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     Resonance
Issue 1: May 2015

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The Janus Approach

Janus is all about innovation, creativity and asking the questions you are fearful of asking because you may feel silly, stupid or lacking in knowledge, or too controversial. Yet through asking those questions Janus developed its approach. The initial development of our approach was highlighted in our book, Crack Cocaine: The Open Door (2007).
 
While developing the book the authors had to ask many questions, and one of those questions was whether or not people enjoy using drugs. Why else would someone return to drug use after 6 months, 12 months, 3 years or even 10 years of being drug or alcohol free? Our conclusion was simple: because of the memory of the pleasure, of ‘that feeling’, the buzz, the high!. Of course this may not sit well with all readers, but before disregarding the idea, perhaps it is worth exploring a little further.
 
At least that is what the Janus partners decided to do.  And out of this exploration, the ‘Resonance Factor’ was born. This is an approach that allows the client and the practitioner to have a meaningful dialogue, about the pleasure of drug use and the relationship that the individual forms with that pleasure and the behaviour that is shaped by that relationship.
 
Janus will introduce readers to our approach, through this newsletter and welcomes views on our approach. We also welcome a healthy debate on other approaches to substance use that influence and direct treatment today.

The world as we have created it is a process of our thinking. It cannot be changed without changing our thinking...
Albert Einstein

Drugs: Cool or uncool

Drug use became a symbol of teenage rebellion during the 1960’s hippie era. It became a part of the counterculture that was against the bourgeois lifestyle, and promoted drug use privately and publically as a symbol of that rebellion.1 The same link can of course be seen today however, with the additional perception of drug use as a ‘rite of passage’ between childhood and adulthood. Read more

Politics and Policy on Drug Misuse

May 7th saw the nation vote and elect the Conservative government for a second term.  Emotive election headlines focussed on the health service, immigration, education, Trident and so on, and not surprisingly, no mention of substance misuse. However, drug and alcohol use impacts all sections of society including politics, and the government of the day influences the direction of drug and alcohol treatment and the investment that is made in it.  So what do the Politicians say?     Read More

 

Well being: Paleo Diet

Health and Wellbeing are at the heart of the current Public Health agenda and are integral to the services provided and promoted at Janus.  We encourage a healthy lifestyle mentally, emotionally, spiritually and physically. Diet forms an essential part of healthy living. The Paleo diet is based on the types of foods presumed to have been eaten by early humans, consisting chiefly of meat, fish, vegetables, and fruit and excluding dairy or cereal products and processed food.
What can I eat on the Paleo diet?
Read More

New Website now live

The new Janus Solutions website has now gone live. Please visit us to find out more about our work, as well as the latest news and events.

www.janussolutions.co.uk

Social Enterprise

Social enterprises have been in operation since cooperatives were started in 1844 and exist today across the globe in all forms, shapes and sizes. The movement towards socially responsible business has been steadily growing in recent years, gaining support from our communities, private and voluntary sectors.  Read more

Legal Highs - Engagement

‘Legal highs’, the latest buzzword in drug services, seems to be presenting workers and services with a new challenge. In response, many organizations have incorporated services for users into their remit and employed specialist workers. Legal Highs have received attention in light of the different client groups seen by services eg., young people, ravers, the LGBT community, and working people. Drug use within these groups is not new but they...  Read more

Diversity

This is a term that we hear less of nowadays yet the issues that it covers are presented to us everyday at work and in society both nationally and internationally. Services are required to provide treatment and interventions to an ever expanding and diverse group of drug and alcohol users and are also required to have knowledge and understanding of the many and varied means by which people use.  However, ‘diversity’ as a topic is not as high on the agenda and it once was and this omission can leave services trying to fit everyone into their treatment model instead of assessing the diverse needs of the local population and developing service accordingly. Read More

Substance Misuse in the Workplace

'
'...Alcohol and drug use increases the risk of problems in the workplace such as absenteeism, low productivity and inappropriate behaviour. It can impair a person's performance at work through poor decision making and impaired reaction times causing lost productivity, inferior goods or services, errors and accidents.'

'It is evident that individuals in employment are more likely to drink frequently compared to those who are unemployed'. 'Individuals in managerial and professional occupations are likely to drink more frequently than those in routine and manual occupations.'

'Certain working situations and conditions are associated with use of alcohol and illicit drugs such as shift or night work, travel away from home, working remotely, business meals, poor communications and job stress.'

- The British Medical Association (BMA)     Read More

Unsung Heroes

Janus would like to acknowledge the contribution of individuals in the caring sector who do great work and long lasting work, however they do not get the accolade offered to more high profiled individuals. These people go about their work in a unassuming way, the reward simply being the work.

Janus would like to acknowledge the work of David Hoy who has contributed to the substance misuse field for over 26 years. He has provided the therapeutic setting for clients to explore their ‘self worth’ and the relationship they form, not only with ‘self’ but for the individuals relationship with their drug of choice.

His honesty with the client is exceptional and provides learning for all those that associate with him. He introduced me to one of his pivotal interventions “The Taste”. In David’s words “A client will always have a taste for the substances they used and this can be more powerful than their desire to maintain abstinence”.

On hearing this I realised this man had given me gold, he highlighted the power of the relationship a client has with their drug of choice.

His contribution to Janus has been renowned and irreplaceable and his group work skills are second to none. Thank you David Hoy, for all that you continue to contribute, for all you have said, for all your hard work and most of all for the relationship that we have forged. You are one in a million, you are the embodiment of the old school, in which care is at the heart of the work!

From all of us at Janus, Thank You Dave!

Jennifer Jordan
Counselling Coordinator
Janus Day Programme

If you know an unsung hero please send in an acknowledgement.

Reader Giveaway:
Think you know Janus? Sum up Our Approach in one sentence, first reader to do so wins a free copy of
Crack Cocaine: The Open Door
email: news@janussolutions.co.uk

Know someone interested in Janus News? Please feel free to forward our newsletter. Thank you!

Upcoming Events:

Legal Highs Workshop                                       date: 17 Jul. 2015    cost: £120
Resonance Factor Introductory Workshop          date: 18 Sep. 2015   cost: £120
Conference: Substance Misuse In The Community  date: 23 Oct. 2015   cost: £120      

Register and find more workshops and seminars HERE

Find out about our Accredited Courses HERE

 

visit us online at www.janussolutions.co.uk
If you're new to Janus and would like to subscribe please email news@janussolutions.co.uk
READ MORE articles below

Drugs, cool or uncool continued... The social and individual impact and effect of drugs cannot be denied. The individual impact, as seen from the outside, can be seen in many anti-drug campaigns, including the “From Drugs to Mugs” campaign in the USA.2 This includes showing the effects of using meth-amphetamine and other drugs and alcohol over time, through a series of 'before and after' mugshots of users, as released by the Multnomah Sheriff's Office in Oregon, USA.
 
However, these campaigns relaying information based on arousing fear does not seem to have the desired outcome in terms of reducing drug use.
3 It appears that the ‘cool’ factor of drug use supersedes the negative impact of drugs, and furthermore that the relationship one forms with their drug of choice and the perceived benefits of using it remain the overwhelming driving force. 
 
An alternative perspective is offer by Joseph Allen and associates from the University of Virginia, who conducted a study on teenage coolness and its longevity over a certain period of time.
4 The authors kept track of 175 of the 184 respondents from seventh/eighth grade to the age of 20 to 23, with repeated interviews carried out over the 10 year period. The study showed that people who were deemed cool while they were 13 were perceived to be socially incompetent and uncool when they were 20. Some of the respondents had gravitated towards criminal activity and alcohol or drug misuse. . Allen and associates believe that the fast track to social acceptability does not teach the cool teens how to engage in a normal and mature social relationship, making them look uncool when they reached their 20s.
 
On Yahoo! Questions,
5 a 16 year old was asked if they felt uncool as they did not drink or do drugs. The respondent said that after giving in to peer pressure, they tried alcohol, but did not like it, and said, “I feel like I must always be the really geeky, really 'uncool' friend”. Lucy (Yahoo User) responded to the query by saying, “You are not uncool, you are just not a sheep!”
Where does ‘cool’ end in the transition from use to misuse?
_________________________________________________________________________________

Danesi, M. (2003): My Son is an Alien: A Cultural Portrait of Today's Youth, Rowman & Littlefield, P 122
2 Glendinning, A (14 February, 2014): Faces of Meth: Shocking mugshot photos show toll of drugs and alcohol on US criminals, Daily Mirror, http://www.mirror.co.uk/news/weird-news/faces-meth-shocking-mugshot-photos-3142261
3 ACMD (February 2015): Prevention of drug and alcohol dependence, ACMD RECOVERY COMMITTEE PREVENTION BRIEFING 25/02/15
4 Allen, J. P., Schad, M. M., Oudekerk, B. and Chango, J. (2014): What Ever Happened to the “Cool” Kids? Long-Term Sequelae of Early Adolescent Pseudomature Behavior., Child Development, 2014; DOI: 10.1111/cdev.12250
Am I uncool because I don't like drugs/booze? https://answers.yahoo.com/question/index?qid=20091102125718AAamjbK


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Politics and Policy continued... The Labour Party and The Conservative Party had slightly different approaches to drug and alcohol use and the provision of treatment and rehabilitation. The Labour Party advocated better drug treatment and a ban on the sale and distribution of ‘legal highs’, while the Conservatives want to regulate currently banned drugs; establish a ‘Royal Commission’ to review current drug classification; and to treat drug use as a health issue rather than a criminal one, thus enabling the transfer of the budget and  policy from the governance  of the Home Office to the Department of Health.

However in a country where  funding for drug and alcohol treatment has already faced serious budget cuts, in the same way as  housing, health, social welfare and education, with the re-appointment of the same political party, we can only anticipate further cuts to the sector. 

We aim to keep up to date with politics and policies that affect drug and alcohol treatment in this newsletter.  We welcome your views and will publish these in forthcoming issues.

Check the Conservative manifesto below:

Conservative manifesto:  P.58/59/78

As a point of interest:


Source link 
Labour manifesto:  P.52
Green Party manifesto: P.33
Lib Dems manifesto:  P 125/126

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Social Enterprise continued... Janus Enterprise CIC is a not-for-profit Community Interest Company established to allow us to direct our Corporate Social Responsibility back to our target beneficiary group: those affected by drugs and alcohol, as well as other socially excluded groups including ex-offenders.

“Social enterprise is an approach, a way of trading through adopting a set of principles that include having a clear social and/or environmental mission, generating the majority of your income through trade and reinvesting the majority of your profits to further the social mission. They’re usually started by a person or group with a particular passion and sense of purpose. The passion often comes from trying to solve a problem that they understand personally; and the purpose comes from having a business idea that could solve that problem for others. Setting up a social enterprise can not only give you the freedom and satisfaction of running your own business, but also the knowledge that you are changing the world for the better”. Social Enterprise UK

A 2013 Report by Social enterprise UK titled ‘The People’s Business’ found that social enterprises are breaking new ground for example:

  • Social enterprises are very heavily concentrated in the UK’s most deprived communities.
  • 38% of all social enterprises work in the most deprived 20% of communities in the UK, compared to 12% of traditional SMEs (small and medium-sized enterprises).
  • 56% of social enterprises developed a new product or service in the 12 months prior to the report compared to 43% of SMEs. New product or service development is often used as a proxy-indicator of business innovation.
  • Social enterprises are far more likely to be led by women than mainstream businesses.
  • 38% of social enterprises have a female leader, compared with 19% of SMEs and 3% of FTSE 100 companies.
  • 91% of social enterprises have at least one woman on their leadership team. 49% of mainstream SMEs have all-male directors.
  • 28% of social enterprise leadership teams have BME directors. Only 11% of SMEs report having directors from a BME background.
  • Social enterprises earn their money through trade – with 72% of social enterprises earning between 76% and 100% of their revenue in their marketplaces. The most common source of income for social enterprises is trade with the general public. Close to half of all social enterprises now trade with the private sector too.

Access the full report here

If you’re thinking of starting your own social enterprise then a great place to start is to visit an existing social enterprise.  Janus Social Enterprise welcomes you come and see what we have set up in partnership with our service users.  Contact us to arrange a visit or just for a chat

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Paleo Diet Continued... Lean meat poultry, fish, seafood, eggs, fruit vegetables (except for starchy varieties) nuts, seeds and healthy fats like olive oil, nut and seed oils and avocado.

Pros and cons with the paleo diet:

Positives: emphasis on vegetables, fruit, lean protein and healthy fats and it eliminates refined and processed food. Higher in plants foods fibre, protein, omega 3 fats and vitamins and minerals.

Negatives: some people say it far too restrictive and unnecessary to cut out entire food groups such as diary, legumes and whole grain, arguing that this could put you at risk of nutritional deficiencies.

Benefits:

  • reduced risk of chronic diseases such as heart diseases and type 2 diabetes

  • weight loss

  • clearer skin

  • improved sleep & energy levels

  • better mental clarity

Healthy Eating Recipe:

Spicy chicken and avocado wraps:

ingredients:

  • 1 chicken breast

  • thinly sliced at an angle

  • generous squeeze

  • juice ½ lime

  • ½ tsp mild chilli powder

  • 1tsp olive oil

  • 2 seeded wraps

  • 1 avocado halved and stoned

  • 1roasted red pepper from jar sliced

  • a few springs coriander chopped.

Gestalt counselling saying: I give up freely what is no longer serving me I release it to create the space for what inspires me.

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Legal Highs continued... have previously proved to be difficult to engage in services. Reasons may include fear of exposure, fear of judgement, and fear of losing their job. Services have responded by opening evening clinics, employing specialist workers and taking services to settings where drug use is prevalent.
 
Ecstacy and ‘rave’ drugs have been around since the mid 1980’s, and when users of these drugs approached services, treatment was designed to cater to individual need. Young people are often seen by youth workers rather than drug workers because of cuts to services, and members of the LGBT community can be reluctant to engage with drug services because of perceived negative judgement about their sexual practice.
 
So, given that services can expect to see a more diverse client group accessing service, do they have to review the interventions they use in order to meet their differing needs? Current interventions used include relapse prevention, motivational interviewing, harm reduction etc. These interventions help drug users gain insight, be honest about their using, address cravings and reduce harm. Where drug use is linked to other behaviours, these links are explored and examined.

Young people have always experimented with drugs and alcohol as part of adolescent and transition to adulthood. Ravers have always used substance to get pleasure and enhance the individual and group experience with music, and cocaine for example, has long been used to enhance and prolong sexual experience.
 
The real problem with legal highs is the easy potential to cause harm. Legal highs mimic the 4 main categories of drugs and might often be misleading by name. This can lead to users taking the same amount of an imitation drug as they would of the real drug. Users will also take more if they do not feel much effect in the expected time. These are where the risks of legal highs are most prevalent, and more often lead to hospitalization.
 
Therefore it may be necessary for drug workers and services to be better placed to offer harm reduction interventions to users of legal highs when they first access services. This will engage the drug user as a tested and proven intervention. Perhaps harm reduction interventions are used for longer with users of legal highs, in which case, do they actually differ from many of the clients who currently access services?
 
An additional factor to consider is the health problems that can be associated with regular use of some legal highs. Ketamin for example is associated with bladder problems that are irreversible. Drug service have much experience of supporting clients with health problems associated with their drug use, and have long helped drug users to access mainstream health services, often bringing services into the treatment centre so that clients are more likely to engage. In addition, as with existing clients, services develop referral pathways for the specific needs of their clients and aim to develop a collaborative relationship in order to benefit the client.
 
Finally, we must not forget the fundamental issue that exists for the service user irrespective of their drug or drugs of choice, and that is their desire to experience pleasure, to change feelings and behaviour, and to pursue this feeling at all costs. At this level, there is no differentiation.
 
What changes have your services made and are they sufficient to meet the need?

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Diversity Continued... There is a real danger of complacency in the areas of diversity and equality as these issues are no longer new.  At the same time we know: 
  • There has been considerable recognition of, and investment in developing services for drug and alcohol using parents 
  • That emerging communities are considered at a strategic level when treatment providers bid for new services
  • That some service provision is based on the needs of the presenting population and local need
  • That recognition of non-traditional service user groups has led to the provision of outreach and inreach within communities and targeted environments 
Is this your experience?  How does your service view or incorporate diversity in the drug using population?  Let us hear your view about what works and what doesn’t!  

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Substance Misuse at the Workplace Continued... Substance use including alcohol and prescribed medication present a problem to a large proportion of the population. The work place is no exception. An organisation relies on the ability of its employees to make it thrive and so if the employee is not operating to his or her fullest potential then the organisation’s ability to deliver can be undermined. However, while an organisation needs to be sensitive to its own requirements, it also needs to recognise its duty of care towards employees. Substance misuse is recognised as a very real emotional, cognitive and physical condition and as such employees who are experiencing difficulties require a sensitive response and specialist support.  A positive response from the organisation meets with standards embedded in employment law and promotes the organisation in a positive light.

BMA (the British Medical Association) suggest that the higher earner may be at more risk of problematic drug or alcohol use than those with less earning capacity or those who are unemployed. In a world of alcohol, prescribed medication, 'legal highs' and illegal drugs the working population is  vulnerable to developing a problem, while at the same time struggling to access appropriate and affordable help at the time they need it.
 
We are all very aware of the presence of substance misuse in the workplace, and it is easy to say sort it out, or pay for your treatment. Yet how many people can afford £6,000, or £10,000 or even £15,000 + for a 28 day treatment package. Being employed, developing a problem with substance use can make you one of the most vulnerable members of society with regard to treatment because you fall in to the grey zone. That is to say:
Working people often develop dependence on drugs or alcohol gradually over a period of months or years, and at the same time, develop skills to hide their use from colleagues and employers as the issue escalates. To address the issue first means acknowledging it to oneself and then to another. This is often the hardest step, beset with fears and anxiety that can often lead to increased use.
So how can we increase awareness in the workplace and make it easier for workers to ask for help and for employers to provide a safe, confidential and non-judgemental response?
What is your experience? 
Does responsibility vary according to the size/purpose of the organisation?
Tell us what you think!

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