BRISTOL HOMELESSNESS
PATHWAY 4
CLIENT FEEDBACK
2024
Pathway 4 summary
Ara is the lead for Homelessness Pathway 4. This service offers 140 beds in a range of property types (average 5-bed shared houses and self-contained flats) to promote recovery from substance misuse and homelessness for men and women in Bristol. Ara works with subcontractors, The Junction Project and The Bridge Project, to provide bespoke accommodation for each client in a psychologically informed environment best suited to their recovery.
Each client has a named support worker who builds a trust-based relationship with them and with whom they co-create a support plan that provides holistic support and goals along themes such as substance misuse, mental and physical health, social inclusion and relationships, daily living skills, training and employment, and more.
To be eligible for P4, clients are required to have a script in place (or be seeking one), not be drinking uncontrollably, and provide negative tests for Class A drugs. Ara provides three levels of housing (Preparation Intake, Preparation, and Abstinent) and requires regular drug testing—all alcohol and drug use is prohibited in all Pathway 4 properties. Where clients relapse, this is handled in a caring and non-stigmatising way that recognises the role that compound trauma plays in clients’ lives. In-house Ara recovery groups and workers augment the Recovery Oriented Drug and Alcohol Service (ROADS) treatment offerings for those not able or willing to access this.
Within the Bristol ROADS system, Ara supports clients 24/7, 365 days a year. Safe and secure housing underpins recovery—without accommodation that facilitates drug, alcohol, and mental health treatment, positive outcomes are likely to be limited.
SERVICE RECEIVED AND OVERALL SATISFACTION RATES
Which service are you receiving?
Understanding the Pathway 4 Services
Preparation Intake
The highest level of support. We accept people on substitute medication if required, with an expectation of being free from Class A drugs after admission. We can accept people at the beginning of an alcohol detox. We provide in-house recovery groups, counselling, and stabilisation activities.
In-Treatment (Abstinent)
Total abstinence from drugs, alcohol and substitute medications. We prepare clients for move-on and independent living, including engagement with education, training and employment.
Preparation
Deeper engagement with support with clients developing their daily living skills, engaging with social inclusion activities, and addressing immediate health and substance use issues. Clients may be on substitute medication, or at the end of an alcohol detox. Additional in-house relapse prevention groups and activities provided.
How satisfied were you with the assessment process before you moved in?
At admission, how satisfied were you with...
The process of moving in to your new home?
The information you received about warning procedures?
The information you received about policies and procedures?
On average, how frequently have you met with or spoken to your support worker?
Did you feel adequately understood and listened to by your Support Worker? <
How satisfied are you with your support sessions?
To what extent do you agree that your support plan adequately reflects what you need for recovery?
Were you involved in developing your support plan?
87%
87% OF CLIENTS FELT THEY HAD CO-DESIGNED THEIR RECOVERY PLANS
What did you work on with your Support Worker?*
Do
you feel more positive about the future than you did when you arrived in the service?
95% OF CLIENTS FEEL THEY HAVE BEEN TREATED WITH RESPECT and that any diversity issues were acknowledged and respected by staff
80% OF CLIENTS FEEL MORE POSITIVE About the future compared to when they started the service.
91% CLIENTS ARE SATISFIED WITH THE SERVICE THEY HAVE RECEIVED FROM ARA
Do you know how to make a complaint if you were unhappy with aspects of the service?
What is your opinion on the standard of your home?
Would you recommend this service to other people?
This data includes furniture, decoration, facilities etc.
The support that I have received from Ara has been second to none. They have been my rock over the last 2 years. Their commitment to the treatment that they provide is wonderful.
