MC3 - Partnerships Work - A Model of Collaborative Service

Report
Partnerships at Work: Collaboration
between Alternatives for Youth and
the Hamilton Wentworth District
School Board
43rd Annual Addictions Ontario Conference
Sue Kennedy, Executive Director
AY/Alternatives for Youth
David Hoy, Manager of Social Work
Hamilton Wentworth District School Board
Monday May 30st, 2011
This presentation will share:
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The innovative work happening within Hamilton
within the context of secondary school students
who are substance involved
How we are conducting systems planning and
community development work
The model of collaboration between Alternatives
for Youth and the Hamilton Wentworth District
School Board
History
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For the past 20 years Addiction Counsellors from AY
have been providing substance abuse counselling
on-site at the HWDSB. Historically AY and HWDSB
have had a longstanding ad-hoc partnership
AY decided to embrace the Best Practice of
providing service to youth where youth are and
expanded its service across 10 secondary schools
across our region
Most recently HWDSB and AY formalized the
partnership and author a Third Party Agreement
History continued…
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In 2008, the Student Support Leadership Initiative
was implemented with the aim of
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improving integrated services for students with
mental health and substance use concerns
increasing local capacity to support students
support system planning at the local level
HWDSB and AY were well positioned to be active
participants in the initiative
Partnership Philosophy
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A partnership is a mutually beneficial,
reciprocal supportive arrangement between a
school or school board and a community
service provider
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Partnerships are the relationships that add
human or material resources through
services/supports that ultimately lead to
improved student learning
Philosophy Continued
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Through partnerships we seek to improve
school programs, school climate as well as
providing services to our families and
students
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Ultimately, well functioning, healthy
individuals are able to make contributions to
the betterment of our community
Terms of Partnership
HWDSB
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Refer students to the Alternatives for Youth
counsellor who may benefit from drug
counselling as per Alternatives for Youth
referral protocol
Provide consultation to Alternatives for Youth
counsellors and work collaboratively with
Alternatives for Youth counsellors to support
student needs
Terms of Partnership cont’d
HWDSB
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Coordinate training opportunities for
Hamilton-Wentworth District School Board
staff by Alternatives for Youth counsellors
Collaborate with AY executive staff for the
purpose of partnership review , development
and evaluation
Terms of Partnership
AY:
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Provide an Alternatives for Youth counsellor who
has expertise in the area of substance abuse
assessment, treatment, referral and case
management
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Provide substance abuse education to
students and their families in the context
of the school culture
Terms of Partnerships cont’d
AY:
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Provide substance abuse consultation
education and support to school
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Administrators
Student services educators
Social Workers
Educational assistants
Liaise with other community professionals
providing service in the school e.g. PHN
Terms of Partnership Cont’d
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Provide individualized treatment intervention for
those students who are referred as a result of
suspension related to substance use
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Substance abuse education may also be
delivered within the classroom setting upon
request and in conjunction with other health
prevention professionals(PHN)
.
Outcomes:
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Students will be more informed and better
educated about their decision/choice concerning
substance use and how such activity may
adversely affect educational progress, personal
functioning and relationships
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Staff will have a better understanding of student
substance abuse, recognize indicators of
substance misuse and be able to access
appropriate support for students through AY
Alternatives for Youth
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AY Opened its doors in 1969
Community treatment for children and youth
ages 12-23 who are substance involved
Provide assessment, treatment planning,
evidence informed interventions, referral and
follow-up in a harm reduction framework
Comprehensive psychiatric assessment,
consultation, and treatment for youth with
concurrent disorders
Risk Factors for Adolescent
Substance Use
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Family History:
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Parental drug use
Quality of family relationships, organization
and communication
Ineffective parenting or absence of
Intimacy and
stability(disengagement/enmeshment)
Risk Factors Cont’d
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Early Anti-social Behaviour
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the greater the variety, frequency and
seriousness: the greater the likelihood of drug
abuse
e.g. rebelliousness, temperament, social isolation,
impulsivity, early learning related difficulties, early
onset on drug use
Risk Factors cont’d
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Peers
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Association with drug using peers during
adolescence
Perceived use of drugs by other adolescents
Peer influence-the great debate-do friends
negatively influence friends or do friends gravitate
toward those who share their own values and
beliefs
Risk Factors cont’d
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Attitudes, Beliefs, Personality Traits
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Alienation
Rebelliousness
Risk-taking
Non-conformity
Resistance to traditional authority
Challenges with student
population of drug users
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Acute ambivalence toward their own drug use
Influence of significant others in seeking
treatment
Understanding use a problem in itself and in
context of situational issues
Provocative, challenging and testing
behaviours
Substance Use Trends in
Student Population
In the general student population the most
frequent substances used continue to be
alcohol ,cannabis and tobacco-local public
health survey and support provincial averages
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66%use alcohol
30%use cannabis
19% use tobacco
Student Use of Substances
continued-The Rainbow Party
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Opioids
Benzodiazepines
Sedatives
Solvents
Cocaine
Hallucinogens
Anabolic Steroids
Club Drugs
Sedatives
GHB
Stimulantsamphetamine(speed)
Hallucinogenic stimulants
MDMA(ecstasy)
Dissociative anaesthetics
(ketamine, PCP)
Substance Use Continuum
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AY counsellors support youth across the
substance use continuum :
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Experimental use:
Irregular use:
Regular use
Dependant use
Harmful Use
Interventions that work
AY counsellors assess appropriately and tailor
intervention accordingly-not a one size fits all.
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Early intervention and education
Harm Reduction
Monitoring
Assessment
Treatment
Goals:
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Enhance motivation for change
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Prevent further involvement in substance use
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Reverse involvement in substance use
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Reduce harm from substance use
Youth and Concurrent
Disorders
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AY counsellors have received referrals for
students diagnosed with a mental health
disorder who are substance involved:
Five most common are:
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Attention-Deficit/Hyperactivity Disorder
Conduct Disorder
Depression and Bipolar
Social Anxiety Disorder
Post-Traumatic Stress Disorder
Concurrent Disorder
Intervention
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Students who are referred to AY counsellor
can support a referral to the AY consulting
child and adolescent psychiatrist who will:
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Provide a comprehensive psychiatric assessment
Prescribe medications in consultation with GP
Provide direct consultation with student, AY
counsellor to make treatment recommendations
and implement integrated treatment plan
AY counsellors monitor and support youth
Benefits
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Timely access to necessary substance abuse
and mental health services,
Services provided on-site at school ensuring
flexibility and customized treatment options
Students can be empowered to direct their
own treatment plan(readiness)
Parents and caregivers of students have
increased access to community supports
Challenges
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Forging relationships between agency counsellors
and school educators takes time and commitment
Balancing harm reduction approach within the
parameters of safe-schools legislation
Working with diverse staff and individual cultures
within each school
Supporting a school climate that the supports the
de-stigmatization of mental health and substance
abuse.
Questions and Answers?
Contact Information
Sue Kennedy
Executive Director, Alternatives for Youth
[email protected]
David Hoy, Manager of Social Work
Hamilton Wentworth District School Board
[email protected]

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