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Tabor Lodge Addiction and Housing Services Limited Cork Tabor Lodge Addiction and Housing Services Limited Cork

Mick Devine MIAAAC Ø Clinical Director Tabor Lodge Addiction and Housing Services Limited Ø Mick Devine MIAAAC Ø Clinical Director Tabor Lodge Addiction and Housing Services Limited Ø Voluntary Rep on National Drug Rehabilitation Implementation Committee Ø Secretary Addiction Treatment Centres Ireland (ATCI) Ø Voluntary Rep on Southern Regional Drugs Task Force Finbarr Cassidy MIAAAC Ø Treatment Manager Fellowship House Ø Voluntary Rep on Cork Local Drugs Task Force Ø Chair of Southern Voluntary Cluster Eileen Crosby MIAAAC Ø Treatment Manager Renewal

Introduction Caring for People with Addictions and for their families since 1989 Ø Delivering Introduction Caring for People with Addictions and for their families since 1989 Ø Delivering 28 day Residential Tier 4 Service with over 230 admissions annually Ø 3 Month Step-Down Facilities for men and women with over 50 admissions to each facility annually Ø Delivering Community Based Family Support Services with over 5, 000 attendances annually Ø 52 Week Continuing Care Services with over 5, 000 attendances annually Ø Accredited by CHKS Ø

The main drug of choice of the addicted population attending services is alcohol REASON The main drug of choice of the addicted population attending services is alcohol REASON FOR REFERRAL

Ø These 181 patients were all categorised as “chemically dependent to alcohol” according to Ø These 181 patients were all categorised as “chemically dependent to alcohol” according to the Diagnostic and Statistical Manual of the American Psychiatric Association, 4 th edition DSM IV. Ø Since the dependence on alcohol indicates an addiction, the issue of minimum pricing is not relevant. The alcohol will be obtained by fair means or foul regardless of the price.

Ø Roscommon Child Care Case Ø Report of the Inquiry Team to the Health Ø Roscommon Child Care Case Ø Report of the Inquiry Team to the Health Service Executive Ø 27/10/2010

Ø 4. 9 Alcohol and Drug Dependency Ø There was evidence to suggest that Ø 4. 9 Alcohol and Drug Dependency Ø There was evidence to suggest that both parents had a considerable dependence on alcohol, upon which much of the family income was spent. This preoccupation with alcohol clearly affected their parenting capacity. It was manifested by the children often being left alone when the parents were in the pub and by the older children having to fulfil adult roles such as minding and feeding younger siblings. The purchase of alcohol was also tolerated by home management staff when the mother was brought shopping.

Tabor Lodge Annual Report 2010 Table 2 2006 2007 2008 2009 2010 SELF 75 Tabor Lodge Annual Report 2010 Table 2 2006 2007 2008 2009 2010 SELF 75 80 87 74 96 FAMILY/FRIEND 71 63 47 50 47 COURT/PROBATION SERVICES 27 32 32 24 11 G. P. 18 20 25 20 21 OTHER TREATMENT CENTRE 16 16 18 21 17 SOCIAL SERVICES 5 6 15 19 18 HOSPITAL 4 11 8 6 5 EMPLOYER 9 8 7 7 8 COUNSELLOR 4 2 A & E LIASON WORKERS 2 OUTREACH WORKER 10 MENTAL HEALTH INCLUDNIG PSYHICATRIST 4 TOTAL 229 236 241 233 239

National Drugs Strategy (interim) 2009 - 2016 Action 32 Ø Develop a comprehensive integrated National Drugs Strategy (interim) 2009 - 2016 Action 32 Ø Develop a comprehensive integrated national treatment service using a 4 –Tier Model Approach

MTC Review of Tier 4 HSE Funded Residential Rehabilitation Services Ø Chapter 8 Recommendations MTC Review of Tier 4 HSE Funded Residential Rehabilitation Services Ø Chapter 8 Recommendations The key recommendation from this report is that there needs to be one agency nominated to provide funding for residential treatment to agencies who have reached the mandatory standards of care required to provide residential treatment (Approved Centres) and that there is criteria agreed to assess the suitability of a person for residential treatment. Where services are required within approved centres, funding should be provided, based upon agreed outcomes, at a level to ensure that the organisation can remain viable. Access and referral to residential services should be standards based upon best practice. Aftercare and relapse prevention should form an essential element of an individual’s treatment package.

Roisin Shorthall TD Minister of State at the Dept of Health at NACD seminar Roisin Shorthall TD Minister of State at the Dept of Health at NACD seminar “A Family Affair” October 18 th 2011 “I am very focused on ensuring that there is an increased emphasis on moving people on from drug treatment to a drugfree life where that is achievable. It is my belief that there has been insufficient focus on this ambitious goal in the past”

Recommendations to Joint Committee 1. 2. 3. 4. 5. 6. 7. Tackle Ireland’s National Recommendations to Joint Committee 1. 2. 3. 4. 5. 6. 7. Tackle Ireland’s National Alcohol problem. Minimum pricing does not do this but rather increases the market share of the more established brands. Cultivate nationally a more responsible relationship with alcohol thereby supporting those chemically dependent to alcohol in their efforts to establish a sober lifestyle. The chief means to achieve this goal is through higher taxation and controls on advertising. Services providing comprehensive Treatment and Rehabilitation to the chemically dependent must be funded properly. Prioritise the implementation of Action 32 of National Substance Misuse Strategy (interim) 2009 – 2016. Implement the recommendation of the MTC Review of HSE Funded Tier 4 Residential Rehabilitation Services Endorse Minister Shorthall’s ambition to progress beyond harm reduction strategies to abstinence-based solutions

Conclusion v The main drug of choice in Ireland is alcohol v Addiction to Conclusion v The main drug of choice in Ireland is alcohol v Addiction to alcohol has a devastating impact on those involved and their family v The chemically dependent population should pursue an abstinence based solution v To achieve this comprehensive Treatment and Rehabilitation Services must be securely established by the State v Tabor Lodge Addiction and Housing Services Limited is a model of excellence in Treatment Provision