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Annual Report 2015
Transcript of Annual Report 2015
I am extremely grateful to the staff who have stayed with DASL during the last year as we downsized and refocussed our activities. In what might seem an old fashioned idea – certainly not a fashionable one - DASL has always valued its staff in the true sense of the word by listening to their views, treating them fairly, allowing them the freedom to follow their instinct and experience with clients and to deliver projects which reflect their professional views and values.
Newham Community Drug and Alcohol Team
Newham Q1 Substance Misuse Contract for CDAT
Presentation in Q1: 97
Entering Treatment: 75%
Finally, in the charity press, the issue of large charities bidding for ‘someone else’s work’ is getting an airing. Not just in our sector but across the voluntary sector, the nature of ‘charity’ is changing and grass roots projects closely linked to their users and local communities are being wiped out. In the substance misuse field, as experienced practitioners become disillusioned with the drive towards ‘growth’, targets, ‘successful’ completions, form filling and limited clinical time, what will happen when the field is almost completely filled with inexperienced, lowly paid staff and volunteers? What sort of services will our clients be getting then?
DASL does not operate in some sort of Utopian world and pressure does exist for us to constantly respond to changing and challenging client needs, reduce our overhead costs, improve efficiency and have a clear strategy for the future which meets our charitable objectives. But we do so knowing that we have retained a vibrant, excited, innovative, if small, team who believe in what they are doing, still want to come into work to do it and go beyond their ‘call of duty’ if necessary. It has been necessary and I am grateful to them all and to the Board of Trustees for their support and encouragement throughout the year.
Completing an alcohol detox: 63% against target of 60%
Treatment completion and remaining abstinent: 82% against a target of 80%
Criminal Justice Programme: 75% completed against a target of 50%
Drug and Alcohol Reduction Programme: 72% completed against a target of 70%
Drug and Alcohol Abstinent Programme: 72% completed against a target of 70%
Primary Alcohol User: 84% against a target of 80%
Primary Drug User (Opiate or Crack): 66% against a target of 50%
The new substance misuse provider commenced on 1st July 2014 and 51 active clients consented to be transferred. DASL worked with the new provider to create a seamless continuation of treatment. All transfer records were handed over and NDTMS was 100% accurate.
Martus is a Lithuanian man who has been living in the UK for 8 years. He came here to work and to improve his prospects. He was working distributing leaflets and getting paid very little or no money but was given a place to sleep. Three years ago Martus was attacked by a group of men who robbed him. As a consequence of the attack he lost the sight in his right eye and was very traumatised. He became homeless and was begging on the street. He was discovered by another service user and brought along to CBET. At the time of his presentation the sight in his left eye was also deteriorating. We organised for him to register with a GP who referred him to the London Eye Hospital. Following a number of surgeries, which were unsuccessful, Martus became blind. He was homeless and had no recourse to public funds due to no proof of earnings. DASL accompanied Martus to hospital appointments, paid travel, set up appointments at DASL with Adult Social Care.
DASL worked with Adult Social Care and arranged for Martus to have emergency accommodation, personal care and a food budget. This was time limited. Martus stated he would like to re-join his family in Lithuania, therefore DASL worked with the reconnection team. DASL were able to track down, via social media, the village in Lithuania where Martus had relatives and established contact.
The future seems safer and securer for Martus…we are still working on getting Martus back to the safety and care of his family in Lithuania.
GaMS - East
DASL formed a partnership with Betknowmoreuk to establish a Gambling Support Hub for East London. With the increase in numbers presenting for gambling support services, the hub has provided a drop in for advice, information and support, offered 1:1 counselling for the gambler, support for family, carers or friends of a gambler, also group based support.
The service has worked with 45 individuals who have gambling problems along with 7 people affected by the gambling of others, offered advice and information to 42 individuals, 25 accessed counselling and others attended the group support on a weekly basis.
100% of those receiving a review prior to discharge reported a significant improvement in the gambling, meaning they had reduced or stopped gambling.
The Gambling Outcome Star is a self-assessment tool and uses 10 domains, which are: Mental Health, Physical Health, Substance Misuse, Offending, Finances, Employment, Housing, Self-Care, Relationships and other. The service user indicates out of 1- 5 where they are on the scale e.g. 5 is no problems whilst 1 indicates urgent attention needed. 100% of those completing an outcome star at point of discharge had an overall improvement.
Silver Lining Project
DASL would like to thank the Royal London Borough of Greenwich and Greenwich Clinical Commissioning Group for supporting the Silver Lining service over the past year. This year has seen the service relocate from its office in Welling where it served Bexley residents, to its new location in Eltham, where we are based alongside the very welcoming Greenwich and Bromley Age UK service now serving Greenwich residents.
The Project Worker, Shirley Simpson, and the volunteers Katie Lawson, Steven Miller and Pat Stocking have actively supported local residents who have been referred to the service to make changes to their drinking habits. Over the year the service has provided a weekly social and therapeutic support group in Eltham and worked with some 23 clients who have concerns about their drinking.
The presentations are often quite complex with individuals presenting a range of issues both physical and psychological in nature that require a suitable response. The following case study we hope provides a sense of the vital support that Silver Lining can offer.
57 year old gentleman who was referred, drinking approximately 6-8 cans of lager a day, following the break-up of his marriage and throat surgery following cancer. The surgery had left Mr XYZ with a softly spoken voice and this impacted on his confidence and self-esteem socially. This, combined with his unsuitable accommodation on the third floor of a block of flats, meant that he had become quite isolated. With support to move to more suitable ground floor accommodation, he felt well enough to re-engage with his friends and he purchased a motor bike. In addition, he was more able to come to terms with his voice and also sought physiotherapy for his lower back problems which had previously affected his mobility. He subsequently reduced his alcohol consumption and said, “life is much better now.”
Silver Lining has, on occasion, had a profound impact on peoples’ lives through appropriate care, concern and therapeutic support. We look forward to continuing this valuable work.
To the Directors of Drug and Alcohol Service for London
We have examined the summarised financial statements set out in these pages.
Respective Responsibilities of Directors and Auditors
You are responsible as Directors for the preparation of the summary financial statements. We have agreed to report to you our opinion on the summarised statements’ consistency with the full financial statements, on which we reported to you on 13th August 2015.
Basis of Opinion
We have carried out the procedures we consider necessary to ascertain whether the summarised financial statements are consistent with the full financial statements from which they have been prepared and on which we reported on 13th August 2015.
In our opinion the summarised financial statements are consistent with the full financial statements for the year ended 31st March 2015.
Chartered Accountants & Registered Auditor
8/9 Well Court
London EC4M 9DN
List of Funders
Community Ambulatory Alcohol Detoxification
Structured Day Programmes
Completing Overall Treatment by substance and reducing use or remaining abstinent
Drug and Alcohol Service for London
DASL Active was an exciting part of the services we offered clients for 3 years. Funded by the Lottery, Trust for London, the Mayors Fund and several smaller charitable trusts until June 2014, the project was able to combine sports and fitness sessions with an employability programme and wrap around support, qualification achievement and player awards. Over the life of the project, DASL Active worked with 779 (653 at training sessions, 126 at open days and tournaments) individuals. Over 400 clients attended employability sessions and over 600 clients attended weekly healthy living/social skills programmes with players subsequently finding employment in, for example, fitness, coaching, youth work, the media or in manual trades. Some players went on to take up new educational or volunteering opportunities.
During the year, we have managed to keep the Urban Garden going with the help of staff and volunteers. Over the summer, it remains a great place for clients and staff to take a break and even grow a few tomatoes. A grant from Awards for All has enabled us to employ a part-time gardener/trainer and generous donations from the Plunkett Foundation and the Finnis Scott Foundation mean we have excellent equipment and are now taking the project forward to be a creative and learning space for our clients and for local communities. Our photos show how fortunate we are to benefit from this green space amidst the urban sprawl of Stratford outside our doors. If anyone would like to come and take a look, please do contact us.
Registered Charity Number: 299535 ; Limited Company Number: 2266598
Senior Services Manager
We continued the Eastern European Service, making it a generic service; offering advice, information and advocacy. The service grew and grew as the year went on and we were soon working and offering support to a large number of people. It became clear that the needs of the Eastern European Community had broadened, maybe due to the austere political climate and a focus only on the negative impact of immigration.
(names changed to protect confidentiality)
CBET Project Coordinator
Senior Services Manager
Service User Feedback & Evaluation
Alcohol Support for the Over-50’s in Greenwich
Clinical Services Director
(names changed to protect confidentiality)
Wandsworth Alcohol Group Programme
DASL was pleased to have supported the delivery of the BAS service this year until it was transferred to a new provider on 1st April 2015 after the drug and alcohol partnership was tendered by the London Borough of Wandsworth. The team have worked exceptionally well over the year, especially the latter half with the uncertainty of a tender process.
Over the year the service took the significant step of relocating from the shared premises in Wandsworth Town with Mind to new shared premises in Tooting with Pearl Chemist. Despite moving to the other end of the borough, the team have adjusted well. During the year the team delivered the following performance;
• BAS received 143 referrals of which 74 (52%) were from the GP based Fresh Start Community Detox Clinics (Battersea, Putney and Wandle)
• 43% of clients were women with 57% men
• 97 clients were assessed for treatment and 73 clients commenced group programme treatment (61 on the abstinent stream and 12 on the harm reduction stream)
• 70% of clients on the group programmes “successfully completed” their treatment
• 54% of clients completing treatment were followed up after 3 months, and were deemed to be in some form of after/recovery care. Most notably, ‘Living Sober’, ‘Recovery in Focus’, SMART or AA.
DASL would like to thank the team for their work over the year and wishes them well in the future.
Clinical Service Director
Bright Sparks Coordinator
DASL would like to thank everyone who has donated, including the following funders, for their support.
DASL Head Office
134-138 Romford Road
Stratford, E15 4LD
0333 055 8585
The evaluation of the service illuminated the support needs we encountered and worked with:
CBET worked with 153 service users over the course of the year (July 2014 - June 2015)
During the year out of the 153 who have attended 142 ended and completed an Outcome Star
With 98% stating that we had either definitely or somewhat met their needs; how did service user rate the service they received?
Current Staffing Team
Over the last year DASL has continued to demonstrate its ability to deliver successful and high quality interventions. We have also built upon our strong track record of highlighting emerging issues and suggesting effective responses. This is a testament to the skills and commitment of DASL staff. I would like to offer them, and our trustees, my personal thanks. Without such people a voluntary sector body is nothing.
The environment we operate in is increasingly harsh. Charities based within their communities are increasingly being lost as services are either discontinued or remaining provision is switched to organisations who need to use Google to locate an area and have limited idea of local needs, but can appear to offer cheaper overheads. The long term consequences of this process, which are at least partly driven by the reductions in funding, will be with us for many years. The vitality, innovation, responsiveness and compassion associated with the voluntary sector may soon be consigned to history.
DASL remains committed to helping protect and support vulnerable individuals, families and communities. The need and demand for the work we provide remains all too clearly evident. Our challenge lies in drawing together the resources needed to help people. We hope, with the support of our partners and commissioners, to continue our proud history of turning lives and communities around for the better.
70% of current smokers say they want to quit.
People who start smoking in their teens and continue for 2 decades or more will die 20 - 25 years earlier than those who never light up.
Every 6.5 seconds someone dies from tobacco use (World Health Organisation).
So it makes good sense to work with young people before they start smoking, or, for those who have already, to work with them to prevent the habit from becoming entrenched.
Bright Sparks Young People's Smoking Cessation and Support Project
is a preventative/early smoking cessation intervention that explores the underlying issues impacting on both present and future smoking behaviour and attitude for young people. The project aims to increase accessible cessation services for young people, alongside smoking education and prevention, by recruiting young people and staff to take part in the cessation service and achieve 'quit' status or reduction in smoking levels.
Funded by London Borough of Tower Hamlets, the project worked in two schools and across three pupil referral units (PRUs) in Tower Hamlets. Students meet with a young people's smoking cessation advisor on a weekly basis and discuss smoking history, smoking pattern and motivations to stop smoking. Students set a quit date and are asked to demonstrate that they can cut down the number of cigarettes smoked. Carbon monoxide readings are taken and recorded and students can also be prescribed Nicotine Replacement Therapy (NRT). Smoking awareness and a presentation of Bright Sparks provision is delivered in assemblies and PHSE lessons, as well as health days and events that the school organises.
One student says,
"I like to see my CO readings - it helps me understand my smoking"
The project allows for young people to explore and then address a number of related issues, including:
lack of self confidence, self-esteem or motivation;
the impact of cannabis;
role models and future opportunities;
behaviour or emotional difficulties.
This year, the project has reached over 120 young people and celebrated achieving 25 successful quits, and a further 10 students reducing their smoking.
The graph below shows the increasing numbers of new referrals over the year in blue (52) and the numbers accessing a service in orange. This demonstrates that we had 100% engagement with those referred.