Assessment and admissions:
Self-referrals are accepted where clients are self-funding. Otherwise, referral must be made by a professional such as social worker, probation officer, SMS worker, etc.
Bridge House will strive to assess all individuals, but potential residents need to exhibit a level of motivation and cognitive ability to engage within a therapeutic setting. This is assessed at the assessment stage.
Assessment explores the following areas: personal history, history of alcohol/other substance misuse, health (physical and psychological), education, employment, family/childcare, housing, finance, client’s perception of their problem and awareness of needs. A risk assessment will also be undertaken. Wherever possible, clients are informed of outcomes and estimated waiting times on the day of assessment.
Potential clients are welcome to visit the project, by appointment, before the assessment stage.
Admission can be dated from discharge from inpatient detoxification.
In order for the therapeutic community to function effectively it is necessary to have in place several minor rules. Individuals are informed of these and given clear explanation at the visit, assessment and admission stage.
There are only 5 rules that could lead to an individual’s discharge: -
• Consumption of alcohol/illegal drugs/non-prescribed medication, or collusion with another resident in their consumption. This includes failure to participate in random drug/alcohol testing.
• Violence, or threats of violence, towards other residents, staff or visitors.
• Failure to pay or refusal to co-operate with staff in obtaining the weekly charge.
• Failure to behave as a satisfactory member of the house community. This includes breaking the law by smoking in non-designated areas.
• Residents must not become involved in intimate relationships with other residents.
Following unplanned discharge the staff will discuss an individual’s circumstances and may decide to offer a second change to that person. Where this occurs, the resident will be asked to re-attend the following day for further discussion.
The policy for planned discharge supports residents back into the community – especially around relapse prevention skills, housing and education/employment. Aftercare and ex-resident support extends this.