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| 7. SHARED SOLUTIONS |
- Development of a multi-agency local drugs monitoring network to identify changes in substance use trends.
- Development of support services for marginalised groups.
- Targeted adult Peer Education projects, e.g. the Traveller health projects.
- Workplace policies that support early intervention for drug and alcohol users.
- Drug policies in schools and youth services that support early identification and intervention.
- Provision of easily available information on alcohol and drug issues and the services available (e.g. via helpline, advertising in local media).
7.1.2 Early intervention and treatment
Providing early access to help/treatment.
- Work with GPs in primary healthcare setting to improve screening and early intervention.
- Adequate direct access to assessment, counselling and support services for people who are experiencing drug or alcohol related problems.
- Assertive outreach programmes to target groups who are reluctant to access services.
- Community-based detoxification programmes for drugs and alcohol.
- Family support services to help families deal with the impact of drug or alcohol misuse.
- Provision of a range of supported treatment programmes.
- Supported housing for homeless people who require treatment interventions.
- Access to local detox beds for people requiring inpatient stabilisation or treatment.
- Access to specialist medical expertise to support the primary health care initiative with responsibility for the inpatient treatment programme.
- Provide a regional inpatient drug and alcohol treatment unit
- Support the urgent appointment of a medical Consultant post
- Assessment of the need for a needle exchange programme to reduce the harm caused by injecting drug use.
- Targeted diversion projects to engage people in treatment and other services as early as possible.
7.1.3 Rehabilitation and relapse prevention
Maintaining a drug-free lifestyle.
- Providing access to a sufficient number of rehabilitation beds and programmes, including through purchase of beds in existing residential rehabilitation centres.
- Support the further development of community-based relapse prevention programmes.
- Support programmes for users and families.
- FÁS programmes need to target drug and alcohol users.
7.1.4 Relevance and need
Projects must be drug or alcohol related, and should have direct relevance to the objectives and priorities of the Regional and National drug strategies. Project funding will be prioritised in relation to relevance and need, which will be monitored by the Task Force.
7.1.5 Monitoring and evaluation
All projects will be subject to monitoring and evaluation criteria. This will involve exploring the outcomes and the impact of the project in a systematic and rigorous manner.
7.1.6 Value for money
It is essential that projects or initiatives demonstrate value for money. Accounts and expenditure will be subject to audit as part of the evaluation process. |
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7.2 Outline of proposed developments and indicative costs
| |
Detail |
Cost
year 1 |
Cost
Year 2 |
Cost
Year 3 |
| Task Force staffing and setup |
|
|
|
|
| Task Force Coordinator |
|
60,000 |
60,000 |
60,000 |
| Project Worker (Grade 5) |
|
25,000 |
50,000 |
50,000 |
| Administrator (Grade 4) |
|
20,000 |
40,000 |
40,000 |
| Training budget |
|
5,000 |
25,000 |
25,000 |
| Website development |
Initial setup |
5,000 |
N/A |
N/A |
| Accommodation |
Rent |
10,000 |
20,000 |
20,000 |
| |
Insurance |
3,000 |
5,000 |
5,000 |
| |
Start up costs |
10,000 |
N/A |
N/A |
| |
Office supplies |
5,000 |
10,000 |
10,000 |
| Measures to address gaps in services |
|
|
|
|
| 4 Community Liaison posts (see Note 1 over) |
Salaries |
60,000 |
240,000 |
240,000 |
| |
Project costs |
5,000 |
20,000 |
20,000 |
| |
Rent |
6,000 |
20,000 |
20,000 |
| |
Office equipment |
20,000 |
20,000 |
20,000 |
| 3 Education Support Workers (see Note 2) |
|
|
180,000 |
180,000 |
| 3 Community Alcohol Detox posts (see Note 3) |
Salary |
|
180,000 |
180,000 |
| |
Project costs |
|
20,000 |
20,000 |
| |
GP support |
Cost to be determined by HSE/Dept. of Health § |
| Substance Misuse worker for homeless (Note 4) |
Salary |
20,000 |
60,000 |
60,000 |
| Pharmacy Liaison Worker (Note 5) |
Salary |
|
50,000 |
50,000 |
| |
Project costs |
|
5,000 |
5,000 |
| |
Pharmacy support |
Cost to be determined by HSE/Dept. of Health § |
| 3 Community Substance Misuse Brief Intervention Counsellors NUIG and GMIT (Note 6) |
|
60,000 |
180,000 |
180,000 |
| Substance Misuse Consultant post |
HSE |
Cost to be determined by HSE/Dept. of Health § |
| Local inpatient detoxification beds (Note 7) |
HSE |
Cost to be determined by HSE/Dept. of Health § |
| Regional inpatient drug & alcohol treatment unit (Note 8) |
HSE |
Cost to be determined by HSE/Dept. of Health § |
| Rehabilitation beds (Note 9) |
|
200,000 |
200,000 |
200,000 |
| Residential support service for homeless people (Note 10) |
|
|
1,100,000 |
1,100,000 |
| Grants to community-based projects |
|
N/A |
200,000 |
200,000 |
| Grants for education, information and support for families affected by addiction |
|
N/A |
100,000 |
100,000 |
| Grants for primary prevention initiatives for young people |
|
N/A |
200,000 |
200,000 |
| |
|
|
|
|
| Research |
|
|
|
|
| Substance misuse in the Traveller community |
|
|
30,000 |
|
| Misuse of benzodiazepines and other medicines |
|
|
30,000 |
|
| Service delivery for marginalised groups |
|
|
|
50,000 |
| Evaluation of Task Force Implementation Plan |
|
|
|
30,000 |
|
| Total |
|
514,000* |
3,045,000* |
3,065,000* |
* Additional funding to be added for uncosted proposals marked § in table above. |
| |
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| Notes on development proposals |
1: Community Liaison Workers
To appoint four Community Liaison Workers in Galway City and County, Mayo and Roscommon to link to the local Social Inclusion Measures Working Group of each County Development Board. These workers will
- Forge interagency collaboration and joint initiatives to tackle local problems.
- Help drive initiatives and co-ordinate developments in line with national and regional drug policies.
- Identify the local impact of substance misuse and local service needs.
- Help groups prioritise needs and developments.
- Raise awareness of substance misuse issues among agencies and community organisations.
2: Education Support Workers
Three posts, to support the implementation and the ongoing delivery of the SPHE programmes and other community based education programmes around substance misuse issues. Their role could also include linking with Post Primary Support Services, Home School Liaison Officers, the VECs' Adult Education and Community Education facilitators, parent support programmes, and other relevant services and personnel.
3: Community Alcohol Detoxification Workers
Three community-based nurses (one for each county)
- To support people on home detoxification programme.
- To liaise with GPs regarding care plan and treatment programme.
4: Pilot Project: Community Substance Misuse Worker for Homelessness
One Community Substance Misuse Worker to engage with homeless people in the hostels and support projects, to offer direct counselling, group work, support of treatment programmes and relapse prevention. This post can be split according to workload between COPE and Galway Simon Community, liaising with other relevant organisations as needed.
5: Pharmacy Liaison Worker
- To work with pharmacists, GPs and relevant agencies on the issue of misuse of benzodiazepines and other medicines.
- To work with pharmacies on addressing the need for and development of a needle exchange programme
- To offer training and support to pharmacists.
6: Community Substance Misuse Workers (Third Level Colleges)
These three posts will target the 18-24-year-old student population in National University of Ireland, Galway and the Galway & Mayo Institute of Technology. They will offer direct access brief intervention, assessment and counselling for substance misuse.
7: Inpatient detoxification beds
To provide local specialist inpatient alcohol and drug detoxification.
8: Regional inpatient drug & alcohol treatment unit
To replace the addiction treatment unit closed down in 2003, and to address a significant gap in services identified in Open Space consultations and by Task Force members.
9: Rehabilitation Beds
Funding to purchase rehabilitation beds/places for drug and alcohol clients in existing programmes.
10: Residential support service for homeless
• For people who are homeless, or at risk of becoming homeless, who are in need of a "dry" and drug-free environment.
Start up costs and running costs. |
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