Support options

When people think of drug and alcohol treatment they often think of detox or rebab. Even when a young person needs specialist support for their drug and alcohol use, there are many different ways that support can be delivered.

The more intense the service for a young person doesn’t always mean better outcomes and in fact it can sometimes be more harmful to treatment options for young people who may not need a high level of specialist support.

Exploring how harmful or severe substance use is as well as determining other needs in a young person’s life can help identify the best ways to get help.

Outreach support

Outreach support is a treatment option whereby trained Youth AOD Outreach Workers will meet up with a young person 1:1 in their home, where they hang out or any other place they feel comfortable.

Whilst some young people do well with weekly drug and alcohol counselling, e-support or group sessions, others require a more ‘wrap around service’ that helps them deal with their substance use issues in the context of other life issues.

Outreach support is a treatment option whereby trained Youth AOD Outreach Workers will meet up with a young person 1:1 in their home, where they hang out or any other place they feel comfortable.

After an initial assessment, a worker will meet regularly with a young person to build a trusting relationship and work with a young person ‘where they are at.’

Outreach is extremely flexible and holistic – there is no set program. Workers do not limit themselves to just providing Drug and Alcohol counselling – although this is a part of it – but rather aim to understand the things that influence a young person’s drug and alcohol use and help them make changes to those parts of their life.

Outreach support is best suited to young people with high or severe substance use combined with social factors

Examples of this could be supporting them to move out of unsafe housing, attend a health clinic or learn life skills such as budgeting.

Youth AOD workers will also be doing everything they can to allow a young person to feel safe to talk honestly about their substance use and things about it they do and don’t like. Motivating them to make changes to the areas they do not like.

Outreach support is best suited to young people with high or severe substance use combined with social factors such as unstable housing that make them more at risk of exploitation and getting into dangerous situations.

Centre based counselling and support

Centre-based counselling and support involves meeting with a trained Youth AOD counsellor or other therapist for scheduled appointments to discuss substance use or other issues that are currently impacting them. 

Generally, young people are required to make their own way to appointments so this option is well suited to young people who have the resources to get themselves around and are personally motivated to attend. 

Sessions are 1:1 and could cover a number of different topics, from Drug and Alcohol counselling to grief and loss or family therapy. 

Centre based support and counselling is also often used to support young people experiencing a range of mental health concerns, including major depression, PTSD, other anxiety disorders, bipolar disorder, and psychotic illness.  

Long term residential support

Many family members have heard of ‘rehab’ and believe it to be a solution to a young person’s drug and alcohol issues. 

Rehab is where a young person lives with a group of others in a substance free supported accommodation staffed 24 hours by trained workers. They have the opportunity to participate in a structured program that often involves developing a plan with the young person to meet their social, emotional and educational needs. Young people are encouraged to return to study or look for work and learn basic living skills for when they leave the program. 

There are two Youth Residential Rehabilitation Units in Victoria for young people aged between 16 to 25 years of age. For young people under the age of sixteen there has been much consideration put into whether this support option if appropriate. Rehab is not recommended for young people aged 16 and under as there are community based options available that are more developmentally appropriate for these young people.    

Long term residential support requires a commitment of anywhere from three to six months during which time a young person lives away from their regular circumstances. This can be highly disruptive to young people who are engaged in school or work or who have close supportive relationships. 

Before entering a Residential Rehabilitation Unit a young person will need to complete a detox. This is to ensure the young person has safety withdrawn from drugs. When completing a referral for a Residential Rehabilitation Unit this will be explored with a young person.  

For a referral to any support service to be completed a conversation and assessment with the young person will need to be completed. Hearing from the young person directly ensures we understand their needs and goals as well allowing their voice to be heard.

Self directed help

Self-directed Help is where a people can accesses booklets, books, videos, websites, worksheets or even apps to work through or explore substance use issues. 

It is low cost, flexible support option for young people. Best of all, even though self-directed help usually occurs without another person, you can also check out the resources and use them to help. 

Young people who already have their basic needs met and have a safe and supportive home environment, may want to start looking at self-directed help to reduce use, minimise harm or to prevent relapse. It is great for young people where significant risk or harms related to their substance use have not been identified. Young people who are still working on the problems that underpin their use (and still using substances) can still engage in self-directed help and there are resources especially designed to help them to stay safe and avoid risks while using. 

Likewise, young people who you feel may not be ready to access help may use self-directed help to ‘suss out’ the options and prepare themselves for engaging with a professional.  Some young people, like adults can also feel uncomfortable sharing their problems with a professional ‘face to face’, so rather than pushing them to engage, self-directed help can be a good option while they think about whether or not they would consider seeing a worker. 

Young people who may be reluctant to get help may use self-directed help to ‘suss out’ the options. 

Typically, resources used for self-directed help can be provided by a Youth AOD worker or online such as in YoDAA’s self-help section for young people.  Mobile applications are also increasingly popular with young people as a way to track their substance use, set goals, and get information and education.  

Day programs

Day programs, sometimes called ‘drop in centres’ are safe places where a young person can go during the day and seek help with their substance use and any other identified needs.  They are staffed by Drug and Alcohol Workers and can look something like a lounge room with young people hanging out, using the computers, pool tables, making snacks for themselves or playing pool. This can be a safe, non-threatening way for young people who have made the choice not to seek support from a drug and alcohol worker to begin to access support. It can often lead to the young person connecting to other support options once their trust has been built at the Day Program.  

Some Day Programs have access to showers, washing machines, GP’s and other services that offer vocational skills and health education. Young people can be substance affected at these programs and it can offer a space where they can be monitored by trained staff to ensure their safety.  

Any young person can access a Day Program, they are often open during business hours and there may be other young people spending time there.  

Peer support

Peer support is where individuals who have experienced AOD problems offer mutual support to others who have, or have had, difficulties with substance use.

Alcoholics anonymous (AA) and Narcotics Anonymous (NA) provide the majority of formal peer support programs ; however, there are many other examples of peer support.

WHAT INTERVENTIONS CAN BE OFFERED THROUGH PEER SUPPORT? 
  • Sense of community
  • Sharing of experiences
  • Peer education on harm reduction
WHICH YOUNG PEOPLE ARE BEST SUITED TO PEER SUPPORT?

Peer support is best suited to young people who:

  • Have high or severe AOD use
  • Are hard to reach
  • Are mistrustful of professionals.

Contact YoDAA (1800 458 685) if you wish to find a service

E-support

When you consider how much time young people spend talking to their friends online or on their phones, it is not surprising that some are more comfortable talking to support workers in this way too. 

E-support, sometimes called telephone or online counselling, is a form of drug and alcohol support that some young people may prefer and engage better in than face to face sessions. 

A drug and alcohol worker is there to provide counselling, referral to local services and assess drug and alcohol and mental health issues however, a young person is not required to attend an office – or even leave their home.  

Regardless of the substance a young person is using or the amount being used, e-support is a great option for young people who do not want to meet a worker face to face, and who have a safe, private place free of interruptions to access the internet or talk to their worker on the phone.  

Though there are many benefits to e-support, it is not suitable for everyone. Young people who do not have a stable home and who are still working to get their basic needs met are better suited to face-to-face options where workers can meet with them and help them organise things like housing and transport. Likewise, young people whose substance use puts them at great risk, benefit from face to face catch ups with a worker who can check that they are ok and get them medical help if needed. 

Think e-support might be a good option for your family member? Some examples of e-support services YoDAA recommends are e-headspace and counselling online (not specifically for young people).