Client work is individual and collaborative, enhancing autonomy, using CBT relapse prevention, the 12 steps and MI. Clients are abstinent while in Cornerways and it provides networking social support. Primary and secondary care are combined with clients progressing from one stage to the next. If a client has any difficulties in Cornerways we can mutually agree a transfer to one of the other two StreetScene units.
Family meetings can be arranged with staff, and family members can contact the house to see how their client is progressing, with the clients consent. Other support can be provided or signposted for family members depending on need. Residents can have visits from children and families in first phase and have home visits in second phase.
Residents can have visits from children and families in first phase and have home visits in second phase. Each house has gardens where children can play under supervision. Children can eat at the house if required and visitors can go on the house walks. In second phase clients can go out for the day with their visitors.
Re-integration is provided for the first 4 to 6 weeks. The re-integration package is ten days non-residential treatment spread over 4 - 5 weeks. After-care is one afternoon each week and lasts for as long as a client feels is necessary. Skype support can be provided or phone counselling for people returning to their own area.
All clients are given harm minimization information and an extensive relapse prevention information during treatment. On discharge the harm minimization is given both verbally and in information packs. Clients are either given support to find local dry housing and access to local services, usually in our own supported accommodation, or are referred to care co-ordinator.
Our re-integration package is ten days non-residential treatment spread over 4 - 5 weeks. Designed to support clients in the move back into independent living in the community. Clients will attend groups and workshops and participate in the daily structure of the house on the days they come in. This includes meals and clothing washing facilities. After care is a free twelve week rolling program one afternoon a week consisting of group and workshop activities. Aftercare is available to all StreetScene clients.
A complete assessment of needs is linked to a summary of care plan from other services. GP involvement with medical reviews, individual treatment plan addressing substance misuse, taking a long-term perspective, inclusive of other services.
In general we do not accept schedule 1 offenders into our residential centres; however, a decision can be made in individual circumstances based on accurate, full and current information being provided so that a full risk assessment for the community can be undertaken. This also applies to arson convictions.
Due to restrictions in the premises, deaf, blind and chronically impaired clients cannot be accepted.
Both alcohol and tail end opiate withdrawal facilities are available following a comprehensive assessment of need. This is generally available to those who would be assessed as suitable for a home detox.
Clients are assessed either on site or by telephone. The assessment will gather information on drug and alcohol use, criminality, health issues, general information on family and children. Assessment takes about 50 - 60 minutes.
On admission residents will be assigned a counsellor and buddy to help orientate them. Calls can be made to family then calls are restricted for one week. Residents will also be drug tested on arrival.
StreetScene provides prison assessments, telephone assessments and the opportunity for all assessments to visit the premises and meet the residents. Special dietary arrangements and spiritual needs will be made before arrival provided we have been made aware of the needs beforehand.
Clients who lapse will have their treatment contract reviewed and may be discharged or moved to one of our other treatment houses.
Violence is not tolerated.
Constant breach of house rules could result in discharge.
With Clients, we have weekly house meetings, anonymous suggestion boxes, satisfaction questionnaires both anonymous and non anonymous, which used quarterly and at the end of treatment to help with our quality assurance. We have both clinical and non-clinical audits carried out regularly by senior staff from other units. We have monthly review visits by our trustees, the results of which are discussed at our quarterly meetings.