Changing Futures Lancashire Case Study - PowerPoint Presentation

1. Changing Futures Lancashire Case StudyLocality – FyldeNovember 2022

2. Unique ID number: LCEF13933279NDTA Score at acceptance: 40/45Background about the beneficiary – brief life history and summary of disadvantages: When this beneficiary was referred to Changing Futures, the only service he was meaningfully engaging with was Probation. He was at the time, rough sleeping and had been found at times by Housing Outreach, to be sleeping in car parks, derelict sheds & buildings and under a hedge in a local cemetery. He was an entrenched homeless alcoholic, had been ostracized by his siblings due to his behaviour when drunk, and had only minimal contact with one sister. He had been put out of all previous accommodations he had been placed in, again, due to his behaviour while drunk. As a result of the extreme levels of intoxication, he was often found in potentially dangerous situations, and was often covered in scrapes and bruises. His biggest fear was returning to prison hence his engagement with the probation service. This began to drop off however, when the weather started to get cold, and he saw prison as a better option than rough sleeping.

3. What work was done with the beneficiary, and what services were involved?The Changing Futures worker built a trusting relationship with the beneficiary, to a point where he began attending probation with him. This enabled Changing Futures and probation to begin working more closely with him, and began to introduce him slowly to Housing Options, and to the Changing Futures/ Housing link worker, who over time were able to find him a flat. He was allocated a tenancy support worker from Housing Options, to help sustain his property. He has also been referred to Adult Social Care, who will be helping him look after and budget his money going forward. He has re-engaged with Horizon Alcohol services and is working closely with them. All services involved with the beneficiary stay in close contact and update each other regularly on his progress, with good lines of communication in place. He has been in his property now for nearly 3 months and although there have been a few minor issues, he has been supported to maintain his tenancy. The landlord is happy with him as a tenant, and more importantly, the beneficiary prioritises and takes responsibility for his rent and electric.He has also been asking for and been put on a fast-track route to detox and rehab.

4. What was the outcome? What has been done to sustain the changes the beneficiary has been able to achieve? Although there have been some minor issues, as the beneficiary is still drinking, his drinking has massively reduced to the point where he is able to function, engage and not lose control of his bodily functions. He has ongoing wrap-around support to help maintain his forward momentum. He can now see that life has more to offer than what he had accepted his life would always be.He is regularly engaging with all the services who became involved in helping him change his life. Probation have played an integral part in his initial, and ongoing engagement with all relevant services.Once he began to stabilize, conversations were had re: detox and rehab. He has gone from ‘no chance’ to ‘my drinking is out of control, could I please go to detox’. He is currently taking responsibility to reduce his alcohol intake daily, has had his bloods and liver function done in preparation for the detox and rehab he asked for. We are waiting for a bed to come available that will marry up with detox.

5. What Systemic Barriers or Systemic Issues (enablers and blockers) have been highlighted through this case? There were some slight issues around the timeliness of engagement with alcohol services, however this has been rectified and the beneficiary has good working relationships with this service.