ANNUAL REPORT 20178 -1 Providing a Continuum of Care OUR VISION: Is to enrich lives OUR MISSION: Is to provide pathways for everyone to reflect, learn, share and grow T he Buttery’s residential and community programs are evidence- based and represent the latest in recognised best-practice. The Buttery’s residential and community programs and management and governance systems are accredited under Australian Service Excellence Standards (ASES) and are audited by Quality Innovative Performance (QIP). As a member of the Australasian Therapeutic Communities Association (ATCA), The Buttery’s Therapeutic Community (TC) and Maintenance to Abstinence (MTA) programs are further accredited and comply with ATCA’s standards for best-practice. As a charity, The Buttery relies on the generosity of the community and the support of State and Commonwealth governments and agencies. The Buttery is an independent, community organisation not aligned with any political or religious group. People are treated equally and without discrimination.

SERVICE THERAPEUTIC COMMUNITY EXCELLENCE MEMBER CERTIFICATE Providing a Continuum of Care

T he Buttery helps teenagers The Buttery now conducts three Buttery’s charitable works. and adults who have drug residential programs and 10 All programs are integrated with and alcohol misuse, gambling separate but integrated programs and informed by The Buttery’s and mental health issues. based in the community. highly respected residential Founded in 1973, The Buttery The addition of two new programs treatment model. People who has developed into a provider this year addresses the diverse do not require or who are unable, of fully-integrated evidence- needs of even more people. due to their personal based programs. It now The Alcohol and Other Drugs circumstances, to participate in delivers continuous pathways Continuing Coordinated Care residential treatment, can live at of care for teenagers and Program helps people in recovery home and access a wide range of adults who may have mental from addiction avoid relapse. services across the NSW Mid and health and/or addiction issues. Through the Young People’s Early Far North Coast areas. These People can be supported in Intervention Program, The Buttery programs also provide aftercare every stage of their recovery, now helps even more young to help people avoid relapse in their efforts to avoid relapse people aged 12-24. Last year, following treatment. In some or to minimise the harm of more than1240 people across cases, participants in community addictive behaviours. NSW Mid North Coast and Far programs transition into Buttery North Coast took part in one or residential treatment. The Buttery is unique because more Buttery programs. of the range, scale and The Buttery is independent and integration of what it offers. The Buttery’s new user-pays social secular. A deducible gift recipient, All programs are evidence- enterprise, The Buttery Private it is holistic and inclusive, based, best practice and applies proven expertise to embraces diversity and operates covered by a rigorous quality helping even more people. It also within a non-discriminatory assurance program. generates funds to support The framework.

3 HIGHLIGHTS

The Buttery New research reconfirms comes closer to achieving the effectiveness of our a Continuum of Care Residential Programs

With the commencement of additional youth Researchers from the The University and aftercare programs and the consolidation College of Rural Health completed two of The Buttery Private, The Buttery has come studies into the effectiveness of Buttery closer in 201 7-18 to providing a fully- residential programs. They confirmed that integrated treatment model. The Buttery’s Therapeutic Community and Now teenagers and adults in the NSW Mid and Maintenance to Abstinence Program help Far North Coast Regions can be supported in participants achieve a high long-term rate every stage of their recovery, in their efforts to of non-relapse. Board member, Rosemary avoid relapse or to minimise the harm of Warnock generously supported the cost addictive behaviours. of the research projects in memory of her late husband, John Warnock. The Buttery treats the highest number of clients in its history

Due to an ever-increasing need and unprecedented philanthropic support alongside increased Commonwealth and State funding, The Buttery, organisation-wide treated more clients in the 2017-18 financial year than in its 40-plus-year history. Some 1,240 individuals wereassisted through Buttery residential and community-based programs.

Established Ballina Youth The Buttery Private, The Buttery’s new social enterprise, delivered four intensive Wellbeing Treatment Program (BYTS) Programs to 25 participants at an idyllic location near Mount Warning/ Wollumbin. This program provides Alcohol and Other This established the viability of The Buttery Drug treatment for young people and Private. Surplus funds from the user-pays promotes The Buttery’s aftercare program are applied to The Buttery’s programs for young people who leave out charitable works. of home care and correctional facilities.

4 Established the Alcohol Established the & Other Drugs Continuing Young People’s Early Coordinated Care Program Intervention Project The AODCCC provides support such This new program is for young people as assistance in finding employment or 12-24 and their families. It aims to prevent accommodation for people in recovery drug and alcohol misuse and to provide from long-term substance misuse. counselling as needed. The program provides Although not a counselling service, its services across the Mid and Far North Coast aim is to prevent relapse and to help Regions of NSW from nine separate offices. people, reintegrate into the community free from substance misuse. Buttery Sydney Committee Expansion of the Family held two successful Counselling Program Buttery Talkevents

The Buttery’s Free Family Counselling Program has been helping the families of people affected by substance misuse since 2009. The Program is fully supported by philanthropy. To meet an increasing need for the program, the counsellor’s hours were extended to three days per week. New community-based self-help groups mediated by trained counsellors were also established in conjunction with The Buttery’s b.well program. To thank existing donors and to involve Appointment of new others who may be interested in supporting, The Sydney Committee of The Buttery holds Chairman Sandy Lockhart invitation-only talk events in the Sydney CBD. Long-term financial supporter and The events feature a high-profile speaker who champion of the work of The Buttery speaks on a topic of general interest and through The Buttery’s Sydney Committee, include a presentation by a former Buttery resident. In 2017-18 QC, photographer and Sandy Lockhart was appointed Chairman. author, Mark Tedeschi QC spoke at King & Sandy is founder of a Private Equity firm and Wood Mallesons, and former Premier of has had a long association with The Buttery. Victoria, The Hon Jeff Kennett AC spoke at an Former long-serving Chairman, Professor event at Equity Trustees Limited. Former Robert stepped down from The Buttery Buttery resident, Edwina Lloyd, a criminal Board at the 2017-18 Annual General lawyer, lecturer and Lismore Councillor also Meeting. The Buttery is most grateful to spoke. The Buttery gratefully acknowledges Professor Weatherby for his contribution the support of Chairman Sandy Lockhart who to advancing the work of The Buttery. supports catering costs.

5 THANK YOU!

he Buttery relies on generous donors, volunteers and the Commonwealth and State Government to help so many people who may have substance misuse, mental health or gambling issues. On behalf of The Buttery Board, Sydney Committee, staff and the more than 1,200 people we helped last Tyear, thank you. DONORS We are very grateful to everyone who, through their support, is part of delivering The Buttery’s life-changing mission. Special thanks to Brian and Peggy Flannery for their continuing support through the Flannery Foundation. During the year a number of other foundations and trusts supported specific projects of The Buttery. These include: Angel Fund; The R& L Uechtritz Foundation, The Northern Rivers Community Foundation, The Milton Corporation Foundation and the Portland House Foundation. Special thanks also to, Chairman, Sandy Lockhart for his generous financial and practical support. Many other individuals also give year in year out to ensure The Buttery can continue helping people. This loyal support is very encouraging to the staff of The Buttery.

6 THANK YOU! RECOVERY CIRCLE DONORS THE RECOVERY CIRCLE is a special group of generous people who make THE a regular donation in support BUTTERY of The Buttery. Membership is SYDNEY growing and it is open to anyone COMMITTEE willing to give as little as $10 a month. In 2017-18 Recovery Circle donors contributed to improvements in buildings and The Buttery Sydney Committee helps raise the positive profile of The Buttery and amenities for residents of The assists with fund raising. From left: Graeme Martin, Nick Nichles, Paula Nassif, Buttery’s Therapeutic Community. Adrian Slater, Rita Uechtritz, Richard Herlihy OAM, Sandy Lockhart (Chair), Kevin Eley, Graham Cowley, Justin Herlihy, Adriana Cecere, Chris Benaud For details about joining (The Buttery), inset – Jonathan Dunlop The Recovery Circle: management advice. The Program is funded by the NSW Committee also holds Talk Health Alcohol and Other Drugs Recovery Circle Events during the year to help Centre for Population Health. raise the profile of The Buttery. The BYTS program is funded by www.buttery.org.au/ One of the Sydney talks NSW Health. The Buttery’s INTRA community program is funded by join-the-buttery-recovery-circle/ featured former Premier of Victoria, Hon Jeff Kennett AC the Department of Health and criminal lawyer, drug law (Commonwealth). The b.well reformer and former Buttery program and AODCCC are also resident, Eddie Lloyd. funded by the Department of Health (Commonwealth). CORE VOLUNTEERS and the Young People’s Early Intervention Project and AODCCC The Buttery is supported by 70 are funded by the North Coast or more volunteers. These kind Primary Health Network. Partners people provide practical help in Recovery is funded by Mission such as driving Buttery Australia as the lead agency residents to NA and AA funded by the Department of Fran Peacock and Lily Schmelzle were able fellowship meetings and Health (Commonwealth). The to expand The Buttery’s Family program Northern Rivers Gambling office support. All Board and thanks to the generous support of donors. Counselling Service is funded by Committee members are the Responsible Gambling Fund volunteers and receive no THE BUTTERY managed by the NSW SYDNEY remuneration for the hours Department of Industry. and hours of service they give. COMMITTEE GOVERNMENT The Buttery Committee meets regularly in Sydney in the The Buttery acknowledges the Australian Government board room of Next Capital, support for the Therapeutic Department of Health whose founder, Sandy Community by NSW Health Lockhart is also Chairman of through the Northern NSW Local The Buttery Board of Directors. Health District; the Magistrates Early Release Into Treatment The Committee helps raise the GOVERNMENT profile of The Buttery among Program and the Medical influential people, helps raise Students Placement Program funds and when requested of the University Centre for provides The Buttery Board Rural Health, North Coast. with strategic financial and The Maintenance to Abstinence

7 Report From The Chairman

of the Buttery once it has achieved the NSW Government's Drug and higher occupancy numbers. Alcohol Package and the NSW The second has been to develop Responsible Gambling Fund. and expand a number of On behalf of The Buttery outreach programs to several and the many people local communities. The Buttery's served, I acknowledge and reach is now more extensive than thank all of these individuals at any time in its history. The fact and organisations. that many of these have achieved I also acknowledge the high utilisation numbers in their contribution of The Buttery's first year of operation reflects former Chairman, Professor the organisation's reputation Robert Weatherby, former Director and the obvious underlying Mrs Joan Davies the former CEO, need for the services. Mr John Mundy and the former The third has been the further Company Secretary Mrs Margaret development of non-government Weatherby. I welcome Mr he goal of The Buttery is support through donations from Raymond Houston to the Board. Tto provide the best possible both corporations, As well as being able to help treatment to people suffering endowments and individuals. more people, the expansion of addiction and mental health The Buttery's programs has issues, whether they be alcohol, The goal of The Buttery created more diverse income drug, gambling or otherwise. streams and this will help ensure A second goal is to expand is to provide the best The Buttery's continuing viability. these services to meet the possible treatment for growing need for them. The personal and economic cost Prevention, education and people suffering to individuals, families and the providing aftercare to prevent addiction and mental wider community of addiction relapse are also important parts‘ and mental health issues is of The Buttery's mission. health issues... devastating. Through the work Achieving these objectives is of The Buttery's dedicated staff challenging at a time when both Fund raising from these sources and the support they receive from the Commonwealth and State reached record levels in the past donors and Governments, people Government are under pressure year and played a critical role in with the desire to change can get to rein in deficits and face supporting many of the services the support they need to lead increasing demands from other offered by the organisation. better, more fulfilling and social service providers. Without question the Buttery is productive lives. Over many years The Buttery has helped thousands The Buttery's approach to these like any other organisation. It is to realise their true potential. challenges has been threefold. only as good as the people that The first has been the support it. The Buttery's success I look forward to The Buttery establishment of the Buttery is due to the commitment of staff continuing to grow and prosper Private, a social enterprise, and volunteers, the contribution so it can help many more people which has been designed to of the Board and Sydney long into the future. offer residential treatment to Committee (all volunteers), those people that cannot afford the very generous donors, the time required for the foundations and Government traditional program offered at funders. Specifically these are the Therapeutic Community. The the North Coast Primary Health Network through the Australian expectation is that this user pays Sandy Lockhart program will be able to support Government's PHN Program, other philanthropic endeavours the NSW Ministry of Health under CHAIRMAN

8 ASHER IS NOW INSPIRED TO HELP OTHERS

hen someone has I was never really there. Now all The Buttery’s therapeutic community been addicted to my relationships are based on model was integral to his recovery. W drugs since 15, authenticity and trust. “I learnt the importance of being they have a lot “I had a chaotic upbringing with no real and honest with others -- how of growing up to do in recovery, direction from male role models. to live within a community and explains Asher. Inspired by The After leaving school early, I started how to be in the world. The group Buttery’s counsellors and peer using and selling drugs which work was absolutely critical. workers, Asher is now driven to were easily accessible. I learnt how to trust again and use his lived experience to help how to feel safe in relationships. others in recovery. His goal is My closest friends were “My closest friends were made at to support youth early- made at The Buttery. The Buttery. All those people are intervention programs. now clean. The Therapeutic Having been in and out of All those people are now Community forced me to be Melbourne treatment centres accountable for the first time. Not throughout his life, the 35-year-old, clean...it forced me to be only by counsellors, but by peers.” who spent 10 months at The accountable for the first Asher is about to finish a Diploma Buttery in 2012, says The Buttery’s in Community Services and has Therapeutic Community was the‘time, Not by counsellors, a Student Placement at The only option that could set him on but by peers.” Buttery’s community-based a path of sustainable recovery. rehab program, CORE. “Heroin was the first drug I used and “When I was 27, I was physically “I try to help as many people was addicted for 15 years. I also had in a really bad way. I was almost as I can by walking the journey a massive methamphetamine habit dead. Spiritually, I declined to beside them,” he said. for 20 years and was addicted to a point where was bankrupt. “Through The Buttery, I have prescription drugs for ten. “Because If you continue like that you regained physical, spiritual and I started using when I was so young, are going to die. It was a lack of emotional health. I have really I never really developed options that finally got me to The healthy relationships with good relationships with any authenticity. Buttery,” he said. “It saved my life.” boundaries and my connection Developmentally you miss out. All Asher said years of drug use with my family has been repaired. those years that I was drug affected made him extremely isolated.

9 CEO Report

The Buttery now operates across The programs now include the the NSW Mid and Far North full circle of prevention, treatment Coast, from Port Macquarie and relapse prevention. to Tweed Heads and West to The CORE program, which treated Grafton, Nimbin and Kyogle. 55 people in its first year became People come from all over fully operational during the year, Australia for the residential rotating between Byron Bay, programs because of their Lismore and Tweed Heads. All reputation and excellent results. programs quickly reached To service a greater number of capacity or near capacity; clients with more diverse needs, testament to the previously the Buttery increased its staff unmet need for non-residential numbers by 8%. All staff additions drug and alcohol treatment. he 2017-18 year was one of were client-focussed roles. Tunparalleled activity T hefor The Buttery Private is a new user- Buttery, with the consolidation To enhance efficiency the, pays social enterprise, which of some existing programs, organisation also invested operates from a leased facility growth into new areas and the resources in developing ITits in the Byron Bay hinterland development of a new social and communications platforms. approximately 60 minutes from enterprise, (The Buttery Private) Bangalow. It applies The Buttery's which will provide a new path of All programs are expertise to helping people that treatment as well as generating subject to rigorous have limited time to seek funds to support other residential treatment. From initiatives. The overall number quality assurance and the outset, demand has been of individuals treated was the are best-practice and encouraging, with the expectation highest in The Buttery's history. that this program will expand evidence-based… over the coming years. Last year The Buttery The Board encouraged the The Buttery's expansion was visionary decision to invest in helped 1,240 achieved through the committed ‘ this program with the objective support of staff and volunteers, teenagers and adults... of creating a social enterprise that strong relationships with would support other areas of heT From a largely volunteer-based funding partners, the generous Buttery's work. As was expected youth “drop in centre” in 1973, commitment of donors and with a start - up this operated at The Buttery has grown into an the outstanding efforts of The a small loss for the year. evidence-based, best-practice Buttery's Board of Directors and ‘organisation. It now runs three The Buttery Sydney Committee. residential treatment programs All are acknowledged and The Buttery as well as 10 programs in the thanked for their ongoing, acknowledges its community across a wide committed support. geographical area. There were a number of funding partners whose Last yearT he Buttery helped highlights during the year many confidence means we 1,240 teenagers and adults of which are described in detail with substance, gambling and/or throughout this report. can serve more people… mental health issues. This includes AODCCC and RPAS (The Alcohol To date,h- five mont long families whose loved ones have and Other Drugs Continuing ‘residential programs have been substance abuse issues. It also Coordinated Care Program and held. It is helping participants includes those potentially at risk the Relapse Prevention Aftercare achieve beneficial outcomes and of addiction or relapse. Participant Service) whose first clients will has encouraging occupancy rates. numbers increased 24% over the commence in the first quarter of previous year. 2018-19 were established. The Ballina Youth Treatment

10 Program and Young People's community-based organisation. issues and have confidence Early Intervention Project are People are served on a non- in The Buttery to deliver now fully operational. They help discriminatory basis according effective programs. Donations young people aged 12 to 24, to their needs. received during the year including some who have left The Buttery acknowledges reached a record level. out-of-home-care and its funding partners, whose During the year Mr John correctional facilities. confidence in The Buttery's Mundy the former CEO The Buttery's Family Counselling capacity to deliver effective resigned and his efforts are Program for the families of programs means it can serve acknowledged. The previous people affected by substance many more people. Partners Chairman, Professor Robert misuse continues expanding. include the NSW Ministry of Weatherby stepped-down This program has been supported Health under the NSW and was replaced by Sandy fully by philanthropy since 2009. Government's Health Package, Lockhart, a long-standing Due to increasing demand and the North Coast Primary Health member of the Sydney generous supporters, the Network through the Australian Committee and also a program now provides Government's PHN Program and member of the Board. counselling three days per week the NSW Responsible Gambling Professor Weatherby and includes new mediated Fund. The Buttery is also most is thanked for his support groups for families. grateful to its many donors. commitment and efforts. All Buttery programs are subject These generous people see the to a rigorous quality assurance benefit of supporting people program, are best-practice and who have the genuine desire evidence based. The Buttery is to address mental health and Zac Dawkins proud to be an independent substance misuse or gambling ACTING CEO

DURING THE 2017-18 YEAR, THE SCALE AND SCOPE OF THE BUTTERY’S WORK EXPANDED.

Tweed Heads

Wollumbin

Mullumbimby To serve more people through Nimbin Byron Bay N Lismore THE BUTTERY, Bangalow community-based programs Casino Ballina Tabulum across the NSW Mid and l Evans Head North Coast, The Buttery now has established offices, MacLean counselling rooms and Grafton programs in these locations.

The Buttery’s residential

Coffs Therapeutic Community Harbour Bellingen and administration centre is near Bangalow. The Buttery’s social enterprise, Kempsey

positional only The Buttery Private is located

Port near Wollumbin (Mt Warning). Macquarie

11 THERAPEUTIC COMMUNITY PROGRAM

A significant improvement is the The Buttery conducts a granted and to helping the transition of The Buttery to Residential Therapeutic them take their place in a Smoke Free Environment. The Community (TC), treating society with the knowledge development of a relationship with the Lismore Liver Clinic adults addicted to drugs that they can choose paths will provide residents who are and alcohol. The Buttery that are not only fulfilling Hepatitis C positive access to TC is committed to assisting to themselves but to society. a new treatment that can be chemically dependent Two of the 26 beds are supported during their residential people realise a sense of dedicated to the Magistrates stay. Also being reintroduced after self- worth, nurture the Early Referral into a short hiatus is our Financial living skills many take for Treatment (MERIT) Program. Counselling Program for residents. We acknowledge and thank the generous donors who made this possible as well as Emma Ryan HIGHLIGHTS T he TC Counselling Team has from the Northern Rivers also had an active 12 months. Gambling Counselling Service I t has been an active year for Several new staff members have who conducts the program. the Therapeutic Community joined the team to replace others Team and residents. We have T hrough the continuing support who have taken up appointments of all team members, we have seen staff movement, Program with various Buttery community been able to engage with developments and research outreach programs. projects completed. The TC The University Centre for Rural Program provides a wide range T he TC Team regularly Health to undertake research projects with PhD Students of opportunities for residents participates in reviews of from the University of Sydney. to engage in activities that are the current Program which culminate in the bi-annual Big This research will provide designed to support the Recovery Day Out where all aspects of valuable supporting data for Model and practice skills that are the Program are reviewed. This the work currently being done as developed during their time at process is also ably supported well as further information on the The Buttery. by The Buttery’s Quality outcomes for people completing R esidents also participate in Assurance and Compliance the TC Program. We will also be activities such as, AA & NA Manager, who makes available using this information to Conventions, Men’s & all relevant information relating formulate further developments Women’s Unity Days, yoga to feedback from residents. in program delivery. experiences hosted at Byron Yoga Centre and participate in the bi-annual camping trip to Evans Head. The residents Some of the TC Team from L: also regularly prepare and Trent Rees, host a public car wash to raise Residential funds for group activities. The Programs Residents Choir also continues Manager, to be a highlight presenting John Kerr, performances at local AA and Anna Mavay, Max Lawson, NA Fellowship Conventions Larissa McClelland, as well as the local Feros Aged Program Care Village. Coordinator

12 PSYCHOMETRIC DATA THERAPEUTIC COMMUNITY Quality of Life Assessment

0 5 DEPRESSION ANXIETY STRESS SCALE (DASS) Quality of life 57% Health

Energy Recorded an improvement Money inDEPRESSION upon exit

Daily living 62%

Self satisfaction Recorded an improvement ANXIETY Relationships in upon exit

Living place 62%

RESIDENT INTAKE 2017 Recorded an improvement inSTRESS upon exit RESIDENT EXIT 2017

This data is based on a World Health Organisation table designed to measure one’s quality of life.

13 MAINTENANCE TO ABSTINENCE PROGRAM The Buttery’s MTA Program such as yoga and meditation; is for people being maintained opportunities for self-esteem on opioid substitutes such as building such as art and choir; Buprenorphine (Subutex or opportunities for interpersonal Suboxone) or Methadone, who skills development; relapse wish to move to an abstinence- education, work such as light based lifestyle. The Buttery MTA gardening; opportunities to Program is modelled on the develop a sense of personal Therapeutic Community concept. responsibility through tasks It includes educational groups, and co-ordination functions individual and group counselling, within the residential community. Part of the MTA Team: Trent Rees stress management practices (L) Residential Programs Manager, Rebecca Pevitt, David Dalton, MTA Program Coordinator.

HIGHLIGHTS R esidents in the MTA Program have benefited greatly from the The MTA Program continues to deliver outstanding results for participants continued development of our completing the Program. Nonetheless, there have been ebbs and flows of partnership with Dr Matt participation numbers over the year. While occupancy targets were not McDornan and The Currumbin met, achievements during the year include: Clinic. Our relationship with Currumbin has allowed us to 60% of residents The MTA Program is co-located provide more holistic support for successfully completed with the Therapeutic Community residents to ensure they can be reduction off Program (TC), Staff and residents treated in a stable and supportive maintenance medication. participate in many joint activities. treatment environment. 51% These activities are listed with the of residents TC Report on Page 12. successfully completed T he Buttery is working to further the full program. The MTA Counselling Team develop a Continuum of Care welcomed Rebecca Pevitt from which includes treatment and 1,576 days free of illicit the Residential Care Workers aftercare. The new AODCCC and drug use for residents. Team and farewelled Lisa RPAS Programs will support people Hopwood who has joined who have completed a residential 519 days of total The Buttery’s Continuing treatment program to better abstinence for residents. Coordinated Care (CCC) Program. reintegrate into mainstream society.

PSYCHOMETRIC DATA: Depression Anxiety Stress Scale (DASS)

DASS Averages INTAKE

0 25 57% 62% 62%

Recorded an Recorded an Recorded an EXIT improvement improvement improvement in in in DEPRESSION ANXIETY STRESS

ANXIETY

STRESS DEPRESSION upon exit upon exit upon exit

14 BONI’S NEW LIFE

she says. with a sleeping bag and the “I relapsed on drugs took away the ability heroin after to feel human. It also meant two and a half I couldn’t travel.” years clean “Having support workers at The the first time. Buttery with a lived experience in When I was recovery was vital. When I was at relapsing on The Buttery, I wanted to become heroin I was a support worker myself. on Methadone “Addiction is a hopeless state of oni Newland too. In order to come off the mind and body. I think what I offer had relapsed using Methadone I came to Lismore, now as a support worker is hope. B heroin after two and swapped from Methadone to I am passionate about recovery. a half years in recovery, Buprenorphine, so I could come I want to inspire people. when she decided at 27 to to The Buttery and could get clean.” “Since I’ve been clean, I’ve started reduce from Buprenorphine at Boni decided to undertake surfing and travelling. I want to The Buttery and be entirely free The Buttery’s Maintenance to write my life story. I love hiking. from opioid substitutes. Abstinence (MTA) Program, one I love nature. I love the ocean. In Speaking from a fishing village of only two residential facilities in addiction I went to the ocean five in Thailand, the location of the Australia for people who wish to times in five years. It robbed me 12-step-based rehabilitation withdraw from an opiate of everything. facility where she works as a maintenance program (Methadone Boni adds, “Being free of drugs support worker, Boni is a world or Buprenorphine) to pursue an has been the best thing that has away from her former life using abstinent-based lifestyle. ever happened to me. heroin and opiate substitutes. “People call Methadone the ‘liquid “Your misery can be refunded “I had been to jail. I was dying. It handcuffs’ for a reason. When I if you decide abstinence and was a life of prostitution, heroin, was on Methadone and Suboxone, recovery aren’t for you. What do benzos. My life was on the line,” it was like I was covering myself you have to lose?”

15 COMMUNITY BASED REHABILITATION PROGRAM CORE, The Buttery’s new for single parents and those with Community Based Rehabilitation other commitments that prevent Program is a short-term non- them from taking part in a long- CORE participants residential rehabilitation program. term residential program. CORE have achieved very It is conducted in six-week blocks has increased available treatment impressive results. on weekdays during school hours. options by giving people the It takes part on rotation at three opportunity to learn to abstain 55 of the 69 people locations: Byron Bay, Lismore from alcohol and other drugs while who started a and Tweed Heads. living in their usual environment ‘ CORE is fully evidence-based. and dealing with all kinds of daily CORE program The program is especially designed temptations and triggers. completed it.

RESULTS six-week program (80%). Follow- various outreach programs have ACHIEVED up studies indicate good long- developed their expertise as part term outcomes for participants. of the TC team. In this way The Buttery’s highly successful TC In 2017-18 four six-week CORE is delivered by three model is applied to the programs were delivered: two highly experienced qualified treatment of people in The in Byron Bay, and one each in counsellors; Tanya Magnay (Team Buttery’s outreach programs. Lismore and Tweed Heads. All Leader), Brendan Monson and were fully subscribed indicating Zjamal Xanitha. Both Tanya and CORE is supported by donations and funding through a large unmet need in the Brendan are long-term Case Workers from The Buttery’s the North Coast Primary Health Region for non-residential Residential Therapeutic Network through the Australian treatment programs. Community (TC). Many team Government’s PHN Network. members of The Buttery’s CORE participants have achieved very impressive results. Some 55 people of the 69 people who started a CORE program completed the whole

The CORE Team: Brendan Monson, Zjamal Xanitha and Tanya Magnay

16 CORE HAS GIVEN ME A FUTURE WITH MY YOUNG SON

ane*, 51, dreams of “Before The Buttery, I did short It brought to the surface the the day she can be with term private rehabs, they were just stuff I didn’t want to explore. J her young son for his 21 days, but I continued to relapse. “The staff, especially (Program birthday. Every day in “Unfortunately, 15 months into Manager) Tanya (Magnay), brought recovery after completing The my recovery after The Buttery so much compassion. There was Buttery’s Core program, she is I busted. I was in a state of also so much love and compassion a step closer to her dream. self-sabotage,” she said. from the group. We shared all the Jane had missed her son’s shameful things we had done. birthday because she was (CORE) went very deep. We saw there were more living in The Buttery’s It brought to the surface similarities than differences. therapeutic Community. “CORE was great because “Being sober and having a the stuff I didn’t want it focuses on addiction. relationship with my son again to explore.” It was challenging. It was is what I live for,” she said. exhausting, but the staff Rather than going back to The went the extra mile for us. “Seven years ago, I had a lot of Buttery’s Residential program, good things in my life. I had a ‘ “I think my story -- having my child Jane opted to complete The good job and home life,” she said. taken away -- helped others. I told Buttery’s community outreach them I didn’t want what happened But in the three years before her program, CORE. A six-week to me to happen to them. stay at The Buttery’s Therapeutic program, which she attended I hope to spend more time with Community in 2015, Jane’s life in Byron Bay, which runs my son. Last week I gave him his spiralled out of control. “I was during school hours. drinking to the point I could no birthday present in person. I’m longer be functional. I became “At the start I felt I had nothing not going to push it. But I have a morning drinker. I lost my job to stay sober for if I didn’t have everything to work for.” which meant so much to me,” my son. But the CORE program she said. was excellent. It went very deep. *Not her real name. Library image used.

17 he Buttery Private, TFoundations for Wellbeing Program is an early intervention four-week residential program. It is for people with work or life- related mental health issues, including burn-out, anxiety, stress LR The Buttery Private Team: and early stage substance misuse. Shaun Duff, Jenny McGee, This user-pays program Sam Booker, Mark Butler makes it possible for The Buttery to treat more people. HIGHLIGHTS As it is a social enterprise, surplus funds are applied to The Buttery’s charitable works. In its first year The Buttery for The Buttery Private in The program is fully evidence- Private delivered four the Byron Bay Hinterland intensive Wellbeing based. Psychological treatment Collected, managed and Programs to 25 participants. includes: compassion-focused evaluated psychometric therapy, schema therapy, Some of the barriers to data from Buttery Private cognitive behavioural wellbeing participants participants at entry, addressed included gambling, therapy, exposure therapy, discharge and three-month gaming, alcohol and drug and mindfulness-based follow-up time points misuse, social anxiety, Presented information stress reduction therapy. depression, relationship on initial findings of The It also uses additional issues, stress and workplace Buttery Private at the evidence-informed modalities burnout. Some of the Australian and New such as meditation and participants completed the Zealand Addiction program to return to work, mindfulness, bodywork and Conference. massage, nutrition, exercise study and the community. Other participants were Developed referral and community as method. referred to other services and pathways for clients and To help bring about lasting programs for further treatment. built relationships with change in themselves, private clinics/hospitals In addition The Buttery Private: participants take part in and psychiatrists a face-to-face or video Secured, set-up and Had 92% of participants conferencing counselling refurbished a permanent complete the entire four- program for three months site on a long-term lease week residential program. after the residential program.

18 LOOKING WHO Quality of Life Assessment FORWARD 5

The Buttery Private will deliver ten residential programs over the next year. This will confirm its position as a program that takes a much-needed QUALITY OF LIFE psychological yet holistic HEALTH approach to emerging 3 MONTH FOLLOW UP EXIT ENERGY mental health issues. 0 INTAKE MONEY The Buttery Private will be DAILY LIVING consolidating referral pathways SELF SATISFACTION with private clinics, Employee RELATIONSHIPS Assistance Providers (EAPs) Quality of Life LIFE SATISFACTION and strengthening its position as a leading private small group wellbeing program. Exit Survey KNOWLEDGE CONFIDENCE STATISTICAL STRONGLY AGREE DATA AGREE MIXED FEELINGS Findings show that attending DISAGREE The Buttery Private improves self- STRONGLY DISAGREE reported individual outcomes for all measured components of VALUE RECOMMENDATION wellbeing. The Buttery Private Summary of the asks participants to complete comprehensive psychometric assessments at qualitative and entry to and discharge from the quantitative gains residential component and again survey administered following the three-month to residents on exit. aftercare .program DASS Averages Satisfaction with Life Scale INTAKE 0 7

025

INTAKE EXIT

EXIT

3 MONTH FOLLOW UP

3 MONTHS

DEPRESSION POOR ANXIETY AVERAGE QUALITY OF LIFE STRESS GOOD HEALTH

19 MARCO FINDS RECOVERY AT THE BUTTERY PRIVATE

smoker and drinker to self- when he overdosed and “died t 31, Marco* had been medicating for his sadness for a minute” before Narcan to five other rehabs and trauma by injecting was administered. before going to The A amphetamines (“speed”). As a result of the overdose he Buttery Private. He managed to keep his job, suffered severe physical He said his stay at The Buttery working in his family’s business symptoms including circulation Private was different from his despite his accelerating drug use. issues, the temporary loss of experiences at other rehabs At 25 he started using heroin. movement in his legs as well because it was an invaluable as bronchial disease. opportunity to learn more “I’d been in hospital-like “I decided that I needed a long- about himself and the term rehab. I knew of The behaviours behind his addiction. rehabs before and Buttery’s reputation, so I phoned The Buttery Private is a social decided I didn’t want to them. Shaun, the guy I spoke enterprise which helps financially go into a hospital setting. to, told me about The Buttery support The Buttery’s drug and Private program and I decided alcohol rehab and community The Buttery Private is not to join The Buttery Private.” outreach programs. It is a fee- at all like that.” “I’d been in hospital-like rehabs paying wellbeing program which‘ before and decided I didn’t uses The Buttery’s evidence-based “There were family issues about want to go into a hospital community therapy model. my using drugs while I operated setting. The Buttery Private “You learn about yourself in The equipment. It became a safety is not at all like that.” Buttery Private. I learnt about not issue. I lost my self respect and Marco successfully completed being too hard on myself, about my heroin use destroyed my the four week intensive program looking after myself. I learnt to be relationship. Finally I admitted at at The Buttery Private as an open and honest with myself and 27 that I was an addict and needed introduction to joining The help, because I just couldn’t cope others. You have to surrender to Buttery’s Therapeutic with my life any more.” what you are taught here if you are Community long-term to find lasting recovery,” Marco said. He said he went to a succession of residential program which he completed successfully in 2018. After a severely traumatic event at rehabs, but after completing the programs, relapsed each time. 17, Marco said he switched from *Name changed to preserve being a recreational cannabis Marco’s drug use came to a head anonymity, library image used.

20 STUDY MEASURES EFFECTIVENESS OF THE BUTTERY’S THERAPEUTIC COMMUNITY TREATMENT MODEL

uring the year “John Shaw Warnock Research Trent Rees, Residential Programs a study measuring Grant" by a Buttery Board member, Manager, said the research was a the effectiveness of Mrs. Rosemary Warnock in memory validation of The Buttery’s D The Buttery’s of her late husband, John. approach and reinforced the need Therapeutic Community to change how successful recovery program was published in the is defined. journalBMC Psychiatry .* “When people come to programs The research project was a like ours, they may have also tried collaboration through the other interventions. Rather than University Centre for Rural Health, see that as a series of failures, we Lismore, between the University of need to recognise that recovery is Wollongong School of Medicine, a journey and all the steps taken Western Sydney University School along the way contribute to their of Medicine, and The Buttery. long-term wellbeing and recovery.” It showed that the idea of success “With crime, road accidents, lost of residents of The Buttery productivity and healthcare costs involved their sense of overall self- from substance abuse disorders worth and how the program helps costing the economy and improve relationships, their Rosemary Warnock (above), healthcare system around $55 psychological and physical supporter of the series of studies billion annually, Trent said the cost wellbeing, their understanding of of residential rehabilitation paled addiction and how it puts them on in comparison.” the track to gaining employment, studying and volunteering. (left) A Buttery Therapeutic Community The study is one in a series of counselling session near Bangalow in research projects funded by the New South Wales.

21 INTRA provides community- residential programs. are very well regarded by based treatment for adults INTRA works in close referring services because and teenagers in Byron Bay partnership with other of their effectiveness. and Lismore and group government and non- In the 2017-18 year, residents programs in Ballina and government programs. from Namatjira Haven, a local Treatment for teenagers has Tweed Heads. It is part of Aboriginal Men’s Residential been offered at Headspace Program attended INTRA’s The Buttery’s integrated sites and at various high SMART Recovery group in continuum of care. schools and youth services. Ballina. As part of The As part of this continuum of By using an intensive Buttery’s Continuum of Care care approach, clients needing intervention approach model, INTRA is developing more intensive interventions with young people who improved referral pathways are referred from INTRA have particularly complex and better service integration. to CORE, The Buttery’s needs, the INTRA team can INTRA Programs are funded community based rehab, help prevent long-term, bydonations and the or to The Buttery’s residential chronic substance misuse. Australian Government Therapeutic Community As a preventive measure for Department of Health via the (TC) or the Maintenance to young people at risk, INTRA Abstinence Program (MTA). also conducts two well- local Primary Health Network INTRA also supports people attended therapeutic martial (PHN). The Buttery gratefully who complete The Buttery’s arts programs (MMA) which acknowledges this support.

THE FAMILY SUPPORT PROGRAM

The Family Support Program mouth recommendations to is a free service funded entirely others. This year the program through donations. The highly also includes a group program qualified counsellor, Lily Schmelzle in partnership with b.well. provides face-to-face and phone counselling three days per week. Family support counsellor Lily Schmelzle She supports the parents, partners or children of people affected by a family member’s drug or alcohol use. As well as in-house referrals, the Program receives calls from Some of the INTRA team: (Back Row members of the wider community. LR) Ruth Langford, Often families suffer in silence Paul Phillips, Zjamal Xanitha, and without any support for David Laing themselves and the program (Front Row) helps address this. Lily Schmelzle, Adrianna Soulis, The program has a very positive Krystian Gruft effect on family members. They (Team Leader), Neshko Garch report high satisfaction levels with the service and make word-of

22 INTRA A LIFE-SAVER FOR INDEPENDENT EMILY

mily, now 41, had been cancer and I moved up here to “I couldn’t have done it without their using some kind of help my mum, who didn’t know support. They helped save my life, opiate since she was 18. I still had a problem. But with I will be forever grateful,” said Emily. E INTRA, I could help my family In December last year, “The team at INTRA helped me let after two years of reducing to while keeping my addiction go of the fear surrounding a low dose of opioid-substitute secret,” she said. stopping altogether. I was just Buprenorphine (Suboxone) These days I am more taking the tiniest sliver but I had Emily joined The Buttery’s a hard time believing I could stop INTRA program. She is now present and more after 20 years of using every day.” completely drug-free. honest. I don’t need Emily attended the INTRA program While the Buttery is best known three times a week, taking for its longstanding residential to lie. I started working advantage of group counselling, rehabilitation program, it offers at the end of last year. art therapy and yoga sessions. a range of recovery options Now that she is completely free which work with the strengths Emily used heroin from 18 and from opiates, Emily no longer lives of participants to bring about ‘started injecting Suboxone at withthe constant anxiety of being lasting change in their lives. For 26. In 2015, Emily moved to the ‘found out’. She has started work, is Emily -- a fiercely independent Northern Rivers and stepped studying community development person – INTRA’s outreach down from Suboxone with the and has a relationship. program was the perfect fit. help of a good GP. “Abstinence has helped “I am a very private person and However, it wasn’t until she me develop my emotional the thought of rehab for someone was referred to INTRA by an connections and has made me who has been using in secret for employment agency that the really grateful every day for the so long, was overwhelming. possibility of abstinence paradise we live in.” she said. “A family member was dying of became achievable. Library photo image used.

23 YOUNG PEOPLE’S EARLY INTERVENTION PROGRAM (YPEIP)

YPEIP is funded by the and Aboriginal organisations involved in heavy drug use. Commonwealth’s Primary and offer a point of referral to Although it has only been Health Network and .donations AOD treatment as well as support running for a short time, the It provides non-residential alcohol and consultancy for mainstream Program has made considerable and other drugs treatment and youth workers. progress. Outcomes so far include support to young people and It provides interventions to a reduction or cessation of risky their families in the reduce harm and address risk drug use, improved school Yamba/Grafton and behaviours. Our team offer reengagement, reconnection Bellingen/Nambucca Heads intensive support and treatment with families and reduction in areas. Staff work in partnership to a young people who, despite antisocial and criminal activities. with local youth, mental health their young age are already

BALLINA YOUTH TREATMENT SERVICE (BYTS).

BYTS commenced in 2018 recently and is funded by the NSW Ministry of Health. The part-time therapist provides AOD interventions and promotes the Buttery’s youth programs as an aftercare option for young people leaving out-of-area residential programs or correctional facilities. This program is meeting a great need in the Ballina area after a period of this need being underserviced.

24 “BEFORE THE FAMILY SUPPORT GROUP I THOUGHT I WAS THE ONLY ONE”

veryone thought only one who had experienced much brewing inside of me. Kathryn was living the something like this.” I really don’t know where I’d E dream — a North Kathryn had participated in be if I remained in anger. Coast lifestyle, three The Buttery’s family counselling Kathryn’s partner is now living young boys, and a husband program and was referred to the back in the family home, and of 19 years. group sessions by b.well. although she admits they have a long road ahead, she sees Before walking into her first Kathryn said the support group hope for her family. Family Support Group session bonded very quickly over last year, nobody outside of similar stories. “He is now in recovery. He her family knew the shame did his three-month rehab. and anger she carried as the These days I am more He started studying. He is an partner of someone living active dad. He is trying. Now with mental health and drug present and more I need actions. I need to see it.” misuse issues. honest. I don’t need to The Family Support Group is In January last year, Kathryn’s solely supported by donors. husband, who had a history of lie. I started working at depression and anxiety, started the end of last year. The Family Support Group and ‘microdosing’ on LSD to manage Family Counselling Programs are symptoms. Eventually, this solely supported by donors. As well “The age range was beautiful. escalated into a cocktail of ‘ as individual donors, The Buttery The youngest would have in been alcohol and hallucinogens. gratefully acknowledges Angel in her late twenties. There were He was taking mushrooms, Fund, Northern Rivers Community ketamine, MDMA. Eventually, a few grandmothers in the group. Foundation, Milton Corporation he became suicidal and erratic. I think having the counsellors Foundation and Portland House there, including one with a lived Before attending the group, Foundation. The program was experience of addiction, helped. run by The Buttery’s b.well commenced in 2010 through program, Kathryn felt totally Kathryn said the group helped a generous donation from The isolated. “I felt like I was the her deal with anger. “I had so Vincent Fairfax Family Foundation.

25 b.well is the Buttery’s community This program supports people b.well provides counselling program for people living with aged 12 years and above. It is and includes peer and lived- Dual Diagnosis: people with a client-led, recovery-oriented, experienced groups at various mental health issues who are harm-minimisation program locations in an area from concerned about the impact of using early intervention and Tweed Heads to Evans Head their use of alcohol or other within a trauma-informed and west to Casino. drugs on their overall wellbeing. framework. b.well GROUPS

ACHIEVEMENTS CLINICAL b.well conducts a number of activity groups. These have a In recognition of b.well’s OUTCOMES focus on wellbeing, help break outstanding results, and a large AUSTRALIAN TREATMENT down social isolation and increase in the number of people OUTCOMES PROFILE connect participants with served, the program was selected counsellors and peer workers (ATOPs) RESULTS: by its funding body, the Australian who have the lived experience Government’s North Coast Using the screening method of living with dual diagnosis. Primary Health Network for preferred by our funding body, Groups that have been running a promotional story in its the North Coast Primary Health for a number of years include: “HealthSpeak” publication. Network, known as “ATOPs” since b.strolling, b.supported, de- January 2018, we have obtained stress and relaxation, strong comparative data for this quarter. emotions, coping with a loved NEW ASSESSMENTS ATOPs results: one in addiction Groups added this financial 52% increase improvements recorded January to year include: b.connected, March 2018 by b.well participants: 110 participants Nimbin Central School Group, decrease in daily 60% Dual Diagnosis DRUMBEAT substance misuse PARTICIPANT NUMBERS improvement in IN 2018-19, b.well 57% psychological health IS LOOKING FORWARD TO: 33% increase improvement in 160 participants 64% Supporting even more people overall quality of life to achieve their recovery goals. Improvements were also recorded Commencing the therapeutic SERVICE EPISODES in employment rates, participation DRUMBEAT program in in study, securing stable housing. 46% increase Mullumbimby in August 2018. PARTICIPANT Providing further assistance to 615 participants SATISFACTION SURVEY people taking part in or who have completed The Buttery’s b.well’s data reflect excellent CLINICAL CONSULTATIONS CORE program. participant feedback regarding 42% increase satisfaction with our program Further integrating b.well programs with other Buttery programs as part consultations from 100% of those who took 3,132 of The Buttery’s Continuum of Care. part. Participants report looking forward to attending groups, Providing Dual Diagnosis Drumbeat feeling comfortable and safe to in Mental Health Services in the b.well was able to facilitate share “everything was wonderful”, Byron Bay Sub-acute Mental Health two student placements, one at strengthened social connections Unit and the Lismore Child and Adolescent Mental Health Unit. masters and the other at diploma and 100% said they would level, and support a volunteer in recommend the program Facilitating an increase in our program this year. to others. more student placements

26 programs (continued)

PartnerNORTH COA Tin NORTH COAST PARTNERS IN RECOVERY Promote a community-based Recove ry recovery model to underpin all The North Coast PIR is a recovery-oriented and trauma- clinical and community support informed outreach service providing coordination of care and navigation services delivered to people through the National Disability Insurance Scheme (NDIS) to people who experiencing severe and persistent identify as having a severe and persistent mental illness and complex needs. mental illness with complex needs. This service area extends from Pottsville to Evans Head and west to Nimbin. Target the transition to the PIR is a consortium comprising The Buttery, Anglicare North Coast, CHESS, NDIS, with 60% of all participants Galambila, New Horizons and Mission Australia as the lead agency. being assessed for eligibility by It is funded through the Australian Government Department of Health. June 30, 2018.

PROGRAM Strengthen partnerships ACHIEVEMENTS THIS YEAR THROUGH and build better links between THE BUTTERY’S PARTICIPATION IN PIR: OBJECTIVES various clinical and community of 14 client access support organisations responsible 13 The objectives of the program are to: to treatment forms for delivering services to the PIR submitted (above target) target group. Facilitate better coordination participants found of clinical and other supports Improve referral pathways 6 eligible for NDIS and services to deliver a person- that facilitate access to the range 5 NDIS decisions pending centred support individually of services and supports needed tailored to the person’s needs. by the PIR target group. 4 NDIS plans in place

ALCOHOL& OTHER DRUGS CONTINUING COORDINATED CARE PROGRAM

The AODCCC supports people services for high needs clients who Supporting people to access ages 18-65 who have complex have a substance use disorder. medical and community services unmet psychosocial needs and Services the program Supporting people to who are receiving alcohol and provides include: maintain community and other drug treatment through Maintaining linkages with family connections their Local Health District or AOD and primary health services a Community Managed Providing access to vocational Organisation program. Providing day-to-day and educational services The program helps people functional living supports The program commenced in June 2018. connect with treatment, access accommodation, connect with others in the community and provides life-skills support. This program is funded by the NSW Ministry of Health under the NSW Government Alcohol and Other Drugs Package and Part of the b.well provides support facilitation team L-R: to people from Port Macquarie to Amanda Hewitt, the Queensland border and west Tunja Petrusis, Michelle Renshaw, to the New England Tablelands. DRAFT Frances Pidcock The objective of the program (Manager) Mark Ashworth is to provide enhanced care coordination and wraparound

27 NORTHERN RIVERS GAMBLING COUNSELLING SERVICE

The Northern Rivers Gambling support to problem gamblers related problems. The NRGCS Counselling Service (NRGCS) and those affected by problem provides education to the is funded by the Responsible gambling. The aim of the service community, information and Gambling Fund through the is to assist gamblers and their support to the gaming industry Office of Responsible Gambling. families in initiating and around responsible gaming and The Service provides free and maintaining changes in their assists in putting self exclusions confidential counselling and gambling behaviour and other in place.

HIGHLIGHTS Young Women’s holiday camp displays in a numberof large at Evans Head and meeting venues in the Tweed Heads area. E frequently with the Aboriginal stablishment of a new central The appointment of Petra Gambling Service, Warruwi; office in Tweed Heads co-shared Hinchcliffe, an experienced attending the Aboriginal Football with other Buttery programs. counsellor, to replace Shelane Knockout in Lismore; Health I nvolvement in community Osborn who resigned after Days in the Muli and Tabulum engagement events: NAIDOC Day four years with the program. communities and accompanying celebrations in Mullumbimby; Nathan Hindmarsh, the renowned I nterviewed by Channel 7 Orientation Week at Southern Aboriginal ex-footballer, to News and ABC North Coast Cross University; Murwillumbah a number of talks on gambling Radio for interviews about Community Centre's Wellbeing Day changes in the recent cap and Lismore’s Mental Health Expo. at local high schools. on poker machines in NSW. Continued active engagement C onducted a week-long with the local Aboriginal promotion on Bay FM for community through yarning Responsible Gambling regularly with residents at nearby Awareness Week. This included Namatjira Haven; speaking at a live interviews and promotional

LOOKING FORWARD

Improved social media campaigns

Support and involvement in a two-day conference being held by Twin Towns for all venue staff in Tweed and Northern Rivers Region during Responsible Gambling Awareness Week in October 2018 to highlight the issues of problem gambling and how to understand and support their patrons.

Establishing outreach service in Ballina from a new office there.

The NRGCS Team (L) Petra Hinchcliffe, Chester Carter, Emma Ryan (Manager)

28 I’M NOW BACKIA N CONTROL ND IT’S BEAUTIFUL

osh* had been gambling for As a successful tradesperson, he same immediacy. I played 17 years when he finally got was often paid in large lumps of professional sport, and the type J cash. “Every day I had cash. The of adrenaline that you get from the help he needed from the Northern Rivers Gambling cash was a trigger,” he said. sport, you get playing the pokies. Counselling Service (NRGCS). Josh admitted he would I got results moment by moment. For eight years he attempted to spend most of his weekly Josh said it was a combination stop, but it was only through The earnings on the pokies. of attending regular GA meetings Buttery’s program that he had “One day I drove past the and counselling sessions which his recovery breakthrough. Tweed NRGCS office. So I took got him ‘over the line’. The 47-year-old said his down the number and rang up. “Petra was able to get me to the addiction to the pokies “(NRGCS Counsellor) Petra point where I was accepting myself, quite literally steered his life. helped me solve the problem. which paved the way for a spiritual “It’s like being possessed. I was I related with her and when shift. I finally surrendered to it and pulled over by the Police once I met Petra I was ready to stop” all the trauma went away. because I was circling a round- “I always thought gambling was “Gambling cost me my about six times. The pokies a dumb-arse thing to do. That relationships, my connection had such a pull on me that was until I had to stop playing with my family and friends. I quite literally couldn’t turn the footy due to injury. The stars I had completely isolated wheel to get home,” Josh said. sort of lined up; I got pretty myself. But I can feel people Determined to beat his dark. I was taking a lot of drugs. now. I can look them in the face. addiction, Josh joined Gamblers I had a traumatic childhood. Right now my typical day might Anonymous, but admitted he “The thing about pokies is that be boring for most, just sitting couldn’t drive past the pub on you get results second by on the beach and feeling it, but his way home from meetings second. I didn’t have the that is beautiful,” Josh said. without succumbing to the patience for Sporstbet, or the *Name changed. lure of the machines. races, because it didn’t have the Library photo image used.

29 AUDITED FINANCIAL INFORMATION

STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 30 JUNE 2018

2018 2017 $ $ Revenues from Ordinary Activities 4,660,468 3,999,102

Depreciation expense (80,413) (99,388) Employee Benets expense (3,687,248) (3,022,661) Finance Costs expense (6,800) (5,719) Rent payments expense (232,498) (117,394) Other Expenses (1,070,661) (873,281)

Prot/(Loss) from ordinary trading before Income tax expense (417,153) (118,450)

Income tax expense relating to ordinary activities -- Prot/(Loss) from ordinary activities after income tax expense (417,153) (118,450) Other Comprehensive Income 783,462 -

Total Comprehensive Income 366,309 (118,450)

STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 30 JUNE 2018

2018 2017 Cash ows from operating activities $$ Cash receipts in course of operations (5,323,070) (4,212,064) Cash payments in course of operations 5,427,424 4,371,936 Interest received 62,981 46,004 Interest paid --

Net Cash provided by (used in) the course of operations 167,335 205,876

Cash Flows from investing activities Proceeds from sale of property, plant and equipment - -12,728 Payments for property, plant and equipment (85,883) (33,425) Net cash used in investing activities (85,883) (20,697)

Cash ows from nancing activities Repayment of borrowings - - Net cash used in nancing activities - -

TOTAL NET INCREASE IN CASH HELD 81,452 185,179

CASH AT THE BEGINNING OF FINANCIAL YEAR 2,937,515 2,752,336

CASH AT THE END OF THE FINANCIAL YEAR 3,018,967 2,937,515

30 AUDITED FINANCIAL INFORMATION

STATEMENT OF FINANCIAL POSITION AS AT 30TH JUNE 2018

2018 2017 Current Assets $$ Cash and Cash equivalents 3,018,967 2,937,515 Trade and other receivables 451 11,900 Other Assets 59,095 14,456

Total Current Assets 3,078,513 2,963,871

Non-Current Assets Property, Plant & Equipment 2,201,516 1,412,583

Total Non-Current Assets 2,201,516 1,412,583

Total Assets 5,280,029 4,376,454

Current Liabilities Trade and Other Payables 241,759 214,833 Provisions 452,679 379,240 Financial Liabilities 4,001 8,252 Other liabilities 570,232 142,316

Total Current Liabilities 1,268,671 744,641

Non-current liabilities Provisions 62,631 49,395

Total Non-current Liabilities 62,631 49,395

Total Liabilities 1,331,302 794,036

Net Assets 3,948,727 3,582,418

Equity Retained prots 3,129,774 3,546,927 Asset revaluation Reserve 818,953 35,491 Total Equity 3,948,727 3,582,418

For the full audited Financial Report, please visit: https://www.buttery.org.au/audited-financial-information-2017-18.pdf

31 INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BUTTERY LIMITED ABN 53 130 812 994

R

62 Woodlark St

s

32 INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BUTTERY LIMITED ABN 53 130 812 994

In preparing the financial report, the directors are responsible for assessing the Company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the directors either intend to liquidate the Company or to cease operations, or have no realistic alternative but to do so.

Auditor's Responsibilities for the Audit of the Financial Report

Our objectives are to obtain reasonable assurance about whether the financial report as a whole is free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with the Australian Auditing Standards will always detect a material misstatement when it exists. Misstatements can arise from fraud or R error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of this financial report.

A further description of our responsibilities for the audit of the financial report is located at the Auditing and Assurance Standards Board website at: http://www.auasb.gov.au/Home.aspx. This description forms part of our auditor's report.

Report on Requirements of Charitable Fundraising Act

The requirements of the Charitable Fundraising Act and the regulations regarding the proper keeping of accounts and associated records and the accounting for an application of money received as a result of fundraising appeals conducted during the year have been complied with. wca audit & assurance services pty ltd Authorised Audit Company

Tania L Kirkland 62 Woodlark St Director

DATE: 19 October 2018

33 THERAPEUTIC MARTIAL ARTS GIVES ARLEE A FIGHTING CHANCE

hen Arlee French, much. I was smoking 24/7. it gave me a reason to want to try”. at 15, first took As soon as I woke up. But “When I started I was really part in The now I use martial arts to W overweight. Physically it helped Buttery’s Mixed keep me calm.” in so many ways. It helped me Martial Arts (MMA) Therapeutic The MMA Therapeutic group regain my confidence and gave program he was at a crossroad is run by The Buttery’s INTRA me discipline.” which could have easily led outreach program. down a path of hard drug use “Before MMA I couldn’t go to and mental health problems. “(without MMA) … school because of my anxiety. Every time I thought about Now 19, the young Lismore I wouldn’t be able to going to school I panicked.” man sees his participation in “ the MMA program as the take care of my niece “If I hadn’t have done martial turning point in his life. arts I would never have finished and nephew and little school. I probably would be taking “It has really helped with many a lot heavier drugs. And I wouldn’t aspects of my life. I had really sister like I do” have a job. Much of life would bad anxiety but with the social have gone downhill and I wouldn’t aspect of martial arts, I came It helps 14-19 year-old boys with be able to take care of my niece out of my shell.” a history of substance misuse, and nephew and little sister like school absenteeism violence “I smoked a lot of marijuana and I do. There are a lot of things I’m and petty crime. It is achieving dabbled in other things. But grateful for about MMA.” martial arts gave me another remarkable results. “If I could give advice to anyone outlet for the stress and anger. “MMA helped me focus on what like me, it would be to take every I was taking care of kids a lot – I needed to do. Having male opportunity given to you.” my younger sister and my niece figures around that understood and nephew. It was all a bit what I needed to do in life —

34 PLEASE HELP THE BUTTERY HELP MORE PEOPLE LIKE ARLEE

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I enclose a cheque payable to The Buttery Limited

OR Please debit my: Visa MasterCard

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Please send your donation in the envelope provided or Post to THE BUTTERY REPLY PAID 42 BANGALOW NSW 2479 To donate online visit www.buttery.org.au/make-a-donation/ Donations of $2 and more are tax deductible We take your privacy seriously and will not pass on your details to a third party. Thank you for being part of the work of the Buttery through your kind support. THANK YOU FOR SUPPORTING THE LIFE CHANGING WORK OF THE BUTTERY

The Buttery acknowledges the many generous individuals, foundations, organisations and companies whose support enables The Buttery to help so many people.

A number of Buttery programs are The Buttery acknowledges The Northern Rivers supported by funding from the North funding it receives from the Gambling Counselling Coast Primary Health Network NSW Ministry of Health under Service is funded by through the Australian Governments’ the NSW Government’s Drug the Responsible PHN program. The Buttery gratefully and Alcohol Package. Gambling Fund. acknowledges this support.

The Buttery helps teenagers and adults who have drug and alcohol misuse, gambling and mental health issues. The Buttery relies on the generosity of the community to continue its life-changing work. The full range of Buttery programs provides a continuum of care: education, residential and non-residential treatment, aftercare and relapse prevention.

Donations to The Buttery are fully tax-deductible. https://www.buttery.org.au/make-a-donation/

02 6687 1111 [email protected] www.buttery.org.au

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