Pubdate: Wed, 24 Oct 2007 Source: New Zealand Herald (New Zealand) Copyright: 2007 New Zealand Herald Contact: http://www.nzherald.co.nz/ Details: http://www.mapinc.org/media/300 Author: Simon Collins Bookmark: http://www.mapinc.org/rehab.htm (Treatment) GROWING FLOOD OF ADDICTS SWAMPS TREATMENT BEDS Auckland's only specialist halfway house service for people with drug and alcohol problems has stopped assessing new applicants because it has run out of beds. Wings Trust, which runs seven halfway houses, already has a waiting list of 16 people for its 41 beds and says any new applicants would not be able to get in before next February. Manager Jill Palmer said the number of people wanting assessment "seems to have just rocketed, to the point where it feels like having a funnel with people coming in for assessment at the wide end and we have this little bit at the bottom that we filter people through." Odyssey House, Auckland's biggest residential service with well over 100 beds, has a waiting list of 133, including some who cannot be released from jail until Odyssey has a bed available. "Our waiting list is horrendous," said chief executive Chris Kalin. The Salvation Army's Bridge programme, with 55 beds in Auckland spread across Mt Eden, Waitakere and Manukau, has a waiting list of 55 at Mt Eden alone and cannot getpeople in until late next month. Higher Ground, a private trust with 31 beds in Te Atatu, has a waiting list of 25 and now asks people to wait 9 1/2 weeks. "For the clients we work with, three weeks is the optimum window to get someone into a programme," said director Stuart Anderson. "Outside that time, they need some form of engagement and level of motivation to carry on along this pathway. "The reality is that a lot of them will fall out because it's too long and they can't comprehend not being able to do something right now in the moment." With some exceptions, such as Wings and the exclusive Capri Trust, P is not the main driver of the demand for services. At The Bridge in Waitakere, co-ordinator Justyn Snowden said that although 58 per cent of his current clients had used P at some stage, only 18 per cent still used it as their primary drug when they came for treatment. "If I had asked them a year ago, the numbers would have been higher." At Higher Ground, Mr Anderson said P users peaked at 60 to 65 per cent of his clients two years ago and were now down to 25 per cent, with a shift back to alcohol among younger people with the lower drinking age. "The status they introduced, with the classification taken up to Class A, is having an impact on the people using P, and ultimately, when the police find these labs, that also has a major impact on supply." Frederick Webb, an independent counsellor, said potential P users had also been deterred by well-publicised horrors such as Antonie Dixon's attack on three people with a samurai sword in 2003. But treatment providers are, in Mr Webb's words, "bursting at the seams" because their own numbers have been depleted. Care NZ chief executive Tim Harding said two years ago that residential beds for drug and alcohol treatment had more than halved in the previous decade in a swing towards treatment "in the community". The Salvation Army's national addictions manager, Major Lynette Hutson, still believes the army was right to close its 85-bed facility on Rotoroa Island and open two new Bridge programmes in Waitakere (15 beds) and Manukau (8). "Our broadening understanding says that you come from a family system, a community system, and whether or not your family links are broken or whether you are isolated from the community are things that feed your addiction." At Waitakere, the army now treats 15 people who stay at home with their families, as well as 15 inpatients. "If there is any chance that they can do this programme and still live at home, we'll go for it," said Mr Snowden, the local co-ordinator. "We are getting the clients to go out at weekends, to try being at home - can I live in this environment again? We are trying to get them to experience out there from the first day they are in so we don't reinforce dependency on this place." - --- MAP posted-by: Richard Lake