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Annual Report 2008-2009
Chair’s Report
It gives me great pleasure to welcome you to this year’s Annual Report. I hope it shows you the diverse services we offer anyone affected by substance misuse in Rhondda Cynon Taff, Merthyr Tydfil and Bridgend. As in previous years, we have endeavoured to use our resources carefully to ensure we maintain quality service provision. The ethos of TEDS is to provide a comprehensive package of care to our service users, their families and carers and the communities in which they live. In any charitable organisation, there are numerous people and agencies that need to be recognised and the thanks of the Management Committee go to Jean and her staff for continuing to deliver the excellent services we have become known for. I would also like to thank everyone who has provided funding and support to TEDS for their continued confidence in the work we do. If you have any queries arising from this report please do not hesitate to contact us. Glyn Evans
Manager’s Report
As can be seen from the statistics included in this report 2008/09 has been another incredibly busy year for everyone involved in TEDS. As well as direct service delivery to our clients, this year we have also been subject to a Health Inspectorate Wales Thematic Review, along with all other substance misuse providers in Wales. This was a useful exercise for our project to go through, although it did cause capacity issues. We are still waiting for feedback from the Review, which we hope will be positive ! I would like to thank the team, both paid staff and volunteers for all the hard work and commitment they have shown in this year. TEDS strength and reputation lies in the quality of our staff and we wouldn’t be where we are without them. Once again, we have to report the tragic death of a member of our Team. Norman Michel, one of our Youth Offending Service workers, died suddenly in January. He hadn’t worked for us for long but had already impressed us and the YOS with the quality of the work he was undertaking with the young people he worked with. This Annual Report is dedicated to his memory. Jean Harrington MBE
Aims & Philosophy
TEDS was established in 1985 as a community response to substance misuse related problems. We cover Rhondda Cynon Taff for all our services and we also deliver some services in the Bridgend County Borough area and Merthyr Tydfil. We provide a range of services for people who are affected by substance misuse. These services are delivered within a harm reduction framework and are provided free, in confidence and are tailored, as far as possible, to meet individual service user’s needs in a non-judgemental, non-discriminatory way. The principles of individual choice have always been, and will remain, of paramount importance to TEDS and we maintain the commitment to providing a quality service in all areas of our work. Management Committee
As at 31st March 2009
Co-opted
Staff Team
PROJECT BREAKDOWN
Core Services
Home Detox &
Counselling
Rehabilitation
Full range of
Delivering a structured
Working with GP’s to
counselling service to
specialist
safely detox service
substance misuse
users in their own
interventions
Needle Exchange Advice & Information
Training
An important element
For service users
Working in school’s and
of our harm reduction professionals & families
with adults to increase
knowledge of substance
misuse issues
Family Support
Criminal Justice
Youth Offending Service
Services
Providing vital
Working with young
support for families
Services to clients
offenders with substance
affected by substance
within the Criminal
misuse problems
Justice System
Young Person’s
Looked After
Progress2Work
Services
Children
Helping clients back into
Working with young
Working with young
training, education or
people up to 25 years
people in the looked
employment
after care system
Alcohol Project
Community Care
Alcohol Liaison
Working within the
Multi agency project
Scheme and Alcohol Substance Misuse Team
providing services in the
Brief Intervention
of the Local Authority
Community
Complimentary
Families First
Development
Therapies
Child focussed service for
Looking at local
Acupuncture &
children of parents who are
responses to
relaxation techniques
substance misusers
substance related
Volunteer Training Strategic Planning/
Social Work Student
& Mentoring
Placements
Developing a
Working with partner
Providing opportunities for
volunteer base to
agencies to deliver
students to learn about
support our work
quality services
substance misuse
ACTIVITY 2008/09
TOTAL CONTACTS
No New Clients
Re-referred Clients
Ongoing Clients
Total Individuals
NEW & RE -
NEW & RE-REFERRED BY MAIN AREA
REFERRED BY
BRIDGEND
NEW & RE-REFERRED BY MAIN DRUG
ALCOHOL 1221 AMPHETAMINES 133 BENZODIAZEPINES 45
CANNABIS 187 CRACK/COCAINE 52
STEROIDS 97
NEW & RE-REFERRED BY REFERRAL SOURCE
MENTAL HEALTH 39
AGENCIES
PROBATION
FAMILY/FRIENDS 90
EXCHANGE
46 PRISON/ARREST
JOBCENTRE
REFERRAL
SERVICES
NON STATUTORY 214
DRUG SERVICE
NEW & RE-REFERRED BY AGE
NEEDLE EXCHANGE
CLIENTS USING
EXCHANGE
NEW CLIENTS
NUMBER OF
UNKNOWN 19
RETURN RATE
REASON CONTACT ENDED
TREATMENT
MOVED FROM AREA
COMPLETED
TREATMENT WITHDRAWN
REFERRED TO ANOTHER
DECEASED
SERVICE
DNA
INAPPROPRIATE
REFERRAL
NO OF INDIVIDUALS
DROPPED OUT
ADVICE ONLY
CASE STUDIES
Alcohol Brief Intervention Scheme (ABIS)
Tony self referred to TEDS as he was concerned about his escalating alcohol use. His pattern of use was to binge drink three times a week, on days he wasn’t working. Tony believed that boredom was a contributory factor to his use and we worked with him to identify the triggers and look at developing coping strategies and control techniques. These included alternating soft drinks, restructuring his day and keeping drink diaries to monitor progress. Tony was supported to attend the gym on his days off and we looked at the option of accessing evening classes at his local college with support from our Progress2Work team. Tony achieved his target goal of controlled drinking on the weekends only. He has recently started a Health Care course in the evenings at his local college. Family Support
Mum and Dad were referred to TEDS for support around issues that affected them in respect of their son’s Heroin use. There was a lack of knowledge and understanding about their son’s drug use that was causing tremendous tension within the family. We looked at effects and risks in great depth with them and, on some occasions, their son took part of the sessions. This proved very effective as it gave them all a greater understanding of each other’s point of view. Communication improved between them on all topics, not just drugs, which meant a calmer environment for them all to live in. The family now feel in a better position to support their son and respect the decisions he makes. He is currently on a methadone programme and is doing really well. Community Detox
John is 43 years old, with a history of past illicit drug use, who referred himself to TEDS to get help with his alcohol dependancy. Prior to his alcohol use becoming problematic, John was a passionate and prolific writer of poetry, some of which had been published. This had stopped as his alcohol use increased. He had been drinking heavily for 6 years, which increased following the split from his long term partner. His confidence was extremely low and he was very depressed. If he reduced or stopped his alcohol intake, he would experience severe withdrawals. His mental and physical health were deteriorating, he had lost a lot of weight and his sleep pattern was erratic. He was referred for detox, and after blood tests and a specialist assessment by our Nurse or Relapse Prevention worker, he was assessed as suitable for Community Detox, with his GP prescribing the medication required and also providing additional support throughout the actual detox as required. The detox Nurse visited on a hourly basis throughout the day to ensure John was coping with the withdrawal. He also visited the following day to initiate the Antabuse medication that John would take to minimise the risk of relapse. With the support of the Relapse Prevention worker, John has remained abstinent for four months and is beginning to think about his poetry again, and is felling much more confident for his future. A full set of accounts is available on request A full set of accounts is available on request.
If you have any queries regarding this report please email
teds@teds.org.uk

Source: http://www.teds.org.uk/wp-content/uploads/2012/12/annual-report-2008-2009.pdf

Didiego

CURRICULUM VITAE ! JOSE M. DI DIEGO ! EDUCATION Buenos Aires University, Argentina Degree: M.D. POSITIONS HELD Research Fellow, Favaloro Foundation, Bs As, Argentina. Postdoctoral Fellow, MMRL, Utica, NY, USA. Research Scientist, MMRL, Utica, NY, USA. Program and Laboratory Manager, Experimental Cardiology Department, MMRL, Utica, NY, USA. ! ACADEMIC AND PROFESSIONAL HONORS

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The Graph of a Rational Function List of things to do to analyze the graph of a rational function f (x) = Find the domain there are places where denominator = 0 are prohibited, otherwise domain is R . Locate any intercepts solve p(x) = 0. The x intercepts are points of the form (r,0) where r is a root of p(x) but not a root of q(x). Vertical asymptotes reduce f(x) to l

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