Counselling for the Whole Community
Being responsible for the provision of services paid for through public funds places a pressure on DAPL
like never before. Not only do we have to be accountable, we want to be accountable. The easier we
make it for everyone to see that counselling benefits our communities the more secure the provision
becomes for those we serve.
Being openly accountable, honest and measured in our processes brings the opportunity to review,
question and experiment with how we deliver counselling across the whole region.
In shaping the future of DAPL we have three key considerations:
1. What is best for the clients and the community.
2. What ensures the security of the service in the community
3. How do we safeguard our employees wellbeing.
As you will see from this presentation each stage of the process is clearly defined and explicit. We aim to
ensure that our service is fairly available across the whole of Fife, that we support the recovery message
and that we do everything we can to ensure that our staff are protected from excessive work loads and
stress.
Our guides for all our processes are:
Trauma Informed Service Provision
Client's
Expressed
Opinion
Counsellor's
Professional
Judgement
Structured Decision
Making Model ➤
Evaluation
Tools
The counselling service provided by DAPL is based on a six session model. At any point where the client expresses additional or current trauma
the counsellor will have the capacity to renegotiate the basic contract to plan up to three additional sessions to support the specific issue.
Through ethical and responsive management of the sessions the client or counsellor can bring the counselling process to an end before the 6
sessions are completed. This may be supported by the evaluation scoring process, change in life events or through the choice of the client. The
counsellor will offer appropriate signposting to other agencies that can either enhance the client’s wellbeing or better support the client with
their current or ongoing issues.
Further to this initial six session engagement the client may use and reuse the service as often as they feel it is of benefit to them. It is
suggested that the client allows six weeks between reconsidering a re-referral. This will ensure that there is some safeguard against the client
becoming over dependant on the service. It also ensures that the limited resources that we have can be offered with some parity across the
whole of Fife.
This model is applied across the entire service to ensure that there is no discrimination with regards age or geographical location.
The Counselling Team will use YP CORE evaluation to support decision making. This psychological evaluation tool will support the design of the
very best service possible for the client. The client’s and the counsellor’s feelings, opinions and experiences will also support the design of the
care plan.
Your Pathway to Recovery- Counselling
Universal
Services
Relapse
Prevention
Trauma
Management
Issues
Specific
Services
Further
Intensive
Services
Following the Pathway
Events
1st Contact
The client makes contact
with DAPL either directly or
more commonly through
the guidance staff or social
workers.
Actions
•
•
•
•
Are they looking for our service?
Gather all required information F1
DATA search on client
Allocate to F2
Date of referral:
Young Person’s
Client ID Number:
Referral
F1 YP
Is this referral for DAPL?
To support the process every stage of the client’s journey is
supported by the map, the forms and the expertise of those
managing the system.
The system and indeed the Pathway only works when we
manage all aspects of communication effectively:
• Verbal
• Physical
• Written
• Electronic
By following the system map we will ensure that client’s get
the service they need and one we can provide. If we can’t
provide it we can direct them to someone who can.
Use the Initial Contact Matrix to check if the young person fits our criteria. The
initial presenting issue may hide the wider details. Please ask directly if any of
the co-occurring issues are a factor.
Young Person’s Details
NAME
DOB
YEAR IN SCHOOL
(E.G S2 etc)
ADDRESS
TOWN
POSTCODE
TELEPHONE
MOBILE
OKAY TO
TEXT?
YES
EMAIL
APPOINTMENTS IN SCHOOL
YES
NO
NO
Following the Pathway
Events
• The client/referrer has
provided DAPL with all
relevant information
Actions
The Admin Team will allocate the
client to one of these options
depending on presenting factors:
• Accept for ASSESSMENT
• Send out U12 Pack
• Referred to Area Coordinator for
discussion
Following the Pathway
ASSESSMENT
Actions
• The client meets with a member of the DAPL team
• Using the Assessment process the client’s treatment
and care plan will be designed.
• They may find the Assessment session enough but
will potentially access:
• Counselling
The Assessment
PAPERWORK & ACTIONS
• MOTIVATIONAL INTERVIEW
• ABI
• DBI
• SAFETY PLANNING
•
•
•
•
(2) CONTRACT
(5) CORE YP
(25) DAPL LIFE STORY ASSESSMENT
(10) SMR (Drug Use Only)
TREATMENT
GIVE
INFORMATION
GAIN INFORMATION
The Assessment will be delivered using Motivational Interviewing and will incorporate ABI, DBI & Safety Planning throughout as appropriate.
HOW DID I DO TODAY
Events
• Ask the client for feedback
after the first assessment
Actions
• Give the client the “How
did I do today” link
• Ask them to complete
online
Therapeutic Client Assessment
Life Story
CORE YP
A Measure of Psychological Distress
SMR25
The Scottish Drug Misuse Database (SMR25) offers a profile of
the misuse of drugs, based on anonymous information about
new problem drug users seen at a broad range of services
across Scotland. Services contributing to the Database consist
mainly of specialist drug services and general practitioners. The
system has been in operation in Scotland since August 1990.
ALCOHOL SCREENING TOOL
ABI
The following questions are validated as screening tools for alcohol use
Scoring system
AUDIT- C Questions
How often do you have a drink containing alcohol?
Brief interventions are not overly complex and can be
delivered by professionals in a range of health and social
care settings once the adequate training requirements
have been met.
(Health Scotland ABI Briefing Paper April 2017)
How many units of alcohol do you drink on a typical day
when you are drinking?
0
1
2
3
4
Never
Monthly
or less
2-4
times
per
month
2-3
times
per
week
4+
times
per
week
1 -2
3-4
5-6
7-9
10+
Less
than
monthly
Monthly
Weekly
Daily or
almost
daily
How often have you had 6 or more units if female, or 8
Never
or more if male, on a single occasion in the last year?
Your
score
TOTAL
:
A score of less than 5 indicates lower risk drinking (see overleaf)
Scores of 5+ requires the following 7 questions to be completed:
Scoring system
AUDIT Questions
(after completing 3 AUDIT-C questions above)
0
1
2
3
4
Never
Less than
monthly
Monthly
Weekly
Daily or
almost
daily
Never
Less than
monthly
Monthly
Weekly
Daily or
almost
daily
Never
Less than
monthly
Monthly
Weekly
Daily or
almost
daily
How often during the last year have you had a
Never
feeling of guilt or remorse after drinking?
Less than
monthly
Monthly
Weekly
Daily or
almost
daily
How often during the last year have you been
unable to remember what happened the night
before because you had been drinking?
Never
Less than
monthly
Monthly
Weekly
Daily or
almost
daily
Have you or somebody else been injured as a
result of your drinking?
No
Yes, but
not in the
last year
Yes, during
the last
year
No
Yes, but
not in the
last year
Yes, during
the last
year
How often during the last year have you found
that you were not able to stop drinking once you
had started?
How often during the last year have you failed to
do what was normally expected from you
because of your drinking?
How often during the last year have you needed
an alcoholic drink in the morning to get yourself
going after a heavy drinking session?
Has a relative or friend, doctor or other health
worker been concerned about your drinking or
suggested that you cut down?
TOTAL
Your
score
DBI
A DAPL YP Drug Brief Intervention must consist of:
• Exploration of what drugs are being used
• Find out how much is being used
• Find out how the client uses
• Explore practical ways of reducing harm
• Explore practical ways of preventing overdose
• Referral to Social Work where appropriate
• Referral to Addiction Services where appropriate
• Is the client aware of the legal issues around their drug use?
SAFETY PLANNING
ALLOCATED TO COUNSELLING
Think about what you need?
• A digital storage file on a
secure computer
• A separate digital folder for
each client
• Read the Assessment
Material
• Secure storage for any Art
Work produced
Think about what you need to do?
• Contract
• CORE YP @ 3 & 6 weeks
• SMR 25b (the update)
• Final Outcome Form
FINAL SESSION
PAPERWORK & ACTIONS
GAIN
INFORMATION
• DAPL FINAL OUTCOME
• CORE YP
• SMR 25b
GIVE
INFORMATION
• SIGNPOST TO OTHER SERVICES
FUTURE TREATMENT
• CLIENTS CAN RETURN TO SERVICE AFTER A BREAK
POST SERVICE FEEDBACK
WEEKLY STATISTICS
Your work is only finished when…
LT
6
JK
2
SI
32
MD
DNA