Substance Misuse Treatment Pathway

Turning PointRecovery

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Agency

Lifeline Project

PSI Service

Turning Point Recovery Support

Lifeline Project Harm Reduction

TURNING POINT

TURNING POINTS’ function with the partnership is

RECOVERY NAVIGATION

Turning Point has 5 separate teams

• Safeguarding• Community• Hospital• Criminal Justice• Recovery Hub

Sunderland WeaR TLC Pathway for Community Referrals

DUTY / SPOC

(0800 234 6798)

Self (0800 234 6798)

GP (0800 234 6798)

Other Agencies (0800 234 6798)

Inwards Referral (0800 234 6798)

Triage assessment completed. Entered onto Illy under ‘Recovery Support’ modality and activity added

to inform of outcome.

Allocated to hub relevant to locality Postcode or Criminal Justice Activity

Senior Recovery Navigator checks log daily and allocated new referrals to Recovery Navigator

Comprehensive Assessment Pack completed at location appropriate to service user (inc. Risk

Assess and Care Pan). Enter MI modality to Illy. Onwards referrals made to Partnership.

If specialist treatment

services are not required:

BI/advice given/ signpost. Entry

closed on Illy

Service User offered Peer

Mentor support and Warm

Welcome prior to assessment.

Peer Mentor will offer support throughout

TP to conduct reviews bi-monthly (min) as part of Recovery Navigation. To arrange MDT with

other partner agencies where appropriate

Exit (Reason documented on Care plans and Illy).

Employment SMART Accommodation Etc Specific Treatment

Services

SITE

TP/Peer Mentor to contact up to 6 months after closure to prevent representations

Triage Outcome: Psychosocial Triage Outcome: Recovery Support

Recovery Pack completed

Ongoing Peer Support

Recovery Check up 6 monthly (min)

As required

P.20

Community Referral Pathway

Recovery HubWorkers refer to the Recovery Hub when they have finished Structured treatment, or they are stable on medication and looking to move on.• Peer Mentors – offer support and motivation to

clients at all stages of recovery• Mentors facilitate Introductory Coffee Groups at

beginning of the treatment stage• Mentors offer Phone and 1-1 Support throughout

treatment journey• The Recovery Hub runs sports teams, a Music

Group and sponsors SMART Recovery Groups. • Peer Mentor Education Courses

LifelineProjectReducing harm, promoting recovery, challenging inequalities

Psychosocial Interventions in Substance Misuse

Psychosocial Interventions• Psychosocial Interventions assist in changing maladaptive

thought processes and promoting positive behaviour change.

• To do this interventions are designed to empower and motivate individuals to achieve their recovery goals providing them with the necessary knowledge and practical tools.

• Psychosocial Interventions are the psychological and therapeutic component within the treatment system and assist recovery alongside pharmacological treatments.

Cycle of Change

Motivational Interviewing (MI)

MI

Cycle of change

Projective hypothetical

Cost Benefit Analysis

Interaction Techniques

Resistance Strategies

Motivational Statements

International Treatment Effectiveness Project (ITEP)

Node Link Maps

• Free• Guided • Hybrid

Changing Thought

Processes

• Mind Traps• Ways of

Thinking

ITEP

Cognitive Behavioural Therapy (CBT)

CBT

Understand Automatic Thought Patterns

Giving Positive

Feedback

Anxiety and Impulse

Reduction

Cognitive Rehearsal

Developing New

Behaviours

Reality Testing

Alternative Perception

Socratic Questioning

Coping Skills

Coping Skills

Decision Making

Managing Thoughts

and Cravings

Managing Emotions

Negative Thinking

Pleasant Activities

Intimate Relationships

Post-Acute Withdrawal

Planning

Positive Support

Networks

Handling Criticism

Planning for Emergencies

Problem Solving

Summary

• Individuals who seek support around their substance misuse are very different from one another, each has their on journey and goals

• The substance misuse treatment pathway is developing to ensure each individual can access the most appropriate support for their needs