Post on 08-Jul-2015
transcript
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
1950 started in a Church Basement
Now, professional social service agencyRemain affiliated with the United Church in Canada
2013 – Over 200 employees, $8 million worth of services Housing and HomelessnessNeighbourhood Development and Newcomer ServicesChildren, Youth and Families
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Wesley Urban Ministries believes that harm reduction programs and interventions are vital components of healthy communities.
Harm Reduction: Any policy or program designed to reduce substance related-harm without requiring the cessation of substance use-CAMH
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Community Need
“Back Alley” non-beverage “ETOH” consumers
Hamilton mouth wash alley
Poly substance users
Struggle for urban free space
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Wesley Harm Reduction Continuum1 2 3 4 5
Abstinence Substance Influenced Abstinence
Acknowledged Use
Support Substance Administration
Non Medical Non Medical Partial Medical Enhanced Medical
Comprehensive Medical
Custodial Care Outreach Outreach Case Management
Outreach Case Management
Social Care
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
16 Bed - Level 5 Harm Reduction Program
Managed Alcohol Program
The intent of the program is to better care for the homeless alcohol dependent individual by meeting their chronic physical, mental health and addiction needs by providing coordinated health care and managed alcohol treatment
Special Care Unit
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Target Population
Male
Homeless
Alcohol dependency
Acute mental and physical health problems;
Cycle of repeated uses of, emergency rooms, hospitals, detoxification centres and police contacts
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Current StaffDirectorRegistered Nurse2 Registered Practical Nurses2 Night Shift Coordinators1 Operational Support Worker4 Client Care Workers
Affiliated StaffShelter Health Network2 Primary Care Physicians
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Administration of Alcohol
Occurs in conjunction with health care and social supports
Amount individually determined as a “care team” decision, confirmed by the Director
Amounts fall within general guidelines similar to all programs
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
100 % of current client group is participating in the harm reduction program
40% are low-risk consumers (includes abstaining) or moving to (reducing etoh consumption) low-risk consumption
Medication compliance rate exceeds 90%
Flu immunization compliance rate 100%
100% have Primary Health Care provider relationship
Outcomes
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca
Future
Niche – Alcohol dependency
Moving to a new location that provides expanded and flexible facilities
Improve community integration
Expand harm reduction services
Implementing electronic files and client outcomes data base
DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca