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Littledale Hall Therapeutic Community

Littledale Hall Therapeutic Community
Last Updated: 12/11/18

Telephone: 01524 771 400

Address: (map)
Littledale Hall, Lancaster, Lancashire, LA2 9EY

Email: lhtcadmissions@btconnect.com

Website: www.littledalehalltc.co.uk

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What we do
Substance misuse: Drugs:      Alcohol:  
Female only project: No
Typical length of the first-stage programme 0
Typical length of the second-stage programme 0
Mandatory drug/alcohol testing: Randomly / On suspicion
Detoxification available No
Support available
Supported housing and resettlement:
Education, training & employment
Female only groups:
Philosophy/programme of care: Therapeutic community
Programme details:
Littledale offers a robust knowledge based (psychosocial) approach to treatment. Staff at Littledale Hall believe it is important all community members are clear about the way the programme works and the importance of both meeting individual needs and working with the whole community. We provide a culture that offers people the support they need to progress through treatment. The knowledge based programme is grounded in Haigh’s (1999 ) work. This model highlights the importance of a staged approach to treatment:

The programme is built around five stages and 10 core elements, which means all residents will be expected to take part in these. The other 5 elements are available to all residents but may not be accessed by everyone. These programme elements will be discussed with individual residents and decisions incorporated into care plans. Every resident is allocated a key worker (staff member who coordinates their journey through the programme) and a mentor (peer) when they first access treatment. A comprehensive case management system is used at Littledale Hall, which ensures residents are clear about what they need to achieve and can assess their progress through treatment.
LHTC staff believe everyone has the potential to change. Potential residents include those:
 drug users with significant and enduring histories of substance misuse (e.g. using drugs over a long period or using a range of drugs)
 who have never accessed residential services before
 those who have accessed residential services before but have not maintained abstinence in the community
 living in difficult circumstances (e.g. previously homeless)
 who have spent time in prison and have been/are drug /alcohol free
 with limited support (e.g. family and friends)
 who have had relationships with other people, (e.g. partners) who misuse drugs and/or alcohol
Family support services:
All aspects of the programme at LHTC are designed to link together and the family service is no exception. At Littledale part of our approach is concerned with ‘looking in’ and ‘looking out’. Looking in helps people focus on how they think, feel and behave (e.g. helping them to better understand themselves and other people) whilst looking out helps them consider their ambitions and aspirations if they are to have a meaningful and rewarding life post treatment (including positive relationships with their family). Family work complements and extends other work residents undertake as part of their programme (e.g. in Parenting or Domestic Abuse groups). We hope family members will understand the need to look ‘inwards’ (e.g. considering how they respond to the changes the resident is making) whilst also looking outwards (e.g. finding support and help for themselves outside LHTC in their own right).
Since opening in 2006, the staff team at LHTC has strongly supported and witnessed the benefits of a family inclusive approach to the treatment and recovery of residents: our family work service is an integral part of the holistic treatment approach at LHTC. The current family work service includes:
1. Family focused work (as described in this brochure)

2. Support for residents where there are complex child care issues (as negotiated and provided by the LHTC specialist childcare worker).
Activities provided for children and families:
LHTC offers a wide range of opportunities for families to undertake activities with their children. Below is an example of family days:

Family Information / Training day No.1: Addiction

Looking at addiction from within the recovery model and the impact it has on family dynamics and systems. Over the course of the session we will look at what addiction means, the impact it has on the bio-chemistry of the brain, on behaviour and the social network of all those involved with a substance dependent family member. We will also look at other models of recovery and the approach used by LHTC.

Family information /Training day No.2: LHTC Programme & Approach.

This session provides information on all the elements, components and treatment stages of the LHTC programme and how each one is designed to link together. It will include details on the roles, responsibilities and discipline within the community and how this is modelled and managed by both the residents and the staff team. This session will help demystify some of the terminology and timetable of the approach used at Littledale Hall and facilitate a greater understanding of the process of change each resident is engaged in. Understanding the programme can help families appreciate and learn alongside each other.

Family Information / Training day No.3: Recovery.
In this session we’ll look at the tools used by LHTC for successful ongoing recovery including the ‘Cycle of Change’ and the ‘6 Corners of Addiction’ models. We will look at future lapse and relapse management and consider appropriate rather than inappropriate (enabling) methods of support.
Post treatment support:
LHTC provides a comprehensive aftercare service for all those who complete treatment. The aftercare service is provided for 12 months (alcohol and illicit substance specific support in the community). This support includes regular weekly meetings that focus on topics and issues that may affect ex-residents’ ability to remain abstinent and achieve their goals. Former residents are also supported with accommodation, employment, training and/or education.
Harm reduction policies for clients leaving the programme early:
Residents may leave the programme at different points in their treatment. Whenever they leave the following principles apply:

 safe and supported discharge using the discharge policy
 every resident will have a re-settlement plan
 once an individual leaves Littledale Hall their re-settlement will be supported by an appropriate worker.
Resettlement / after-care services:
Residents are supported to access appropriate housing, financial and associated advice and guidance from community based agencies (e.g. Citizens Advice Bureau). Some agencies visit LHTC to provide support and appointments are arranged at the hall for residents. Alternatively residents are supported to access community based services (e.g. housing associations and local authority housing officers).
Hours a client would typically spend on elements of the programme in a week:
One to one counselling and keyworking: 5
Group work: 18
Complementary therapies: 6
Education: 4
Domestic duties: 8
Other activities: 10
Other details:
Sport, volunteering, clubs.
Treatment completion rate (% clients discharged for)
Treatment complete 0 %
Service user transferred 0 %
Treatment incomplete :
   - client dropped out 0 %
   - treatment withdrawn by provider 0 %
Who we treat
Accepted clients Male / Female
Age range of clients 18 - 65
The following are accepted: Pregnant women
Service users with children
Orders of residence
Clients under Drug Rehabilitation Requirements (DRRs)
Clients under other community orders
Criminal Justice referrals: Court reports provided
Accompanied court attendance
Child care options: Children can have day visits
Dual diagnosis clients accepted No
How the programme is equipped for dual diagnosis or complex needs:
LHTC is committed to providing a safe and healthy environment for all its Service Users, Staff and Visitors. In doing so LHTC seeks to promote a coherent, comprehensive policy and procedure that details our non-stigmatising and supportive approach to working with people who have a ‘dual diagnosis’. LHTC recognises that people seeking treatment for their addiction may have diagnosed or undiagnosed mental health needs, which we understand need to be recognised and appropriately managed as part of their recovery.
Where co-existing mental health needs have been identified and mental health services have been involved (resulting in a Care Programme Approach) the referring local authority must accept (before an admission can be agreed) ongoing responsibility for the supervision and support of the resident with regard to their mental health needs.

Accepts client on the following prescribed psycho-active medication: Anti-depressants
Anti-psychotics
Exclusions and restrictions to admission:
Anyone under 18
People who have committed arson
Schedule 1 Offenders
History of sex offences
Facilities / vacancies
Bed vacancies
Number of Beds Registration Room
type
Detox Disabled
access
Gender Contract
1 Drug/alcohol (D/A) Shared No Limited Both Spot
Total registered beds: 31
Ensuite rooms: 3
Shared rooms (3+): 8
Twin rooms: 2
Single rooms: 0
Female-only beds: 13
Male-only beds: 18
Beds for detox: 0
Detox programme details:
N/A
Level of wheelchair access: Full
No. bedrooms with full disabled access: 1
Sign language: No
Pets: No
Level of catering Full
Domestic responsibilities Full
Complementary therapies:
Psychodrama Psychotherapy Group, 1 to 1 Counselling, Family Work, Parenting Group, Domestic Abuse Group, Men's and Women's Group, Creative and Expressive Therapy Group, Access to Specialist Groups (eg. LGBT, Headway).
Other facilities (eg. languages spoken, dietary options, religions etc.): Religious holidays observed
Dietry requirements
Fees & other info
Gross weekly residential charge: Not yet supplied
Block contracts: No
Block contracts costs: Not yet supplied
Other cost-related services:
Admission and discharge information:
Assessment and admissions:
We recognise LHTC is not suitable for everyone and need to ensure any prospective resident is physically and mentally stable enough to work with peers and staff. Potential residents will have an interview with the Admissions Coordinator who assesses the individual’s psychological, emotional needs and their suitability as a community resident. After the interview the potential resident maybe invited to attend a Day Visit.
Additional admission services:
Day Visit's provide an opportunity for prospective residents to ask questions and gain information about the treatment process at LHTC. If, after the Day Visit, the person wishes to access treatment at Littledale Hall, and the Admissions Coordinator’s assessment (based on a range of information including feedback from current residents and staff) concludes they would benefit from the service offered, an admission date will be offered (once funding has been approved). Offers are subject to availability of beds and admissions dates may have to be re-negotiated. In some instances people wishing to enter treatment may not be offered a place (e.g. if there is a conflict of interest with a current resident).
Discharge policies:
Anyone leaving Littledale Hall can access Aftercare services for up to 12 months (alcohol and illicit substance specific support in the community). This support includes regular weekly meetings that focus on topics and issues that may affect ex-residents’ ability to remain abstinent and achieve their goals. Former residents who have not been in contact with the Aftercare service for 28 days will be discharged.
Registration:
Registration: Care home only
Registered with the National Drug Treatment Monitoring System (NDTMS):
Registered with the Care Quality Commission (CQC) - from October 2010:
Local Authorities using this project None yet selected
Local Care Quality Commission(CQC) office: No details supplied
Region: North West
Local Authority area: Lancashire
Drug and Alcohol Team: No details supplied
Primary contact: No details supplied
Contact phone: No details supplied
Admission phone: 01524 771 500
Quality initiatives
No details supplied
Staffing - Full Time Equivalents (FTEs)
Clinical: 0
Doctors/psychiatrists: 0
Nurses: 0
Dual-diagnosis workers: 0
General counsellors: 0
Other clinical: 0
Volunteers: 0
Support/non-clinical: 0
Resettlement workers: 0
Children's workers: 0
Service managers: 0
Training/education staff: 0
Other non-clinical: 0
Total FTE paid staff: 0
Staff qualifications:
No details supplied
Night cover: 24-hours
Reviews / videos
Video
Not available
Reviews
Service user reviews:
No details supplied
Professional reviews:
No details supplied

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