSWER is an NTW addictions service for North Tyneside that currently (September 2013) are NOT Rio users.

For service users who come into contact with North Tyneside Planned care services that have any indications of substance misuse contact with project answer is recommended to ascertain

• Is this person currently in treatment with Project ANSWER OR • Could they benefit from treatment with Project ANSWER

For service users who come into contact with other locality ‘Planned’ care services who have previously lived in North Tyneside and have any indications of substance misuse contact with project answer is recommended to ascertain if they have previously had treatment with Project ANSWER.

Psychiatric staff, nurses and doctors and other professionals should also be aware and cognisant of the assessment for alcohol abuse and dependence, use the AUDIT tool, and deliver brief interventions and or other interventions appropriate if the person is already in service. The use of motivational interviewing is always part of assessment and engagement (NICE 2012). If the person remains in treatment within Community Mental Health Team (CHMT), the psychiatric team should be able to support community detoxifications if appropriate both with the GP and in shared care with alcohol services

There is sometimes the assumption that addictions staff will not take on the role of care coordinator or lead professional. This assumption is correct in relation to the role of care coordinator, as the very fact that a service user has enhanced needs means they have complex mental health issues, and it is entirely appropriate that a professional from mental health service takes on that role.

However this does not mean that the care co-ordinator is then solely responsible for completing the service user’s record, i.e. care plans risk assessment review.

Where a service users mental health needs are such that they are not enhanced then addictions staff are very wiling to be lead professionals. Of course this will be a joint decision on a case by case basis which is dependent on the service user, their needs and who is best placed to undertake the role. Again this does not mean that the lead professional is then solely responsible for completing the service user’s record, i.e. care plans, risk assessment, review etc.

Where there is joint work shared assessment of risk is critical and this can be facilitated by an agreement as to how this is best recorded, i.e. where FACE is being used, which of the FACE risk profiles is most appropriate to record the assessment of risk, e.g. Adult or Addictions. Once the decision is made then it is important that the risk profile not being used references where the assessment of risk is recorded.

Northumberland, Tyne and Wear NHS Foundation Trust 2 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

2. Planned Care and Community Forensic Personality Disorder team

The Community Forensic Personality Disorder team (CFPDT) is a regional service that offers a service to:

 Males age 18 or over  Primary diagnosis of personality disorder or psychopathy  IQ over 70 (those with an IQ between 70-79 will be considered on an individual basis)  Permanent resident of the Adult Forensic Service catchment area  History of violent or sexual offending or significant concern about the risk of future violent or sexual offending

Within NTW, Cumbria, South Cumbria, Tees and Durham

A formal referral for the specialist assessment offered by CFPDT requires that the individual is supported within local secondary care services. This is usually by a care co-ordinator or maybe a lead professional.

Where post assessment the CFPDT provide intervention, the usually complex needs of those with personality disorder who also present risk of harm to others means it is usual that all patients accepted for assessment have a care co-ordinator within their locality. As the team covers a wide geographical distance this ensures that patients’ needs can be met and responded to in a timely way. However, there may be rare exceptions to this situation which should be negotiated between the teams on a case by case basis, and the CFPDT recognise that there may be rare occasions where it is appropriate that a CFPD clinician to take on the role of lead professional.

This does not mean that CFPDT cannot be involved pre a formal referral for assessment, or indeed where there is no plan for a referral. Members of the team will offer advice/consultation to secondary services at any stage of care and treatment with secondary services.

Advice and consultation does not require that the individual has an allocated care co- ordinator/lead professional.

3. Planned Care and Richardson Eating Disorder Service (REDS)

In urgent cases joint work can begin post referral if the information provided by the referrer (which may be supported by previous records held by NTW) is indicative of the need for the involvement of the Richardson Eating Disorder Service (REDS).

It is good practice to have early contact with REDS who can provide advice / support (if needed) as to areas of enquiry to include in the assessment that will clarify the appropriateness of a formal referral to REDS or may agree a joint assessment process.

Northumberland, Tyne and Wear NHS Foundation Trust 3 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) If the initial assessment concludes that the service users has needs that require input from REDS, then an initial plan needs to be agreed jointly including (if needed) support whilst waiting or any further assessment.

The outcome of the assessment processes should enable the identification of the service user’s needs, and care planning to meet those needs; including who is best placed to be the care coordinator/lead professional dependant on the level and nature of their needs.

For service users who are on Enhanced Care Coordination, who have severe mental health issues with clinically complex needs including those relating to an eating disorder, it will be most likely that the care co-ordinator will be a planned care clinician. For service users who require a Lead Professional and for whom the eating disorder is their only significant presenting difficulty, and where this is stable and low risk, it is likely that the Lead Professional will be from REDS.

When the outcome of the assessment is that the service user’s needs are not enhanced, the role of lead professional should be undertaken by the professional best placed to do so, based on the service users needs. The principles that inform allocation of a care co-ordinator should be used as guidance.

There may be occasions where the assessment process identifies that the service user’s needs are such that they require input from either planned care or REDS only, in which case the care co-ordinator / lead professional will be identified from that service.

It is recognised that a referral to a CMHT may not identify the need for involvement from REDS but that the assessment process may do so. As soon as possible there should be contact with REDS to agree additional assessment. The outcome of the overall assessment process will inform allocation of care coordinator/lead professional as previously described.

4. Dispute Resolution

If there should be any dispute / disagreement in agreeing joint working or during joint working that cannot be satisfactorily resolved between the clinicians it should be escalated to both team managers.

If the dispute cannot be resolved by the team managers, then it should be escalated for resolution by the relevant service managers.

Northumberland, Tyne and Wear NHS Foundation Trust 4 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) 5. Good Practice in Joint Working and Record Keeping

Regardless of who is the care co-ordinator or lead professional for a service user this role does not equate to responsibility for completing all aspects of the electronic patient record RiO. Their responsibility is to ensure the record is completed. Where there is joint assessment the clinicians involved in that joint assessment should ensure that the record of the assessment includes and reflects their joint input. This may be through each clinician adding to the appropriate sections of the core assessment and saving. It would be validated once it is agreed it is complete, i.e. there is an agreed formulation and initial plan.

Similarly where there is joint assessment of risk the clinicians involved in that joint assessment should ensure that the record of the assessment includes and reflects their joint input. This may be through each clinician adding to the risk assessment screen on RiO, or one clinician undertaking the initial recording and validating the document once it is agreed it is complete, i.e. reflects the current assessment of risk.

Each member of the care team having involved the service user should record on the care plan their intervention, i.e. the need(s) the intervention is to address, the goals to be achieved (these may be short term), the intervention planned and when this will be reviewed. Goals should include those determined by the service user. Once the care plan has been completed it should be validated.

In preparation for a review each member of the care team can record progress in relation to the care plan interventions and goals in the section progress/presentation since last review.

Record progress against any actions that they were allocated at a previous review in the update of actions section

Northumberland, Tyne and Wear NHS Foundation Trust 5 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

It is also good practice for an agreed member of the care team prior to the review to discuss and record the service user’s thoughts views and wishes.

Each review should consider if the service users needs have changed and as such should the level of care coordination be changed and who, given the persons changing needs is best placed to be care coordinator/lead professional. However continuity of the role is to be encouraged unless the clinician is no longer to be involved in the service user’s care and treatment

Northumberland, Tyne and Wear NHS Foundation Trust 6 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Appendix 14a

Addictions Services available in Newcastle

• Trading Places at Ron Eager House, 214 Westgate Road. Service user led drop in offering information and advice, help with letters, appointments, training and access to sport, social activities and volunteering as well as food, clothing and laundry facilities. Volunteers always needed

Opening hours: Sunday 10 – 1pm (fortnightly). Tel: 0191 2331941

• Lifeline Harm Reduction Service, 43 Clayton Street, Newcastle. Offers harm reduction advice, information and support, assessment, referrals, testing, needle exchange, medical interventions and volunteer opportunities. Nurse available

Opening hrs: Mon - Fri 10–6pm. Tel: 0191 2614719

• Lifeline Outlook. 4 Hutton Terrace, Sandyford. Offers supported direct access into structured activities and a range of opportunities for adults who have or have had problems associated with drug or alcohol use. Also access to Intervention and Brief Advice alcohol workers.

Opening hours: Mon – Thu 10 – 4.30pm, Fri 10 – 3.30pm. Tel: 0191 2811828

• Newcastle User and Carer Forum c/o Safe Newcastle, Drug Support Unit, Civic Centre, Newcastle.

To enable service user and carer involvement, engagement, consultation and communication in relation to service / treatment provision in the city. Also offers peer led support and activity, as well as training, volunteer opportunities, advocacy and mentoring.

Opening hours: Mon – Fri 9-5pm. Tel: 0191 2788126

• NECA McLean House, New Bridge Street. Offer a range of services / interventions to tackle substance misuse. Also provide activities for clients on Drug Rehabilitation Requirements (DRR)

Opening hours Mon – Fri 8.30 – 8pm Tel: 2221262.

Northumberland, Tyne and Wear NHS Foundation Trust 7 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) • Turning Point Arrest Referral and Resettlement. Sandyford Road, Newcastle and bases at Police stations. Offer assessment and community based support to drug users awaiting sentence by the courts and, in particular, to those subject to bail restrictions linked to their drug use, as well as aftercare services target clients managed within the Prison and Probation Services.

Tel: 0191 2218010

• Drug and Alcohol Liaison Midwife, Royal Victoria Infirmary, Co-ordinates the care of pregnant women who misuse drugs and alcohol ensuring they receive a high standard of maternity care, preferably within mainstream services.

Opening hours Mon – Fri 9-5.30pm. Tel: 0191 2336161

• Northumberland and Tyne and Wear Mental Health Trust (Plummer Court), Carliol Place

Specialist alcohol and drug misuse treatment interventions including prescribing, harm reduction, structured counselling, and inpatient detoxification to those experiencing drug, alcohol and co morbid mental health problems.

Opening hours Mon – Fri 9 to 8pm, Sat and Sun 10-6 pm Tel: 0191 2061100

• Drug and Alcohol Social Work Team, Shieldfield Centre

Provide assessment and care management for clients wishing to access inpatient detoxification and residential rehabilitation.

Opening hours Mon – Fri 9-5.30. Tel: 0191 2788100

• Cyrenians

Oaktrees offers abstinence-based, structured, day programme of support based on a self-help model which aims to empower people to take responsibility for their recovery. Tel: 0191 477 2205

Ridley Villas is a supported accommodation service providing support to women with children living in Newcastle and Gateshead, who require support to help overcome drug and/or alcohol addiction, to continue to achieve and sustain abstinence by accessing appropriate treatment. Tel: 0191 232 9181

The Recovery Centre. This service is open to anyone in Newcastle and Gateshead who deem themselves to be in recovery. The centre will be a place of safety for those moving forward, with all forms of recovery programmes welcome. They offer peer based recovery services, telephone recovery support, recovery support groups, recovery orientated employment support, workshops and training.

Northumberland, Tyne and Wear NHS Foundation Trust 8 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

• Changing Trax

This service works with families affected by substance misuse where there are significant risks of children becoming looked after or their names being placed on the Child Protection register. The work is solution focused and builds on the strengths of families to maintain children at home safely.

Tel: 0191 277 1376

• North East Regional Alcohol forum. http://www.neraf.org. Regional support including peer mentoring, advocacy etc.

Tel: 0191 5148520

Family Support

• PROPS (Positive Responses to Overcoming Problematic Substance abuse in the family), 26 Hawthorne Terrace, Cruddas Park Provide support and advice to the families and carers of problematic drug / alcohol misusers (including group work, one to one, support groups, accompanying on visits for example to prison, court etc).

Opening hours 8.30 – 8pm Tel: 0191 226344

Northumberland, Tyne and Wear NHS Foundation Trust 9 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Addictions Services available in North Tyneside

Project ANSWER is an NTW addictions service that currently (September 2013) are NOT Rio users.

Project ANSWER - Part of North Tyneside Integrated Drug Treatment System.

Former Sorting Office Telephone: 0191 240 8122 Atkinson Terrace Fax: 0191 240 8125 Station Road Wallsend NE28 6SS

Clients served: Adults (over 18) living in North Tyneside with a drug misuse problem: Heroin, Cocaine, Valium, Cannabis and other drugs.

Integrated drug treatment: North Tyneside Drug Services have integrated (Project ANSWER and Plummer Court) to provide a seamless treatment pathway for drug mis-users. This is matched to the identified needs of the individuals accessing the service.

A partnership service: Project ANSWER work in partnership with NECA, turning Point, Northumbria Probation Service, North Tyneside PCT, Safer Communities, Newcastle and North Tyneside Drug and Alcohol Service and North Tyneside Council.

Those cases that are assessed as complex will be referred onto Plummer Court for specialist interventions.

Services offered:

• Community Prescribing, either maintenance or detox. All prescribing options. • Keyworker:

o Psychosocial interventions o Motivational work o Node Link Mapping o Relapse Prevention

Northumberland, Tyne and Wear NHS Foundation Trust 10 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) • Nurse • Hep Vaccinations and Testing • Stepdown Clinic • Structured Day Groups:

o Crack/Cocaine Programme o Cannabis Group o Health and Harm Reduction o Relapse Prevention o Safe on a Script o Anger Management o Assertiveness o Stress Management o Cooking from Scratch o Acupuncture and Relaxation o How to get a job Group o Local Resources o Complimentary Therapies o Resettlement from Prison o Drug Intervention Programme o Housing Support o Progress 2 Work o Narcotics anonymous meetings

Northumberland, Tyne and Wear NHS Foundation Trust 11 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Addictions Services available in Northumberland

The Northumberland Recovery Partnership (NRP) is a dedicated service for anyone in Northumberland experiencing problems with drugs and alcohol. NRP is for anyone who is 18 years old who:

• Worries about drinking or drug use • Feels their drinking or drug use is out of control

• Is experiencing medical or mental health problems because of drinking or drug use • Thinks their drinking or drug use could be having negative effects on their family and friends

Support is tailored to help on the recovery journey NRP offers:

• Harm reduction – virus screening, safer injecting support and needle exchanges

• Abstinence programmes – group and community-based 12 step Programmes, counselling and behavioural therapies, and peer support

• Medical support including prescription of substitute medications and supporting detoxification programmes

• A dedicated Recovery Coordinator to motivate and provide practical support through every stage of the recovery journey

• Ongoing Recovery support – ongoing services to help with next steps into employment, housing and health

How to access: Referral line number:- 01670 396 303. Also takes self-referrals. The Recovery Coordinator is then assigned to help build an individual Personal Recovery Plan and provide support and help as required.

North Northumberland Dual Diagnosis Service

The North Northumberland Dual Diagnosis Service is part of The Alnwick and Berwick Community Mental Health Teams. The Alnwick service is based at Hawkhill Business Park, Lesbury near Alnwick and the Berwick service is based at Anderson Court in Berwick upon Tweed.

Contact details: Alnwick 01665 608000 Berwick upon Tweed 01289 356910

The service comprises a Nurse Therapist Dual Diagnosis and a Dual Diagnosis Outreach Worker. We offer a service Monday to Friday 09.00 – 17.00. We accept referrals from GP’s, other health or social care professionals and self referrals.

Northumberland, Tyne and Wear NHS Foundation Trust 12 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Addition Services in the Gateshead area

Dual Diagnosis Therapists – Northumberland, Tyne and Wear NHS Foundation Trust

Address: Community Treatment Team (Non-Psychosis), Dryden Road Clinic, 134 Dryden Road, Gateshead Tyne and Wear, Tel No: (0191) 441 6720

Address: Community Treatment Team (Psychosis), Tranwell Unit, Windy Nook, Road, Gateshead, Tyne and Wear, NE10 9RW Tel No: (0191) 441 6500

Opening Hours - Monday – Friday - 9.00 am – 5.00 pm.

Two Dual Diagnosis Therapists in Gateshead Secondary Mental Health Community Treatment Teams. Provide assessment, care co-ordination, interventions for motivational interviewing, harm reduction, and psychosocial interventions for those experiencing drug/alcohol and co morbid mental health problems.

Alcohol Liaison Team

Address: Queen Elizabeth Hospital, Queen Elizabeth Avenue, Sheriff Hill, Gateshead, Tyne and Wear, NE9 6SX Tel No: (0191) 445 3935

Carers of People affected by alcohol and substance Misuse

The substance misuse social group is an informal group for carers affected by a loved ones addiction. The group is carer led and so discusses topics and activities that are of interest to the whole group. Sometimes meeting for coffee or going out for afternoon tea, the main purpose of the group is to put carers and the role they play first and to help improve their health and well-being.

Date: Please get in touch for future dates Time: To be confirmed Venue: 11 Regent Terrace, Gateshead, Tyne and Wear, NE8 1LU Cost: Free

Northumberland, Tyne and Wear NHS Foundation Trust 13 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Cyrenians

Offer 2 services in Gateshead to clients with substance misuse problems.

Oaktrees

Tel No: (0191) 477 2205

Fax No: (0191) 478 5220

Oaktrees offers abstinence-based, structured, day treatment for people suffering from drug and/or alcohol addiction. It is based in Gateshead. The twelve week full- time programme is based on a self-help model which aims to empower people to take responsibility for their recovery. The programme includes:

• group therapy • one to one counselling • workshops – for developing life skills and relapse prevention strategies • education and information on addiction recovery and health promotion • therapeutic reading and writing exercises • working with others engaged in the same process

Participants in the Oaktrees programme continue to live in their own home. Whilst this particularly benefits those with children, an immediate opportunity is provided to all participants - to practice a new approach to life and to bring the effects of their Oaktrees experience back to the next day’s treatment.

Oaktrees encourages sharing recovery skills with a close group of peers. Peer groups are made up of other Oaktrees participants. This peer group forms a network which is free from drugs and alcohol upon graduating from the programme.

Oaktrees actively encourages the use of self-help groups such as Alcohol Anonymous, Narcotics Anonymous and Cocaine Anonymous in their support of long term recovery.

Oaktrees places are commissioned by Newcastle City Council and South of Tyne and Wear PCT. We are proud to be able to offer a unique style of treatment for individuals who live in the North East by placing the emphasis on recovery from addiction.

Northumberland, Tyne and Wear NHS Foundation Trust 14 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Recovery Centre

The Newcastle-Gateshead Recovery Centre

Its aim is to put a face on recovery and to build upon existing recovery networks in the North East. The Recovery Centre is based on the Newcastle Quayside and at its core there is a belief that people can and do recover from Drug and Alcohol Addiction.

The Recovery Centre will be anchored in the heart of the community and will provide a physical location where people who are on their recovery journey can be supported to move forward. For those who may be struggling to navigate the treatment system, support will be given.

What Services Do We Provide?

The Services that will be provided are:

• Peer Based Recovery Support Services • Telephone Recovery Support • All Recovery Support Groups • Recovery Orientated Employment Support • Workshops and Training • Recovery Orientated Social Activities

The Recovery centre is not a treatment agency and will not provide any clinical services. It could, however, point people in the right direction to access appropriate support.

It is not a drop in centre or a place for people to hang out and the centre is not seeking to duplicate existing resources.

Those who access the centre will be there to actively work on their recovery or help another person with theirs.

Who Can Access The Service?

The service will be open to anyone in Newcastle and Gateshead who deem themselves to be in recovery. It is expected that those people who do access the service are not under the influence of illegal substances or alcohol. The centre will be a place of safety for those moving forward.

We welcome all forms of recovery programmes and do not favour any one means of recovery.

Volunteers

Volunteers will play a vital role in the running of the centre. For anyone who is interested in volunteering please contact us.

Northumberland, Tyne and Wear NHS Foundation Trust 15 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

Gateshead Carers

Tel No: (0191) 490 0121 Fax No: (0191) 490 0128 E-Mail: [email protected] Website: www.gatesheadcarers.com Twitter: www.twitter.com/gatesheadcarers Facebook: www.facebook.com/gatesheadcarers

Living with the effects

The emotional impact of looking after someone who uses drugs or alcohol can be confusing and distressing at the best of times. Family members often feel sidelined when it comes to their loved ones treatment programme, which only adds to the anger and confusion.

How we can help

Our support worker helps carers to understand their loved ones addiction by discussing the implications of the substance and how this affects their health, helping carers to understand why their loved one behaves in a certain ways. We aim to alleviate the stigma that surrounds substance misuse carers and help them to understand the recovery process of the cared for person, alleviating stress by putting coping mechanisms in place and working out triggers that could be disabling to the cared for persons recovery journey. We help carers to have their own life. We engage carers in activities and training that will help them become more confident about themselves and try to alleviate stress within the family.

Network Members:

• Gateshead Carers • Crossroads Care Gateshead • Sunderland Carers • FUSHIA • NECA (North East Council for Addictions) • NERAF (Northern Engagement into Recovery from Addictions Foundation) • SAPS

Northumberland, Tyne and Wear NHS Foundation Trust 16 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Gateshead Substance Misuse Service

Providing treatment and support for people with drug and alcohol problems.

Address: Grassbanks Sector Base, Leam Lane Estate, Gateshead, Tyne and Wear, NE10 8DX

Tel No: (0191) 445 5400 Fax No: (0191) 445 5418

 Primary health care service for alcohol and drug users  Home detox programmes  Psychotherapeutic interventions  Methadone treatment programmes  Harm reduction service, stimulant user service  Referrals to detox  Residential rehabilitation and community care assessments  Pregnant drug user clinic  Young person's services  All services are provided from community settings and GP practices

Target Group: Alcohol and drug users. Area Served: Gateshead.

Harm Reduction Service

Address: 14 Regent Terrace, Gateshead, Tyne and Wear, NE8 1LU

Tel No: (0191) 490 1709

Opening hours – 9.00 am to 4.30 pm Monday to Friday; Late opening on a Thursday until 8.00 pm. Also on the last Tuesday of every month a Steroid Clinic is held between 5.00 pm and 7.00 pm.

The service offers a range of interventions with the overall aim of reducing the harm associated with injecting drug use.

The services that we provide to our clients without an appointment are:

• Needle Exchange

• Safer injecting advice

• Assessment of injecting injuries

• Blood borne virus screening Northumberland, Tyne and Wear NHS Foundation Trust 17 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) • Hepatitis B vaccinations

• Telephone Drug Information and Advice Line (DIAL)

• Sexual health advice

• Chlamydia testing

• Pregnancy testing

• C card scheme with condom provision

• Housing / homelessness advice

• Clothing stall for the roofless and homeless

• Advice/information and signposting to other services and agencies

• We also offer hot drinks, biscuits, soup and fruit

Interventions that are offered that would generally require an appointment are:

• Advocacy and support through Hepatitis and HIV treatment

• Health Assessments

• Assessments for clients who wish to commence on a treatment program

• Stimulant clinics – advice for Crack/Cocaine/Amphetamine users

• Steroid clinics – advice and health checks for people using performance enhancing drugs

• Sleep clinics – natural relaxation techniques

• Smear clinics

• Training for the service users: Overdose Awareness/Basic Life Support as well as Safer Injecting courses

• Two afternoons every week we operate a mobile needle exchange which can be accessed by the service users who live in more rural areas

Northumberland, Tyne and Wear NHS Foundation Trust 18 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

NECA (North East Council for Addictions)

Address: 203 High Street, Gateshead, Tyne and Wear, NE8 1AS

Tel No: (0191) 490 1045

Fax No: (0191) 490 1673

E-mail: [email protected]

Website: www.neca.co.uk

 Advice, information, counselling and support for people aged 19 and over experiencing drug, alcohol or gambling problems  Advice and information  Assessment, individual counselling  Women only sessions  Outreach services by arrangement  Complementary therapies  Alcohol awareness sessions

Target Group: Anyone aged 18+ experiencing or affected by drug, alcohol or gambling problems.

Area Served: Gateshead.

Northumberland, Tyne and Wear NHS Foundation Trust 19 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) NERAF (Northern Engagement into Recovery from Addictions Foundation)

Tel No: (0191) 514 8570

NERAF is an independent charity established to enable positive lifestyle change and recovery to people affected by alcohol or drug misuse. We do this by providing a very personalised and tailored service to meet the individual’s needs. We will make you feel welcome, listen to your story and then work with you to help you achieve what matters to you. We take pride in working “with” you rather than doing what we do “to” you. We will provide you with a peer mentor to support and befriend you throughout your journey to recovery and the support of a recovery coach who will help you address issues such as debt, housing, employment and a multitude of others. Our services include;

• One to One Coaching

• Peer Mentoring

• Group Work

• Activities

• Peer Mentor and Volunteer Training

• 7 Day Service - Open until 8.00 pm

• Women’s Only Support Groups

• Abstinence Groups

• Mixed Groups

• Substance Groups

• No Drink Groups

• Carers Groups

• Outcome chart which enables us to work with our clients & discuss with them what their priorities are

• An END to END service

In addition we provide the same high level of service to families of those affected by alcohol or drug misuse, and understand the implications that substance misuse may have on the family or carers; recognising that each family is different.

Northumberland, Tyne and Wear NHS Foundation Trust 20 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Turning Point Gateshead Community Alcohol Link Service, providing alcohol intervention services to Gateshead residents

We aim to provide a brief intervention, assessment, and onward referral to appropriate services. We work with the Fire Brigade and Community Beat officers to identify those most at risk of harm.

Who we can support

We provide alcohol intervention for three core groups:

1. Where a house fire is suspected to be alcohol related 2. We work with older people over 50 3. People in the community with alcohol issues that are not engaging in treatment

Referrals can be made by anyone (including self-referral, but within the three focus groups mentioned) and staff will endeavour to engage with the person identified. However, full consent must be obtained from the individual to enable staff to work with the client.

Address: In2Change, 9-19 Jackson Street, Gateshead, Tyne and Wear, NE8 1EE

Tel No: (0191) 478 8880

Addition Services in the South Tyneside area

Dual Diagnosis Therapists – Northumberland, Tyne and Wear NHS Foundation Trust

Address: Community Treatment Team (Psychosis Team), Boldon Lane Clinic, Boldon Lane, South Shields, Tyne and Wear, NE34 0NB Tel No: (0191) 451 6405 Fax No: (0191) 451 6406

Address: Community Treatment Team (Non-Psychosis Team), Barrington Street, South Shields, Tyne and Wear, NE33 1AN Tel No: (0191) 424 6070 Fax No: (0191) 423 4989

The Dual Diagnosis service is part of the South Tyneside Community Treatment Team (CTT). It is a service for both Psychosis and Non-Psychosis cases with a Dual Diagnosis Therapist working within each discipline.

Northumberland, Tyne and Wear NHS Foundation Trust 21 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) We offer a service Monday to Friday 9.00 am – 5.00 pm. We accept referrals from GPs, other health or social care professionals.

Other services on offer in South Tyneside for those individuals with mental health, drugs and/or alcohol issues and whom the CTT regularly work collaboratively with:

Adult Mental Health Drugs and Alcohol Team (AMHDAT)

Address: 23-25 Grange Road, Jarrow, Tyne and Wear Tel No: (0191) 424 4335

Alcohol Treatment Team

Address: South Tyneside District Hospital, Harton Lane, South Shields, Tyne and Wear, NE333 0PL

Tel No: (0191) 404 1000

First Contact Clinical

Address: TEDCO Business Park (No callers)

Tel No: (0191) 427 4505

Prescribing Service for people with opiate dependency problems. Triage and treatment facilitation for people with severe alcohol problems.

MATRIX

Address: Cornwallis Street Centre Tel No: (0191) 497 5637

Multi-Agency Young Person’s Drug and Alcohol Service.

NECA (North East Council for Addictions)

Address: Suite 19, Cookson House, River Drive, South Shields, Tyne and Wear, NE33 1TL

Tel No: (0191) 456 9999 Fax No: (0191) 456 9929 E-mail: [email protected]

Support for adults with substance misuse problems, and for their families and carers.

Northumberland, Tyne and Wear NHS Foundation Trust 22 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Also within NECA there are:

STEP Harm Reduction Services - Needle exchange, BBV testing and counselling, information and advice.

Address: 19 Fowler Street, South Shields, Tyne and Wear Tel No: (0191) 275 8000

Horizons Recovery Centre - Help, advice, education, Structured Day Care, relapse prevention for people in established recovery from substance misuse problems.

Address: 21 Beech Road, South Shields, Tyne and Wear Tel No: (0191) 427 6824

NERAF (Northern Engagement into Recovery from Addictions Foundation)

Address: Cornwallis Street Centre, South Shields, Tyne and Wear Tel No: (0191) 497 4600

Peer Support services, family support and carer support for those affected by alcohol dependence.

Network Service

Address: Cornwallis Street Centre, South Shields, Tyne and Wear Tel No: (0191) 497 4600

Multiagency Care Co-ordination and Advocacy Service for people with a Dual Diagnosis

Turning Point

Address: Cornwallis Street Centre, South Shields, Tyne and Wear Tel No: (0191) 497 4600

Arrest Referral Service in cells and in court. Alcohol Liaison Service at South Tyneside District General Hospital in Accident and Emergency and on wards

Services to help with housing/finance/benefits also link in with CTT working specifically with those individuals with mental health, drugs and/or alcohol issues

Northumberland, Tyne and Wear NHS Foundation Trust 23 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) Assist (Cyrenians) Actively Supporting Social Inclusion in South Tyneside

Address: Architectural House, Plummer Street, Newcastle upon Tyne, NE4 7AB Tel No: (0191) 497 5595

Norcare Ltd

Address: Room 10 & 11, The Eco Centre, Windmill Way, Hebburn, Tyne and Wear, NE31 1SR Tel No: (0191) 430 0094

ISOS (Isos Housing Limited)

Address: Number Five, Gosforth Park Avenue, Gosforth Business Park, Newcastle upon Tyne, NE12 8EG

Addiction Services in the Sunderland area Dual Diagnosis Therapists – Northumberland, Tyne and Wear NHS Foundation Trust

Address: Red Community Treatment Team, Wellfield Clinic Hopewood Park, Ryhope, Sunderland, SR2 0NB Tel No: (0191) 502 5430

Address: Blue Community Treatment Team, Houghton Day Unit, Hetton Road, Houghton le Spring, Tyne and Wear, DH5 8NB Tel No: (0191) 584 4080

Opening Hours - Monday – Friday - 9.00 am – 5.00 pm.

Three Dual Diagnosis Therapists in Sunderland locality. Two in Secondary Mental Health Community Treatment Teams. Provide assessment, care coordination, interventions for motivational interviewing, harm reduction, Dialectical Behaviour Therapy and psychosocial interventions for those experiencing drug/alcohol and co morbid mental health problems

Address: Sunderland Psychological Wellbeing Service, Monkwearmouth Hospital, Newcastle Road, Sunderland, SR5 1NB Tel No: (0191) 566 5450 Self-Referral: (0191) 566 5454 Opening Hours: 8.00 am – 8.00 pm, Monday – Friday 8.00 am – 1.00 pm on Saturdays.

One Dual Diagnosis Therapist in IAPT Primary Care Team offering assessment, harm reduction, motivational interviewing, interpersonal therapy and psycho-social interventions.

Northumberland, Tyne and Wear NHS Foundation Trust 24 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)

COUNTED 4 SUNDERLAND Tel No: 0800 054 2366

Offer specialist medical interventions including prescribing in relation for drug or alcohol problems. Counted 4 can also assess suitability for in patient alcohol detoxification. Complementary therapies such as acupuncture are also available. Counted 4 are orientated towards Recovery and work with other agencies to assist with this journey for the service user. All referrals come through Turning Point

FUSHIA - Aims to provide support, knowledge and respite to families and carers of substance misusers, to alleviate the everyday problems and distress caused by substance misuse.

Address: Suite 1, Bridge House, Sunderland, SR1 1TE.

LIFELINE - Offering needle exchange, harm minimisation advice, 1:1 work for psycho-social interventions and SMART Recovery Worker.

Address: 3 Saville Place, Borough Road, Sunderland SR1 1PA Tel No: (0191) 565 8070 (All referrals through Turning Point)

NECA HOUSING (North East Council for Addictions)

Tel No: (0191) 564 5590 (All referrals via Turning Point)

NECA Floating Support Project provides housing support to vulnerable adults experiencing drug and alcohol issues. The support provided is flexible and needs-led and aims to empower uses and facilitate independent living.

NERAF (Northern Engagement into Recovery from Addictions Foundation)

Tel No: (0191) 565 6688

Opening Hours: Mondays to Fridays – 9.00 am to 5.00 pm Late night 7.00 pm on Monday

Offer Peer Support Groups, SMART recovery groups, Family Support Service 1 to 1 or group work.

Northumberland, Tyne and Wear NHS Foundation Trust 25 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy) OAKTREES

Tel No: (0191) 477 2205 (All referrals from Sunderland area should be made via Turning Point, Sunderland)

Offers abstinence-based, structured, day treatment for people suffering from drug and/or alcohol addiction. It is based in Gateshead. The twelve week full-time programme is based on a self-help model which aims to empower people to take responsibility for their recovery. The programme includes: group therapy, one to one counselling, workshops – for developing life skills and relapse prevention strategies, education and information on addiction recovery and health promotion, therapeutic reading and writing exercises and working with others engaged in the same process.

Sunderland Carer’s Centre

Address: Sunderland Carers' Centre, Thompson Park, Thompson Road, Sunderland SR5 1SF Tel No: (0191) 549 3768

Sunderland Carers’ Centre can provide information and advice to carers to help them in their caring role.

Turning Point

Address: Southwick Police Station, Church Bank, Southwick, Sunderland, SR5 Tel No: (0191) 566 7122.

Single Point of Access for all services in Sunderland area. All referrals to made via Turning Point, they will navigate the referral to the correct services following their assessment. Also offering Peer Mentors service and SMART Recovery Worker.

Other Services

• Alcohol Anonymous. www.alcoholics-anonymous.org.uk. 0191 521 4400 National Helpline: 0845 769 7555 (Groups available in all areas) • Narcotics Anonymous. www.ukna.org 0300 999 1212 (24 hours, 7 days a week). • Families Anonymous. 0845 1200 660. Weekdays 1pm-4pm and 7pm-10pm, weekends 2pm-10pm. • Samaritans. 0845 90 90 90 (24 hour, 365 days a year). • Al-anon. 020 7403 0888 (10am to 10pm 265 days per year). • Confidential Help Line: 020 7407 0215 - Support organisation for Families who have loved ones with Drug or Alcohol problems

Northumberland, Tyne and Wear NHS Foundation Trust 26 Appendix 14 - Briefing note to support staff in positive working arrangements-V03-Iss – 2 – Dec 17 CC-CPA-PGN-01 – Adult Services – (Part of NTW(C)20 – CC/CPA Policy)