People suffering from psychiatric issues and/or addiction are assisted by way of home care. This care is geared toward social recovery so that the clients can function well within the environment of their choice, despite thier temporary or permanent limitations.We work towards achieving the best possible way to live independently, if possible with less professional help. This applies to the group that can is able to resocialise, as well as for the group that strives to stabilize and create an independent as possbile life.
SVP-CN used a couple of houses for home care. The houses used for home care are rented accommodations from housing companies. SVP-CN allows the client to stay in a house under the strict condition that the client can only live there if the help is accepted. A resident agreement is concluded with the client, which includes house rules and an individual care plan.
Addiction issues are intertwined with issues areas of life. Due to a lack of skills, marginalisation or a combination of both, many clients are unable to survive in their living environment. In order to lead an independent, stable existence, having a good housing situation is extremely important. Many clients are only available for care if this basic need is provided for. That is why home care must be able to use a variety of housing types. In order to achieve this, we rely on our collaboration with external partners.
Social recovery starts as soon as the care plan has been drawn up by the indication committee and the client is able to work on his/her development with the care provider. Home care offers a clearly defined system of activities which help the client develop skills he/she need to live independently or in a sheltered environment. Home care must be a separate module in the care plan. The module will be executed at the same time as the indicated treatment, and will/can be functionally linked to other activities. It can in some cases be necessary to involve case managers for the managing of the internal and external factors.
Home care is based on the capabilities of the client and focuses on activating the capabilities of the client. The clients and their relatives are assisted during the different phases of the care providing process. The individual question for help from the client forms the basis. This question can be addressed in groups if the group process supports the learning process. Clients who are (as yet) unable to independently build a social network sometimes function better in a group house. Depending on the capabilities of the client, the home care various from an extremely minor to a very intensive care, from preventative to protective care.
Home care focuses on teaching practical, communicative and social skills. Budgeting, daily activities, work coaching and relapse prevention are all address in the home care. Home care also includes acting as an intermediary when searching for independent housing and/or offering alternative housing if the client is unable to independently find a house or to conclude a rental agreement. This can be due to the situation (detention, lease debt etc.) or the client (e.g. lack of skills to be a reliable tenant).
In order to improve the integration of the client in society, home care will be offered, as much as possible, in collaboration with institutions and bodies from outside the addiction sector. As soon the addiction or the psychiatric illness no longer stand in the way of finding a house, the care provided by the care provider in the relationship between the client and the housing company will gradually lessen, regardless of whether this involves an independent or a sheltered housing type.
In recent years, the demand has arisen for coaching for a group of clients who have been addicted or are suffering from psychiatric illnesses for a long time. This group needs support/home care that is not necessarily aimed at living independently, but to life in a housing type that suits their requirements best. In order to meet his demand we have focused on increasing the diversity of the various housing types and sheltered living.
Focus of home care
Assisting the client with a care plan to a housing type that suits the capabilities of the client. In order to reach this goal offering a variety of different housing types is required. The home care provider can support the client in his/her search for a home. The housing types available are:
- Own house of client, individual assistance
- Individual home care in a house rented by SVP-CN
- Group assisted living
- Home training
- Permanent sheltered accomodation
Clients are assisted methodically in accordance with the 8-phase model. This method incorporates every aspect of living. The exact goals are documented in the care plan and serves as a basis for the care provided and the duration. The 8 living areas are:
- Social functioning
- Psychological functioning
- Find a purpose
- Physical functioning
- Practical functioning
- Day care
We distinguish the following types of clients in home care:
- Clients who can follow a course to resocialisation and will require less assistance in time. This group will follow a course to live independently with all the necessary steps in between. It is possible to formulate a clear end goal which is to be completed within a specific space of time. This group of clients if either abstinent or stabilized to such an extent, that the client is able to lead a structured and independent life.
- Clients who need intensive and long-term care in an ambulant setting (FACT care), or in a sheltered living environment due to their chronic addiction or psychiatric illness, the long-term absence of structures in their life and lack suitable housing.
Treatment program / activities
Own house of client, individual assistance
This is a module that can applied to clients who will live independently after an intensive treatment, but still require after home care. This type of home care can also be used for prevention purposes.
Goal: The care provider supports and coaches the client in his home situation on home skills. Activating assistance and/or supporting assistance.
Individual home care in a house rented by SVP-CN
This module is used for clients who are unable to live independently after an intensive treatment without assistance due to the absence of a number of home skills and how they deal with being abstinent of their substance addiction or due to their psychiatric illness. In this case, the client will always be given a house which is rented by SVP-CN for a year.
Goal: Learning home skills, dealing with finance issues in combination with labour in order to live independently.
Group assisted living
Home care in a group is a module used for clients who are unable to live in a house after having followed an intensive treatment due to the lack of a number of home skills and their substance abuse or psychiatric illness. Often they have never lived independently or have failed in doing so. The group dynamic contributes the process towards independent living.
Goal: The care provider supports/coaches the client on his home goals, home skills and finances and supports the client in the daily program in the group and how the client spends the day externally.
Home training is a module whereby the client is offered intensive training in learning home sills. During the training, it is decided what which next step would best suit the client. Group aspect present, but the focus lies on an individual approach. Client lives in a room and is free to come and go independently.
Goal: To guide the client to a suitable place (home) in society with a solid basis and the tools for further care to be provided and to start conveying these.
Protection and assistance during 24 hours in a home situation. The target group are clients who are chronically addicted and where treatment has no result. They are homeless or likely to become homeless.
Goal: Offering a safe living environment improving the health of the client, stabilizing the substance use and reducing hindrance/crime.