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In our continuing series on the important
work done by Non-Government Agencies - Mark Buckingham CEO of Kedesh
Rehabilitation Services outlines the important work done by this
individual addiction treatment service.
QU_What is your programme based on?
The programme is designed to address the
psychological aspects of addiction and is based on the principles of
Cognitive Behavioural Therapy (CBT).
The organisation has been in operation for
over 25 years providing a drug and alcohol residential
rehabilitation service within the Illawarra.
Kedesh admits approximately 200 clients into
the service each year. Sixty percent of admissions have a co-morbid
mental disorder in addition to their drug use. This includes
depression, anxiety disorders, schizophrenia and personality
disorders. The main drugs of concern identified by clients upon
admission to Kedesh House include alcohol, amphetamines, heroin and
cannabis.
Additional counseling and education is
provided to families affected by drug, alcohol and gambling
dependency through Kedesh Family Programmes.
The Family Assistance Programme at Kedesh is
aimed at providing information to family members, reducing stress
and tension in family relationships and helping members learn skills
to improve communication and problem solving.
QU_ You run a number of groups, which of
these do you believe to be the most beneficial?
The group-work consists of four
psycho-educational modules. The primary objective of the modules is
training clients in the skills required to become their own
counsellor.
The group modules include Cognitive
Behavioural Therapy (CBT) - teaching the client to become aware of
unhelpful patterns of thinking, and replace these with helpful ones.
This is also an extremely useful treatment option for those
suffering from depression, anxiety and anger management problems.
Other modules include Relapse Prevention
Training where clients are taught how to prevent a relapse back into
their addiction, self-awareness which examines a pattern of
behaviour and helps a client to develop an understanding of who they
are today and who they want to be, and social skills training -
assisting clients with communication and assertiveness skills.
Case workers also address topics like sleep,
relaxation, housing, vocational guidance and nutrition with clients.
Kedesh also offers where needed, individual
case management.
QU_Can you outline where the programme is
at its most innovative?
The 'Alcohol and Other Drugs Counsellor
Internship Programme' (AODCIP) is a 12 month on-site training and
supervision internship and is an initiative of Kedesh in the
Wollongong region of NSW.
The programme was originally designed to
meet the supervision and training needs of new and existing staff
and gradually evolved to become available to students at the
University of Wollongong and TAFE approaching, or completing, their
final year of undergraduate studies.
The aim of formalising this programme was
to:
* to provide students supported work
placement and on-site training in the AOD sector,
* to create a well-trained voluntary
support workforce for Kedesh which often develops into paid
positions within the service and for a range of other services (e.g.
mental health services, Juvenile Justice, NDARC, Merit etc.) and
* to work towards Kedesh Rehabilitation
Services goal to become a recognised clinical training institute in
the AOD sector as well as maintaining evidence based treatment
service.
QU_One of the commitments from the Drug
Summit in 1999 was to provide more funding for organisations such as
yours. How have you benefited from the extra money?
The addition of four beds through the Drug
Summit, with a formalized bed day rate attached, represented
additional income for the service.
At about the same time as the extra
resources for residential rehabilitation were provided, a further
two beds were allocated to Kedesh as a component of the MERIT
program.
One of the really good things to come out of
the Summit more broadly was that the relationship between services
has changed from competitive to collaborative following the
allocation of additional resources. It should also be noted that
for Kedesh, a closer working relationship has developed with the
Network for Alcohol and Drug Agencies(NADA), in part emanating from
the active role NADA played in seeking the additional resources.
The additional capacity provided by the Drug
Summit eds also allowed a limited reduction in waiting time for
admission.
An increase in accountability was also
established through the Drug Summit as it has contributed to
development of the following - implementation of the minimum data
set; provision of computer hardware and internet access, support for
and the requirement to participate in accreditation; and the
establishment of limited infrastructure funding distributed through
NADA.
These additional resources associated with
beds have allowed Kedesh to pursue accreditation more quickly than
otherwise would have been possible. Kedesh has also established a
close working relationship with the Illawarra Area Health Service.
At the end of the day it is our clients who
ultimately benefit from the Drug Summit commitments.
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