Brighton Oasis Project Information About Our Services A comprehensive, gender specific approach to substance misuse in Brighton and Hove. Who uses our Service? • • • • • • • • Children and young people. Women in the Criminal Justice System. Women who are sex working. Mothers. Young women. Any woman who needs help with drug/alcohol problems Non-using parents and carers Around 400 women and 120 children a year Meeting the Needs • Recovery and reintegration focused. • Distinct phases of progress and clearly defined goals. • Responsive to individual needs. • Holistic. • Gender specific. • Childcare running alongside treatment • Employment, Education and training pathway Response to DV/SV • All asked re safety- specialist support for sex workers • High Risk assessments – presence at MARAC • Relationship Support Group Work Programme • Ongoing Support • CASH Interventions • Partnership Working Referrals Onwards to Rise and Survivors Network • Therapeutic support for children ( 50% witnessed DV ) Primary Drug used Substance Heroin illicit Alcohol unspecified Cocaine Freebase (crack) Cannabis unspecified Ketamine Mephedrone Cocaine unspecified Methadone prescription Acetone Amphetamine Sulphate Benzodiazepines Unspecified Buprenorphine Methadone Mixture Opium Other Psychoactive Drugs Unsp Other Stimulants Total n 38 26 6 4 3 3 2 2 1 1 1 1 1 1 % 41% 28% 7% 4% 3% 3% 2% 2% 1% 1% 1% 1% 1% 1% 1 1% 1 92 1% Experience of DV and SV • Very High amongst all groups accessing BOP- Current and Historic- All Types CSE, Trafficked Women • An analysis of ten separate domestic violence prevalence studies by the Council of Europe (2002) showed consistent findings: one in four women experience domestic violence during their lifetime and between 6 - 10% of women experience domestic violence in any given year4 • These figures are reflected by British Crime Survey data which has also found that, on average, two women a week are murdered by a partner • To date this year 112 UK women killed through male violence What matters for women • From NEF’s 2013 evaluation of Refuge Services http://refuge.org.uk/files/Refuge-SROI-report-25-09-13-NCV2.pdf • Theory of Change -describes the process through which change occurs, with those involved in benefitting from a service being actively involved in “telling the story” of how the service affected them • Safety, Health , Social Well being , Economic Wellbeing • “The basic essence of it is that you are worth treating. By the time I got to that point it was like I can’t live with drink, I can’t live without drink, I’ve completely screwed up my whole life, my children’s life, I’m a horrible mother, nobody loves me, every one I go out with wants to beat the shit out of me, so where does that leave me? I’m nothing. And that’s how I felt.” Survivor’s voice What about Perpetrators • • • • Research for impact of interventions debated We Know most of them – multiple victims Is Criteria violence cessation ? One of most common requests from victims to work with perps • Respect staff recently calculated that there is demand for over 40,000 DVPP places for non convicted domestic violence abusers in England alone, from referrals from children’s services, police, Relate, and the Respect Phoneline • Serious case review • Near Miss • Known to services ( multiple for 4 years ) • Little ongoing oversight or ownership – episodic time limited interventions • Found services operated in a process centric way – What are we doing to enable a client centric approach Today is not about barriers, its about bridges…Today is not about feeling entrenched in our disciplines and resistant to change; it is about daring to hear the other view, however uncomfortable this might be. It is about focusing on the women and children who we work with and for asking if there is something we are missing or something we could do better. Dr Sarah Galvani at the Stella Project Launch Seminar 2003