Blenheim Annual Report 2015/16 Message from the Chair of the Board of Trustees W e live in uncertain times. There is anxiety around Brexit. Daily we hear that the NHS is under intolerable pressure and its future is at risk. On top of this government funds seem more and more scarce. Vision To end drug and alcohol dependency and related harm by enabling people to change. Blenheim is a charity that provides support to drug and alcohol users, their families, friends and carers. We support people to make lasting changes to their lives. We believe in people’s capacity to change. 2 Blenheim Annual Report 2015/16 Values We are committed to change, quality, honesty, innovation and integrity. Drug and alcohol use is what people do, not who they are. We challenge myths and stereotypes surrounding drug and alcohol use. We provide opportunities to develop through support and learning. We advocate that the opportunity to change is a right, not a privilege. In this environment, some people might feel that drug and alcohol services are luxuries that society can ill afford. On the contrary, now is exactly when society needs drug and alcohol services most. The people who use our services are in desperate need and suffering from increasing levels of illhealth. One person being affected by drug and alcohol use can have a dramatic knock-on effect – including increased crime, deteriorating health, and negative impacts on friends and family. Now is the time as a society to address drug and alcohol issues head on. I am proud to be part of an organisation that helps people, families and communities confront drug and alcohol problems – often one person at a time, making amazing changes to individual lives: abstinence from drugs and alcohol, or significantly reduced consumption; more stable housing; and, for many, new employment opportunities. These changes are often associated with improved physical and psychological health, as well as significant improvements in quality of life. I feel privileged to be part of an organisation that is prepared to argue for harm reduction policies, supports an evidenced-based practice and campaigns in the corridors of power to ensure that people get the treatment that they need. Now is the time as a society to address drug and alcohol issues head on. The last year has been challenging for our sector, but Blenheim continues to develop and adapt both as a service provider and a loud advocate for the people who use our services. We are delighted to have launched new partnerships to deliver Arch in Hillingdon, the Reintegration and Aftercare Lewisham (ReAL), and the integrated R3 services in Redbridge – and we have also opened a new Primary Care Recovery Service (PCRS) in Lewisham. We are also excited to have developed new partnerships with Club Soda and the Octavia Foundation, to name but a few. This is a time of change. Sadly, after 48 years of working in Southwark, Blenheim is no longer delivering adult drugs services in the area. However, we continue to deliver a young people’s service there, which is recognised as a centre of good practice. In the coming year Blenheim will enter an exciting new partnership with Turning Point across London and explore new ways of working as we restructure for a brighter future. Eric Feltin, Chair of the Board of Trustees Blenheim Annual Report 2015/16 3 Blenheim in 2015/16 W e provide free, friendly and non-judgemental advice, support and treatment through a range of services designed to meet the unique needs of all people affected by drug and alcohol misuse. These include services such as openaccess, key work, criminal justice, day programmes, GP sharedcare, access to opiate substitute therapy (OST) prescribing, and needle exchanges. We provide a range of integrated services, specialist services for young people, families and friends, and services that focus on aftercare, reintegration and access to education, training and employment (ETE). In 2015/2016,we provided 26 6 12 We provided support to 12,314 people in 2015/16. 84% of people who were at risk of eviction when they came to Blenheim were no longer facing this risk when they left our services % 0 Over 5 services across London boroughs, opening new services. 95% of our service users would recommend Blenheim to someone else 47% of service users using alcohol were abstinent when they completed treatment 4 Blenheim Annual Report 2015/16 When asked, 97% of Blen heim service users were happy with the service they received that day of service users using opiates were abstinent or had significantly improved in their first six months of treatment Service users who reported offending behaviour when they started using our services reported a 92% reduction when they completed treatment 36% of people who use our services reported an improvement in their quality of life when they completed treatment Blenheim Annual Report 2015/16 5 Spotlight on our Services Islington CASA Alcohol Service We provided a wide range of support for alcohol users across Islington, including satellite services and outreach with St Mungo’s. We worked with a local GP to develop the community detox pathway, forging the opportunity to deliver detoxes from our base in CASA. Focusing on wellbeing, we introduced complimentary therapies and a yoga group. We achieved the best successful completions rate for service users in the borough. Bexley Nexus At Nexus, we offered a vast range of services and open on several evenings and Saturdays, ensuring that service users who are working, training or in education are able to access our service. We provided placements and induction training to all new social workers, and delivered satellites with local mental health services and Job Centre Plus. Hammersmith & Fulham, Kensington and Chelsea, City of Westminster Oasis At Oasis, we provided an open access service in Hammersmith & Fulham. KC North Hub We provided an integrated service in partnership with Central and North West London NHS Foundation Trust (CNWL) and Phoenix Futures. We employed a Community Engagement Worker to work with communities affected by the use of khat, engaging service users who are traditionally unlikely to access mainstream services, particularly women, through proactive outreach and grassroots community engagement. We also ran an ETE service at K&C ETE. Primary Care Support Service We worked in partnership with GPs and primary care staff across twenty-one surgeries. We built stronger relationships with pharmacists to get a better understanding of our service users’ local support, and developed training for pharmacy and GP Practice staff on drug and alcohol awareness and working with alcohol misuse. Read about our work with young people through Insight K&C on the Spotlight on Young People page. We worked in partnership with Turning Point to prepare to open the doors of the new Drug and Alcohol Wellbeing Service on 1 April 2016. 6 Blenheim Annual Report 2015/16 Read our Spotlight on our Families and Friends Services for information on CASA Families, Partners and Friends Service and CASA Family Service Lambeth Haringey The Grove We worked in an integrated partnership with Barnet, Enfield and Haringey Mental Health Trust, offering a vast range of services, including a criminal justice service, community care assessments, an evening club drug clinic, prescribing, a needle exchange and a range of mental health support. This year, we developed new groups, and began pairing the facilitator with a psychologist. Read about our work with young people in Haringey at Insight Platform on the Spotlight on our Young People Services page. Harrow and Hillingdon Directions At Directions we provided a structured two-phase day programme: the first phase supported service users who are using drugs and alcohol, and the second phase supported service users who are abstinent. Arch In August 2015, in partnership with Central and North West London NHS Foundation Trust (CNWL), WDP, and Build on Belief, we opened a new integrated service in Hillingdon. Blenheim delivered recovery work, the group programme and outreach, including events in the local community. We engaged and re-engaged service users with a focus on motivation and harm minimisation. Lorraine Hewitt House and Harbour Recovery Centre As part of the Lambeth Drug and Alcohol Treatment Consortium, Blenheim continued to work in a successful fully integrated partnership with South London and Maudsley NHS Foundation Trust (SLAM), Addaction and Phoenix Futures. Latch House Latch House pairs Blenheim’s substance misuse programme alongside Nacro’s hostel and housing service, to support men wanting to break the cycle of re-offending and substance misuse. We responded to the changing profile of substance use in Lambeth by developing our group programme to include specific groups on novel psychoactive substances, as well as recovery capital. Lewisham Primary Care Recovery Service (PCRS) We opened our doors and worked across eight local GP surgeries, offering medication-assisted treatment alongside psychosocial interventions. We introduced naloxone distribution, and we helped to increase access to detox by finalising our ambulatory alcohol detoxification model. We expanded our group programme to include a mindfulness group to support our service users dealing with anxiety and stress. Redbridge R3 In May, we launched R3, a one-stop integrated drug and alcohol treatment service in partnership with the NHS East London Foundation Trust (ELFT) and QALB. We successfully established ourselves within the local community and provided a range of services – including a needle exchange and a criminal justice service. We started the exciting twelve-week R3 Abstinence Based Day Programme for service users wanting to build on their recovery, prevent relapse and gain skills to move out of treatment. We have a 100% completion rate for opiate users, and are exceeding our completion targets for nonopiate and alcohol users. Read about our R3 ETE service on the Spotlight on Education, Training, Employment and Aftercare page. Southwark Rise We restructured and expanded the twelve-week structured day programme, creating options for less stable service users to ‘pick and mix’ groups as an induction to the course, as well as a aftercare programme for abstinent service users. Southwark Drug Intervention Programme (DIP) We continued to work successfully across multiple sites in partnership with the police, probation, courts, prison estates and hostels. Kappa We worked with eighteen GP surgeries to support access to OST prescribing, alongside a range of psychosocial interventions. Evolve Our open-access service provided an innovative club drug clinic, and we developed a satellite service on chemsex for gay and bisexual men at the Lloyd STI Clinic at Guy’s hospital. This focused on harm reduction advice, information and brief interventions. Read about our work with young people at Insight Southwark on the Spotlight on Young People’s Services page. We also opened Reintegration and Aftercare Lewisham (ReAL), which you can read about on the Spotlight on Education, Training, Employment and Aftercare page. Blenheim Annual Report 2015/16 7 Spotlight on our Young People’s Services At our Insight services, we provide information, support and a range of facilities to help young people discuss any issues and move forward with their lives. In addition to this we offer advice and support to parents, and training to professionals who engage with young people in the boroughs that we work in. In 2015/16, 3,632 people accessed our Insight services. I n 2015/16, we offered young people’s services in Haringey (Insight Platform), Southwark (Insight Southwark), Kensington and Chelsea, Hammersmith & Fulham and Westminster (Insight K&C). A t Insight Platform, we were awarded additional funding from Haringey Council to work in partnership with the Council and the Prince’s Trust, as part of the Transformation Challenge Award. In January, we launched a package of seven substance misuse related programmes, including group work with young people in schools and youth groups around drug related offences and anti-social behaviour; a citizenship programme with teenagers to promote sustainable communities; and engaging teachers and other professionals to increase their drug awareness. A t Insight K&C, we continued providing group activities, including our weekly HOT Café, alongside 1-2-1 support and groups to discuss substance misuse, health, education and family issues. We continued to provide our satellite outreach services and hosted organisations such as Working with Men, who are focused on getting young people back into work. We developed our relationship with the Latimer Academy Pupil Referral Unit and we are now based there one day a week, to work with the students around the effects of cannabis, skunk and crime. 8 Blenheim Annual Report 2015/16 When I was referred to Insight Platform I initially didn’t think it would make a difference to my life. However, my key worker was absolutely amazing, which allowed me to let my guard down. From the first session I was convinced that I could make some positive changes. I still have some low days like most people but I now know how to control my triggers and can live a normal life. I work with young mums and girls under the age of 24 who are affected by substance misuse and who may be involved with social services, to help them build their parenting skills and self-esteem. We use node link mapping to highlight their strengths and goals. We also work on health and wellbeing, nutrition and diet, and practical skills like budgeting or navigating public transport. I’m so proud when I finish work with a young woman, and they’re abstinent and in training or employment. Last week, a previous service user came to visit. She has a full time job and kids in nursery. It’s amazing to see how she’s turned her life around. Sharon Thompson, Female Engagement Worker at Insight Southwark ‘I was sexually abused when I was 16. Following that, my mental health suffered. I had depression – I kept crying, felt guilty and isolated and I was thinking about suicide. I started drinking alcohol and using cannabis and it spiralled out of control. I was studying for my degree, but my parents asked me to move in with my uncle because of how I behaved when I was drinking and taking drugs. The day after my Mum had taken me to A&E because I was suicidal, she took me to Insight. With my key worker, I had space to think about how the alcohol and cannabis affected me. We used an alcohol diary to work out my patterns and triggers. She also helped me get linked in with the community mental health team – and even came to appointments with me. When I told her I wasn’t comfortable at my uncle’s but couldn’t move back in with my mum, they helped me with the homeless person’s application form. It was amazing to have that support. It made it all that bit easier. I’m now in a female-only hostel and engaging with all the right services. Insight encouraged me to return to uni in September 2016. I think I will.’ Service user from Insight K&C Insight Platform Service User, aged 19 At Insight Southwark we began to work in partnership with Brook Advisory to deliver a satellite service for young women, and continued our satellite service in the Kings College sexual health clinic. We delivered training on the impact of drugs on young people for 50 professionals in Southwark. As well as onsite activities, we are committed to finding the best ways to engage young people within the community, so we worked in schools, pupil referral units, and in collaboration with other organisations such as the Youth Offending Service. Blenheim Annual Report 2015/16 9 Spotlight on our Family and Friends Services Across London, we provide specialist services that focus on supporting and safeguarding families, partners and friends affected by substance misuse, including children. In 2015/16, over 4,250 people accessed our family and young people services. C ASA Families, Partners and Friends (Islington) and Nexus (Bexley) directly support people affected by other people’s drug and alcohol use. Our CASA Family Service in Islington supports families with children affected by parental substance use, helping parents to provide a safer and more secure environment for everyone in the family. In addition, a significant part of our Insight (young people) services in Kensington and Chelsea, Hammersmith & Fulham, Westminster, Southwark and Haringey is to work with parents, carers and families to educate and raise awareness around drugs, discuss how to talk to young people about substances and support the family’s wellbeing when they are affected by parental and sibling substance misuse. My 1-to-1 support and group sessions with service users offer a space to talk things through and provide a safe space to be heard, de-stress, and process feelings such as bereavement for lost loved ones. As well as supporting the mental wellbeing of families, healthy relationships are also an important part of recovery. Families and loved ones might need to make sense of the way they can support the person who is using drugs and/or alcohol, and find out more about substance misuse. In 2015/16: Insight Platform launched the Transformation Challenge Award (TCA) with Haringey Council and the Prince’s Trust. As well as engaging young people around substance misuse, our TCA programmes focus on family work. Our parenting workshops and 1-2-1 interventions raise parents’ awareness on the impact of substance misuse on their families, and our work with children, teachers and professionals on hidden harm enhances safety and protection. The work on Hidden Harm is so important because it safeguards children and ensures they aren’t missed out of the recovery process. We work with parents so they can understand the effects of their drug and alcohol use, and run age-appropriate activities with children – we aren’t here to judge, but believe in everyone’s capacity to change. Chantelle Green, a Hidden Harm Worker at Insight Platform Teresa’s husband was always a regular drinker, but since his redundancy he had been drinking more and more problematically. He was becoming verbally abusive and had tried to assault their adult son. Teresa was becoming distressed and worried. She felt she must being doing ‘something wrong’ and felt isolated. Her life revolved almost entirely around trying to stop her husband drinking. When Teresa came to the service, the team provided her with counselling and referred her to organisations to support her with the risk of domestic violence. Teresa also participated in the support group, where she felt heard and supported. As a result of our work with Teresa, her mental wellbeing has improved. She feels less isolated and more self-confident. CASA Family, Partners and Friends Service. Names have been changed. CASA Family Service provided support to 75 families affected by parental substance misuse, through direct work, structured therapeutic intervention and workshops with parents/ carers, children and families. Of the families that passed the screening stage, 94% saw an increase in protective parenting, 89% saw a reduction in drug and alcohol related harm, and 86% saw a reduction in alcohol and drug use. Before I was sad, unconfident, can’t talk about problems. After I am happier, confident, able to speak more, I don’t feel alone 13 year old – feedback from the Family Workshops at CASA Family Service Kate Foy, Project Worker at the Family & Friends Service at Nexus 10 Blenheim Annual Report 2015/16 Blenheim Annual Report 2015/16 11 Spotlight on Education, Training and Employment (ETE) and Aftercare The ETE service gave me the tools to get employed. – R3 ETE service user. At Blenheim, our ETE and aftercare services support people to access opportunities within their community to further aid their recovery. In 2015/16: R3 ETE opened as part of our fully integrated service in Redbridge. In our first year, we built excellent relationships with the community, recruiting 12 local employers, supporting 24 people into employment, and helping 48 people to engage in education or training. Wardrobe R3 ETE’s Working U sing individual interventions and group work, we help to build resilience and relapse prevention, support people to move on and out of treatment, and have a long-lasting positive impact on people’s lives. We provide help and advice around applications, interview skills and in-work support. This year, we offered specialist ETE services in Redbridge (R3 ETE), Lewisham (ReAL) and Kensington and Chelsea (K&C ETE) as well as ETE support in many of our other services. The Reintegration and Aftercare Lewisham service (ReAL) opened its doors to provide access to ETE opportunities, such as a confidencebuilding course, and a weekly IT course. ReAL set up a Job Club to support service users with job searches and CV building, and a fortnightly reading group in partnership with ThamesReach. ReAL also began an exciting collaboration with the actor Donald Waugh, to host his creative ‘Pavement 2 Catwalk’ workshops. Our service users work with Donald and with various materials to create a new fashion piece each week. At K&C ETE, we held a successful event for Adult Learners Week, to recognise and celebrate the achievements of our service users. Over 100 people attended this event, including commissioners and ward councillors, volunteers, service users and peer mentors. We provided 1-21 IT support delivered by our IT volunteer, worked with Dyslexia Action to launch Units of Sound literacy package, and supported service users by initiating a new Universal Job Match Clinic. In 2015/16, 407 people accessed our ETE and aftercare services. 12 Blenheim Annual Report 2015/16 Learn2Earn Working Wardrobe In December, Blenheim and the Octavia Foundation were awarded a grant from the Big Lottery Fund to support people with a history of long-term drug and alcohol dependency into education, training and employment. In early 2016, Blenheim and the Octavia Foundation began to design the bespoke programme around the specific needs of people in recovery, who are often long-term unemployed and have little chance of achieving employment through traditional job centre work programmes that are designed on a more generic basis. The twelve-week programme will support residents of the London Borough of Hammersmith & Fulham, the Royal Borough of Kensington and Chelsea, and the City of Westminster through modules aimed to improve service users’ confidence and self-esteem, as well as their employability skills. R3 ETE set up a Working Wardrobe to help service users to feel at their best and most prepared when they get their interview. The Working Wardrobe can provide our aspiring professionals with an outfit to help them feel confident for their interview – alongside the other support they receive at R3 ETE. We established a link with The Xchange Redbridge shopping centre for a fashion show and received donations from the public. When a service user gets an interview, they’ve already come so far in their recovery journey. They can achieve anything and we don’t want them to fall at the final hurdle – an extra confidence boost can be life-changing. ‘I hadn’t been back to school or done any courses since the age of 13. When I was in recovery, I came to the aftercare programme and then the ETE programme at ReAL. I’ve always loved the idea of painting and decorating – and they encouraged me to pursue it, gave me information, and referred me on to different opportunities. I did the Moving In Moving On course with ThamesReach – to gain new skills and also develop skills like confidence and team working. They said I was the best student they’d ever had! I’m doing my Level 1 BTEC now and I have so many goals. I want to complete a course with Women in Construction and eventually, maybe I’ll have my own painting and decorating business. I want to show other women who are interested in the industry that they can do it too.’ ReAL Service User Blenheim Annual Report 2015/16 13 Spotlight on Service User Involvement In a photo project with R3 ETE service users, we asked them to take photos of surroundings that made them feel positive, hopeful and motivated. We are committed to supporting service user involvement in our services, and view peer mentoring and mutual aid as crucial aspects of people’s recovery. Service user groups and peer led services can act as invaluable support networks; they can also build skills, confidence and experience. Peer mentors across Blenheim learn new skills, increase their knowledge and confidence, and work as part of a team – as well as having the opportunity to help and support someone else. Service user forums Many of our services run forums and groups that provide our service users with a space to have a say about the running of their service. Some of our service users have also represented their service at borough-level and at Public Health England forums. At Nexus, a structured service user group was introduced in January 2016 to give service users a greater voice within the service. They have voted members into key roles and have taken the service forward by making changes to the group programme. At CASA Alcohol Service, the service user group is well attended and have their own information board in the open-access drop-in. Supported by 14 Blenheim Annual Report 2015/16 a volunteer, the representatives have organised trips to the British Museum, a book group, curry evenings, and have built a link with the Heritage Trust in Islington. At Evolve, the service user representatives and peer mentors continued to have full ownership of managing the Service User Sunday Café. Peer mentoring We believe that peer mentoring can be an important part of recovery as personal experience gives a unique understanding of the problems that another service user may be facing. The Blenheim Training Team worked closely with six peer mentor coordinators to develop a ten-week training package for peer mentors. The training includes sessions on boundaries, confidentiality, interpersonal and communication skills and signposting, and is standardised across the organisation. Mutual Aid Groups Blenheim continued its partnership with UK SMART Recovery, who train volunteers in our services to facilitate SMART Recovery groups. These service users are trained, equipped and supported to run their own meetings and support one another using SMART’s evidence-based tools. We support a number of service user groups that provide a range of peer-led, weekend, social and support services in our buildings. These groups offer a valuable opportunity to socialise and establish lasting support networks. We have a long-term relationship with Build on Belief, which provides recreational and social support to service users. We provide meeting spaces for AA, NA, CA, MA, and other groups, as we believe that service users have the right to choose which interventions are most useful to them on their personal recovery journey. ‘It all feels very strange, coming out of addiction - something you invested so much effort into – it leaves a hole, and you have to fill your time. That’s why I’ve been doing lots of volunteering. I’m a service user representative and chair meetings for a borough-wide service user group. I really enjoy it. We’ve got a solid base, and it’s been good to see it get established and build more and more of a rapport with staff. It’s helped me meet people, try things out and find out what I’m good at. My service is participating in the Haringey Time Credit scheme, supported by an organisation called Spice. I get time credits in return for volunteering in my community and my service. I can use them for all sorts of activities, like the cinema or Birmingham Christmas market. We’re planning a picnic and we’re trying to get tickets to a football match. Volunteering and socialising can help people sustain their recovery. I’ve met so many great people I’d call my friends and the activities and outings on the time credit scheme help me feel connected to people I can relate to. We’ve all been through the same thing.’ Service User at The Grove Blenheim Annual Report 2015/16 15 Volunteers Thank you to our amazing volunteers: you are vital to the work of Blenheim, making a genuine difference to your communities and helping people change their lives. O ur volunteers bring a vast range of skills and experiences such as counselling, complimentary therapies, art therapy and IT skills. Others support open access, service-user groups and perform administrative tasks. o meet the needs of a diverse workforce, the Training Team contracted Learning Pool to host Blenheim’s new e-learning site. In preparation for its launch in April 2016, the team designed the system, content, and a set of different learning pathways to provide bespoke training to our staff in every role. The core training programme was reviewed to blend face-to-face training and e-learning to maximise impact and accessibility. V olunteers gave around 3,100 days of their time across the charity W e implemented a Volunteer Development Book that is used during a volunteer’s threemonth induction to evidence the competences and knowledge gained and encourage reflective practice. What have volunteers made possible? At Latch House, our volunteer counsellor’s day job involved working with cancer patients. Following a suggestion by our service user group, the volunteer took the lead and co-facilitated a group Volunteers can give you a fresh insight and perspective into how you’re running your service, especially if they’re in recovery themselves. You’re constantly refreshed. I like the way Blenheim works with our volunteers –marrying up the right support and training so the volunteer experience is of mutual benefit. Eileen Doyle, Service Manager 16 Blenheim Annual Report 2015/16 Blenheim has a proud history of investing in the development of our people. We believe that well-trained, knowledgeable staff and volunteers help us to deliver innovative, evidence-based interventions that have a positive impact on the lives of our service users. T In 2015/16: V olunteers benefited from a range of skills training, including Boundaries and Communications skills, Alcohol Awareness, Drug Awareness, Assessment and Risk Screening and Planning Towards Recovery Training Everyone at the service wanted me to get as much out of volunteering as I could. I took all the formal training on offer and was so inspired by the passion of people working here. I loved the feeling of being part of a service that was making a difference to people’s lives. That gave me such a buzz. Tom Colley, Recovery Worker and former volunteer on men’s health, looking at the early signs and symptoms of cancers that specifically affect men. At RISE, a fully qualified volunteer nutritional therapist co-facilitated and co-wrote the diet and nutritional content for the ‘Healthy Me’ group programme. The Training Team developed new in-house Motivational Interviewing training, Managing Difficult Situations training and relaunched our Club Drug training to further examine trends in chemsex and associated risks. We worked alongside six peer mentor coordinators to develop a ten-week training package for Blenheim peer mentors. To further support the In 2015/16, we ran 98 days of skills training to staff and volunteers. delivery of the peer mentoring package we also piloted new Group Work Skills training that linked into a Train the Trainer e-learning module as well as a face-to-face session. In conjunction with our Hepatitis C manifesto, we oversaw the final roll-out of specialist training by the Hepatitis C Trust across the whole organisation. Service-based Champions went on to attend a further three-part training programme on hepatitis testing and treatment with Gilead. We continued to build on our relationship with neuroscience academics at the University of Roehampton, holding the first of two successful Knowledge Transfer sessions in July 2015 on the effects of novel psychoactive substances on the brain. Going forward, we are devising a neuroscience programme to be accredited by Roehampton University, incorporating both face-to-face sessions and e-learning with an accompanying publication – The Brain Toolkit. The Training Team have maintained Blenheim’s reputation for quality training nationwide. We were awarded repeat contracts delivering training to organisations such as the Single Homeless Project (SHP) in London and Refuge, as well as new commissions from mental health organisations. At K&C ETE, an IT volunteer helped to provide basic IT support as well as to launch the ‘Units of Sound’ IT package, which service users could use to develop their literacy skills. At CASA Alcohol Service, a team of three volunteer counsellors were fully integrated into the service. When service users are stable and want more support, they can be referred to a counsellor for assessment and counselling sessions. The volunteer counsellors give us the capacity to offer service users the opportunity to address underlying issues within a safe and contained environment. Blenheim Annual Report 2015/16 17 Campaigns and Events Blenheim actively and effectively campaign on behalf of people stigmatised by drug and alcohol use. After over 50 years of social action we continue to be a loud advocate for those with some of the most complex needs in society. D uring the year we have committed resources to address the most pressing inequalities for our service users, and ensure that the sector presents a joined up voice to government. Campaigns Naloxone Naloxone reverses the effects of opiate drugs and saves many lives worldwide every year. Due to limited availability, the Naloxone Action Group (NAG) England was formed to increase access to Naloxone across England. Blenheim is a member of NAG England and in 2015/16, the group: Increased media coverage of Naloxone, raising awareness to the potential of this life saving drug to the general pubic. S uccessfully campaigned for legislation to be changed to allow people working in drug treatment services to be able to supply the drug, without a prescription, to anyone at risk of an opiate overdose. The project intends to effectively engage with the new government, identify the most effective mechanisms to represent the interests of service users, and create alliances across other relevant sectors to identify issues of shared concern, such as mental health, criminal justice, and housing. Hepatitis C Treatment Public Health England reported that in 2015, 50% of injecting drug users have hepatitis C, up from 45% in 2005. As part of Blenheim’s hepatitis C manifesto we continued the training of Hepatitis C Champions with the Hepatitis C Trust and embedded the learning across the organisations. Our Hepatitis C Champions will help us to identify the levels of hepatitis amongst our service users and to support the people affected to access treatment. Collective Voice In 2015/16, 94% of Blenheim’s new service users that inject drugs or have previously injected drugs had a hepatitis C test – up from 87% in 2014/2015. Blenheim is part of Collective Voice, formed in July 2015 by a group of drug and alcohol treatment service providers, to ensure that the voices of the drug and alcohol sector and those who use its services are adequately heard. The senior management team continues working with the Hepatitis C Coalition and the London Working Group on Hepatitis C to lobby for increased access to treatment. P rovided input into the development of a framework produced by Homeless Link for managers in accommodation-based homelessness services to implement good practice around using naloxone. 18 Blenheim Annual Report 2015/16 Drugs, Alcohol and Criminal Justice Parliamentary Group Blenheim, along with WDP and Addaction, continues to fund the secretariat of the Drugs, Alcohol and Criminal Justice Parliamentary Group. The group provides a forum for group members and parliamentarians of all parties to discuss policy and best practice matters concerned with drug and alcohol use, treatment services and the justice system. Events Recovery Street Film Festival For the second year running we organised the Recovery Street Film Festival in partnership with Addaction, Action on Addiction, Turning Point, Phoenix Futures and Drink and Drug News. The festival showcased three-minute inspiring films made by people affected by addiction with the theme ‘My Story’. We took the films to the streets across England and Scotland to break down barriers and reduce stigma surrounding drug and alcohol problems. Blenheim hosted one of the festival events in Lewisham Town Hall. Two films made by Blenheim service users from ReAL and Latch House were shortlisted to be shown around the country. Service User Art Exhibition The exhibition was held at the Chelsea Theatre from 19th November - 3rd December. Service users explored two themes: ‘Identity’ and ‘Road to Recovery’. Many of Blenheim’s services (Latch House, Oasis, ReAL, CASA Alcohol Service, R3, KC North Hub, CASA Families, Partners and Friends, CASA Family Service, Rise and Insight K&C) were involved with art workshops delivered by two volunteer art therapists. We are extremely grateful to all service users who shared their artwork, and for the generous donations received from the public. Wonderful exhibition. Brings me to the memories of hopelessness and depression of addiction, but reminds me of the celebration and delight of being free! As long as there is life there is the opportunity to change, find new healthier pleasures and actually live! Drug and Alcohol Today (DAAT) Conference Blenheim sponsored the DAAT conference on 3rd September in central London, produced by Pavilion Publishing. The conference, in its twelfth year, focused on the themes of harm reduction, Naloxone, supporting families, recovery communities, Hepatitis C, domestic violence, and psychoactive substances. The Office of National Statistics also launched the 2014 drug related deaths figures. Blenheim Annual Report 2015/16 19 Our Values As a value-driven organisation, Blenheim keeps quality, honesty, innovation and integrity at the heart of all we do. B lenheim will be developing new partnerships across London. We will launch a new Drug and Alcohol Wellbeing Service in Hammersmith & Fulham, the Royal Borough of Kensington and Chelsea, and the City of Westminster in partnership with Turning Point. Innovation We have responded to the changing landscape of the sector by entering into partnerships to offer a range of services, including our new Reintegration and Aftercare Lewisham service (ReAL) with ThamesReach, our new integrated services Arch and R3, and our employability programme Learn2Earn with the Octavia Foundation. We strive to explore innovative and interesting work at Blenheim and are excited to continue working with Club Soda to make nights out better for everyone. Based on research in pubs and bars in Hackney, our partnership will develop digital tools to support responsible drinking. Blenheim joined in partnership with ThamesReach to deliver on TRIO, a targeted outreach programme that helps rough sleepers, the hidden homeless and vulnerable women, offering rapid interventions in every London borough. We have developed a partnership with Club Soda to secure a grant from Hackney Council to deliver an innovative digital pilot, which will bring together pubs, bars and their customers to promote responsible drinking. We have developed relationships with researchers from six academic institutions to set up access to Blenheim’s services to aid research into substance misuse. Integrity Our active and ongoing campaigns work focuses on Naloxone, hepatitis C, and advocating for the provision of adequately funded evidenced-based treatment in the UK that drives both recovery and harm reduction. We submitted a response to the independent Dame Carol Black Review on the relationship between drugs and alcohol and barriers to employment, and supported a letter to the Telegraph on Government cuts to public health and the effect on our frontline services. We improved our monitoring of safeguarding cases through implementing a centralised database across all services, significantly improving management oversight of safeguarding. 20 Blenheim Annual Report 2015/16 What’s next for Blenheim? Quality In response to changes to the April 2015 Care Quality Commission (CQC) regulations, Blenheim developed a new internal CQC assessment framework and guidance pack for the CQC registration and inspection process. We successfully registered the CASA Family Service with the CQC in March 2016. As well as our commitment to a skilled workforce and training, we passed the first stage of becoming a registered training provider with the Skills Funding Agency. Honesty Blenheim has invested in data management personnel, data management software, and training to enable us to continue to evidence our performance and the quality of our treatment outcomes. In August 2015, our Information Security Management System was recertified by the BSI under ISO27001. For the audit Blenheim demonstrated our commitment to information security, specifically around the management of client information. Blenheim training will roll out state-of-the-art training tools via Learning Pool, giving our staff and volunteers access to user-friendly and accessible e-learning. We will be continuing to work with the University of Roehampton to share learning between neuroscience academics and Blenheim staff and volunteers on the ground. The next year will see Blenheim tendering to run more services in London and beyond. We will also be commencing our ambitious fundraising strategy to diversify our income and provide a ‘I started drinking heavily about 20 years ago, after a marriage breakdown and the loss of a parent. Due to drinking, I was out of employment for 15 years. After an alcohol detox and a year of abstinence, I came to ReAL. I attended sessions on relapse prevention and the women’s group. I then felt ready to write myself a ‘bucket list’ to identify my goals: to learn how to use a computer and to get a job. Without the help from ReAL, there’s no way I would have ticked these things off my list. The service really focuses on getting people back into the community and giving you the tools to do that. Having the weekly IT support and access to the IT suite was invaluable as I step-change in funding for innovation and new ideas. Reconfigured structures at Central Office will drive forward change and embrace the opportunities the sector now provides. Blenheim will continue to provide leadership to the sector in campaigning to improve the quality of life for our beneficiaries, working closely with Collective Voice and the Drugs Alcohol and Criminal Justice Parliamentary Group. could drop in to use the computers for my job search, as well as speak to the staff about my CV and do role plays for interviews. Everyone was so supportive and helped me to make the changes I needed to make. I’ve been in part time employment with a major supermarket for just under 2 months now. I’m really enjoying the role – and I now have a new ‘bucket list’! I’m hoping to use my new income to buy a passport and save towards a holiday – I haven’t had one in almost 20 years.’ Service User at ReAL Blenheim Annual Report 2015/16 21 Special Thanks. Financial Statements STATEMENT OF FINANCIAL ACTIVITIES (Including Income and Expenditure Account) FOR THE YEAR ENDED 31 MARCH 2016 Unrestricted funds 2016 Restricted funds 2016 Total funds 2016 Total funds 2015 £ £ £ £ 128,520 - 128,520 195,512 4,144 - 4,144 4,812 INCOME FROM: Donations and capital grants Investments Charitable activities 7,858,043 2,162,970 10,021,013 9,538,245 TOTAL INCOME 7,990,707 2,162,970 10,153,677 9,738,569 Charitable activities 8,185,491 2,178,022 10,363,513 10,155,570 TOTAL EXPENDITURE 8,185,491 2,178,022 10,363,513 10,155,570 NET EXPENDITURE BEFORE TRANSFERS (194,784) (15,052) (209,836) (417,001) (16,078) 16,078 - - (210,862) 1,026 (209,836) (417,001) EXPENDITURE ON: Transfers between Funds NET INCOME / (EXPENDITURE) RECONCILIATION OF FUNDS: Total funds brought forward 4,509,325 369,542 4,878,867 5,295,868 TOTAL FUNDS CARRIED FORWARD 4,298,463 370,568 4,669,031 4,878,867 All income and expenditure derive from continuing operations. The Statement of Financial Activities includes all gains and losses recognised during the year. BALANCE SHEET AS AT 31 MARCH 2016 2016 £ £ 2015 £ £ FIXED ASSETS 2,764,250 Tangible assets 2,797,349 CURRENT ASSETS Debtors Cash at bank and in hand CREDITORS: amounts falling due within one year 777,906 694,376 1,406,349 1,651,016 2,184,255 2,345,392 (279,474) (263,874) NET CURRENT ASSETS 1,904,781 2,081,518 NET ASSETS 4,669,031 4,878,867 370,568 369,542 Unrestricted funds 4,298,463 4,509,325 TOTAL FUNDS 4,669,031 4,878,867 CHARITY FUNDS Restricted funds 22 Blenheim Annual Report 2015/16 As always we would like to give special thanks to our staff, volunteers and service users. We would also like to thank the following funders, partners and supporters. Partners Adfam Build on Belief Barnet, Enfield and Haringey Mental Health Trust Central and North West London NHS Foundation Trust Club Soda Cranstoun CGL Gilead East London NHS Foundation Trust Nacro Phoenix Futures Release UK SMART Recovery South London and Maudsley NHS Foundation Trust Thames Reach The Hepatitis C Trust The Institute of Psychiatry Turning Point University of Roehampton Westminster Drug Project Funders Barnet, Enfield and Haringey Mental Health Trust BBC Children in Need Campden Charities City Bridge Trust Central and North West NHS Foundation Trust Cranstoun Cripplegate Foundation East London NHS Foundation Trust EPIC ELM Family Action Henry Smith Charity John Lyon’s Charity London Boroughs of Bexley, Hammersmith & Fulham, Haringey, Harrow, Hillingdon, Islington, Kensington and Chelsea, Lambeth, Lewisham, Redbridge, Southwark and Westminster. Pilgrim Trust Public Health England South London and Maudsley NHS Foundation Trust St Barts NHS Thames Reach (Employment Academy) University of West London Wornington Green Youth Project Youth Action Alliance When I came here, no one was put down. It didn’t matter what ability I had: everyone’s input mattered. It’s given me confidence in myself. There’s a whole world out there. There have been times I wanted to take my own life in the past. But there’s life here. Now I feel like I’ve reconnected to life. ReAL service user, on their experience of the Pavement2Catwalk creative workshops. Trustees Dr Judith Abbott Tom Breen - Treasurer Alex Boyt Gillian Budd Eric Feltin – Chair David Rice Adam Shutkever Ralph Weller Chis Ford – Resigned February 2016 Robert Graham Harrison – Resigned August 2015 Sally Marlow – Resigned February 2016 Patrons Baroness Hayter Lord Clarke of Hampstead C.B.E K.S.G Lord Ramsbotham Tracey Crouch MP Chief Executive John Jolly Medical Director Dr Matthew Johnson Thank you to all the Blenheim service users who allowed us to use their stories. Special thanks also go to www.hollyrock.co.uk for designing this report, and www.davidxgreen. com for his photography. Thank you to service users from R3 ETE service for contributing their photographs to this report. Blenheim Annual Report 2015/16 23 Do you want to support Blenheim? Donate To make a donation, please go to our Just Giving page. 90p out of every £1 you donate will go directly to help our service users. Volunteer You can apply today via the form on our website. Become a Friend Sign up to become a Friend of Blenheim on our website and receive regular updates on our work. Follow us [email protected] www.blenheimcdp.org.uk @BlenheimCDP Friends of Blenheim Blenheim Central Office, 210 Wandsworth Road, London, SW8 2JU Tel: 020 7582 2200 © Blenheim CDP 2016 Charity No. 293959 Company No. 01694712 24 Blenheim Annual Report 2015/16
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