Clondalkin Addiction Support Programme Limited
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Mission Statement
Clondalkin Addiction Support Programme, CASP provides a holistic, integrated, ethically based, community-focused addiction treatment service. Our focus is the physical, psychological, social, and emotional needs of substance misusers and their families in the community who are living with the impact that addiction has on their lives.
About This Cause
Clondalkin Addiction Support Programme, CASP supports individuals, families and communities, through the provision of a range of evidence based programmes and tailor made programmes, to support those whose lives are impacted on by substance use and the related issues. CASP work with individuals and families to find a pathway to addressing the consequences of substance misuse, whilst seeking to find sustainable strengths and actions to manage and address issues for those presenting to the service. CASP provide the following services to substance misusers and family members in Clondalkin, Lucan, Palmerstown and Newcastle and in the mid west regions of Limerick, North Tipperary and Clare: • Comprehensive service provision for substance misusers, parents, partners, siblings, and the community members. • Holistic, progression-based substance abuse treatment in a community setting. • Support for substance misusers and their families in working towards experiencing the most meaningful, healthiest, and fulfilling lifestyles possible. • Provision of service-user access to educational, vocational, and self-improvement resources, and supports throughout the process. • Continued development of substance-use prevention programmes, and constant review, monitoring of, and adaptation to changing trends. • Access to information and supports regarding referral resources offering necessary services to our client groups. • Engagement and cooperation with other relevant agencies and groups providing pertinent support services. • Development and maintenance of relationships with relevant state agencies and governmental departments with regard to policies and actions effecting drug and rehabilitation services within the community. • Supporting service-users towards integration of their own journeys and decision-making processes, and the creation of future opportunities for positive growth and development. The following are statistics based on CASP's Clondalkin based services: 300 individuals availed of 5511 interventions in CASP's Clondalkin based services in 2021. 123 individuals availed of 1403 interventions by the CASP counselling team in 2021. Daily drop in sessions engage substance misusers who are homeless or at risk of homelessness in the CASP service by providing food, showers, laundry facilities, access to nursing care, in addition to support and information. 63 individuals used drop in services in CASP 760 times in 2021. The project worker team provide key working and case management to substance misusers to support with addressing substance misuse and related issues, goal setting and referrals both internally and externally. 108 individuals availed of this service in 2021. Group work programmes are facilitated, planned and structured for methadone clients and external clients that are availing of CASP services such as key working, counselling and drop in. CASP facilitate a range of group work programmes to engage members further in their recovery and work towards achieving identified goals. In 2021, a weekly women’s group, a Reduce the Use group and a Wellness group took place. The Community Prison Links service provides ‘in reach services’ to prisoners from Clondalkin, Lucan, Palmerstown and Newcastle areas which focuses not only on their substance misuse but also on the psychological and general needs such as post release treatment, family support and coping strategies whilst in prison and in particular in the 8 -10 week period post release where individuals are vulnerable to falling into old patterns of behaviour and recidivism. The Community Prison Links Worker liaises with a range of agencies within the prison system and in the community including Probation, ISM Officers, TEOs and prison counselling services in relation to addiction treatment services is the common theme with all the work. In 2021, 32 service users were case managed by the Community Prison Links service. New injecting equipment and information on safer use are provided to substance misuers attending the CASP needle exchange service. The exchange also accepts returns of used injecting equipment for safe disposal. 147 individuals used the needle exchange in CASP 509 times in 2021. The family support service aims to enhance family members coping skills by offering needs based interventions, reducing isolation, supporting family members to deal with high stress levels and offering up to date information on emerging trends and services available. 77 individual family members availed of 1393 family support interventions. The CASP respite house is available for families for short breaks away at no cost. It is located in Brittas, Co. Dublin. It was unable to be used until the end of October 2021 due to covid restrictions. 3 Families availed of this in 2021. Holistic services are available including massage, reiki, facials, reflexology etc for substance misusers and family members. This service has fully reopened since March 2022 but it did not take place in 2021due to covid restrictions. The CASP staff nurse provides nursing care to those on our methadone programme and is the link between CASP and the HSE methadone prescribing service which is dispensed daily on site in CASP. 59 individuals availed of nursing care in 2021 in CASP. CASP service users typically have a range of issues preventing their full participation in society mostly in relation to poverty and disadvantage, in addition to their addictions. To address this, it is necessary to empower our service users including families and the wider community by building capacity to deal with addiction on not just a personal but also on a broader community level. Social change is required that will contribute to the creation of a more just, sustainable and equal society and positively impact on our service users. CASP is represented on a range of various committees and forums including Clondalkin Drug and Alcohol Task Force, the Treatment and Rehabilitation and Recovery Sub Group, North Clondalkin Community Safety Forum, PPN Linkage Groups, Homeless and Housing SPC Committee and others. The aim of CASP/CSMT is the provision of supports and related educational and practical interventions to support and facilitate a range of on-going services, targeted at supporting the parents, family members, partners and young people living with the impact of substance misuse. To provide the most effective support to young people and their families, CASP/CSMT places special value on the following process: using the ACRA (Adolescent Community Reinforcement Approach) and the 5-step model of work. CASP/CSMT is based in Arthurs Quay in Limerick city and provides support to young people and families from this central location. Accessible outreach is also part of our organisation’s strategy for engagement and within this CASP/CSMT continues to operate several drop-in centers localised in the Mid-West region to provide support and accessibility to CASP/CSMT in the community. In Limerick County there are centers open in Newcastle West, Caherconlish and Hospital; in Clare County: Kilrush, Shannon, Ennistymon and Ennis and in Tipperary North: Roscrea, Templemore, Thurles and Nenagh. Most of our clients (54%) in 2021 were 18 years and under, this not only shows the need for a service like CSMT in the Midwest region but also shows the impact substance misuse is having on adolescents. There were 2030 key working appointments attended and 118 family support appointments attended during 2021. In total, there were 2148 client activities. 47% of clients completed their treatment period with us. Outcomes for these sessions included: • ACRA programme- Functional analysis raising awareness of triggers for substance misuse. • Increased pro-social behaviour. • CRAFT model of work with concerned persons • 5 Step Programme • Solution focused intervention through a collaborative approach • Reduction of drug & alcohol use • Raised awareness of effects of substance misuse, poly drug use. • Lessened the impact of substance misuse on the family unit. • Provided a safe place to discuss issues. • Supporting young people affected by a parental addiction, this includes providing emotional support; education around the nature of addiction and increasing knowledge of various substances. These young people may be particularly vulnerable to substance misuse themselves and this work is seen as preventative. • Improved communication in the family by practicing communication skills with the young people. • Assisted and advocated for young people to achieve goals on their action plan, e.g., looking for courses and activities that the young person may be interested in. • Education and awareness around substances so that informed choices can be made by the young person. • Referrals to other agencies where appropriate, e.g., SICAP, Bushypark, Aislinn residential • Assessments carried out for Aislinn residential and pre- and post-treatment support provided. • Improved well-being including mental and physical health. • Improved understanding of opportunities available and support Cannabis herb (weed) 51%, cocaine 21% and benzodiazepines 8% are the three main substances being misused by client that are presenting themselves to CSMT in 2021. The group work programmes which CASP CSMT worked on in 2021 are the Psychoeducation Group (10 clients attended) and Strengthening Families Programme (6 clients attended). The Psychoeducation group consists of evidence-based practices including, assessment, functional analysis of use, happiness scales and identifying pro-social outlets. The Strengthening Families Programme is one of the most powerful programmes for family change in the country, because it involves not just the parents or the children alone, but the whole family. The SFP is unique among parenting and family programme because it was developed specifically for children of substance misusing parents.