| context -drugs, alcohol and housing, an introduction - courses, |
| Context |
| A significant number of all clients who come into services have drug or alcohol problems yet they often face major difficulty in getting the help they need. Many workers ,make a lot of assumptions about users and feel unskilled in working with them. Research shows that homeless drug users are more likely to be Chaotic
Difficult for services to engage
Carrying out high risk injecting practices.
|
Support |
These issue mean that there well be needs for high levels of support. Government states that this is necessary to help with:- |
Preventing tenancy breakdown
|
Physical and mental health |
Preventing acquisitive crime and antisocial behaviour
|
Levels of substance misuse or sustaining abstinence post treatment
|
Access to services and treatment
|
Financial problems, including debt and arrears
|
Legal problems and contact with the Criminal Justice system
|
Relationship and family problem
|
Re-offending
|
Issues with Drug Services |
Joint working is clearly an issue. It is recognised widely that no one agency can resolve all the types of problems that a client may have. |
It was reported in the Cambridgeshire and Peterborough report mentioned above that: |
“The issue of waiting times for specialist treatment was raised frequently in workshops and agency interviews and service user consultation. It was felt that excessive waiting times are often a key factor in people relapsing into chaotic substance use and placing their housing situation at risk as a result.” |
The report also stated that the culture in treatment services presented a problem. Many clients were not able or ready to comply with overly rigid criteria for methadone prescribing. |
These two factors themselves mean that housing workers are often in the situation of dealing with people who are in the process of falling between gaps in other people’s provision. They have to deal with the person who may relapse and no professional is able to see within an appropriate time framework. |
As a result, many housing workers require the same knowledge as drugs workers to help them support clients. We have developed training for a number of housing organisations to help workers develop skills required to support clients who have drugs and housing problems. |
Workers often feel that they have to pick up the piece caused by waiting lists, non-compliance with treatment and relapse. |