Powys Drug Services
In Powys, Kaleidoscope provides drug and alcohol services to Children, Young People and Adults. The service, which started in April 2011, is a partnership between Kaleidoscope and North Wales provider CAIS with CAIS delivering the Young Persons’ Services.
Powys is the largest of the Welsh counties, yet it is sparsely populated, making delivering services in the region very difficult. Treatment centres have been established in the key towns of Welshpool, Newtown, Llandrindod wells, Brecon and Ystradgynlais, with sessions being run from other locations (such as Machynlleth and Presteigne) on an outreach basis.
The service been designed to a stepped care model. In simple terms, stepped care is about matching the level of need with the intensity of treatment provided, and will help us to be more efficient in how we work with people. The biggest problem in Powys is with alcohol, and we want to try and reach out to people who might not have an alcohol dependency, but could reduce their alcohol consumption to healthier levels with a little support. To achieve this we train professionals in Powys to raise awareness about alcohol and show these professionals how to screen their clients (using the Alcohol Use Disorders Identification Test), and either give some brief advice on how to cut down; or refer them into us if a more intensive intervention may be needed.
Clients who are referred in to us will be given a range of structured therapeutic interventions. Motivational Enhancement Therapy and MI are the 'first step' in structured treatment, and those who need more intervention from here could have Social Behaviour and Network Therapy (SBNT), Cognitive-Behavioural Coping Skills Training (CBCST) or Structured Relapse Prevention (SRP). Those with complex needs would be case managed.
We work in partnership with Powys Carers service to provide support to ‘concerned others’. We introduced ‘Parents and Carers Training’ (PACT) to ‘concerned others’ early in 2012.
In addition to structured treatment interventions, we also provide a range of ‘tier 2’ services, such as needle exchange, acupuncture, and access to diversionary activities. We routinely offer alternative ways of accessing services to clients, in particular interventions via computer, email and telephone.
Because of the geography of Powys there aren’t multiple service providers, as it makes sense for the same provider to distribute work across a team. Consequently we deliver criminal justice treatment interventions (including DIP, DRR, AAR and ATR), as well as some clinical services.
We have recently introduced take-home naloxone in Powys, and we are working to introduce improvements to needle exchange provision.
Phone: 01686 610422
Fax: 01686 624714