2/9/2015
Working with Street Involved Clients
Low Profile
What does the 601 offer?
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Safe Space
• Cheap Freezer Meals
Coffee
• Information around HIV, HCV, and STI’s
TV
Phone for local and • Clothing depot
long distance
• Support group Internet
• Smudging
Free Laundry
• Rides to Sweats
Needle Exchange
Lunch Mon‐Fri• Conversation
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2/9/2015
Support Services offers support, information, referrals and advocacy in the following areas
Addiction Treatment
Adoption Trauma
Child/Family issues
Death/Dying/Palliative Care
Domestic Violence
Education
Employment
Grief
HCV (care, testing, treatment, etc)
• Healthcare
• HIV (care, testing, treatment, etc)
• Housing
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Legal/Justice Issues
Mental Health
Methadone
Nutrition and HIV/Food Security
Pregnancy & HIV
Prisoners/Inmates
Residential Schools
Safer Drug Use
Safer Sex/STIs/Safer Sex Trade
Sexual Abuse
Social Assistance/ Band Assistance
Clientele
• Homeless, poor, active drug users, former drug users, sex trade workers, mental health issues, addiction issues, people in custody
• Difficult to work with
• They want what they want, when they want it
• They are used to chaos
• Hospitals can be a trigger
Assumptions
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They want drugs
They hate me anyway
They are wasting resources
They don’t care about their health
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“PWAS” Centered
“Meet people where they are at”
People Who Access Services (PWAS)
PWAS led
We lay out options
Nonjudgmental We don’t coerce PWAS
Every PWAS is an expert in their own life
We don’t require sobriety
Don’t have to have HIV or HCV to access 601 or Support Services
• Confidentiality
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Factors in a PWAS life
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2/9/2015
BURN OUT
• Stress when working with difficult people
• Work – life balance is difficult
• Tools to help work through difficult situations aide in reducing burn out by keeping the incident in perspective
Crisis Cycle
Crisis‐3
(out of control/unsafe)
Stop talking unless absolutely necessary
Escalation – 2
(agitated/distressed)
Offer options that are reinforcing and soothing to the patient
Trigger – 1
(Revving up)
Remove the stress/trigger
Remove the patient from stress/trigger or vice versa Baseline – 0
(usual behavior)
Keep doing what you’re doing
De‐Escalation‐4
(Calming down/cooling off)
Do not state consequences and avoid re‐escalation
Cooling off time
Stabilization‐5
(Calming down)
Active Listening
Reassure the patient that they are safe/heard
Post‐Crisis‐6
(Return to baseline)
(Tired, weary, drained)
Rest and quiet time should be provided Observation and support
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2/9/2015
Resources
• CANAC – Canadian Association or Nurses in HIV/AIDS Care www.canac.org
• Caite – www.catie.ca
• AIDS Saskatoon/601 Outreach Centre –
www.aidssaskatoon.ca 306‐242‐5005
• Persons Living With AIDS Network (PLWA) www.aidsnetworksaskatoon.ca 306‐373‐7766
• All Nations Hope ‐ www.allnationshope.ca 306‐924‐8424
• 601 East (Yorkton) – 306‐783‐1722
• 601 North (Prince Albert) – 306‐940‐8058
• Scattered Sites 601 La Ronge – 306‐425‐4990
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