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'Stafell Fyw Caerdydd / Living Room Cardiff
An overview of the proposed day-care rehabilitation centre
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Based on the Department of Health’s Models of Care (2006 updated) tiered system of treatment modalities, 'Stafell Fyw Caerdydd / Living Room Cardiff will focus on Tier 3 services in the provision of its structured day-care programme. However, clients will be welcomed to drop in for advice and staff from the Centre will proactively engage with the community to apprise vulnerable groups (such as young people) of the problems associated with substance misuse. In this sense, the Centre should be understood as also providing Tier 2 services.

These are the services 'Stafell Fyw Caerdydd / Living Room Cardiff will offer in each Tier:

TIER 2

Advice and guidance given on potential psychological and physical implications of drug misuse, and where to get help (one-to-one advice).

Presentations available to schools, churches, and other community events. A theatrical presentation and workshop involving 3 actors showing the effects of drug addiction on families will also be sponsored by the Centre.

TIER 3 (Community Services)

Structured (Day) programme which involves:
Group work (main addiction group) – 2 groups Monday to Fridays AM & PM
Love and sex addiction – Monday 2 groups AM & PM
Eating disorder group – Tuesday 2 groups AM & PM
Young people (13-17 year olds) – seen on a needs basis
Family support group – Thursday 2 groups AM & PM
Art Therapy/Creative writing (creative) – optional courses
IT Training (vocational) – optional courses

Structured Counselling which involves:
One-to-one counselling – Monday to Friday

Aftercare which involves:
Assistance with engaging in college courses – Monday to Friday
Assistance with form filling, CV writing, and job applications – Monday to Friday
Assistance with social skills and interviewing techniques – Monday to Friday
Working with agencies which provide employment to clients who have served a prison sentence – Monday to Friday.

A crèche available Monday, Tuesday and Thursday (could increase subject to availability of additional funding)

'Stafell Fyw Caerdydd / Living Room Cardiff’s services will be available to all, irrespective of race, religion, sex, disability or age (clients under 16 must be accompanied by a parent or guardian).

Added Value

'Stafell Fyw Caerdydd / Living Room Cardiff will contribute to the alleviation of pressure on primary care provision.

The majority of clients, ideally, will be referred by health professionals (although clients can self refer). Without the provision of 'Stafell Fyw Caerdydd / Living Room Cardiff these clients would use other services such as their GP or the local General Hospital on a ‘revolving door’ basis, never moving onwards in their recovery.

Outside the main client group, the family and friends support group will consist of individuals who without the provision of 'Stafell Fyw Caerdydd / Living Room Cardiff would be a significant drain on their local GPs, perhaps receiving medication for depression and/or presenting with suicidal tendencies.

The cost implication of dealing with long-term addicts in the primary care system is enormous. In contrast, the provision of a day-care such as that offered by 'Stafell Fyw Caerdydd / Living Room Cardiff is very cost effective. Whilst residential rehabilitation has an important role to play and can set many clients onto the road of recovery, there are many clients who will have been unsuccessful using this route in the past but will make good progress using our service. Convenient access to local day-care greatly reduces the likelihood of relapse on leaving residential rehabilitation.

The work of 'Stafell Fyw Caerdydd / Living Room Cardiff will also contribute directly to many of the priority areas identified by the Cardiff and Vale NHS Primary Care Trust together with Cardiff County Council such as: improvement of Drugs & Alcohol prevention; prevention of mental illness amongst children and young people; reduction of Coronary Heart Disease, Stroke and Diabetes (which are national and local priorities); reduced death rates from suicide; reduced levels of sexually transmitted diseases; cancer prevention (priority given to programmes aimed at reducing levels of smoking); promoting Healthy Eating; adult Mental Health; and tackling the wider determinants of health and developing greater awareness of health issues to allow individuals to better manage their own health; and the need to address high levels of teenage pregnancy and low birth weights; as well as the need to improve drug & alcohol education amongst young people.

The work of 'Stafell Fyw Caerdydd / Living Room Cardiff will also generate great short-term and long-term savings to other agencies such as: the Criminal Justice System; Health; Social Services (Children, Schools & Families); Social Security: and other alcohol/drug treatment agencies. Children are also returned to parents from looked-after care – another drain on services.

*'Stafell Fyw Caerdydd / Living Room Cardiff, is based on the ‘Living Room’ concept operational at 8 - 10 The Glebe, Chills Way, Stevenage SG2 0DJ. A registered charity: No. 1080634, more information can be accessed at www.thelivingroom.me.uk. Janis Feely (its Director and Founder) will advise, act as consultant to the Cardiff venture, and be responsible for all staff training.

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