HOT at RCHT

June 6th, 2019 by

Innovative ‘HOT Team’ project to address alcohol A&E figures

In April 2018, national figures demonstrated that the number of people being admitted to A&E departments in England is the highest since records began.  Additional research has evidenced that a substantial amount of individuals frequently attending A&E departments are struggling with problematic drug and alcohol use.

Addaction, Cornwall’s commissioned drug and alcohol treatment service, has launched a rapid response team to cut the number of people frequently attending the hospital’s A&E department due to alcohol or drugs.

The HOT Team (Hospital Outreach Team) is the first team in the country to link up with a major Hospital to deliver a collaborative service offer to patients struggling with problematic alcohol and/or drug use, often becoming frequent attenders.

Addaction’s HOT team and RCHT was recently featured on ITV West Country News and the project is clearly thriving; with RCHT reporting a dramatic reduction in frequent attender numbers. The report was overwhelmingly positive and reflected the dynamic and innovative work being done in Cornwall to address the needs of some of our most vulnerable community members.

As a result of the HOT team’s success in Cornwall, the Government is now evaluating the project and considering delivering it across the country’s 50 major hospitals. This project is a great example of the collaborative work between the Commissioning team and Addaction, who continue to support a multi-agency response and service offer to individuals struggling with various vulnerabilities, including drug and alcohol related harm.

Author: Anna MacGregor

 

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1521 staff trained

June 2nd, 2019 by

Community Safety & DAAT Training Programme 2018/19 End of Year Report

This report covers the 12 month period April 2018 – March 2019, during which time the following training courses have been delivered:
  • 18x Alcohol Intervention & Brief Advice

A total of 317 people attended and completed the 3 hour Alcohol IBA session in 2018/19.

In additional to this, there was 3 Alcohol IBA Health Check sessions run for specific teams which were attended and completed by another 24 people, making a total of 341 people in year.

  • 11x Basic Drug Awareness PLUS 1 Train the Trainer session 

A total of 222 people attended and completed the 1 day BDA course in 2018/19.

  • Train the Trainer – 1 day course – (Trainer: Kim Hager)

Developing the bank of trainers who can deliver our local course. Following the Basic Drug Awareness Train the Trainer session on 26th November 2018 we have an additional 6 trainers for this course.  All 6 trainee trainers were assigned to future BDA course dates to train alongside the existing trainers.  This has been attended by 4 trainees so far with plans to co-train again in future courses to build experience.

  • 2x Blue Light course 

A total of 36 people attended and completed the 1 day Blue Light course in 2018/19.

The Blue Light Project is Alcohol Concern’s national initiative to develop alternative approaches and care pathways for people who are dependent drinkers, who resist change and are a high users of public services.

  • 14x Community Hospital Alcohol Detoxification (CHAD) training 

Between March 2018 and November 2018 work was carried out to identify and upskill Lead nurses within CFT to provide in-service leadership, training and development on the delivery of CHAD.

An initial Train the Trainer session was delivered on 30th January 2019 led by Angela Andrews.  Since then the above courses have been delivered by CFT nurses with DAAT and GP support.

A total of 106 people have attended and completed the CHAD training session in 2018/19 (this course is delivered annually for nursing competencies).

In addition, 2 Home Alcohol Detox training sessions have been delivered across 5 pharmacies, to enable them to support home detoxification from alcohol.

  • 4x Connect 5 Stage 1 Mental Wellbeing training 

Connect 5 is an evidence based collaborative prevention toolkit that promotes psychological knowledge, understanding and awareness and development of skills which empower people to take proactive steps to build resilience and look after themselves.

A total of 59 people attended and completed a Stage 1 Connect 5 course.  The subsequent Stage 2 and 3 will follow in 2019/20 programme.

  • 11x Dual Diagnosis courses 

This course is run specifically for mental health services and drug & alcohol service staff.  A total of 174 people attended and completed the 2 day Dual Diagnosis course in 2018/19.

Due to a number of requests and feedback we are looking to open the availability of this course to the wider training circulation in the 2019/20 programme.

  • 5x Mental Health First Aid courses 

A total of 76 people attended and completed the 2 day accredited Mental Health First Aid course in 2018/19.

No courses were delivered in Q4, due to the external accredited trainer moving out of county.  We are currently in the process of locating another trainer.

  • 10x Motivational Interviewing (general) 

A total of 195 people attended and completed the 1 day general MI course in 2018/19.

The DAAT have now brought the delivery of Motivational Interviewing course in-house, so we no longer require an external trainer to deliver.  Since October 2018, J

  • 7x Routine Enquiry into Adverse Childhood Experiences

A total of 137 people attended and completed the 1 day REACh training in 2018/19 (this course was introduced in Q3 of the programme).

The services that have attended and completed the REACh training in 2018/19 are DASV service staff, First Episode Psychosis Team, Young People Cornwall, Penhaligon Friends, Intercom Trust, Bosence Farm and Boswyns (including the YP Unit).

We will be organising an extra session for Young People Cornwall in June/July 2019 due to the number of staff still requiring the training.

  • 3x Time Credits and Supporting Asset Based Training 

Tempo Ltd are commissioned by DAAT to embed Time Credits into complex needs services (recovery, homelessness and Domestic Abuse) throughout the Area.  This training gives management and delivery staff an understanding of what to expect and how to utilise the currency in order to drive impact within client support planning in an asset-based approach.

A total of 42 people attended and completed the 3 hour Time Credits session in 2018/19 (this course was introduced in Q2 of the programme).

  • 11x Young People’s Substance Awareness and Screening 

A total of 133 people attended and completed the 1 day YP Screening course in 2018/19.

 

This is a total of 1521 staff in Cornwall in 2018/19.

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Celebrating Volunteers

June 1st, 2019 by

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Cove Ward: one year on, no one treated out of county

March 11th, 2019 by

A mental health unit in Cornwall is celebrating its first birthday with the news that not a single person an acute mental health condition has had to travel over the Tamar for specialist inpatient care.

Since the 15-bed Cove ward in Redruth opened its doors last March, people are being cared for in the county. The Cove, based at Longreach House in Redruth, is a fast-tracked, psychologically informed rehabilitation unit, and aims to promote a patient-centred, fast-tracked discharge and support patients to return to, and remain well in the community.

It was opened as part of a number of initiatives to address the pressures faced by acute inpatient mental health services, whilst preventing out of county adult acute inpatient mental health services and provide a better service for people.

Dr Paul Cook, Chairman of the Crisis Care Concordat, said: “It is an amazing achievement that no one with an acute mental health condition has needed to travel out of Cornwall to receive care for an acute mental health condition since 1 April 2018.

“The Cove Ward is a wonderful example of what can be achieved when people from across health and care work together to look after people and provide care nearer to their homes and families.

“Vulnerable people are now receiving the very best care closer to home, helping to prepare them for independent living and a return to the community.

“We know this approach has better outcomes for people’s recovery.

“This is ahead of the Government’s deadline and puts Cornwall and the Isles of Scilly well ahead of the majority of other health care systems in the country. Everyone working in Cornwall’s health and care system should be rightly proud of this achievement.”

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Safer Cornwall Training Programme 2019-20

March 6th, 2019 by

Accessible training to help identify risk, reduce harm and support people in the process of change.

The DAAT offers a range of training opportunities to improve knowledge, skills, awareness and joint working across a range of areas, particularly mental health. The courses are available to internal and external staff and run throughout the year.

 

 

We offer the following courses:

  • Alcohol Identification and Brief Advice
  • Basic Drug Awareness
  • Connect 5 Mental Wellbeing Stage 1
  • Dual Diagnosis
  • Mental Health First Aid
  • Motivational Interviewing
  • Time Credits and Supporting Asset Based Working
  • Young People’s Substance Awareness & Screening

For more information please visit our page here

Email: DAATevents@cornwall.gov.uk

Telephone: 01726 223400

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Cornwall Licensing Policy update

February 6th, 2019 by

On January 22nd, after being proposed by the Cornwall Licensing Act Committee, Cornwall Council voted in an updated Alcohol Licensing Policy Statement. This will now be in place for the next 5 years, setting the tone for how alcohol should be sold in Cornwall.

This new policy, which can be seen in full here, embeds some important work that has been undertaken by Cornwall’s Public Health and Community Safety teams in the last 3 years.

Local Authority Public Health Departments have been a Licensing Responsible Authority since 2012, but nationally had relatively little input into Licensing cases and culture.

This gap was addressed by Public Health England (PHE) in the initial Local Alcohol Action Areas and then in their ‘Health as a Licensing Objective’ (HaLO) pilot schemes.

Cornwall was invited by PHE to participate in the 2016-17 HaLO pilot scheme, and we created a postcode responsive tool that can help to quickly assess the alcohol related risks in any given area.

 

This HaLO tool, now renamed the ‘Health Impact Licensing Tool’ (HILT) has been seen as a national example of good practice, used in PHE webinars, presented to the Local Government Association and the House of Lords Licensing Committee, and to the academic ‘United Kingdom Centre for Tobacco and Alcohol Studies’ (UKCTAS).

The HILT tool has been used operationally to evaluate Cornwall’s Cumulative Impact Zones, and to contribute contextual evidence to a License revocation case against a premises in a violent hotspot within a Cumulative Impact Zone.

After a draft and consultation led by Julie Flower of CC Licensing team, the new Cornwall 5 year Licensing Policy Statement was voted through unopposed by full Council yesterday 22/01/19.

 

From a Public Health and Community Safety perspective, this policy:

  1. Embeds work done in the last 3 years,
  2. Puts these achievements into written policy, and
  3. Makes them a standard part of Cornwall Licensing policy and culture for the next 5 years.

This includes:

  • Public Health as a standard aspect of Licensing and alcohol retail (p6-7);
  • National guidance on responsible drinking, which can then be used to critique irresponsible drink promotions (p7);
  • The 10 Safer Towns initiative to address wider issues (p10);
  • ‘What Will Your Drink Cost?’ as an ongoing available flexible targeted messaging brand and campaign (p10);
  • Cumulative Impact Policies and mapping (p11 and 47);
  • The protection of children from harm (p21 and 66);
  • Public Health as a Responsible Authority (p49-51), including:
    • Alcohol Related Hospital Admissions;
    • The impact of alcohol in Cornwall;
    • HILT – The ‘Health Impact Licensing Tool’;
    • ARID – The ‘Assault Related Injuries Database’; and
    • Alcohol retail quality standards.
  • Drugs policies (p59-60), and
  • The responsibility of premises to have a supply of ‘spikies’ to raise awareness and keep customers safe (p65).

This now normalises pilot work that has been undertaken by the DAAT, Public Health, Safer Cornwall and Amethyst Community Safety Intelligence, allowing it to have long term application and impact in Licensing and Alcohol retail in Cornwall.

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Infection Control for Injecting Drug Users January 2019

January 24th, 2019 by

PHE and Health Protection, Cornwall and Plymouth have issued the following notice:-

  • During 2018, we have received reports of invasive injection site infections from across the South West.  This has included an outbreak of iGAS and most recently two cases of rare Fusobacterium gonidiaformans.
  • Once individuals become infected their health can rapidly deteriorate particularly within the most vulnerable segments of this population, where the consequences can be life-threatening.
  • It is imperative that anyone working with injecting drug users delivers the full range of harm reduction information and advice  – particularly around the risks of injecting site infections.
  • Some drug users lick their needles after injecting believing that this sterilises. This increases risk, due to germs we all carry in the mouth that once they enter the bloodstream of injectors, become a new threat. Please reiterate that this is not a safe practice.
  • Encourage and facilitate users with signs of infection (attached) to get prompt medical attention.
  • Needle Exchange remains a critical component of the care pathway, and is an evidence based intervention supported by NICE and the UK clinical guidelines for substance misuse. Please do everything you can to support people to be aware of the risks of sharing or reusing equipment and to use new equipment every time.

A poster detailing key advice on safe injecting and infection control. Safe_injecting_poster

Hand washing video from Harm Reduction Works

Cleaning works: how to clean a used syringe Harm Reduction Works Video

 

Harm Reduction Works injecting and infections leaflet

 

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Safer St Austell sleep out in solidarity

December 7th, 2018 by

Spending a night under the stars may seem like a good idea during the summer, but a group of community workers got a glimpse of the grim reality of homelessness at a special event in St Austell last night.

Officers from the Safer St Austell team spent the night at White River Place protected only by sleeping bags and cardboard.

The event was organised to highlight the issue of homelessness, as well as to help promote the local support services available and to demonstrate how well individuals are supported within St Austell.

 

The group, which included representatives from Addaction, Cosgarne Hall, SAHA Freshstart, Cornwall Council’s Community Safety, Localism and Anti-Social Behaviour Team, Mayor Gary King, Deputy Mayor Tim Styles and Cornwall Councillor James Mustoe slept out between 10pm and 6am, enduring a long damp night.

Helen Catherall, Addaction worker, said: “Homelessness is a sign. It tells us that there has been a crisis or that there is an underlying issue. Ironically, homelessness is barrier to accessing support when it’s needed the most. This is why it is so important to report rough sleeping to Streetlink either via their online reporting system or by telephoning Streetlink on 0300 500 0914 to ensure support is offered.”

Gareth Bray, Chairman of Cosgarne Hall Board of Trustees, said: “St Austell has a long history supporting those who are homeless going back to the 1800s and we are pleased to be involved with the sleep out to continue to raise awareness around support services. We want to highlight that although we are raising awareness through this event those who have attended had a choice to sleep out whereas those who are homeless do not have this choice.”

Sue James, Cornwall Council’s portfolio holder for environment and public protection, said:  “Homelessness is an issue we are determined to tackle, and events such as this help raise awareness of the problem.

“It is vital we do all we can to encourage people to contact Streetlink if you see anyone sleeping on the streets. The sooner we are informed, the quicker we can offer the support that these vulnerable people need.”

Advice for residents and businesses

  • If you see someone sleeping rough you can contact Streetlink via www.streetlink.org.uk or 0300 500 0914 (or 999 if they need urgent medical assistance).  Individuals sleeping rough can contact the Cornwall Housing Options Team on 0300 1234 161 or drop into an Information Service (formerly called One Stop Shop).
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Award Winning Mind & Body

November 8th, 2018 by

The Self Harm prevention programme ‘Mind and Body’, delivered by Addaction Young Peoples’ team, YZUP, has won the Innovation in CYPMH at the National Positive Practice in Mental Health Awards .

MAB was shortlisted for the award and then was competing against Hampshire CAMHS – New Forest Team. –  Sussex Partnership NHS Foundation Trust and The Emotionally Healthy Schools (EHS) Programme –  Cheshire & Wirral Partnership NHS Foundation Trust.

 

Winning this award will give MAB even more publicity and enable it to be showcased to other areas – hopefully resulting in  more YP who are experiencing Self Harm receiving early intervention.

The Mind and Body programme, commissioned by NHS Kernow and delivered by professionals from substance misuse and mental health charity Addaction, has won the Innovation in Children and Young People’s Mental Health award at the National Positive Practice in Mental Health Awards.

Vivien Hughes, Addaction manager from the Young Person’s Substance Misuse Service (YZUP), said: “We were delighted to be shortlisted in this category and we were up against two NHS trusts who had also been nominated, so a very competitive category. When they read out our name we were blown away. Of course we are immensely proud.”

This latest award makes it a hat trick of wins for the Mind and Body programme as last year we also won two other national awards from the Royal Society for Public Health, winning the Public Mental Health and Wellbeing Award as well as the overall Public Health Minister’s Award for our work around adolescent self-harm. The awards are great recognition for our staff and have strengthened our resolve to expand delivery so we can reach more people.

“Our most recent award also contributes to the overall recognition of the quality of the service, the importance of young people having access to early mental health intervention but also the achievement of staff and the talented people working within the service.”

The programme was first designed and delivered by Addaction Young People services in Kent, before funding was obtained through NHS England to enable it to be offered in Cornwall.

Last year, NHS Kernow agreed to provide funding to deliver the programme to run in community settings so that it could be offered right across the county.

“NHS Kernow can see the very real value of this type of early intervention. Evaluation of the programme has demonstrated a reduction in self-harming thoughts and action and also highlighted the benefits gained including improved emotional wellbeing, communication and engagement at school.”

Young people are referred into the programme, complete an assessment, and then are offered a series of interactive group sessions and one-to-ones that encourage open discussion about mental health and related issues.

These groups are a safe place to talk about topics that are often stigmatised. Young people are able to explore thoughts and actions in relation to self-harm, looking at why risks are taken and how to reduce them, and help develop communication, self-expression and assertiveness skills. It aims to provide students with strategies to reduce their risk-taking behaviour, improve their emotional wellbeing, and build life-long emotional resilience strategies.

A student from Cornwall, who is referred to only as Adam to protect his identity, said about the service:

“The programme gives me a way of expressing how I feel, to talk about mental health and say ‘I’m not ok’ and know others struggle too.”

The ceremony was held at Liverpool football club

YZUP are our commissioned young peoples’ service, delivering education, prevention and treatment services for young people across Cornwall & Isles of Scilly.

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Police warning over substance abuse – Two girls hospitalised

August 1st, 2018 by

Police warning over substance abuse

Detectives in Bodmin are currently investigating an incident which left two teenagers needing medical assistance following suspected substance abuse in Bodmin.

Officers were notified at about 11:00pm Sunday 29 July to reports of two teenage girls who had taken an unknown substance and became very unwell as a result.

The girls, a 16-year-old and a 17-year-old, were both taken to Treliske Hospital where their condition was stabilised. The 16-year-old girl was later released from hospital, the 17-year-old girl is currently recovering in hospital.

DC Andy Petherick said: “The substance that these girls are believed to have taken came in the form of yellow tablets which were in the shape of a shield with ‘EA7’ written on them, similar to the one pictured.

“We are urging young people to stay away from substances. You do not know what is in them or how strong the drug may be or how your body will react to them.”

Anybody with information about this incident are asked to contact police via 101@dc.police.uk or by calling 101 and quote log number 989 29/07/2018

 

 

 

https://www.devon-cornwall.police.uk/News/NewsArticle.aspx?id=e5f87eac-1c6f-49ca-ba0f-f71f9de860f8

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Safer Cornwall are a working partnership involving: