In the Veterans Substance Misuse Case Management Service (VSMCMS) we provide specialist help and advice across Forth Valley to veterans with alcohol or drug problems. Substance misuse can sometimes hide the symptoms of other mental health problems and make it difficult for people to ask for, or find, effective help and treatment. We help veterans get the help they need for their addiction before they receive help for mental health issues. In the Armed Forces, some 13% of those deployed to operations in Iraq and Afghanistan are thought to suffer from significant alcohol disorders. Our services are free for veterans. It doesn’t matter how young or old a veteran is, how long they’ve served or when – we can help. For more details please go to: http://www.combatstress.org.uk/medical-professionals/substance-misuse-service/
How to contact us The VSMCMS Nurses are co-located with Signpost Recovery and can be contacted on 01259 272112. Alternatively we can be contacted on the following mobile telephone numbers 07715 075689 or 07710 087092
Social Inclusion Project (SIP)
The SIP provides an opportunity for vulnerable individuals aged 16+ years who reside within the Falkirk Council area to improve access and engagement with community services to access appropriate support in relation to issues such as:
- Substance Misuse
- Mental Health
- Physical Health
- Learning Disabilities
- Offending Behaviour
- Anti-social Behaviour
- Housing and Social Problems
This initiative specifically targets people that satisfy a number of the following criteria:
- Adults (persons over 16 years of age who are not under supervision in terms of social work (Scotland) Act 1968), although consideration will be given to young people under supervision in conjunction with youth services;
- Who are at significant risk of offending or who persistently commit acquisitive crime and have significant frequencies of offending in Forth Valley;
- Who commit crimes in order to finance their drug/alcohol/substance dependency;
- Adults who may be subject to the Adult Support and Protection (Scotland) Act 2007;
- Who are subject to Vulnerable Person Reports and significant police concerns;
- Who are frequent attenders at NHS Forth Valley and Emergency Department;
- Who reside in the Falkirk Area. This target group is identified using police intelligence data and information from criminal justice, Signpost Recovery, NHS and Falkirk Council Housing. This is not a self-referral service; referrals come from Police Scotland, Falkirk Council Social Work, Conflict Resolution Service, FIRST Team, Signpost, NHS A&E and the Hospital Addiction Team.
How to contact us:
Mob: 07970 787 569
Custody Arrest Referral
This aspect of the service provides assessment and support in the custody suites in Falkirk and Stirling Police Stations. People in custody who have addiction issues are offered a referral to the main services. Arrest referral also acts as a communication medium for those who are already engaging with services and we are able to inform partners if one of their clients is in custody which is useful for medication and prescribing issues.
This service provides injecting equipment and outreach help in accordance with the presenting issues. This service also provides advice and support on safer injecting, sexual health and blood borne viruses. The service targets those furthest away from treatment and those with a higher threshold of risk.
Clackmannanshire Healthier Lives (CHL)
Clackmannanshire Healthier Lives (CHL) began in 2008 and is an award winning anticipatory care project achieved through partnership a between NHS Forth Valley, Clackmannanshire Council and other third sector groups and services. Whilst funded by Clackmannanshire Council, the partnership’s leadership and coordination function is delivered by Signpost Recovery. This unique programme focuses on those Clackmannanshire citizens experiencing the most disadvantage in our communities, thus reducing socioeconomic and health inequalities. CHL offers a range of approaches to support sustainable long term changes. CHL offers a package of assessment and care planning which allows for the:
- The identification of health, social and emotional issues that are barriers to an individual’s potential;
- Support to tackle lifestyle risk factors; smoking cessation, weight management and alcohol support etc.;
- The promotion of positive wellbeing and positive behaviour change;
- Access to support, new life skills and opportunities;
- Work towards increased independence and employability;
- Engagement with community and voluntary sector groups to promote a social model supporting real behaviour change;
- The recognition of community assets as opposed to deficits. Our aim is to tackle the inequalities that prevent Clackmannanshire reaching its potential. Reducing such inequalities will play a significant part in creating a skilled, resilient population who assert control over their lives, look after their health and participate in the local economy.
The alcohol support component of CHL provision involves the assessment and care management of clients whom have a range of presenting issues in relation to alcohol misuse. CHL have a dedicated Substance Misuse Worker (Signpost Recovery) and an Alcohol Counsellor (Addictions Support & Counselling) who work together to provide a recovery orientated system of care that recognises the unique needs of Clackmannanshire’s citizens and communities.
CHL Active Communities Officer: The physical activity component of CHL is provided by Clackmannanshire Council and aims to:
- To improve the physical and mental health of Clackmannanshire citizens.
- Reduce the incidences of illness’s and subsequent visits to GP’s.
- Improve the employment prospects of Individual’s through increased wellbeing, confidence and self-esteem.
We have specifically set up activities in deprived areas to improve the opportunities of local people attending classes, thus reducing the costs associated with travel. To promote inclusion and understanding, specific classes have been designed to enable the disability community to join in with their non-disabled peers.
Health & Personal Development Officer: This post is staffed by Clackmannanshire Council and in the main, this post delivers services to people affected by mild to moderate mental health problems. The post has a focus on those who are excluded, vulnerable or harder to reach (including those who cannot be supported by other services) and supports these clients to build skills, confidence and resilience. The role also involves the delivery of interventions and support via a group work context, groups such as the Self-esteem group have been a valuable pre-cursor or addition to the interventions being provided by other components of the CHL project.
Community Food and Development Worker (CFDW) & Food Assistant: These posts are provided by NHS Forth Valley. The CFDW & Food Assistant work with vulnerable adults, families and communities to identify their food and nutritional needs. The team develop Clackmannanshire specific approaches to community food work, thus supporting health improvement by initiating long term sustainable changes for individuals and communities through the increasing of skills and knowledge around food, nutrition and health.
Tullibody Healthy Living (THL): Tullibody Healthy Living is a community-led health organisation operating within the geographical community of Tullibody, Cambus and Glenochil. By adopting a whole community approach, and through our location within the central shopping area of the village, we ensure THL staff work with the local community to address the issues that are having a negative impact on their health and wellbeing. Our approach involves community empowerment and this results in a more resilient population and our service provision supports the prevention of ill health through tackling the causes of health inequalities.
For Further Information Contact a member of the CHL team:
Clackmannanshire Healthier Lives Signpost Recovery, Units 1 & 2, Cooperage Business Village, Cooperage Way, Alloa, FK10 3LP Tel: 0845 6731774 / 01259 272112 Email: firstname.lastname@example.org
Addiction Recovery Service
The Addiction Recovery Service (ARS) is a Forth Valley wide service available in the Stirling, Falkirk and Clackmannanshire local authority areas. ARS consists of a partnership between Signpost Recovery and Forth Valley Alcohol and Drug Partnership Substance Misuse Services. It focuses on helping clients in their recovery from the issues associated with problematic substance misuse. The service provides recovery focussed support and prescribed interventions to encourage a move towards reduction and or abstinence. The aim of the service is to improve the health and well-being of individuals with substance misuse related problems through minimising their problematic substance use and promoting recovery. Furthermore, ARS will reduce the associated harm to children, family members and the wider community affected by the problematic substance misuse.
General Practitioner Prescribing Service (GPPS)
The General Practitioner Prescribing Service (GPPS) commenced in 2008. Whilst this was initially a very separate and distinct project it has become an integral part of Signpost Recovery’s service provision and the wider integrated care pathway. Within GPPS, we work in partnership with a growing number of Forth Valley General Practitioners (GP’s)* who have a particular interest in substance misuse to deliver the GPPS model of provision. We currently support about 135 clients in receipt of Opiate Replacement Therapies (ORT) such as Methadone and Buprenorphine.
The effectiveness of GPPS is dependent on effective partnership working and excellent communication between all involved. This is strengthened by a four-way treatment agreement between the GP, client, Signpost Substance Misuse Staff and the Community Pharmacist, importantly, evidence suggests that “an effective community based service depends on the close working relationships of these professionals” (DOH, 2006, p.65).
GPPS provides a flexible treatment option for opiate users where clients are supported by a multi-disciplinary team. Signpost Recovery key work staff – namely Team Leaders and Substance Misuse Worker’s support the client intensively, throughout the duration of the treatment journey. Methadone or Buprenorphine is prescribed by the GP and the support and administration of the treatment is provided by a Community Pharmacist. Support and advice is provided to the GP’s, Key work staff and Community Pharmacists by the Team Leader -GPPS Development and the
Lead Pharmacist: Mental Health & Substance Misuse.
*Not all GP’s in Forth Valley participate in GPPS, therefore, where GP’s do not participate; we have alternative arrangement in place through our Addiction Recovery Service. Please see the Addiction Recovery Service section for more information.
Some of the advantages of the GPPS approach to treating patients in the community include:
- Non-stigmatising environment which ‘normalises’ the service user experience;
- The service is available in the local community and usually within close proximity;
- GP’s AND Substance Misuse Workers have a holistic view of patient/client needs;
- Provide continuity of care;
- GP’s can provide a full range of health interventions as well as prescribing ORT;
- GP’s and Substance Misuse Staff can refer to other local community based services.
Criminal Justice Link Nurse Service
- Link Nurse Mandy Musik is a Mental Health Nurse who was funded by the Scottish Government 3 years ago with the aim of providing woman who are in the Criminal justice system with support with their mental health needs.
- This was initially an 18 month service but has continued funding by the 3 local authorities and Signpost Recovery.
- This service is provided in Stirling, Clacks and Falkirk Criminal Justice; in the Falkirk area a new premises has been provided and developed to provide woman with a holistic approach support for the woman within Criminal Justice.
- Support offered – A Mental health support needs assessment will be carried out to identify any support needs required and support provided to meet these needs.
- A full NHS Keep well assessment is offered to all woman; this looks at physical, sexual and mental health of a person and referrals and support put in place to meet the needs of any identified issue.
- One to one emotional support offered to woman to help them to develop knowledge and understanding of their issues such as Anxiety or Stress awareness and to develop new skills to manage any problem by looking at skills such as breathing techniques, mindfulness, goal setting, exercise, art work and any other therapeutic technique.
- Support to and referrals made to appropriate community services such as GP, FDAMH, social groups, sexual health and Psychology. Currently liaising with Woodlands mental health resources centre to be able to refer straight to their service (this is still in talks) Also referrals made to Forth valley Eating disorders team and Dietician.
- Also provide Blood Borne Virus Testing for woman who may be at risk and after care support in place to manage any positive results.
- Survive and Thrive course has now been running successfully for the past 2 years by link nurse and both Woman’s development workers Melanie Gardner and Patrica Kerr and is kindly supervised by Tracey Coyle from CADS. This is a Forth Valley wide stage 1 intervention for supporting woman affected by Abuse and Trauma. This course has been developed by Psychologist Sandra Ferguson; it was initially run within the prison but has been rolled out within the community. This course aims to help woman to understand how they have been affected by the difficulties they have experienced in their lives and helps them to develop coping skills to manage this. “I found attending this course really good at helping me to understand how what has happened to me has affected me and ways to cope better “I learned to calm myself down by using breathing techniques and it really helps”
- Some feedback –
- Other groups that Link nurse is involved with include woman’s drop in groups which are available in all 3 areas, these are a safe place for woman to come along to with loads of different activities going on to help reduce stress and distract from current difficulties. In Falkirk, there are cooking groups and a recent pet therapy group set up by Woman’s Development worker; this was a pilot but due to its success and benefits this will hopefully be funded again.
- Link nurse also provides alternate therapy Reiki and is trained to provide Acu-detox which will be available over next month.
Criminal Justice Substance Misuse Worker
- Based at Falkirk criminal justice service- Core caseload of moth male and female clients
- Role is to provide substance misuse support and advice to client’s who are open to criminal justice. Client’s are offered early intervention, relapse prevention and harm reduction support
- Naloxone training and BBV testing are also offered
- Regular joint appointments with CJ and children and families social workers.
- Attend child protection meetings, MAPPA meetings for high risk clients and harm reduction meetings within F.V.R.H
- Client’s are also referred to and supported to access other appropriate services such as ASC, CADS, FARS, mutual aid and Drop in group’s within criminal justice
- Mutual aid group SMART recovery has recently been introduced to criminal justice as a closed group. This is to enable clients to become familiar with the theory and tools used within SMART with the hope that they will eventually access other community groups or engage in peer facilitating.
Time 4 Us
Time 4 Us is a highly sought after service, which provides therapeutic interventions and supports to family members affected by substance misuse. The service operates across Forth Valley and builds on individuals’ existing qualities and skills. Adults are supported to increase their parenting capacity and children to ensure their voice is heard, enhancing self-esteem, confidence and resilience. The service is often delivered in conjunction with Child Protection measures, which results in a high degree of accountability.
http://www.asc.me.uk/ – Asc provides range of counselling for people affected by alcohol and/or drug misuse.
http://www.fvfamilies.org.uk/ – If you are a family member concerned about someone’s drug or alcohol use; SFAD can offer support.
https://www.facebook.com/Popuprecovery – Pop up Recovery is a peer lead community project covering Forth Valley. Information about upcoming events & meeting updated regularly on this page.
http://forthvalleyadp.org.uk/ – Respond to national strategies on drugs, alcohol, tobacco and volatile substances.
http://www.nhs24.com/ – Call free on 111 if you are ill and it can’t wait until your regular NHS service to re-open.
http://www.samaritans.org/ – If something’s troubling you, then get in touch.
http://www.scottishwomensaid.org.uk/ – Works towards the prevention of domestic abuse.
http://www.alcoholics-anonymous.org.uk/ – Meeting carried out throughout the Forth Valley, to find your nearest meetings get in touch or visit the website.
http://ukna.org/ – Meeting carried out throughout the Forth Valley, to find your nearest meetings get in touch or visit the website