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DECREASING BARRIERS… INCREASING OPPORTUNITIESwww.wesleyurbanministries.ca

1950 started in a Church Basement

Now, professional social service agencyRemain affiliated with the United Church in Canada

2013 – Over 200 employees, $8 million worth of services Housing and HomelessnessNeighbourhood Development and Newcomer ServicesChildren, Youth and Families


Wesley Urban Ministries believes that harm reduction programs and interventions are vital components of healthy communities.

Harm Reduction: Any policy or program designed to reduce substance related-harm without requiring the cessation of substance use-CAMH


Community Need

“Back Alley” non-beverage “ETOH” consumers

Hamilton mouth wash alley

Poly substance users

Struggle for urban free space


Wesley Harm Reduction Continuum1 2 3 4 5

Abstinence Substance Influenced Abstinence

Acknowledged Use

Support Substance Administration

Non Medical Non Medical Partial Medical Enhanced Medical

Comprehensive Medical

Custodial Care Outreach Outreach Case Management

Outreach Case Management

Social Care


16 Bed - Level 5 Harm Reduction Program

Managed Alcohol Program

The intent of the program is to better care for the homeless alcohol dependent individual by meeting their chronic physical, mental health and addiction needs by providing coordinated health care and managed alcohol treatment

Special Care Unit


Target Population

Male

Homeless

Alcohol dependency

Acute mental and physical health problems;

Cycle of repeated uses of, emergency rooms, hospitals, detoxification centres and police contacts


Current StaffDirectorRegistered Nurse2 Registered Practical Nurses2 Night Shift Coordinators1 Operational Support Worker4 Client Care Workers

Affiliated StaffShelter Health Network2 Primary Care Physicians


Administration of Alcohol

Occurs in conjunction with health care and social supports

Amount individually determined as a “care team” decision, confirmed by the Director

Amounts fall within general guidelines similar to all programs


100 % of current client group is participating in the harm reduction program

40% are low-risk consumers (includes abstaining) or moving to (reducing etoh consumption) low-risk consumption

Medication compliance rate exceeds 90%

Flu immunization compliance rate 100%

100% have Primary Health Care provider relationship

Outcomes


Future

Niche – Alcohol dependency

Moving to a new location that provides expanded and flexible facilities

Improve community integration

Expand harm reduction services

Implementing electronic files and client outcomes data base

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Documents

cadecreasing barriers

programsdecreasing barriers

familiesdecreasing barriers

coordinated health care

better care

harm reduction programs

mental health

care team decision