Assessment and Interventions

Assessments offered to service users:

Screening

Initial assessment

Comprehensive assessment

Interventions are provided for:

Alcohol misuse

Drug misuse

Types of intervention techniques used:

Brief Intervention

Motivational Enhancement Therapy

Mutual Self Help

Social Skills Training

Self monitoring

Self change manual (bibliotherapy)

Behaviour contracting

Solution Focused Brief Therapy

Cognitive Behavioural Therapy

Case Management

Other

Support from Staff

Types of training received by staff members to support families of drug users:

Other

Staff available to support service users:

Case managers are assigned to service users

Care Planning:

Care plans are carried out with service users

Interagency care plans are carried out with service users

Details of other therapies or psychotherapies provided by the service:

Cuan Dara is an intensive therapeutic detoxification unit for the opiate dependant individual. The programme is designed to provide a residential detoxification programme as well as a foundation for further recovery. Clients admitted to Cuan Dara have been unable to detoxify within a community setting and have recognised a need for additional support in order to make the transition to drug free living. As recovery from dependence is a process, Cuan Dara recognises the biopsychosocial needs of our client group and has developed a programme which attempts to address these needs on both an individual basis and through group work and developing a healthy recovery focused, supportive group dynamic. Within the first stage of the programme the client goes through a carefully monitored process of Detoxification. 1:1 Interventions such as Counselling and Motivational Interviewing and Solution focused approaches are utilised throughout the programme to assist the client in adapting to a drug free lifestyle and overcoming feelings of low self worth, guilt and shame. Within the second stage of the programme the focus shifts to planning and maintaining long term change. Supports are at this point utilised. Referrals to the appropriate programmes ( Rehab & Integration, Keltoi , Soilse , Coolmine, High Park, Tullow farm etc.) would be sent according to the identified need of each individual client via a client centred, solution focused approach. It is the goal of the team within Cuan Dara that at the point of Graduation that every client has the strongest possible foundation for the rest of the recovery process. It is hoped that every Client who accesses Cuan Dara should leave with increased self awareness, a heightened self esteem, a good knowledge and understanding of potential triggers and risks and a solid, realistic plan with identified a supports in place. Cuan Dara also makes provision for clients wishing to stabilise their drug use. The Stabilisation programme is four weeks in duration. Clients wishing to stabilise remain on methadone but are safely detoxified from another drug, i.e, alcohol, cocaine, crack, benzodiazepines, sleeping tablets etc. Clients presenting for stabilisation are often pregnant and require specific interventions and liaison with the relevant drug liaison midwife

Details of other groups provided by the service (other than support groups):

The group programme within Cuan Dara consists of three groups per day, 10:30, 14:30 and 18:00hrs. Relapse Prevention Groups examples: Triggers and psychological traps, Identifying risks and making choices, exploring attitudes to recovery etc. Self Awareness Groups: Peer evaluation groups, Process groups, Coping with Anger, Assertiveness training, Anxiety Management etc. Health Promotion Groups: HIV and Aids, Hepatitis group, STD’s, Overcoming Depression, Healthy Lifestyles, Healthy Eating etc. Additional Groups: Relaxation, Yoga, mindfulness, Gym, Client led groups and outside speakers (Keltoi, Coolmine, Rehab & Integration etc.) Closed Narcotics Anonymous meetings occur 4 Week nights and Sunday at 7:30pm within the unit. Closed Cocaine Anonymous meetings occur every Wednesday & Saturday at 7:30pm

Quality Standards

Details of quality standards that the service is engaging with:

QuADS

HIQA

Data Reports

Is data submitted to the National Drug Treatment Reporting System?

Yes

Clinical Lead

Is there a clinical lead for the service?

Yes

In what disciplines?

Cuan Dara has a multidisciplinary team which consists of Consultant Psychiatrists, Registrars, General Assistants, Counsellors & Nurses who specialise in the treatment of Addiction. (Full details of roles within the team listed below) All Disciplines have a Clinical Lead, Unit Manager/Nurse Manager: Jason Farrell RMHN, Clinical Director: Dr Eamon Keenan. The Nursing Team:It is the aim of this key-nurse to get to know a clients physical and emotional needs and help the client work through their recovery Nurses are available for one to one discussions and facilitate groups. The nursing team also provide information on services providing further treatment and support following the Cuan Dara programme. General assistants: General assistants are available to provide support and maintain a safe environment. They are available for supervised walks; talks, organising and monitoring phone calls and visits as well as many other activities. Counsellors: Are available for support Monday to Friday. Individual counselling, group counselling, family sessions and group process sessions are offered as part of the programme. Medical support:Medical Support is provided through Trinity Court, a registrar is located on Cuan Dara Monday to Friday during working hours. An on call service is also available. Your Consultant will also see you on a weekly basis. Outside Speakers and sessional workers: Yoga Nidra is available to clients twice a week to assist in relaxing the mind and assisting the detoxification process. Gym is available once a week for light exercise and staff are available for regular walks around hospital grounds.

Clinical Governance

Is there clinical governance for the service?

Yes

In what disciplines?

All Disciplines