Posts in ‘Substance misuse’

Have I learnt nothing?

I catch Vanessa and Carl in discussion upstairs, nothing formal, just another of their ‘quick catch-ups’ where the events of the previous day are shared in between them rushing to one meeting or another.

“We’ll have to look at doing a piece of work around that,” Vanessa is saying. And that’s the UCAN in a nutshell. From the frontline Carl and Rosanne feedback residents’ concerns, hot topics from the estate and, as a neighbourhood team, they decide to respond with ‘a piece of work’.

Over the last few months they’ve looked at environmental problems on the estate; supported ex-incapacity benefit claimants and hosted group sessions around debt. They’ve staged ESOL classes; cookery courses for blokes and set up a secondhand clothes shop. They’ve… well, let’s just say it’s a long list.

“There’s a big issue at the moment with cannabis use,” Vanessa tells me, “and it’s not just with the teenagers.”

I can believe it. The vision of a hooded teenager whizzing past me on a scooter a few weeks back is still with me, as is the distinctive whiff he left in his wake. But illegal smoking? Surely there are some problems that are just too big.

“Come on Vanessa, you can’t tackle everything,” I say, before thinking.

Vanessa is straight back at me. “Why not?” she says with bemusement. “Why can’t we?”

And there it is. Although I was more concerned they were taking on more than they could manage, I’d inadvertently challenged the whole ethos of the UCAN. If it’s a problem on the estate, or a concern for residents – health, employment, debt – then why not? Have I learnt nothing?

This is potentially my last story from Breightmet. It’s been nearly twelve months since I got off the wrong bus and walked through the estate, contemplating what I was getting myself into.

Downstairs the scene this morning is not too dissimilar to that of a year ago: residents in front of computer screens, working towards something better.

Dillon and Callum are here, both sporting their Heartlift T-shirts and trendy haircuts. “Don’t they look smart,” says June, looking up from the Universal JobMatch website.

Cath – the UCAN’s freelance employment advisor – is here too, helping the young men write their CVs.

“These two are the next apprentices on the Mojo Trust scheme,” she says, proudly. “They’ll be doing all the horticulture stuff that Sean and Steven have been doing.”


“So, does your team play in a local league,” she says to Dillon.

“Sunday league,” he replies.

“That’s great. Much better than just saying ‘I play football’. Membership of groups and teams shows commitment. An employer is going to be more interested in you if you can show you’ve stuck at something.”

Another lad wanders in through the open door, coming to see what his mates are up to. “Hello chick,” says Cath.

And bingo! Here it is. Exactly what that ‘piece of work’ around the football was all about. What was it Carl said at the time?

They’re on to writing a list of skills now. “With the volunteering you’ve already done, think of all the skills you’ve already got,” says Cath. She’s buoying them up now, making the link between the volunteering roles they’ve had and how they convert to sought-after job skills.

She’s enjoying herself too. “It’s a joy to see you lads in here,” she says, genuinely.

And it’s a joy to watch. It’s as if what I’m witnessing this morning has been laid on to encapsulate the UCAN philosophy: compassionate, dedicated staff giving tailored support to individual residents.

In public sector service delivery this straightforward approach seems as rare as rubies.

Postscript: my thanks to the residents of Breightmet who have told me their stories. And to the Bolton at Home staff who have welcomed me into their workplace as if one of their team. Special appreciation is also due to Vanessa McDermott who, before her maternity leave, set the As Rare as Rubies wheels in motion. Thanks Vanessa.

A pat on the back

“No sugar, but quite milky for me, please.”

“I don’t make many cups of tea,” says Richard, searching for tea bags at the back of his kitchen cupboard. “I can’t normally cope with the organisation of it. I’m only managing now because you’re prompting me.”

I remember now. When I sat with Richard at his Work Capability Assessment some months ago he mentioned that his ADHD affected even the smallest of tasks. His addiction to cannabis and alcohol wouldn’t have helped either.

Richard lives alone in one of a couple of dozen housing association flats that surround a converted nursing home set in large, pleasant gardens. “How long have you lived here?” I ask.

“I moved from Preston about a year ago, to get away from the madness,” he says, “forgetting that the madness was actually me.”

“I like that line,” I say. “I’ll use that.” We both laugh.


Richard went into detox a few weeks after the ATOS assessment – to come off the alcohol and cannabis – but has since had notification that, in the opinion of his assessors, he is fit for work.

“They basically said that because I volunteer for two hours a week at the UCAN then I should be able to work. It feels as if I am being punished for my honesty in telling them about the volunteering. I don’t want to lie to them.”

“I’m no expert,” I say, “but I think what you need right now is some support, never mind the hassle of appealing against the decision. You’re going in the right direction and, in a year or so, you’d be much better placed to look for work.”

We’re in his sitting room now, the TV on mute. “So how was detox?” I ask.

“It was a struggle,” he says, “there was a lot of shaking, retching and sweating for three weeks but I got through it.”

“And now you’re effectively doing your rehab back in your own flat?”

Richard nods as he lights his roll-up. “I have to say that after 20 years of constantly using, I do miss it.”

“That’s to be expected isn’t it?”

“I suppose so. But it’s like the cannabis and alcohol have a voice and are constantly trying to draw me back. It’s hard to shut my head up. I have to put music on or go for a walk just to distract it. Sometimes It refuses to be distracted. It can be quite frustrating.”

“And what support are you getting?”

Richard says he goes to a couple of groups with his local drug and alcohol team as well as  with Alcoholics Anonymous. “And everyone at the UCAN is very supportive,” he says, genuinely. “But it’s hard, very hard. It had such a hold over me. It controlled me, literally. It controlled what time I ate, what time I went to the toilet, what time I went to bed, if I could go to bed. And now there’s a massive void.”

“Yes, but think of all the things you can do to fill that void,” I suggest.

“Which I am doing, quite successfully.” Richard, who loves the outdoors, has joined a walking club. “Maybe I should give myself a pat on the back for that.”

There’s a large carrier bag from the chemists on the sofa next to him.

“Is that your medication?” I ask.

Richard pulls out a number of jumbo-sized blister packs, each compartment filled with tablets and capsules of different colours and shapes. “Does the pharmacist organise all these for you?”

“Yeah, because of my ADHD.”

“And what are you on?” Richard reels off a list of seven or eight medications and the conditions which they treat.


“I have to take one… two… three… ” he counts the contents of several doses, “twenty-four… twenty-five… about thirty tablets a day. As well as Disulfiram, the anti-booze drug which makes you very ill if you intake any alcohol.”

“And have you taken this morning’s tablets?”

“No, actually I need to take them… right now.” He gets a glass of water from the kitchen.

“It’s a good job I’m here,” I say as he fills the palm of one hand with tablets.

“Yes, it is a good job you are here, actually.”

Joined-up and tailored

He checks the fuel, sets the starter and gives a yank on the cable. The strimmer roars as he clips the machine onto his harness. He’s off sweeping from side to side, taking the heads off dandelions and sending grass cuttings into the air.


“Slow down a bit Sean,” shouts Paul above the noise. “Slow down or you’ll tire yourself out before long.”

The last time I saw Sean he was sat in front a computer with Rosanne. He’s been getting some intensive support from the UCAN these last two months.

“I’m just coming out of a depression,” he tells me after Paul has suggested he give the machine a break. “But all this has brought me out of my shell.”

As part of the new welfare reform regime Sean has been moved onto Jobseekers’ Allowance from Incapacity Benefit. It hasn’t been easy for him. Down at the UCAN he’s signed up for IT training and regularly attends the job club. He’s also been one of Mike’s mentees.

“Yes, I’ve been having one-to-one with Michael. He’s all right, Michael. He got me my specs.”

Another quick win. The UCAN staff realised that Sean was having difficulty with his reading and quickly diagnosed eyesight issues. It was Mike who got him in front of the optician.

“I used the bottom of a glass to read,” recalls Sean with a laugh. “Now it’s a lot less bother. I can just pick up a paper and read it straight away.”

We’re round the corner from the UCAN at the Red Lane allotments. Paul works for the Mojo Trust (still known by many as their previous incarnation, Bolton Wise), an organisation that trains unemployed people in all things horticultural.


“We take trainees through an NVQ in Amenity Horticulture and Hard Landscaping,” he says. “They’ll usually do two days a week for 12 weeks and come out with a qualification and some experience.

“And yes, it is about qualifications but it’s also about keeping people busy and learning social skills. If you’ve been out of work for a while you tend to forget how to talk to people, and just getting out of the house, doing something different, can be very motivational.”

This ‘Estate Rangers’ project is part of the UCAN’s big push to help specific clients who have been long-term unemployed, which I have been writing about over the last few blog posts. Like all things UCAN, it’s joined-up and tailored to the individual.

There should be more at this morning’s session but other participants have appointments to attend. Steven is tending one of the raised beds. “This is actually my own bed,” he says, “I come down at other times but I’m just learning all this green stuff. I’ve got potatoes, broad beans, onions…”

“… and this is mint here,” I say, plucking and smelling a leaf, “nice boiled with new potatoes.”


Ten years ago Steven was an industrial window cleaner but hasn’t worked since. He and his ex-partner have both had issues over substance mis-use and their two children no longer live with either of them.

“I’ve changed my life around in the last seven or eight months,” he says, “and the authorities just need to see me keep it going. All I want is my children back home.”

“And all this helps?” I ask waving my arm around the allotment.

“Yeah, it does help. Otherwise I’d be stuck in, being bored and possibly tempted again. I don’t want that. Things are looking up but it’s been hard, very hard.”

I leave them to it as Steven takes his turn with the strimmer.

“I’m looking forward to today”

John is looking out for me from his living room window. This is a big day for him. A day that could significantly change the rest of his life.

I introduce myself on his doorstep. His handshake suggests a lifetime of manual work although I know this isn’t how it’s panned out.

“Sorry, I don’t know the way,” I say as we settle into my car.

“Straight to the end and turn right,” he says.

By the time we’ve reached the T-junction I’ve determined that John is 49, moved from Heywood to Breighmet two years ago and has a one-year-old daughter with his new partner.

“And four kids from my previous relationship,” he tells me.

“So you’re doing it all again. How does that feel?” I ask, recalling all that sleep deprivation.

“It keeps you young,” he replies.

John has been attending the little pilot course that Mike has been running at the UCAN. It’s for people who have been on Incapacity Benefit and have now found themselves re-assessed and on Jobseekers’ Allowance.

“One day I was telling him how self conscious I feel about my teeth. Next left. The next minute he was making an appointment for me at this dentist. That was two weeks ago.”


“And what happened at that first appointment?”

“I was sent for an X-ray at the hospital. I went back on the Wednesday and he took half of them out right then. I went again on the Thursday and he took the other half out.”

I wince. “How many did he take out each time?”

“About ten.”

“Ten in one go, and then another ten?”


“Oh my god. What was that like? It must have been traumatic. Right or left here?”

“Left. When I came out of the dentist I felt someone had hit me in the face with a bat. And the next day it felt like someone had hit the other side,” John jokes. “But on the good side, I’ve lost over half a stone because I can’t eat anything.”

Perhaps to give John a fighting chance until his dentures are ready, the dentist has left a couple of yellow pegs in his bottom jaw. “So what have you been eating in the meantime?”


“If you don’t mind John, tell me about being on Incapacity Benefit.”

“I was on the sick for a while because I used to have quite a bad alcohol problem. I sorted that out but, because I’d stopped drinking, I ended up with an amphetamine problem.

“Then five years ago my wife left me and I had my eldest daughter living with me. I decided then that I needed to sort my life out and haven’t touched anything since.”

“So your teeth wouldn’t have been a priority in those times when you were alcohol and drug dependent?”

“No, no. I kept putting it off but it really affected me. I couldn’t clean my teeth because the gums would bleed the whole time and so I had bad breath. I’d always hold my hand over my face and was really worried people were looking at my teeth. They were a mess. Turn right at the lights.”

“So this is part of a process of sorting yourself out?”

“I think my confidence will be a lot higher. I’ve been looking forward to today. It’s just here.”


Inside it takes a bit of explaining why John has a photographer in tow but the dentist is happy enough to let me take a picture once the new teeth are fitted.

John emerges and is indeed delighted. I buy us both a celebratory cheese and ham sandwich from the bakers next door before I drive him home.


Mike calls this a ‘quick win’ and there’s no doubt it is, but that seems to understate the significance of today. It’s been a turning point, a new start even and I make a mental note to catch up with John in a few weeks to see how things are going.

The fairy jobfather?

I’m nipping in between consultations. Except these are a bit more than consultations. This morning Mike has already had hour-long sessions with two of his new customers and after me, and presumably a bite of a sandwich, he is seeing two more.

He tells me these particular clients – because of depression, ill health, drugs or alcohol misuse – had been ‘parked‘ on Incapacity Benefit for some time, drawing benefit but not expected to find work.

Since the welfare reforms these men, and they are mainly men, find themselves having to get to grips with the flawed Universal Jobmatch online employment site and the increasingly rigorous demands of the Job Centre.

I like that the UCAN can be super-responsive. As a new need arises it adapts what if offers or adds something new into the mix. Which is why Vanessa has commissioned Mike, the CV-writing guru and career coach from Tuesday’s job club, to work closely with a number of hand-picked, long-term unemployed residents.

“There’s a part of Breightmet that is ranked pretty highly among the indices of most deprived areas in the UK,” says Mike. “Bolton at Home has researched the figures and there’s a particularly high incidence of people who are on, or had been on, Incapacity Benefit.”


“So what sort of people are we talking about? Can you describe them?”

“One of the guys has been without regular work for more than 20 years, others for over 10,” says Mike.

“The younger ones obviously less so but with all of them substance misuse is a common theme. Interestingly, There is also an almost universal lack of confidence around literacy, particularly spelling. They can read well enough but writing is an issue.”

“But isn’t the JobCentre helping this group?” I ask. “As you say, they have been economically inactive for so long, surely they can’t be expected to job search without any support?”

“If I was in the JobCentre’s shoes, I’d argue they are being offered a lot,” says Mike. “But it’s inevitably very prescriptive given the volumes of candidates they are dealing with. One guy has been put on the Work Programme for new claimants and another has been sent along to Bury College to have his basic skills assessed… but now he has to wait two or three months before there’s a literacy course available. So there is support, but it tends to be less tailored. Does that make any sense?

“Yes. Yes, it does. But what are you doing differently?”

“I’ve come in with an open mind. We want to make sure their interaction with the JobCentre and with Universal Jobmatch is as positive as it can be. But what is fascinating and unexpected is how much the guys are opening up to me about themselves and about what’s stopping their progress. And there have been things I can do to help.”


“For instance, one guy at the end of our first session told me he was really self-conscious of his teeth. He hadn’t had dental treatment for 10 years and had very bad teeth, so bad they were affecting his self-confidence.

“So I organised a local NHS dentist to see him, even paid for a taxi to get him to one of the appointments and next week he’s being fitted with a new set of false teeth. He’s delighted, he can’t wait.”

“That’s brilliant. I like that.”

“Another guy is nervous of speaking on the phone and so doesn’t have a mobile. Of course, if you’re searching for work, coming across well in a phone call can be important. So I got him a cheap mobile from Asda and some credit and suggested he used it to order takeaway food, for instance. I call him from time to time and he’s even spoken on the phone to Vanessa now. It’s a little step which has improved his ability to function.”

“It comes down to seeing people as individuals, doesn’t it?” I say

“These are little gestures but quick wins, small victories that are showing them we can make progress. What’s fascinating is how freshly motivated a couple of them are at least, to get a job. I’m not going to put myself out here as the ‘fairy jobfather’ but I do think, in the right circumstances, two of them could be employed in the near future by someone and do well.”

“And the others?”

“Motivationally, they’re not quite ready yet.”


This is week four in a six-week project. After his ‘quick wins’ Mike has started working on what he calls ‘reframing’ the life story. “To begin with they’d all talk very negatively about themselves: drug and alcohol problems, being out of work, being homeless maybe. But now we are moving towards a more positive life story.

“We’re beginning to find the positive elements about them and getting them to express them more openly: are they a family man? Do they like working with other people? Maybe they enjoy the outdoors… anything really to get them thinking differently, and expressing their life stories more positively.

“The aim is to them more attractive to employers. None of it is untruthful, just a skewing of their story in their favour really.”

What Mike is doing over six hours isn’t rocket science. He’s building self-esteem, giving people time, allowing them to discover what they’ve got to offer. It’s personal and it’s making an impact.

As a little pilot study there are some important lessons to be learnt… and not just by the UCAN.

“I enjoy the little differences I am seeing already,” he says as I get ready to take his portrait. “And I hope they are too. It’s very satisfying.”