Dependent drug use
Crime
Impact on others
Impact on self
Then, after hitting rock-bottom
The cycle 
of addiction, crime and recedivism
Rehabilitation begins
Criminal 
proceedings 
Under-resourced representation
Custodial sentence
LEGAL SERVICE
Team 
Medicine
Innovation
SECOND STEP 
EMPLOYMENT PROGRAM
A pioneer in drug and alcohol treatment in St Kilda
Established in 2000 to meet the needs of individuals and families living with addiction
A not-for-profit with zero fees for most services and low fees for others
A medical model of addiction treatment with a broad range of treatments (not just methadone!)
A proud history of responsible innovation
A comprehensive medical and psycho-social approach to addiction treatment

SERVICES
Medical assessment (including psychiatry) and intervention
mental health nursing
hepatitis C treatment
psychological counselling
legal services
employment services
1. Selection
2. Pre-employment training
3. Job selection
4. Further qualifications
Doctors
Psychologists
Mental Health Nurses
Experienced addiction medicine physicians form the core of the support team at First Step.
       Among other interventions:
Replacement pharmacotherapy (methadone, buprenorphine, suboxone)
Reducing the use of illicit drugs (harm minimisation)
Medical assessment for naltrexone


DOCTORS
Addiction medicine specialists
GPs
Psychiatrist
Gastroenterologist (Hep C)



Advice on medicines and pharmacotherapy treatments
Specialised assessment tools to provide a whole-person approach 
Support through the pathway of recovery from addiction (including legal problems, housing issues, mental health problems) 
Assistance with navigating the service system (including coordination and linking)
Receive support and care
Manage anxiety and depression
Repair damaged relationships
Heal painful memories and gain insights
Find new goals and practise new habits
Trauma
Mental health
Medicine
The numbers
THE FIRST STEP PROGRAM IS BORN
Further innovations in medicine
Legal expenses
Psychiatry
Further medical expertise
report writing
Who are we?
First Step Legal Service
Beneficial outcome, ongoing recovery
counselling
confidentiality
drug testing
mentoring
Old scene
Old life
Dependent drug use
Crime
Impact on others
Impact on self
Then, after hitting rock-bottom
The way out
Rehabilitation begins
Criminal 
proceedings 
Trauma
WHY IS THE FIRST STEP PROGRAM DIFFERENT?

TREATING THE BRAIN IS A CRITICAL PART OF SUCCESSFUL TREATMENT FOR ADDICTION

FIRST STEP PROVIDES NEW, CUTTING-EDGE AND HIGHLY EFFECTIVE NEUROSCIENCE-BASED TREATMENT

C
A
M
E
L
O
T
T
ontingency
ssisted,
edically
nhanced,
ength
f
ime in
reatment
RESULTS
Instances of service provision = 7514
Individual patients            =  974
2011 Activity