© 2005 1 mid western regional drugs taskforce action plan june 2005

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1 © 2005 Mid Western Regional Drugs Taskforce Action Plan June 2005

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Page 1: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

1© 2005

Mid Western Regional Drugs Taskforce

Action Plan

June 2005

Page 2: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

2© 2005

Agenda

Chairperson’s Foreword

Background and Context

Consultation Process

Key Issues

Action Plan

Page 3: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

3© 2005

A Statement from the Chairperson

Drug misuse is a major issue in the Mid Western Area and is the source of significant social and personal problems for individuals, families and the community in general. We all must face up to the many issues and develop effective, practical actions to improve the lives of those impacted.This document, therefore, is critically important in establishing the prioirty actions needed within the Region to tackle the problem. The plan was developed in the context of a comprehensive consultation process involving all the key stakeholders including statutory agencies, community and voluntary groups and individuals from the Region. Their valuable insight was greatly appreciated and has led to the development of this plan.I would like to personally thank all of those that participated in the various consultation sessions and also thank the members of the Regional Drugs Taskforce that selflessly gave up so much of their time to produce this document. This plan will not be delivered without the close co-operation and partnership of all the stakeholders involved. The RDTF on it’s own does not have the capacity to tackle the issues single-handedly. Collectively, we have a duty and responsibility to ensure that we now work together to achieve the aims and objectives set out in this plan. I am confident that the taskforce can be a useful force of change and focus in how we tackle the problems. I call on all those involved to work with us to make the difference in the lives of those impacted.

Tom Gleeson, Chairperson Mid Western Regional Drugs Taskforce

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4© 2005

Agenda

Chairperson’s Foreword

Background and Context

Consultation Process

Key Issues

Action Plan

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5© 2005

Background Context Mid Western Regional Drugs Taskforce

The Mid Western RDTF was convened in May 2003.

The formation of the Regional Drugs Taskforces was on foot of recommendations within the National Drugs Strategy 2001-2008 and was further supported by findings from a Health Research Board report which showed that drug abuse outside Dublin had increased three-fold over a four year period.

It is acknowledged that there are ‘huge gaps’ in service provision for drug users in the area.

With collaboration from the local community, voluntary groups, relevant agencies, and the public in general the Mid Western Regional Task Force hopes to develop an integrated plan to tackle the drugs problem and to identify the gaps in services to best provide care for drug users.

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6© 2005

Structure of RDTF

The Mid Western RDTF is made up of representatives from the following local community, voluntary groups, and the statutory agencies:

Aljeef

Bridgeland House

Bushypark Treatment Centre

Limerick City VEC

Clare County Council

Cuan Mhuire Bruree

Custom & Excise, Shannon

Mid-Western Regional Office, Dept of Education and Science

FAS

An Garda Síochána HSE Mid-Western Area Regional Drug Co-ordination Unit

Limerick City Community Reps

Limerick City Council

Limerick County Council

Limerick County Council Homeless Service

Limerick County Community Rep

Limerick Youth Services

NDST

North Tipperary County Council

Probation & Welfare

Talbot Grove Treatment Centre

Voluntary Rep

YPFSF, City of Limerick VEC

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7© 2005

Agenda

Chairperson’s Foreword

Background and Context

Consultation Process

Key Issues

Action Plan

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8© 2005

Consultation Process

The RDTF decided to consult with a variety of stakeholders in the Region in order to develop a detailed action plan.

These consultations sessions, facilitated by external consultants, were held over a period of three weeks across the region.

There were two primary methods of consultation: 1. Public consultation sessions

Four public consultation meetings were held in Newcastle Western, Limerick City, Nenagh, and Ennis. In each location, meetings were also held with local community groups separate to the public meetings. In total, over 80 people attended these public consultation sessions and they contributed a large range of ideas and suggested actions for the plan.

2. Sub-group meetings A number of sub-group meetings were convened with specific special interest groups. For example, meetings were

conducted with treatment & rehabilitation service providers, education & prevention workers including school representatives, youth workers, community representatives, Gardaí and a meeting was also held with service users.

Separate to this a number of individuals and groups provided submissions to the task force on their views with respect to the action plan.

Having gathered all of the inputs from these sessions three working groups were established within the task force to develop the detailed action plan itself. These groups meet on a number of occasions and a final draft action plan was developed by the task force.

This draft plan will be submitted to the National Drug Strategy Team (NDST) for assessment. Recommendations on funding will then made to the Inter-Departmental Group on Drugs and the

Cabinet Committee on Social Inclusion. The taskforce would like to thank all those who attended the various meetings. The Action plan

has been developed on the back of the valuable input provided by these individuals and groups.

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9© 2005

Agenda

Chairperson’s Foreword

Background and Context

Consultation Process

Key Issues

Action Plan

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10© 2005

The Mid Western Region covers the counties of Limerick, Clare and North Tipperary. The region is relatively rural – 57 per cent of the population live in rural areas in comparison to the national average of 40 per cent.

Limerick City, however, accounts for over one quarter of the region’s 240,000 population. The city dominates the region with a population almost four times that of the next largest centre, Ennis.

The population in Limerick and its environs is growing rapidly and is the second highest among the country’s five major urban centres. The population growth rate in Clare is relatively high also. It is possible based on current projections that the population of the region could reach 280,000 by 2020.

As a result, integrated care within the region is viable only if practical solutions are sought to ensure that services are fully connected and inclusive of outlying rural areas. Services must be flexible and adopt an holistic user-led approach.

However, smaller populations limit the range of possible services and there may be issues in relation to staff skill shortages. This makes an integrated care approach more expensive and difficult to provide equitable services across the urban/rural divide.

The Mid Western Region – A Unique Geography …

Issue Implication

Because of the mix of Rural and

Urban there is a need to ensure

that the response to the issues of drug misuse are sensitive to the local needs. The

responses required for

Limerick City are different to those

needed in smaller rural

settings.

The Mid Western region is unusual for the fact that whilst it is largely rural it is also dominated by a major urban centre

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11© 2005

There are considerable disparities between communities and areas in Limerick, in terms of access to employment opportunities and levels of income and consumption. There is a strong degree of polarisation with respect to disadvantage and affluence.

Limerick is a highly segregated city in which communities living in different areas enjoy very different lifestyles and standards of living. There are a number of suburbs and other areas within the city that are relatively affluent.

At the other end of the scale there are many areas that exhibit high levels of disadvantage. For example, the rate of occurrence of lone parent families in these areas is significantly above the national average.

Limerick City has consistently ranked as the second most dis-advantaged of the 34 local authority areas (i.e. Cities and Counties) in Ireland.

Rurally, there are also significant areas of disadvantage in some of the outlying areas of Limerick, Clare and North Tipperary.

Overall, in comparison to other Regions, the Mid Western displays possibly the largest disparity between affluence and deprivation.

The Mid Western Region – Disparity in affluence/deprivation …

Issue Implication

The scale of socio-economic

disadvantage in the Region means there are a number of high

priority areas that require significant

investment and support to combat the related issues.

The bulk of support provided through the

RDTF and other agencies should be

concentrated in these areas of most

need.

The Mid Western region displays considerable differences in socio-economic status

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12© 2005

Gardaí figures show that outside of the Dublin Metropolitan Region, the Southern Region (which includes Limerick) has the highest rate of drug related offences in the country. For example, cocaine related offences in the Southern Region are, at 17%, higher than any other region outside of Dublin Metropolitan (62%).

There is a high level of demand for treatment services within the region. For example, the Mid Western area has the second highest number of patients in the methadone treatment programme outside of the Dublin areas.

An NDTRS research study showed that in the Region the mean age of initial drug use was relatively young, at 15 years of age, in comparison to other areas.

Outside of the areas that currently are served by the Local Drugs Taskforces (in Dublin and Cork City), the Limerick area has the highest level of drug-related issues in the country.

The Mid Western Region – Significant drug-related issues …

Issue Implication

Relative to other areas in the

country, the Mid Western and Limerick in

particular require significantly

greater levels of resource to tackle drug-

related issues.

The Mid Western region has relatively higher drug-related issues to deal with in comparison to other Regional Drugs Taskforce areas

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13© 2005

The Mid Western Region – An overview of the issues identified through the consultation process …

Mid Western Region

- The Issues

Denial and unwillingness

to accept the drug problem

Alcohol –

biggest problem drug

Lack of resources

Poor service accessibilityLimited services making

accessibility to services difficult

Significant areas of disadvantage

Lack of co-ordination

across service providers

Limited resources

for Gardaí

Inconsistent sentencing

Intimidation of local

communities

Little or no support

for alternative treatments

Lack of service for Under 18s

Lack of volunteers

No support for families

Not clear where to go

for support or where to refer to

Methadone seen as a long-term solution

– no pathway off methodone maintenance

Clients not put at the

centre (key worker approach)

No needle exchange programme

Not enough investment

in youth services and facilities

Little research into scale

& nature of issue

Limited investment in the Region

over the years

Limited support for parents

Need for effective

education & prevention programmes

Continuum of care not always clear

RDTF not effective to date

Lack of community/statutory

co-operation & collaboration

Infrastructure and resources

inadequate to tackle the issues

Need for pre- and post-

treatment support

Comprehensive range of services

not in place to service scale of demand

Residential detox facility required

Page 14: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

14© 2005

Agenda

Chairperson’s Foreword

Background and Context

Consultation Process

Key Issues

Action Plan

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15© 2005

Strategic Action Plan Framework (1)

The Vision The Goals

We believe that freedom from drugs and alcohol related problems requires investment in education and prevention, reduction of supply, and appropriate supported treatment and rehabilitation for all living in the mid-Western area.

Our vision is a future where individuals can access excellent services, developed and supported by community, voluntary and statutory agencies in their own communities

RDTF Structure:

Past and current circumstances with regard to the lack of clarity on the function and supports required by the RDTF to develop as a cohesive structure in its own right, and the subsequent work expected of the R.D.T.F. in developing its Action Plan requires that the commitment, infrastructure and framework are compatible.

It is with this in mind that the Mid-Western RDTF have clearly identified the need for the committed resource allocation of Co-ordinator, Project Worker and Administrative Support.

This action is to be supported and facilitated by the N.D.S.T. prior to the implementation of all other Actions identified within the Mid-Western RDTF Plan.

Considering the diversity of the region and the specific nature of the issues related to Limerick city it is strongly recommended by the RDTF that a local drugs task force is established for Limerick city. This requires pre-development seed funding as was made available to the RDTF structure. The local drugs task force would work in parallel to and in close co-operation with the RDTF.

Projected Costs

2005 : €961,700

2006: €1,702,200

2007: €1,752,200

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16© 2005

Strategic Action Plan Framework (2)

We believe that freedom from drugs and alcohol related problems requires

investment in education and

prevention, reduction of supply

and appropriate supported

treatment and rehabilitation for all

living in the mid-Western area.

Our vision is a future where

individuals can access excellent

services, developed and supported by community,

voluntary and statutory agencies

in their own communities

The Vision The Goals

Th

e A

cti

on

s

The Objectives

To create a two-way learning and support Mechanism with service providers

In the region

Ensure parents are informed, educated, aware and supported

Ensure effective outreach services are in place within the Region

Create effective links with youth & communities

within the Region that encourages communication

and identifies alternatives to drug use/misuse

Ensure appropriate education and awareness

Programmes are provided within

and outside the school structure

Support a broad range of interventions, to improve the

awareness levels and knowledge of all key stakeholders within the

Region

Support the reduction of supply within the Region

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

Carry out practical and process focussed research to inform and direct responses

Establish a co-ordinated and concerted

drugs initiative in partnership with

entertainment venue owners and staff

Support and work in partnership

with law enforcement within in the Region

Page 17: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

17© 2005

Strategic Action Plan Framework (3)

We believe that freedom from drugs and alcohol related problems requires

investment in education and

prevention, reduction of supply

and appropriate supported

treatment and rehabilitation for all

living in the mid-Western area.

Our vision is a future where

individuals can access excellent

services, developed and supported by community,

voluntary and statutory agencies

in their own communities

The Vision The Goals

Th

e A

cti

on

s

The Objectives

Support and deliver a broad range of interventions, to improve the

awareness levels and knowledge of all key stakeholders within the

Region

Take meaningful action to support the reduction of supply within the

Region

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

Carry out practical and process focussed research to inform and direct responses

Provide a range of accessible treatment and

rehabilitation programmes appropriate

to meet the needs of those experiencing difficulties

with drugs and alcohol, from pre-treatment to

rehabilitation

Establish partnership models, close working

relationships and efficient co-ordination between

all agencies (statutory, voluntary & community)

Monitor, review, evaluate and inform stakeholders

of alcohol and drugs issues in the Region on

a regular basis, in a practical manner

Establish progression routes to

Holistic treatment

and rehabilitation

Ensure adequate funding to enable access to

appropriate treatment and rehabilitation services

Page 18: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

18© 2005

1. Parental Support Initiatives

Pilot a parent education pack with the SPHE co-ordinators to be given to all parents, at home, as their children are covering the ‘Drugs’ Module on the SPHE programme.

Provide support to the Family Resource Centres to deliver support programmes to families affected by drug misuse issues

Review the capacity within the family support structures and highlight areas where there are inadequate services and prioritise support in these areas.

Goal 1: Education and Prevention (1)

Key ActionsObjectives

A. Ensure

parents are

informed,

educated,

aware and

supported

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

Dept. of

Education

RDTF

2 x 7,000

= 14,000

2 x 7,000

= 14,000

To be main streamed

on evaluation

DRG & CA in

consultation with local groups

2 x 5,000

= 10,000

4 x 5,000

= 20,000

4 x 5,000

= 20,000

Page 19: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

19© 2005

In priority communities, support and fund children to attend crèche facilities, to enable and facilitate parents to attend treatment or re-habilitation related to Drugs and Alcohol use. This service to be delivered in partnership with local community structures.

In non-priority communities support parental skills building programmes/initiatives delivered through local community groups.

Mainstream current pilot parents support initiatives and roll out this initiative to 15 community based parent groups

Goal 1: Education and Prevention (2)

A. Ensure

parents are

informed,

educated,

aware and

supported

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Key ActionsObjectives

1. Parental Support Initiatives

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

6 places @ €100 per

week for 52 weeks

= 31,200

6 places @ €100 per

week for 52 weeks

= 31,200

6 places @ €100 per

week for 52 weeks

= 31,200

5 x pilot community

= 10,000

YPS&FF

RDTF

RDTF Co-ordinator

5 x 7,000

= 35,000

5 x 7,000

= 35,000

5 x 7,000

= 35,000

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20© 2005

1. GPs, Pharmacists, Practice Nurses Develop and resource an education and

support network for all GPs, Pharmacists, and Practice Nurses in partnership with the HSE, Education Officers and the RDTF.

2. Addiction Studies Training Continue to support and develop the existing

Community Addiction Studies Course and NUI certificate courses in the region.

Fund the development and delivery of a locally based Diploma in Addiction studies in conjunction with local service providers, University of Limerick and Limerick Institute of Technology.

Fund and support students to attend diploma course

Goal 1: Education and Prevention (3)

Key Actions

B. Provide education

and support to

service providers

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

ObjectivesLead

AgencyCost

Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

HSE 5,000 5,000 5,000

HSE

YPFSF

RDTF

30,000 & existing core

budget

60,000 & existing core

budget

75,000

Pre-development

40,00040,000 40,000

Nil 25 Students @ 4,000

= 100,000

25 Students @ 4,000

= 100,000

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21© 2005

3. Education & Prevention Service Providers Support• Carry out a review of current training provided to

Education & Prevention service providers.

• Identify good existing programmes and look to build on these and roll-out to other service providers in a targeted manner. Additionally, make available specific drug prevention training to all service providers as part of their vocational training programmes (e.g. teachers, youth workers, counsellors, GPs, law enforcement workers, judiciary, welfare officers etc.).

• Ensure there is a regular (at least quarterly) forum for service providers to come together and share experiences, learnings and information at county level and annual regional forum.

4. Information• Publish and distribute a comprehensive list of

supports available to all service providers (statutory, community and voluntary) e.g. list of facilitators, training courses, education material etc.

5. RDTF• Provide a series of training events to RDTF

members, increasing the capacity of the RDTF from both an operational and subject-focused basis.

Goal 1: Education and Prevention (4)

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Objectives Key Actions

B. Provide education

and support to

service providers

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF 2,000 2,000 2,000

YPSFS

VEC

Community Group

30,000 60,000 75,000

RDTF 5,000 5,000 5,000

YPSFS

RDTF Co-

ordinator

RDTF

Nil 20,000 20,000

5,000 5,000 5,000

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22© 2005

1. Outreach Service Appoint 8 additional community based

outreach staff, with a specific substance misuse information and services focus for users, their families, and communities that will form a “drugs” outreach team (supervision arrangements to be included).

Dovetail all outreach support workers with local community groups.

In particular, support the capacity building of “peer” outreach support by providing training and financial support to community workers/individuals to ensure that capacity to reach hard to reach communities/ individuals (e.g. homeless, travellers, ex prisoners, high risk communities) is developed..

Develop and support the outreach workers forum to network and information share linking with the Drugs Education Workers Forum (DEWF) as a model.

Goal 1: Education and Prevention (5)

Key Actions

C. Ensure effective outreach services

are in place

within the Region

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

ObjectivesLead

AgencyCost

Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF

HSE

Local Community

Groups

Nil 4 x 25,000

= 100,000

8 x 25,000

= 200,000

Nil Nil Nil

RDTF Nil 10,000 10,000

DEWF 5,000 5,000 5,000

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23© 2005

1. Consultation

Engage in a consultation process, specifically with young people, in all areas in the Region to get their views on what is needed and what they believe should be put in place.

Use the output of these consultations to help inform decisions on funding and support (especially within the RDTF).

Goal 1: Education and Prevention (6)

Key ActionsObjectives

D. Create effective

links with youth &

communities within the

Region that encourages

communication and

identifies alternatives

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF & Co-

ordinator

2,000

5 x Y.P.

Groups

2,000

5 x Y.P.

Groups

2,000

5 x Y.P.

Groups

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24© 2005

Goal 1: Education and Prevention (7)

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Objectives Key Actions

D. Create effective

links with youth &

communities within the

Region that encourages

communication and

identifies alternatives

2. Events

Fund, support and encourage alcohol and drug free events – one per year.

3. Targeted projects for individuals with Drugs & Alcohol issues

Identify, fund and support special projects for people in early recovery e.g. employment, training and education programmes through FAS.

4. Small Grants Fund

Allocate a specific fund for small first-off grants to support and encourage initiatives that will complement the aims of our plan.

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF 1 Event

10,000

1 Event

10,000

1 Event

10,000

FÁS

Local Community

Groups

20,000 50,000 50,000

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25© 2005

1. SPHE Pogramme Develop and deliver policies to

enable schools within the region, to deliver the SPHE modules, that address substance misuse issues to a high standard.

Provide support to the schools to assist in the delivery of the relevant SPHE modules.

Goal 1: Education and Prevention (8)

Key ActionsObjectives

E. Ensure adequate education

and awareness

programmes are provided within and outside the

school structure

Support and deliver a broad range of interventions, to improve the awareness levels and knowledge of all key stakeholders within the Region

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

Dept. of Education

Nil Nil Nil

Dept. of Education

Nil Nil Nil

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26© 2005

1. District Drug Units The community demands that dedicated officers be

assigned to Garda districts within areas of identified drug use.

A networking system to be established in each Garda district where all relevant community, statutory and voluntary personnel working/residing in the area can create a forum for pro-active actions.

Conduct an assessment of resource requirements (manpower, equipment) for law enforcement officers within the Region and lobby through the RDTF for the adequate resource support of Gardaí.

2. Community Policing

Support the establishment of estate management programmes in at-risk communities/estates. These programmes will be driven by the local residents and will highlight practical and positive interventions to improve the environment within the estates e.g. fix the street lights.

3. Education programme for Judiciary Offer, at least once a year, an education/training day for

all the judiciary on substance misuse issues and distribute relevant information appropriately and promptly.

4. Funds from seizures To assess current level of seizures and consider the

allocation of all or part of the financial seizures back to the communities/areas of high priority.

Goal 2: Supply Reduction (1)

Key ActionsObjectives

A. Provide adequate support

and work in partnership

with law enforcement officers in the Region

To take meaningful action to support the reduction of supply within the Region

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

Dept of Justice

Nil Nil Nil

Dept of Justice

Nil Nil Nil

RDTF

Gardaí

Housing Agencies

5,000 10,000 10,000

RDTF Nil 2,000 2,000

RDTF

Dept of Justice

CAB

Forum to be established for exploring

this issue

Page 27: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

27© 2005

1. Joint initiative

Establish and support a joint initiative with law enforcement agencies, health services, education officers and vintners/hotel/restaurant/entertainment venue owners. The initiative would provide training and education for venue owners and staff on substance misuse issues and how to handle incidents. All participating venues would actively promote it’s participation in the initiative.

Goal 2: Supply Reduction (2)

Key Actions

B. Establish a co-ordinated

and concerted drugs

initiative in partnership

with entertainment venue owners

and staff

To take meaningful action to support the reduction of supply within the Region

Objectives Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

All relevant bodies

Nil 10,000 5,000

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28© 2005

1. Prison Substance Misuse Programme

Appoint a full-time addiction counsellor to work within Limerick Prison as part of an integrated counselling/service provision within the context of an Addiction Treatment programme for prisoners.

Ensure that all programmes adequately address: pre-treatment support, provision of the treatment itself, follow-up care post-treatment, preparation for release, and post-release support for all participants on the programme.

Provide an integrated and cohesive plan for each prisoner (with multi-agency involvement).

Goal 3: Treatment and Rehabilitation (1)

Key ActionsObjectives

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

A. Provide a range of accessible treatment

and rehabilitation programmes and

services to meet the needs of clients and their families from pre-treatment to

rehabilitation stages

B. Establish progression routes for clients entering the treatment and

rehabilitation phase to ensure a holistic treatment model is

available

C. Ensure adequate funding provision to

enable people to access treatment and

rehabilitation services

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF

DoJ

Limerick Prison

ALJEFF

Bedford Row

12,500 x 2

= 25,000

100,000

RDTFNil Nil Nil

Limerick Prison

DoJ

DoE

Probation & Welfare

HSE

Vol Bodies

Nil Nil Nil

Page 29: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

29© 2005

Goal 3: Treatment and Rehabilitation (2)

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

A. Provide a range of accessible treatment

and rehabilitation programmes and

services to meet the needs of clients and their families from pre-treatment to

rehabilitation stages

B. Establish progression routes for clients entering the treatment and

rehabilitation phase to ensure a holistic treatment model is

available

C. Ensure adequate funding provision to

enable people to access treatment and

rehabilitation services

Objectives Key Actions

2. Detox Services

Provide a dedicated, appropriate residential detoxification facility within the region.

3. Harm Reduction Programme

Research and deliver a broad range of harm reduction interventions e.g. Hepatitis C awareness, Needle exchange, Safe sex.

4. Out of Hours Service

Ensure there is a crisis support/point of contact service available at all times, preferably delivered through existing structures. Explore this with existing helpline providers and other appropriate agencies with a view to meeting Drug & Alcohol needs.

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

Dept of Health

HSE

RDTF

Nil Research & evaluate

costs

HSE

RDTF20,000 Dependent

on outcome of research

RDTF

Nil 50,000 50,000

Page 30: © 2005 1 Mid Western Regional Drugs Taskforce Action Plan June 2005

30© 2005

5. Day Treatment Programme Develop and deliver a structured

and comprehensive day treatment programme, offering an holistic range of services, operating on an inter-agency model and focusing on providing pre-treatment support and out-patient treatment services.

Provide support and resources for existing and potential centres for respite and halfway houses within the Region. Ensure that these facilities offer a broad range of appropriately structured services to users and are accessible to vulnerable communities and individuals (e.g. homeless).

Goal 3: Treatment and Rehabilitation (3)

Key ActionsObjectives

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

A. Provide a range of accessible treatment

and rehabilitation programmes and

services to meet the needs of clients and their families from pre-treatment to

rehabilitation stages

B. Establish progression routes for clients entering the treatment and

rehabilitation phase to ensure a holistic treatment model is

available

C. Ensure adequate funding provision to

enable people to access treatment and

rehabilitation services

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF

ALJEFF

Voluntary Agencies

Nil 200,000 200,000

Voluntary Agencies

Community Based Groups

2 @ 50,000

= 100,000

2 @ 50,000

= 100,000

2 @ 50,000

= 100,000

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31© 2005

Goal 3: Treatment and Rehabilitation (4)

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

Objectives Key Actions

A. Provide a range of accessible treatment

and rehabilitation programmes and

services to meet the needs of clients and their families from pre-treatment to

rehabilitation stages

B. Establish progression routes for clients entering the treatment and

rehabilitation phase to ensure a holistic treatment model is

available

C. Ensure adequate funding provision to

enable people to access treatment and

rehabilitation services

6. Treatment for Under 18s Assess the

need/demand for residential and other treatment services targeted at Under 18s within the region and ensure that these services are made available and adequately resourced.

7. Family Support

Ensure that all treatment services address and provide appropriate family support for parents and other family members of users.

Consider the provision of child-care facilities in/around treatment and rehabilitation centres.

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

Limerick Youth Service

10,000 150,000 200,000

Voluntary Treatment Services

30,000 50,000 75,000

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32© 2005

8. Funding Pool

Ensure that people who want access to treatment are not prohibited from doing so due to financial restrictions by creating a central pool of funds for education/training/treatment/rehabilitation purposes for people within the region.

Goal 3: Treatment and Rehabilitation (5)

Key ActionsObjectives

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

A. Provide a range of accessible treatment

and rehabilitation programmes and

services to meet the needs of clients and their families from pre-treatment to

rehabilitation stages

B. Establish progression routes for clients entering the treatment and

rehabilitation phase to ensure a holistic treatment model is

available

C. Ensure adequate funding provision to

enable people to access treatment and

rehabilitation services

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF

Voluntary Treatment

HSE

System to be developed

100 people @ 5,000

per person

= 500,000

100 people @ 5,000 per

person

= 500,000

100 people @ 5,000 per

person

= 500,000

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33© 2005

1. Multi-Agency Working Model Encourage all agencies to work

closely together in an integrated and co-ordinated way by hosting bi-monthly multi-agency meetings to take place to share information and co-ordinate action and responses.

Establish a treatment and rehabilitation service providers forum, to meet quarterly, to share learning's, information, experiences, best practice and to share training.

Conduct a pilot project of multi-agency co-operation on a case-based approach to address client needs in a specific area. Upon evaluation, if this model proves to be successful extend to all areas within the Region.

Specifically, invite a GP and Pharmacist onto the RDTF to address a current gap in the make-up of the taskforce.

Goal 3: Treatment and Rehabilitation (6)

Key ActionsObjectives

D. Establish partnership models,

close working relationships and

efficient co-ordination between

all agencies (statutory,

voluntary and community)

E. Develop more efficient co-ordination

mechanisms between

communities, the community and voluntary sector and the statutory

sector

Ensure that there is an adequate and appropriate level of treatment and rehabilitation services provided to respond to the needs of people within the region

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF Co-ordinator

Nil Nil Nil

Supported by the agencies Nil Nil Nil

RDTF

Treatment & Rehab Forum

5,000 5,000 5,000

RDTF Co-ordinator

Nil Nil Nil

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34© 2005

1. RDTF Bulletins The RDTF will produce a regular bulletin

- at least two per year.

2. Research impact of initiatives Conduct action research on the impact of

four initiatives from the RDTF Plan, one from each pillar of the NDS Plan.

Monitor and review all aspects of the Plan.

Negotiate the development of systems for ongoing monitoring to ensure qualitative and quantitative information is gathered in such a way as to influence ongoing development of policy and practice in relation to drug misuse.

Undertake a review of the RDTF Plan each year to ensure it’s on track and up to date.

Goal 4: Research (1)

Key ActionsObjectives

A. Evaluate, Review,

Monitor and Inform

stakeholders of the issues and nature of the problem

in the Region on a regular basis, in a practical manner

Carry out practical research to inform and direct responses

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF 2,500 5,000 5,000

RDTF Nil Nil Nil

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35© 2005

Goal 4: Research (2)

Carry out practical research to inform and direct responses

Objectives Key Actions

A. Evaluate, Review,

Monitor and Inform

stakeholders of the issues and nature of the problem

in the Region on a regular basis, in a practical manner

3. Facilities

Review the range of facilities in place, particularly for young people, throughout the Region and highlight areas with inadequate facilities.

Identify and support positive, accessible programmes (through arts, culture, sport, youth schemes) in priority areas (either where there are inadequate facilities and/or areas where drug misuse is most prevalent).

The RDTF will lobby on behalf of the Region to increase the level of funding provided through the Youth People Facilities and Services Fund (YPFSF) and extend to other areas in the mid-Western.

Lead Agency

Cost Estimate

2005 (€)

Cost Estimate

2006 (€)

Cost Estimate

2007 (€)

RDTF

YP

Nil Nil Nil

RDTF

YPS& FF

20,000 To be reviewed on

foot of research findings

RDTF Nil Nil Nil