Presented by: Bridget Roberts Turning Point Peter Dawson Peninsula Drug and Alcohol Program PenDAP

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Presented byBridget RobertsTurning
PointPeter DawsonPeninsula Drug and Alcohol
Program (PenDAP)
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Area Map
Frankston
Mornington
Hastings
Rosebud
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Background

• The Mornington Peninsula has cheap rental
  housing, poor or no public transport and is
  situated in a growth corridor.
• PenDAP was unable to cope with demand for
  services both office based and outreach. Most
  PenDAP services focused on Frankston.
• Reportedly a large number of potential clients
  unable to attend to PenDAP office based services.

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Background

• The existing Victorian Treatment System offered
  little in outreach service to provision to
  adults.
• This NIDS funding offered an opportunity to
  develop a service response which catered to local
  geographic and community needs.

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The evaluation

• How do we know if weve made a difference?

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How we evaluated
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Adult Outreach - The Job

• Marginalised client group
• Alternate treatment option
• Versatility of role
• Positive experiences What are they and how do
  you get them?

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Competency Cycle
Initial Performance delay
Recognition of competencies
Positive experiences
Development of competencies
Opportunity for development provided
Positive and valued experiences
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Deviance Cycle
Initial Performance delay
Prejudiced beliefs
Low Expectations
More severe performance delay
Opportunity deprivation
Negative or diminished experiences
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Case study

• John, 26 year old male
• Recent psychiatric diagnosis
• Stable work
• Binge amphetamine use
• Outreach counselling

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Health Promotion

• Open Up and Polly Drug User
• Education packs
• Posters/Brochures
• Partnerships

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• In-home contact with client assisted to establish
  closer working relationship which in turn
  identified other areas of concern that were
  addressed. (Service provider)

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• I found clients who were unable to drive or had
  inability accessing transport were marginalised
  and missing out on much-needed counselling. Also
  clients who for a myriad of other reasons did not
  want to access external services, eg
  embarrassment, paranoia, medical reasons, low
  self-worth, etc. (Service provider)

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Client perspective

• Its comfortable easy to talk at home and
  Peter makes it very easy
• Some days I wouldnt have been out of the house
  if it wasnt for Pete coming and saying Come out
  for a coffee, cos you havent been out for a
  week.

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Key findings client outcomes

• Marginalised clients were reached
• Access improved for these people - In-home
  contact with client assisted to establish closer
  working relationship which in turn identified
  other areas of concern that were addressed
• Positive outcomes from contact with the Adult
  Outreach Worker and outposted counselling service
• Open Up raised awareness of oral health

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Key findings system/organisation level

• The project
• Led and promoted expansion of AOD, health and
  welfare services to the Peninsula
• Helped develop an important partnership
  (PCHS/PenDAP)
• Promoted organisational learning about reaching
  hard-to-engage people
• Community development as well as clinical AOD
  skills required

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Service providers - summary views

• multiple and timely linkages
• liaison and conjoint work
• flexibility to respond to clients/carers needs,
  whether in relation to the time and place of
  meeting or to the type and duration of care
  provided
• prevention and community education
• high standards throughout

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Future directions

• PCHS and PenDAP may work jointly on
• parenting group for AOD users
• GP liaison programs
• extension of outreach work to alcohol and licit
  drug users (this one was on illicit drugs)

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Acknowledgement

• Department of Health Ageing (Australian Govt.)