What is One Recovery? A brand new commissioned service combining the talents of the previous...
16
What is One Recovery? A brand new commissioned service combining the talents of the previous services including Addaction, ADS, clinical services and Adsis; providing free advice & information, assessment, structured clinical and psychosocial support to those affected by their own or someone else’s substance misuse. Across Staffordshire, outside of Stoke-on-Trent, with the emphasis very much on recovery.
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Transcript of What is One Recovery? A brand new commissioned service combining the talents of the previous...
What is One Recovery?
A brand new commissioned service combining the talents of the previous
services including Addaction, ADS, clinical services and Adsis; providing free advice & information, assessment, structured clinical and psychosocial support to those affected by their own or someone else’s substance
misuse.
Across Staffordshire, outside of Stoke-on-Trent, with the emphasis very much on
recovery.
Movements in mortality 1971-2008Deaths per million of populationMovements in mortality 1971-2008
Deaths per million of population
-100
-50
0
50
100
150
200
250
300
1971 1981 1991 2001 2008
Year
% c
han
ge
vs 1
971 Liver
Diabetes
Cancer
Respiratory
Road
Heart
Stroke
Long term risksLiver cirrhosis and other forms of alcohol-related liver disease
Hypertension and stroke
Cancers of the mouth, larynx, pharynx and oesophagus
Other cancers, including breast cancer
Foetal Alcohol Syndrome (FAS) and foetal alcohol effects
Mental illness....isolation
Alcohol Dependence Syndrome
Immediate risks Murder/manslaughter Suicide, self harm
Violence, domestic and assaultSexual assaultUnprotected sexFires/burnsDrowningPneumonia and hypothermiaArrestReputation
Accidents/misadventure in general
Calculating Units
ABV% (alcohol by volume) x MLS = ?
? divided by 1000 = units…easy eh
e.g. 5.2% x 568ml = 2953.6 = 2.9536
1000
i.e. 3 units
Whatever the percentagethat’s how many units there
are in 1 litre
1000mls100cl
Whatever the percentagethat’s how many units there are in 1 litre or 1000mls or 100cl
40% = 40 units/litre
12% = 12 units/litre
7.5% = 7.5 units/litre
4% = 4 units/litre
Alcohol Consumption Levels
HIGHER RISK: regularly drinking
more than…Female 6 units per day
/ 35 units per weekMale 8 units per day / 50 units per week
INCREASING RISK: regularly drinking more than…
Female 2 - 3 units per day / 15 – 34 units per weekMale 3 - 4 units per day / 22 – 49 units per week
LOWER RISK / LESS RISKY: drinking no more than…
Female 2 - 3 units per day / 14 units per weekMale 3 - 4 units per day / 21 units per week
In most circumstances there is a low risk of causing future harm to themselves, they
probably don’t need to take any action, but continue to be
aware of what they drink
A person may experience tiredness, depression / low mood, weight gain,
memory loss when drinking and sexual
difficulties. Drinking at this level increases the risk of
damaging health, such as increased risk of high
blood pressure and liver damage
There is a much higher risk of damaging health and it is likely that damage has already been caused although the person may not be aware of it yet
Cycle of changeContemplation:Individual is considering change
Decision/Preparation:Individual makes plans to implement change
Active change:Individual implements changes; tries out new behaviours
Maintenance:Individual maintains new behaviour
Lapse:An isolated slip up – individual returns to Maintenance stage
Relapse:Individual returns to pre-change behaviour
Pre-contemplation:Individual not considering change
Change adopted:This becomes the normal mode
Adapted from Prochaska and Di Clemente’s cycle of change model
Recovery Hubs.Centres of Excellence for:
learning Integrating Developing Recovering
Independent Living Healthy Cooking IT Suites
Diversion Activities Skills Courses Sports
Literacy/Numeracy Womens Groups GROW
The four principles• Express empathy
• Develop discrepancy
• Roll with resistance (avoid argumentation)
• Support self efficacy
The client is the expert on them and it
is their journey
Alcohol Dependence…
The World Health Organisation defined alcohol dependent individuals as:
“those exhibiting a range of behaviours
including the strong desire to drink alcohol to the point that it takes precedence over all other behaviours, persistence to drink despite negative consequences, and physical withdrawal symptoms.”
reference: drinkaware.co.uk
What are the signs?
• Anxiety• Generalized hyperactivity ( restless/ agitated)• Fast heartbeat ( tachycardia)• Sweating ( often profuse)• Nausea/retching ( abdominal pain)• Tremor• Ataxia (Effect on the balance, speech, co-
ordination) • Confusion
• Ask for medical intervention
Referral Pathway???
CannockPark House 01543 468667Fax 01543 572619
Park House,12 Park Road CannockWS11 1JN
Whatever the issue, drugs or alcohol....
Tamworth
Albert House 01827 311505Fax 01827 59250
Albert house Albert Road Tamworth B79 7JS
www.alcohollearningcentre.co.uk www.drinkawaretrust.org.ukWheels/ leaflets and poster relating to alcohol
www.talktofrank.com Frank (drugs/alcohol website)
http://www.ukna.org/
http://www.alcoholics-anonymous.org.uk/
http://www.southstaffsandshropshealthcareft.nhs.uk/Services/Substance-Misuse-Services/Default/General-Information.aspx
