He walks through our door every day, grubby. Battered. Gentle. Gracious. Not a young man...

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1 ANNUAL REVIEW 2015 He walks through our door every day, grubby. Battered. Getle. Gracious. Not a youg ma....

2 A Commuity of Hospitality, Hope ad Justice Merchats Quay Irelad PO Box 11958, Dubli 8 Locatio: Merchats Quay Irelad, Merchats Court 24 Merchats Quay, Dubli 8 Tel: Fax: ifo@mqi.ie Web: Four Compaies: St. Fracis Housig Associatio CRO Number: Reveue CHY Number: CRA Number: Merchats Quay Project CE Scheme Ltd CRO Number: Reveue CHY Number: CRA Number: Merchats Quay Project Ltd CRO Number: Reveue CHY Number: CRA Number: Fracisca Social Justice Iitiatives Ltd CRO Number: Reveue CHY Number: CRA Number:

3 CONTENTS ANNUAL REVIEW studets graduated from our 2 year Diploma i UCD. May are workig full-time i the sector ad are makig a sigificat cotributio to the provisio of services ad support to those caught up i addictio. It s great to be a part of this. Peter, Head of MQI s traiig team About the cover: He walks through our door every day, grubby. Battered. Getle. Gracious. Not a youg ma MQI s Night Café is the first ever service of its kid for Irelad s homeless. Chairma s Itroductio... 2 Lookig Back... 3 Merchats Quay Locatios Natiowide... 4 Visio ad Missio... 5 Addressig Crisis... 6 Ope Access Homeless Services... 6 The Night Café... 7 The Drop I Service... 8 Exteded Day Service (EDS)... 8 The Case Maagemet Hub... 8 New Commuities Support Service... 8 The Youg Persos Support Worker... 9 Primary Health Care Services... 9 Nursig... 9 GP Service... 9 Metal Health Supports ad Metal Health Nurse... 9 Cousellig Psychology Ope Access Drugs Service The Assertive Outreach Service Itesive Egagemet Service Harm Reductio Services Health Promotio Uit Naloxoe Workig with Cliets i Custody Promotig Positive Chage: Progressio Pathways Programmes Support Services Methadoe Prescribig Treatmet ad Support Ito Educatio ad Employmet: Stabilisatio Programme Holistic Supports MQI Equality for Wome Programme The Pre-Etry Group Family Support Group Midlads Services Rehabilitatio ad Aftercare Service Athloe Ope Door Cetre Family Support Services Commuity Harm Reductio Services Day Programme Midlads Services Resettlemet Natioal Priso Based Addictio Cousellig Overview of Services Moutjoy Drug Treatmet Programme Cousellig Sessios Brief Itervetios MQI/IPS Addictio Service Developmets MQI/IPS Addictio Service Developmets Drug Free Treatmet Services St. Fracis Farm Residetial Detox Programme St. Fracis Farm Residetial Rehab Programme Self Esteem Outcomes Self-Efficacy Outcome Completios Post Service Outcomes 6 Moth, St. Fracis Farm Post Service Outcomes 12 Moth, St. Fracis Farm SFF Detox ad Rehab Developmets SFF Detox ad Rehab Plaed Developmets High Park Residetial Programme Self Esteem Outcomes Post Service Outcomes 6 Moth, High Park Post Service Outcomes 12 Moth, High Park High Park Developmets High Park Plaed Developmets for Aftercare ad Social Housig Drug-Free Day Programme Weekly Aftercare Support Group Trasitioal Housig Services Ballymout ad Leixlip Aftercare Service Developmets Aftercare Plaed Service Developmets Commuity Employmet (CE) Services Pastorial Care at MQI Traiig & Educatio MQI & UCD Huma Resources Fiace ad Goverace Ackowledgemets Merchats Quay Irelad Aual Review

4 CHAIRMAN S INTRODUCTION s Chair of MQI I am pleased to welcome our Aual Report for Ufortuately we cotiue to witess uprecedeted icreases i homelessess. Give the fact that our cliets are predomiatly sigle, their prospect of beig housed is highly ulikely i the foreseeable future. The aspiratios of the sigatories of the 1916 Proclamatio of Idepedece seem as far away as ever for these Irish citizes. As metioed i previous years, the statistics cocerig fatalities amogst drug users remai a atioal disgrace. At MQI we cotiue to raise awareess of the awful idividual, family ad societal cosequeces of overdose. We welcome the recogitio of the lifesavig value of safe ijectig facilities ad ecourage our politicias to expedite legislatio to make them a reality. The resposibility of the Board of MQI is to esure that we have a well-govered, efficiet orgaisatio which is fit for purpose to meet cliet eeds. I this regard we have udertake a exterally-led Review of all our services. We are curretly fialisig our Strategic pla for the ext three years. We will commit to the highest stadards of best practice i the sector ad lead collaboratio where possible with other providers, i order to maximise efficiecies ad achieve ecoomies of scale. Our doors have cotiued to respod with icredible geerosity to MQI. To all our doors, whether you are statutory, corporate or persoal, we say a heartfelt thak you. Without your extraordiary geerosity, may would go hugry ad some would udoubtedly die. The Fracisca commuity cotiues to support MQI with a quiet geerosity. O behalf of the executive, staff ad cliets I wat express our gratitude to them. The Fracisca ethos is a firm achor i all that we do. I wat to express our deep gratitude to our executive team, staff ad voluteers. All at MQI cotiue to go the extra mile for our cliets. Our eighbours i all our locatios facilitate the seamless roll-out of services ad we cotiue to appreciate their geerosity. The Gardaí ad ambulace services also ivariably show great sesitivity ad compassio i workig with us ad our cliets. Poverty, huger, addictio, overdose ad homelessess cotiue to brig hardship ad great sufferig to our cliets. We wat all who visit our Services i ay capacity to feel warmly ad ucoditioally welcome. It is our firm wish that through our work we will cotiue to improve the lives of our cliets. Thak you. Mick Price Chairma, Board of Directors IT IS BECAUSE OF YOU THAT MQI CAN CONTINUE TO OFFER CARE AND SUPPORT TO OUR CLIENTS THANK YOU FOR YOUR ONGOING TRUST AND SUPPORT Board of Directors: Mr Mick Price Chairma Rev Kiera Croi OFM Dr Joae Feto Dr Siobhá Garriga Mr Ray Lagto Mr Marcus Keae Br Patrick Lych OFM Rev Hugh McKea OFM Mr Bria Melaugh Rev Joe Walsh OFM 2 Merchats Quay Irelad Aual Review 2015

5 LOOKING BACK: 2015 By the ed of 2015, there were 3,464 adults ad 1,490 childre livig i various types of emergecy accommodatio i the Greater Dubli area aloe. The highest umber of people ever recorded. Adults ad childre were forced to stay i hotels, hostels ad basic bed ad breakfast provisio across Irelad. There also remaied up to 100 people sleepig rough o the streets every ight. These uprecedeted levels of homelessess were clear to see i MQI, where just over 7,500 people accessed our homeless services i With so may sleepig rough, MQI s Night Café opeed i Jauary 2015 as a respose. Ope from 11pm to 8am, it caters for up to 50 people every ight of the week. We aim, firstly, to keep people safe ad sheltered, the to egage them with support optios ad pathways out of homelessess. The Night Café provides a rage of supports icludig: tea/coffee ad a light meal; iformatio ad advice; showers/clothig; drug treatmet optios; brief itervetios o addictio ad metal health; ad case work regardig accommodatio, health ad social services. 1,972 idividuals accessed the Night Café service i % of these also egaged with multidiscipliary supports through the MQI Day Services. With so may people caught i homelessess, ever more people rely o our daytime meals, support ad drop-i services. I 2015 we saw 7,524 idividuals i our homeless support services, providig 98,865 meals. It is clear that homelessess ca impact a perso s metal ad physical health. This is starkly highlighted by the umbers of people accessig MQI s primary healthcare services. Provided i partership with the HSE, the Dubli Regioal Homeless Executive ad Safetyet, services are staffed by geeral practitioers, a detist, ursig staff ad a cousellor. I 2015 early 4,500 healthcare itervetios were provided to 1,623 idividuals. Wherever possible we also work to lik cliets with commuity or maistream G.P. ad healthcare services. I our drug treatmet services the umbers remaied high- i Dubli ad aroud the coutry. There were 27,388 visits to our Dubli drop-i drugs services, a 4% icrease year-o-year. I our eedle exchage ad health promotio service, our mai focus is o reducig the harm associated with ijectig drug use, fosterig the motivatio to make positive chage, givig advice o HIV ad hepatitis prevetio, ad providig iformatio o overdose ad other risks. We also offer early referral to drug treatmet services. I 2015 we provided 25,745 eedle exchage itervetios to 2,676 idividuals, a icrease of 6% o were first-time preseters. 2,725 prisoers availed of our priso-based addictio cousellig service. We delivered 11,657 cousellig sessios durig 2015, a 4% icrease o The MQI priso-based cousellig team also assisted i the developmet ad implemetatio of a umber of Irish Priso Service iitiatives icludig Icetivised Setece Maagemet (ISM) ad the Red Cross Overdose Prevetio Programme. The MQI Addictio Service also developed referral pathways for prisoers to commuity-based detox ad rehab services. Providig pathways out of drugs is a key aspect of MQI s work ad our residetial detoxificatio ad drug-free rehabilitatio programmes were i strog demad i There were 63 admissios to the detoxificatio programme at St Fracis Farm. A 83% detox completio rate meat a 14% icrease o Our drug-free residetial rehabilitatio programmes, i St Fracis Farm ad High Park, were also busy with 51 ad 61 admissios respectively. Durig 2015, we were the first residetial detox ad rehab programmes i Irelad to pilot SMART, Self-Maagemet ad Recovery Traiig i our schedule of group-work. The modules used i the programme (cost/beefit aalysis, cogitive behavioural therapy ad ratioal emotive behavioural therapy) fit well withi the therapeutic commuity framework, complemetig our philosophy of persoal resposibility ad cliet empowermet. Despite uprecedeted levels of homelessess ad icreased pressure o all our services, MQI have maaged to reshape core frotlie services to esure we ca meet icreased demad while developig ew, more specifically-focused iitiatives providig support ad pathways out of homelessess ad drugs. Toy Geoghega MQI s CEO ad Presidet Michael D. Higgis at the lauch of last year s Aual Review. MQI could ot have maitaied our level of quality service or develop ew iitiatives without the geerosity of doors. We are cotiuously bowled over by the humae geerosity of all who support MQI. Ideed their goodwill gives reewed impetus to our efforts to provide the best possible service to our cliets. We stad at a importat jucture ow. The ew govermet has committed to addressig the homeless situatio ad developig a actio pla as a priority, while the curret Natioal Drugs Strategy expires i 2016 ad the process of developig the ew strategy has begu. MQI, alog with our colleagues i the Homeless Network ad the Volutary Drug Treatmet Providers Network are egaged with the statutory sector i these iitiatives, advocatig for positive policy ad practice resposes. At Merchats Quay we remai committed to workig always to help people out of homelessess ad to assist people experiecig drug problems. We hope that the Govermet will hold to its commitmets to prioritise the issues of homelessess ad drugs ad will provide the leadership ad resources eeded to address these issues i a real ad meaigful way. Thak you. Toy Geoghega Chief Executive Merchats Quay Irelad Aual Review

6 MERCHANTS QUAY LOCATIONS NATIONWIDE 1. Dubli MQI Ope Access Drugs ad Homeless Services River Bak Cetre Dubli 8 MQI Head Office Merchats Court Dubli 8 Riverbak Stabilisatio Day Programme Dubli 8 Newmarket Drug Free Day Programme Dubli 8 Newmarket Aftercare & Social Housig Dubli 8 High Park, Drumcodra MQI Residetial Detox & Drug Free Rehabilitatio Cetre Dubli 9 MQI Traiig Merchats Court Dubli 9 Leixlip Aftercare Housig Dubli 8 Ballymout Aftercare Housig Dubli 22 Moutjoy Priso Complex MQI Priso-based Addictio Cousellig Cloverhill (Remad) Priso MQI Priso-based Cousellig Wheatfield MQI Priso-based Cousellig 2. Shelto Abbey, Co Wicklow - MQI Priso-based Cousellig 3. St. Fracis Farm, Tullow Co. Carlow - MQI Residetial Detox Uit ad Rehabilitatio Cetre 4. Cork - MQI Priso Cousellig MQI Traiig 5. Limerick - MQI Priso-based Cousellig 6. Co Offaly - MQI Midlads Outreach Family Support Rehab ad Aftercare 7. Co Westmeath - MQI Ope Door Outreach, Family Support ad Aftercare 8. Portlaoise - MQI Midlads Services ad Midlads / Portlaoise MQI Priso-based Cousellig 19 Locatios 11 Couties 9. Co Logford - MQI Midlads Outreach Family Support, Rehab ad Aftercare 10. Castlerea, Co Roscommo - MQI Priso-based Cousellig 11. Loughra House, Co Cava - MQI Priso-based Cousellig 4 Merchats Quay Irelad Aual Review 2015

7 Merchats Quay Irelad is a atioal volutary agecy providig services for homeless people ad drug users. We provide creative ad iovative resposes to the issues of drug use ad homelessess i Irelad. VISION We look forward to a society where obody is without a place to call home ad where drug related harm for the idividual, family ad wider commuity is greatly reduced ad the rage ad quality of drugs ad homeless services is maximized. Whilst also reachig out to the margialised affected by homelessess, to see a society where obody is without a place to call home ad the eed to sleep rough is goe. VALUES Providig quality services for drug users ad homeless people Offerig access for the most margialised Promotig positive chage Workig at the cuttig edge Ivolvig our service users Valuig our staff Maagig fiaces prudetly Promotig partership MISSION Merchats Quay Irelad is a commuity of hospitality, hope ad justice. We seek to: Work for justice ad opportuity for those who are excluded i partership with those who share our aims Create a place of safety, compassio ad welcome for all who eter our door ad offer high quality services to meet their eeds Remai committed to supportig all who work i Merchats Quay to eable us to achieve our full potetial i our various roles Believe i ad cherish the value of every huma beig i keepig with our commitmet to social justice comig from our origis i the Fracisca Traditio Merchats Quay Irelad Aual Review

8 ADDRESSING CRISIS OPEN ACCESS SERVICES OPEN ACCESS HOMELESS SERVICES The MQI ethos is to provide cliet cetred, accessible services that meet people i a welcomig ad respectful maer. I the last year due to the growth of homelessess i Irelad, MQI have deepeed our service provisio i order to provide the most effective itervetios we ca, while still maitaiig our ethos. This has traslated ito a move away from the aroud the clock drop-i settig, to structured oe-tooe supports with people who eed bespoke solutios to their particular situatios. The dyamic is actio orieted ad ivolves empowerig the cliet to actively specify ad follow through o their care pla goals. Ultimately, MQI Ope Access Services are about providig solutios for people, addressig the root causes of what has led people to preset to a crisis homeless ad drug service. All are welcome at our doors, just as it was whe Brother Sebastia first opeed the tea rooms as a commuity of compassio 40 years ago. Our visio is that people are give the supports they eed to thrive as part of their commuity. With the additio of the ew Night Café for homeless people, the Riverbak buildig o Merchats Quay ow offers 24 hour services to over 7,500 idividuals who are experiecig crisis with regard to metal health, accommodatio ad substace misuse. With the ehaced space we are able to cater for people presetig to our services who have accommodatio problems i additio to addictio ad/or metal health issues. Merchats Quay Project Limited is oe of four compaies operatig uder the baer ame of Merchats Quay Irelad carryig out activities for social justice for homeless persos ad drug users o a atiowide ONE CLIENT. MANY SERVICES. Of the 7,524 total idividuals who relied o our Ope Access i 2015, may availed of the multiple services o offer at MQI, across the homeless ad drug spectrum: Stays at the Night Café 1,972 Total Cliets 7,524 *Metal Health 279, Outreach 210, Youg Perso Support 164, Harm Reductio 70, Case Worker 54 basis, some of these projects sit i Fracisca Social Justice Iitiatives Ltd. As these orgaisatios work together for co efficiecies some of the projects below are iteroperable across the orgaisatio. May of the 7,524 idividuals who used MQI s Ope Access Services i 2015 accessed multiple services across the drug ad homeless spectrum (see chart above). For example 1,972 idividuals used the Night Café but may of these idividuals also used the food service or the drug treatmet or medical services durig the day. There are also specialised services such as the Metal Health Nurse ad the Youg Persos Support Drop I Visits 6,501 Special Services* 532 Needle Exchages 2,676 Itervetios 1,008 Worker which are available to everyoe presetig to the service. The diagram above illustrates the overlap ad itercoectio betwee MQI Ope Access Services. While the depth ad cotiuity of MQI Ope Access services has grow, every relatioship we build starts with the cup of tea ad a warm meal. Over the course of the year we provided 82,761 meals for homeless people across our day ad eveig services (this is a icrease of 4% o 2014 ot icludig meals provided i the Night Café). Icludig the Night Café, the umber of meals provided by MQI i 2015 was 98,865 (a icrease of 24% o 2014). IN 2015 MQI S RIVERBANK OPEN ACCESS PROVIDED... 6, ,200 38,480 6 Merchats Quay Irelad Aual Review 2015

9 HOMELESS SERVICES The Night Café: The MQI Night Café service opeed i Jauary 2015 operatig betwee 11pm ad 8am, seve ights per week, caterig for 50 people each ight. I Jauary 2016, the Night Café icreased its iitial capacity by 40% to cater for 70 idividuals each ight i respose to the emergecy cold weather iitiative. The mai aim of the service is firstly to keep people safe ad sheltered ad the to egage them with support optios. The Night Café service is differet from a coffee shop, people ca t just walk i the door. Istead, they are referred to the service by callig the homeless Freephoe or by egagig with the Housig First Outreach Team operatig o the streets at ight. These two services do everythig possible to get people ito emergecy accommodatio for the ight. The Night Café is the pla B for those who caot or will ot access emergecy accommodatio. The service provides a rage of support optios to people who are experiecig homelessess, icludig: Tea/coffee ad a light meal Iformatio ad advice Showers/clothig Drug treatmet optios Brief itervetios o addictio ad metal health Case work regardig accommodatio, health & social services A total of 1,972 idividuals atteded the service i 2015 (88% of those referred to the service actually preseted). Everyoe presetig to the service was offered supports icludig drug treatmet, accommodatio support, metal health ad medical services, food, clothig ad welfare. Everyoe who accessed the Night Café service i 2015 are at least at step oe of the support system (92% of the 1,972 cliets who stayed i the ight café i 2015 also egaged with multidiscipliary supports BEHIND THE SCENES AT THE NIGHT CAFÉ The oly midight-to-daw service of its kid for Irelad s most etreched homeless me ad wome is ow well uderway. Ad the ways i which your fudig brig safe, wraparoud support cotiue to amaze... Breda s eyes sparkle so brightly whe she talks about MQI s ew Night Café that you could easily forget she maages this first-ever service for Irelad s homeless while most of us are soud asleep i our beds. There is a differet feel to Merchats Quay i these small hours that thaks to you is coectig with people o a whole ew level. Somethig amazig has come from the Night Café. We re helpig ew cliets every ight that util ow were ot kow to ay service at all. It s clear there s still a sigificat homeless crisis. We re at capacity every ight we operate. Scee to behold It is a scee to behold. Desperate for a few momets respite, cliets rest o yoga mats, soft blakets to cover them ad clea towels tucked beeath their heads as pillows. Some sit quietly i chairs, readig. Key workers chat to others earby. Outreach teams come i from the street, ew faces beside them. Homemade soup ad sadwiches are o had. Depedig o the hour there might be a queue for a hot shower. There is a safety ad a ormality that may wo t have experieced i a very log time. Oe life you touched Breda tells of oe such story. We have a cliet who was actually egaged with services but as a homeless ma he had such complex eeds he is completely deaf ad ca t commuicate verbally. You ca imagie how hard that must have bee. Because of the Night Café we got to really work with this cliet ad came up with a practical solutio for him to egage with the outreach team through text message. It s just led to this ma gettig a 6-moth bed, she smiles, ad that would ever have bee possible without our supporters ad statutory fuders. Whe you cosider that without us cliets are just aloe ad sleepig o the pavemet huma beigs! it s easy to see how just three moths i the Night Café s impact has already bee, ad will cotiue to be, massive. PRIMARY HEALTH CARE SERVICES DELIVERED TO THOSE IN NEED IN ,415 VISITS NURSING DENTAL COUNSELLING GP Merchats Quay Irelad Aual Review

10 ADDRESSING CRISIS OPEN ACCESS SERVICES, cotiued through the MQI day service). The ature of rough sleepig meas that relapse ad crisis do occur frequetly so it is ot possible to say that oce someoe exits the service that they will ot be back. People do relapse after supports have bee put i place, so, i lie with best practice i drug ad homeless service provisio, we strive to swiftly coect people with the meas to mitigate crisis ad prevet a full retur to rough sleepig. The Night Café service provides yoga mats o a floor for people to rest o, while this is far from the digity of havig their ow home, it is a safe place off the streets for people to get hot food, shelter ad support optios. The Drop-I Service: The Drop-i Service aims to address crisis ad to provide liks to commuity based services. The Drop-i Service remais at the heart of what we do i relatio to makig cotact with those who are i crisis. The Drop-i service provides a assessmet of each service users eeds. We offer prelimiary advice o health, social welfare ad emergecy accommodatio, ad, critically we offer case maagemet services for those who wat help i achievig their goals to get out of crisis. I 2015, we recorded 6,442 supportive itervetios with service users at Riverbak, a icrease of 15% o Itervetios iclude key workig sessios, referrals to emergecy accommodatio, social work services, medical services ad social welfare services. It also icludes help i cotactig frieds or family, access to drug treatmet ad support i a variety of other matters. The service provides supports to cliets who have bee sleepig rough o the streets, strivig to empower ad support them to fid a place to live. Project workers help homeless people from a variety of settigs, icludig rough sleepig, hostels, B&B s, short-term arragemets with frieds/families ad trasitioal ad supported accommodatio. Our staff aims to assist those who are homeless to lik i with short term crisis accommodatio, with the evetual goal of helpig cliets ito more stable log term housig ad idepedet livig. I cases where the perso is uable or uwillig to egage with support work, or wats to cotiue livig o the streets, we try to reduce the associated harms where possible. Gettig a cliet to come ito the breakfast service regularly ca take as much work as gettig someoe ito accommodatio. We also support people who are ot homeless but who are at risk of losig their accommodatio. The Day Service at Riverbak cetre offers homeless people two meals a day, breakfast ad luch. A total of 68,239 meals were provided by the Day Service i 2015 (a icrease of 8% o 2014). Exteded Day Service (EDS): The EDS is operated i partership with Focus Irelad i order to offer a efficiet ad itegrated cotiuum of care, capitalisig o the stregths of both orgaisatios to deliver the best possible outcomes for cliets. This service was established to meet the eveig time eeds of homeless people ad rough sleepers, ad cotiued throughout Betwee 80 ad 120 people used the Riverbak Meals service each ight ad The EDS addresses a gap i out of hours services available to homeless people betwee 5:30pm ad 8:30pm. The service provided 14,522 eveig meals i 2015 alog with crisis support, iformatio, advice ad assistace arragig overight accommodatio. The Case Maagemet HUB: I recet years, give the icreased umbers of people fidig themselves homeless, MQI has recofigured how we provide our crisis services. The impact of austerity measures has restricted available supports to people o the margis of society. MQI has respoded by appoitig social care professioals to specific specialist roles ad developig expertise i areas such as youth, metal health ad assertive outreach. This chage has resulted i a shift from iformatio, advice ad crisis support to a more proactive idividualised care pla based approach. I some cases, there are up to 10 differet disciplies egagig with oe cliet as part of a care pla that the cliet has played a active role i developig. The Case Maagemet HUB works with exteral agecies i areas such as health, accommodatio ad welfare to give the cliet a greater cotiuum of care ad a better chace of achievig positive outcomes. New Commuities Support Service: A substatial portio of visits to the service were made by people from ew commuities livig i Irelad, especially from Easter Europe. Over the past umber of years MQI Ope Access Service Meals EDS Meals Night Café Meals 0 20,000 40,000 60,000 80, ,000 WAYS MQI CARED FOR MEN AND WOMEN IN CRISIS IN ,643 SAFE INJECTING WORKSHOPS 483 CLEAN SOCKS, UNDERWEAR & CLOTHING PER MONTH 5,268 HOT SHOWERS TAKEN IN Merchats Quay Irelad Aual Review 2015

11 } received fudig from Pobal, uder the Homeless Measure, for a New Commuities Support Worker to facilitate support for people from the ew EU states who have become homeless i Irelad. Several of our team members are fluet i a umber of Europea laguages ad provide a rage of supports icludig advice ad iformatio, referral ad advocacy for these service users. I 2015, MQI provided 926 oe-to-oe support sessios to 257 ew commuity members, the greatest umber were from Easter Europea coutries. The services provided to ew commuity cliets iclude oe-to-oe support, repatriatio, Eglish laguage classes, replacemet of idetity documets ad makig liks with healthcare services i the coutry of origi to best support the cliet. The Youg Persos Support Worker (YPSW): Sadly, over the years we have see may people growig up i our day services. A life revolvig aroud homeless ad drug services is ot what we wat for our cliets. Istead, we wat to see our cliets address the core problems i their lives ad the coect with commuity, traiig, educatio ad employmet services to eable them to move forward with ew purpose. This is why our doors supported the establishmet of a dedicated support worker for those i the age bracket. The YPSW has a strog etwork of commuity optios for youg people presetig to the MQI services, ad specialises i coectig youg people with areas they are passioate about so that they are supported i makig a swift exit from MQI services oto a positive pathway i life. I 2015, the YPSW worked with 164 idividuals iitially to address the source of crisis (ormally accommodatio ad drug treatmet) ad the to support youg people i achievig their goals i life. PRIMARY HEALTHCARE SERVICES MQI is workig i partership with the HSE, the Dubli Regioal Homeless Executive ad Primary Health Care Visits , , , , ,415 SafetyNet to provide a primary health care service for homeless people. The service has Geeral Practitioers, a Detist, a Nurse ad a Cousellor. I total there were 4,415 health care itervetios durig the year (a decrease of 17% compared to 2014, this decrease relates to the fact that our ursig post was vacat for four moths i 2015). Nursig: There were a total of 1,469 ursig itervetios i 2015, or 122 per moth (a decrease of 19% compared to 2014). Upo fillig the ursig post the average itervetios per moth was 179, which is a icrease of 19% compared to The ursig cliic provides a full rage of primary health care services such as woud care maagemet, blood testig, sexual health, medicatio maagemet ad geder specific health issues. Referrals to tertiary services such as A&E ad other hospital services are a large part of the ursig role. We aim to provide cosistecy ad cotiuity of care by co-ordiated ad collaborative workig with hospitals, commuity GP s ad the Safetyet homeless medical services. GP Service: The GP service cotiues to be i high demad with 2,117 cosultatios over the course of the year or 176 per moth, a icrease of 7% compared to The service is used by cliets with a variety of acute ad chroic illesses ad where possible our focus i o likig cliets with commuity or maistream G.P. services. I 2015, 941 uique cliets used the GP service. Metal Health Supports ad Metal Health Nurse: May people who fid themselves homeless are traumatised by this evet i their life, ad sometimes metal health ca play a role i why people become homeless. Geerous doatios from doors allowed us to add the Metal Health Nurse to our team i order to support those with metal health problems. We work side by side with the HSE ad commuity metal health teams as well as foreig embassies ad other homeless ad addictio agecies i order to achieve the best outcomes for cliets. Sice the start of the service i 2014 the metal health service has experieced icreasig demads because the service is see as providig practical solutios to those with metal health eeds. I 2015, 279 people (243 of whom were Irish atioals) eeded our metal health ursig service due to cocers about their metal health, a 66% icrease o There were a total of 800 itervetios i 2015, of which sigificat crisis support was required o 98 occasios. The metal health crisis support has resulted i fewer referrals beig made to A&E ad that those who are referred by MQI are provided with maistream metal health supports. Out of the 800 metal health itervetios, 83% were cotaied withi MQI services, the remaiig 17% (133 referrals) wet to GP s, commuity metal health teams ad hospitals. This illustrates the value of empowerig homeless services to provide metal health itervetios o site particularly regardig dual diagosis. Establishig closer workig relatioships betwee the Ope Access Service ad A GROWING NEED: TOTAL CLIENT VISITS TO MQI S DRUGS SERVICES EACH MONTH... 2,282 Merchats Quay Irelad Aual Review

12 ADDRESSING CRISIS OPEN ACCESS SERVICES, cotiued maistream metal health services has provided sigificat beefits to all ivolved. The Metal Health Service ow has a specific poit of cotact which provides more effective moitorig, cotiuity of care ad commuicatio. Metal Health Service provided substatial support to staff at Ope Access as well as at our other services. Staff traiig is a itegral part of the role which has assisted i staff makig more appropriate referrals as well as maagig lower level problems i a more effective maer. Havig this support ad iformatio has icreased staff cofidece ad aided i them assistig cliets to achieve more positive outcomes. Cousellig: We provided 437 cousellig sessios i Homelessess is ofte associated with severe stresses ad difficulties i life, ad it s ot surprisig that may people fid it hard to cope. The Derek, MQI s Metal Health Nurse Cousellig Service for homeless people works at two levels. Firstly, providig a brief crisis cousellig service targeted at service users i distress. Ad secodly, offerig medium to log-term cousellig relatig to issues such as relatioships, bereavemet ad drug use. I additio, we provide group support for homeless service users attedig our day programmes. Psychology: I 2015 the Ope Access Services appoited a ew drug service coordiator with a backgroud i Psychology. This is i recogitio of the complex ature of may presetig eeds to the services. The field of psychology has may tools that are relevat to uderstadig ad providig solutios to accommodatio ad substace misuse problems. Our aim is to improve the lives of those who preset to our services through the applicatio of evidece i areas such as behaviour aalysis, addictio psychology ad the most effective therapeutic approaches. OPEN ACCESS DRUGS SERVICE The Assertive Outreach Service: Sadly, may homeless people ad drug users die o the streets, ad those who are ot egagig with services are at high risk i every sese. I lie with our missio statemet to reach out to the most vulerable i society, this service aims to make cotact with drug users ot egaged with ay services ad to provide them with accessible support optios. I 2015, the assertive outreach team cotacted vulerable drug users o the street, collected used eedles ad syriges ad also liaised with local commuity groups icludig, A Garda Síocháa, Dubli City Coucil ad other drugs ad homeless service providers. The geographical zoe covered by the outreach service was predomiatly aroud the Merchats Quay area. Outreach workers also liaised with a variety of other busiesses, residets, idividual tourists ad services. Cliets were assisted with accommodatio, drug treatmet optios, clothig, food, showers ad basic services. The service visited a umber of cliets i hospitals ad ursig homes throughout the year, this ivolved workig with medical staff ad social workers to progress care plas. We also accompaied service users to doctors, court, the post office ad case coferece meetigs. The service egaged with 55 homeless idividuals i specific casework ad over 1,000 idividuals o a iformal support basis o the street throughout Itesive Egagemet Service: May of the drug users who come to us are i crisis. Some have become homeless; others have fiacial ad legal problems. The thrust of our morig service ( ) has trasitioed from a Drop-i service to a oe-to-oe support fuctio called the Itesive Egagemet Service. This service operated throughout 2015 resultig i a smaller umber of visits but a icreased depth of work o idividual eeds. The service provides support maily with accommodatio but also i relatio to treatmet, traiig, medical, welfare ad legal issues. The service provides cotiuity of care, as sometimes it ca take weeks or moths workig with multiple support agecies i order to attai outcomes for cliets. Workig with homeless people or drug users ofte ivolves workig o crisis situatios. I maitaiig cotact with cliets we were able to assist both them ad parter agecies by fillig out paperwork or gettig sigatures o medical card applicatios, homeless registratios or treatmet referral forms. The ultimate result is better outcomes for cliets. I 2015, 1,008 idividuals availed of the ew MQI CARING FOR MEN AND WOMEN IN CRISIS IN Thak you for respectig me ad for havig a cup of tea ext to me through the fuds you sed. I am very thakful for every chace I get. Aida MQI Ope Access Cliet 10 Merchats Quay Irelad Aual Review 2015

13 itesive egagemet service, visitig the service 2,761 times. Each of the 1,008 idividuals accessig the service were provided with optios to see specialist ihouse supports such as the Youg Persos Support Worker, medical staff or specialist drug treatmet specialists. Harm Reductio Services: Harm reductio services ca be accessed by drug users simply by walkig i from the street. For this reaso, we are ofte the first place people with drug problems tur to for help. Assessed case work eeds ID Iformatio Educatio /Employmet Legal Issues Treatmet/Harm Reductio Social Welfare / Beefits Medical Accommodatio 769 Health Promotio Uit: Here we provide drug users with iformatio about the risks associated with drug use ad the meas to miimise such risks. We also offer drug users a pathway ito treatmet ad the possibility of livig life without drugs. I our eedle exchage ad health promotio service, our mai focus is o reducig the harm associated with ijectig drug use, fosterig the motivatio to make positive chage, givig advice o HIV ad hepatitis prevetio ad o providig iformatio o overdose ad other risks. We also offer early referral to drug treatmet services. I 2015 there were 27,388 visits to Drug Services (a icrease of 4% o 2015) ad 25,745 eedle exchage itervetios (a icrease of 6% o 2014). A total of 2,676 idividuals used the service of which 461 were ew cliets. As part of our health promotio remit, a total of 1,643 safer ijectig workshops were udertake with ijectig drug users i May of these itervetios are with ew ijectig drug users ad are a importat part of early itervetio where people are give treatmet optios ad advice o the dagers of ijectig drugs (icludig blood bore viruses ad overdose risk). Naloxoe: Too may people die each year i Irelad due to drug overdose ad Irelad has oe of the highest rates of overdose deaths across the EU (EMCDDA, 2015). Needle exchage from , , , , ,745 Oe life savig measure available to reduce the umbers of drug users who die each year is Naloxoe, a opioid atagoist which reverses the effects of opiates (such as heroi). The Naloxoe Demostratio Model bega i Alog with our parters i the HSE, The Family Support Network ad the Aa Liffey Drug Project, MQI was frot ad cetre of the atioal rollout. The December 2015 exteral evaluatio of the Naloxoe Demostratio model cocluded that the scheme was a success. To date, more tha 100 drug users have bee prescribed aloxoe (this umber is growig rapidly) ad there were five recorded overdose reversals which may have cotributed to lives beig saved. I 2015, 600 idividuals were traied o how to use aloxoe ad our ew Riverbak buildig was oe of the traiig sites used. The future developmets iclude developig accredited traiig i order to provide the mechaisms to support the statutory chages regardig makig the product more widely available i Irelad. WORKING WITH CLIENTS IN CUSTODY Merchats Quay Irelad, i partership with our priso cousellig teams, edeavours to provide cotiuity of care to service users withi the priso system. We offer support, advice ad cousellig with a particular focus o accessig appropriate pre etry ad postrelease optios. This process etails a close workig arragemet with treatmet services, Probatio ad Welfare Service ad with members of the legal professio. We estimate that five per cet of the 7,500 idividuals usig MQI services ivolve those who have ogoig iteractios with the priso service. It is importat that the trasitio ito the priso system optimises opportuities for treatmet ad ogoig supports, ad, equally o release, we aim to support the best possible trasitio back ito the commuity. As ever, we advocate treatig drug problems as a health issue rather tha a crimial justice issue, thereby avoidig costly icarceratio costs to the taxpayer ad effective treatmet to the drug user. BRINGING SHELTER AND RELIEF, MORE HOURS IN A DAY... 2,649 PER MONTH CLIENT VISITS TO MQI S EXTENDED DAY SERVICES (EDS) IN ,102 ADDITIONAL HOURS OF SAFE SHELTER OFFERED BY MQI S EDS IN CLEAN CHANGES OF CLOTHES PER WEEK Merchats Quay Irelad Aual Review

14 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES These services offer the first steps away from crisis drug use ad towards stability. They are aimed at people who are curretly usig street drugs, or those recetly egaged i treatmet ad seekig more stability ad structure i their lives. SUPPORT SERVICES METHADONE PRESCRIBING TREATMENT AND SUPPORT Methadoe substitutio therapy helps people to break their liks with illegal ad high-risk drug use. MQI collaborated with the GP s from Safetyet i providig methadoe substitutio therapy to 20 service users o this programme i INTO EDUCATION AND EMPLOYMENT: STABILISATION PROGRAMME As part of our stabilisatio services, Ito Educatio ad Employmet offers therapeutic groups, life skills traiig, persoal developmet work ad preemploymet traiig to help drug users reitegrate ito society. Liks with the City of Dubli Educatio ad Traiig Board allow us to iclude a strog educatioal compoet for this programme, with cliets gaiig QQI accreditatio o some courses; which is of cosiderable importace i addressig the educatioal disadvatage experieced by so may of our service users. The MQI Stabilisatio programme had 66 participats durig 2015 (a icrease of 43% o 2014) with course cotet cosistig of art therapy, cookig, drama, yoga, gardeig, therapeutic group work, history, maths, educatioal & social outigs. The group usig this service are youger people, 79% of participats are aged betwee The stabilisatio group seeks to establish a regular patter of disciplie ad attedace i order to prepare people for maistream traiig ad employmet. Ufortuately, ot everybody stays with the program ad some relapse ito chaotic drug use, however, may people do progress to traiig, work experiece or more structured abstiece based treatmet. The program operates with a low threshold ethos seekig to keep cliets egaged with the program. Holistic supports: MQI seek to ope gateways from crisis services to recovery, we do this by providig oe-to-oe support liked to a rage of leisure ad learig opportuities. The aim is to ecourage service users to examie alteratives to drug use. Oe of the features of this program is weekly acupucture withi the Ope Access Service which was accessed o 170 occasios durig the year by 33 idividuals. The weekly music programme at the Riverbak cetre has provided aother mechaism for egagig service users. Our liks with the Fracisca Church, the Muslim commuity, yoga, art therapy ad meditatio practitioers offer aother dimesio to those who are seekig resources beyod their basic eeds. MQI staff greet cliets by ame as they arrive at MQI s Riverbak Day Cetre before likig them i with MQI crisis services. The Equality for Wome Programme: With support from Pobal, uder the Equality for Wome iitiative, MQI was able to develop a rage of low threshold traiig opportuities for wome. I additio, this FACTS ON DEDICATION AND DEMAND IN TOTAL YEARS EXPERIENCE OF OUR DEDICATED OPEN ACCESS STAFF 7,524 NUMBER OF UNIQUE PEOPLE FOR DROP IN SERVICES 12 Merchats Quay Irelad Aual Review 2015

15 programme provides a rage of other supports (icludig computer traiig ad hairdressig skills) aimed at assistig margialised wome with a history of drug use to move towards further traiig ad employmet. Traiig iputs provided iclude iformatio ad commuicatios techology, literacy, persoal developmet ad persoal groomig ad presetatio. I 2015, a total of 496 people participated i this programme, a icrease of 50% o The project fuctios for the wome at a time i their lives whe addictio, poverty or metal health is playig a sigificat role i their lives. The project provided a vehicle for some cliets to address addictio or metal health by providig structure i their lives. Oe of the big achievemets of the project has bee to carve out a specific safe space for wome attedig our service. The Pre-Etry Group: The pre-etry group operated successfully throughout The group provided a dedicated assessmet, iformatio ad referral pathway to residetial treatmet. Numbers i the group vary betwee three ad four people. Five service users were successfully supported through this program ito residetial detox ad rehabilitatio treatmet i Family Support Group: The devastatig cosequeces of addictio are ofte bore by the family ad the eeds of families are ofte overlooked by society. We ofte get family members cotactig the service who are worried about their loved oes. We give oe-to-oe advice ad support to family members o the realities of drug use ad how they ca best cope ad provide optimum support to their loved oes. We also ru a Family Support Group which meets every week providig a forum where parets, ad other close relatives ad frieds of drug users are offered support ad advice o a rage of issues. The participats provide support for each other ad the group UNBROKEN Mícheál was drug free at last ad accepted ito college whe Irelad s housig crisis pulled his ew life out from uder him ad ito the abyss of relapse. See how, early three years later, you are helpig him to make a comeback... If you are talkig housig earby, the ret allowace, it s just ot eough. Ad the you are sigle, you are a male, you kow. It is a combiatio of everythig. I m lookig everyday, aywhere I might be able to ret a place ad it s the same story. You are either priced out of the market or they wo t accept ret allowace. Mícheál, MQI cliet lmost othig about Mícheál would hit at the life he s lived these past three years. Apart from a few small scars o his face he is groomed, well dressed, ad cofidet. Those years, though, tested his resolve i ways that few people will ever face. Fewer still emerge ubroke. Cruel iroy After two treatmet cetres, massive persoal effort, ad six moths i a recovery house with aother agecy, the hope was that Míchaél could fid a place he could afford, or get help from the local Coucil. He applied ad was accepted to college pedig good grades. But the shortage of houses would sweep it all away like matchsticks. Because eve after aother extesio at the recovery house, Míchaél was effectively made homeless agai. Aftercare comes through It would take Mícheál early a year to climb back from his secod descet ito addictio a sigle, homeless ma i a housig shortage that has bee reported as the worst i a decade 1. Mícheál himself, like so may other MQI cliets, has bee o the housig list for years ow. The housig shortage is i fact the very reaso he was referred to MQI for Aftercare, whe the programme he was i had t the room. Merchats Quay have take me ito the Aftercare service, helped me alog my jourey. Ke O Coor ad the other MQI staff treat me like a real perso, like a idividual. The people who help to fud Merchats Quay, they may ot see it, but they save lives every day. Like three years ago goig to college, beig drug free, these were thigs that were a millio miles away from me. Today thaks to MQI supporters I have aother chace to do that. For more perspective o Mícheál s story, ad a special report o how the housig crisis is impactig the wome ad me that MQI serve, see ews/quay-timessummer-editio Thak you for the good work you make possible. 1 Source: The Joural olie, busiessetc.thejoural.ie/ ret-icreases-irelad may2015/ HOLIDAY CHEER AND A HELPING HAND Merchats Quay Irelad Aual Review

16 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued is cotiually ope to ew members. The weekly Family Support Group is liked to the Natioal Family Support Network which offers a opportuity to raise issues at a atioal level. MQI s Family Support Group i Dubli worked with 30 idividuals throughout MIDLANDS SERVICES With support ad fudig from the Midlads Regioal Drugs Task Force ad the HSE, Merchats Quay Irelad provides much eeded services i the four Midlads couties of Laois, Logford, Offaly ad Westmeath. The MQI Family Support ad Commuity Harm Reductio Team were established i late 2008 ad provide dedicated outreach services for idividuals actively usig drugs. It also provides Family Support Services focused o the eeds of the families of active drug users. The Midlads team cosists of staff, DSP participats, those o work placemet ad voluteers workig across couties Laois, Logford, Offaly ad Westmeath. Rehabilitatio ad Aftercare Services: Merchats Quay Irelad, with the support of the Midlads Regioal Drugs Task Force ad the HSE established a Rehabilitatio ad Aftercare Service i September The purpose of this service is to provide a rage of rehabilitatio ad aftercare supports targetig cliets from the regio icludig those exitig drug treatmet or exitig priso. This ivolves assistig cliets i the process of regaiig their capacity for daily life free from the impact of problem drug use ad eablig their reitegratio ito their commuity. Our Rehabilitatio ad Aftercare Workers provide case maagemet for cliets with a view to esurig that all cliets have their eeds assessed ad have the opportuity to participate i developig a care pla offerig a pathway towards rehabilitatio. The workers also provide psychosocial support for persos leavig drug treatmet or released from priso via oe-to-oe support ad aftercare group work. The service worked with 75 idividuals i The team liaise closely with iter-agecy parters i order to address the uderlyig issues of addictio, accommodatio, healthcare ad abuse. Service users are both supported ad challeged i terms of meetig their care pla goals ad have a structure icludig both group support ad oe-to-oe itervetios where required, there were 359 oe-to-oe sessios ad 103 groups facilitated i Athloe Ope Door Cetre: The Ope Door Cetre provides a rage of services for drug users i Athloe. It icludes a Drop-i Cetre offerig crisis support, a food service, washig ad laudry facilities, vocatioal traiig iitiatives ad support towards rehabilitatio ad reitegratio. The service is focused o providig crisis support ad offerig progressio pathways for cliets. The service operates i partership with DSP, HSE, VEC, GP s ad other iter-agecy parters i the midlads regio. As part of the harm reductio ad rehabilitatio process, the Ope Door team have bee workig closely with a group of 114 idividuals, may of Ope Door Visits whom have bee attedig o a regular basis throughout This group makes use of the facilities withi the cetre such as food, traiig, computers, washig ad laudry as well as the oe-to-oe cousellig sessios with the project workers. The Ope Door team develop therapeutic relatioships with cliets though a focused o-judgemetal approach to their work. I 2015, there were 114 idividuals (91 male ad 23 female) likig i with the service. There were 3,395 visits to the project icludig the provisio of 3,014 meals, 204 showers, 211 laudry services, ad 2,850 advice ad support sessios. FAMILY SUPPORT SERVICES This ivolves the provisio of services ad itervetios that support families i copig with addictio related issues. Such services ofte cocer cousellig, guidace ad advice. Uder the Natioal Drugs Strategy, family support is see as icreasigly importat i the areas of drug treatmet ad prevetio. The Family Support Service assists families to: Deal with the trauma associated with a family member or loved oe usig drugs Work with vulerable families i the area of drugs prevetio Act as a reliable source of iformatio ad advice o drug use ad related issues , , , , ,502 PROMOTING POSITIVE CHANGE ACROSS IRELAND IN Whe I was at my lowest MQI exteded a had of carig. I m ow doig the stabilisatio programme ad am really grateful for everythig that supporters do to keep Merchats Quay goig. Yours thakfully, James. MQI Cliet 14 Merchats Quay Irelad Aual Review 2015

17 Agela & Athoy greet cliets at MQI s Ope Door Deal with the reactio of eighbours ad others Overcome self-blamig resposes Create positive copig strategies that will help the paret ad the drug user make positive decisios Build their capacity to respod Set rules of behaviour for those livig i their house Challege views that they caused the problem, ca cotrol it, or ca cure it We also provide oe-to-oe sessios by appoitmet for parets ad other close relatives seekig advice ad support. We work to proactively lik people with other support or treatmet services that may be relevat to their eeds. I 2015, the family support project supported 87 idividuals, provided 1,011 support phoe calls ad facilitated 203 family support groups icludig oe-to-oe support sessios where required. COMMUNITY HARM REDUCTION SERVICES We are aware that most local people ad orgaisatios are very cocered about the level of public ad commuity harm associated with drug use i their commuities, as well as the risks that drug users may expose themselves to. The aims of this service are to: Act as a resource for commuity groups i the target areas i their efforts to miimise the impact of problem drug use o their commuities Reduce the level of idividual ad commuity harm experieced i local commuities as a result of drug use i the target areas Reduce the associated level of public health risk experieced i the desigated areas Provide harm reductio ad crisis support services to local drug users i places ad at times where such services are uavailable Esure that problems associated with drug use are miimised Promote a partership model betwee Residets Associatios, Estate Maagemet Committees, Commuity Policig Services ad Midlads services i tacklig the drugs issue at a local level Sadly, overdose cotiues to be a daily reality for may of our service users. Natioally, 6,002 people lost their lives betwee 2004 ad 2013 (Health Research Board, 2015) due to drug poisoig. I the Midlads regio, our harm reductio service worked with 230 cliets durig 2015 (a reductio of 10% o 2014), providig 1,972 harm reductio itervetios. The service facilitated a average of 164 eedle exchages each moth ad operated i close partership with the local pharmacy eedle exchage scheme. The harm reductio outreach team provide o-goig support for cliets, ad are outcome focused through the use of motivatioal iterviewig, CBT ad care plaig. MQI work o supportig cliets i the preetry phase before admissio to residetial rehab ad detox, ad supported 14 outreach cliets i eterig residetial drug treatmet durig the course of MQI is focused also o supportig cliets i assistig with commuity detox i partership with local GP s. Havig both the residetial ad commuity detox optios maximise the choices available to cliets. The team adopts a iter-agecy case maagemet approach to workig with all agecies (Probatio, HSE, Homeless accommodatio teams, volutary providers) i the area i order to maximise multidiscipliary support available for cliets. Day Programme: MQI lauched a Departmet of Social Protectio Commuity Employmet Scheme based i the Ope Door cetre at the ed of This day programme cotiued to operate successfully i 2015 ad has provided 15 idividuals with employmet ad traiig tailored to their specific goals i life. Securig employmet is a sigificat step for those seekig to permaetly exit lifestyles ivolvig drugs ad homelessess. Rehabilitatio ad aftercare were icorporated ito the scope of harm reductio outreach workers i the Midlads area, i lie with the iteratioal research evidece base o what works i drug treatmet. This esures that people who have achieved abstiece are give the vital support they eed to maitai drug free lifestyles as part of their idividual care pla. PROMOTING POSITIVE CHANGE ACROSS IRELAND IN ,902 3,395 Merchats Quay Irelad Aual Review

18 You are our hearts, our hads, our hope Messages of gratitude from MQI staff ad cliets across Irelad I well appreciate this place. It s good to come i ad talk, to get a sadwich. If aythig happeed to the homeless cetre i Athloe, I would be very sad. There are a lot of people worse off tha you ad me. Maeve, Midlads ope access cliet Elaie, St. Fracis Farm Staff Michael, High Park Staff At ight i witer you might have three or four big jackets. Here you ca get warm ad eve dry off your clothes or whe people doate clothes you might be able to get a chage of bottoms. Merchats Quay for me meas chagig my life. Darragh, Riverbak homeless cetre cliet Ala & Aisli, Riverbak Staff Jimmy, Aftercare Staff I m after beig homeless, o the streets. So to go from where I was ad ito treatmet ad rehab at Merchats Quay to where I am ow, drug free, I just wat to thak doors ad all the staff at High Park. I am very grateful for that. Ala, High Park rehab cliet Th for helpi You ad goodwi (L-R) Toy O., Martia ad Greg, MQI Staff With love for all you do this year ad every ye 16 Merchats Quay Irelad Aual Review 2015

19 . Thak you for every ew begiig... It s a godsed. Riverbak ad the Night Café give us somewhere safe ad warm to put our heads dow. If you were to walk i, you ca just feel the appreciatio. All I ca do is say thak you. We d be lost without people to give to Merchats Quay. William, Riverbak homeless cetre cliet Trioa & Niamh, Riverbak Staff Ellie, Midlads Staff ak you g MQI i r mercy ll light our days. xxx. I m thakful to have the Aftercare house i Kildare to stay i ad my little adopted family of the lads here, ad the day programme. It s a big chage for me. Last year at this time, I was i priso. Tommy, Aftercare cliet ar, from your Merchats Quay Irelad family. Marguerite, Riverbak Nurse Merchats Quay Irelad Aual Review

20 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued Resettlemet: Post-treatmet settlemet is a ogoig issue ad i 2015 the Midlads Services cotiued our workig relatioships with couty coucils, accommodatio providers ad property owers i order to secure or maitai housig for those at the margis of homelessess. Of particular are the joit workig relatioships local agecies such as the VEC, Gavi House ad Midlads Simo who provide accommodatio ad traiig to those who are o the margis of society. The Midlads team have worked o idividual cases i order to esure that recovery pathways out of homelessess ad addictio are cosolidated through maitaiig accommodatio with supports. Further treatmet ad progressio optios are a cetral part of the work we do i order to progress pathways back ito maistream society. NATIONAL PRISON BASED ADDICTION COUNSELLING SERVICE OVERVIEW OF SERVICES Merchats Quay Irelad i partership with the Irish Priso Service, delivers a atioal priso based addictio cousellig service aimed at prisoers with drug ad alcohol problems. This service operates i 13 prisos throughout the coutry ad provides structured assessmets, oe-to-oe cousellig, therapeutic group work ad multidiscipliary Care ad Release Plaig itervetios with clearly defied treatmet plas ad goals. Services offered iclude: Brief itervetios Motivatioal iterviewig ad motivatioal ehacemet therapy A 12-step facilitatio programme Relapse prevetio ad overdose reductio Cogitive behavioural therapy Harm reductio approaches Idividual care plaig ad release plaig Durig 2015 a total of 2,725 prisoers accessed the MQI/IPS Addictio Cousellig Service. MOUNTJOY DRUG TREATMENT PROGRAMME (i partership with Aa Liffey Drug Project, Ballymu Youth Actio Project ad Coolmie) The Merchats Quay Irelad Addictio Service also co-ordiates ad cotributed to the delivery of a structured, multi-agecy eight-week Drug Treatmet Programme (DTP) i the Moutjoy Medical Uit. The programme assists prisoers i detoxig from methadoe ad bezodiazepies. Durig 2015 a total of 52 prisoers availed of the Moutjoy Drug Treatmet Programme, of this group 31 completed their detox. Cousellig Sessios, MQI-IPS Addictio Services COUNSELLING SESSIONS Cousellig sessios refer to the umber of oe-to-oe meetigs with prisoers where cousellig itervetios ad care plaig is provided. Durig 2015 there were 11,657 cousellig sessios delivered to prisoers by the Merchats Quay Irelad Priso-based Addictio Cousellig service, a four per cet icrease compared to BRIEF INTERVENTIONS Brief Itervetios are oe-to-oe meetigs betwee a cousellor ad prisoer of geerally 30 miutes i duratio. These meetigs focus o a prisoer s immediate eeds or problems which ca ofte be resolved i a brief meetig. There were 3,214 brief itervetios delivered durig 2015, a seve per cet icrease o , , , , ,657 Brief Itervetios, MQI-IPS Addictio Services , , , , ,214 HOW MQI HELPS BEYOND DUBLIN SUPPORT PHONE CALLS MIDLANDS 3,281 ADVICE AND SUPPORT SESSIONS MIDLANDS (Icludes safer ijectig, rehab, aftercare, ad family support.) 18 Merchats Quay Irelad Aual Review 2015

21 MQI/IPS ADDICTION SERVICE DEVELOPMENTS 2015 Durig 2015 the Addictio Cousellig Service assisted i the developmet ad supported the implemetatio of a umber of Irish Priso Service iitiatives icludig Icetivised Setece Maagemet (ISM) ad the Red Cross Overdose Prevetio programme. I additio the Addictio Service developed referral pathways for prisoers to commuity based detox ad rehab services icludig the carryig out of Compressive Needs Assessmets o behalf of detox/ rehab services. MQI/IPS PLANNED ADDICTION SERVICE DEVELOPMENTS 2016 I 2016 the priso based Addictio Cousellig Service plas to further develop ad improve the services we offer to prisoers which icludes; Pilotig psychometric outcome metrics aimed at capturig the impact of the service o cliets. Develop the group-work programme delivered i prisos. Develop access to service for prisoers o protectio. DRUG FREE TREATMENT SERVICES Our residetial detox ad rehab treatmet services aim to provide easily accessible treatmet for drug users who wish to become drug free. Services have a atioal catchmet area ad users ca self-refer or may be referred from a wide variety of agecies across the commuity, volutary ad statutory sectors. ST. FRANCIS FARM (SFF) RESIDENTIAL DETOX PROGRAMME The Merchats Quay Irelad residetial detoxificatio service at St. Fracis Farm delivers methadoe ad combied methadoe/bezodiazepie detoxes. The Referrals to St. Fracis Farm Detox, uit has a atioal catchmet area ad has a 10 bed capacity for me ad wome. The detox activity programme icludes idividual care plaig, therapeutic group work, psycho-educatioal workshops, fitess/gym traiig ad farm work activities. What makes St. Fracis Farm Detox uique is the fact that our programme is situated i a workig farm eviromet ad service users gai work experiece i aimal care, vegetable productio, ad i geeral farmig. The food produced at the farm is used to supply the kitches i our various cetres, ad helps to feed up to 300 people every day. Durig 2015, the service s fourth year of operatio, St. Fracis Farm Detox received 311 referrals, a six per cet icrease o the 2014 referral levels ad a 80% icrease sice A total of 347 assessmet appoitmets where offered to referred cliets durig 2015, 250 male ad 97 female. This was a 29% icrease compared to the 269 Our much loved Legacy Bech i the garde of Sait Fracis Farm assessmet appoitmets offered i There were 63 cliets admitted for detox service durig the 2015, 47 me ad 16 wome. All of the 63 cliets admitted to SFF Detox i 2015 where o prescriptio methaode. The legth of time idividual cliets were o methadoe prior to admissio raged from oe year to 28 years. The average umber of years o methaode was eight years. O average males sped seve years o methaode before eterig detox, while females sped a average of 11 years. As the detox completio graphics illustrate, of the 63 cliets who departed the service durig 2015, a impressive 83% completed their detox ad 14% icrease compared to % Programme Completios, SFF Detox 2015 (63 cliets departed) 83% Completed Detox 3% Medical Discharge 14% Early Leaver ST. FRANCIS FARM RESIDENTIAL REHAB PROGRAMME This is a therapeutic facility with a 14 weeks rehabilitatio programme set o a workig farm. At St. Fracis Farm rehab we provide a safe drug free eviromet where service users ca adjust to life without drugs ad GATEWAY TO CHANGE: MQI S PRISON BASED COUNSELLING SERVICES IN ,657 2,725 Merchats Quay Irelad Aual Review

22 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued make positive choices about their future. We also afford service users the opportuity to explore the reasos for their drug use ad to lear more effective copig mechaisms. The programme covers areas of relapse prevetio, oe-to-oe cousellig ad care plaig, group therapy, self-esteem semiars, assertiveess traiig, ager maagemet ad farm work traiig. Service users also receive traiig i Emergecy First Aid ad i life skills ad budgetig. What makes St. Fracis Farm Rehab uique is the fact that our programme is situated i a workig farm eviromet. Service users gai work experiece i aimal care, vegetable productio, ad i geeral farmig. The food produced at the farm is used to supply the kitches i our various cetres, ad helps to feed up to 300. There were 377 cliets referred to the St. Fracis Farm Residetial Rehabilitatio service durig 2014, a six per cet icrease compared to 2014 referral levels. I additio, there were 272 assessmet appoitmets offered to cliets referred, of these 178 cliets atteded their assessmet appoitmet. Durig 2015 a total of 51 idividuals were admitted to the service durig the year, 37 me ad 14 wome, a 11% icrease i admissios compared to I additio to cliets addictio eeds, 49% of cliets were homeless ad 50% the subject of Crimial Justice Orders at admissio. Sait Fracis Farm has a atioal catchmet area ad i 2015 accepted admissios from 20 couties, with Dubli ad Cork beig the largest source. Self Esteem Outcomes The graph to the right illustrates the averaged self-esteem outcomes of the 52 cliets who departed SFF Rehab durig 2015 as measured by the Roseberg Self Esteem SCALE RESULTS Referrals to St. Fracis Farm Rehab, Scale. The Roseberg Self Esteem Scale was completed by cliets at up to four stages durig their programme, depedig o their legth of stay, at admissio, at four weeks, at ie weeks ad at the fial week of their 14 week programme. The Roseberg Scale has a rage of 0-30, with 30 a idicatio of the highest score ad self-esteem level. Whe carried out o a cross sectio of the geeral populatio the average Roseberg self-esteem measure is 15. The average scale score of service users at admissio to SFF Rehab was 14, icreasig to a score of 21 for cliets who completed the full 14 week programme. The above chart illustrates the icremetal icreases i cliets self-esteem as they progress through the programme, with the highest self-esteem outcomes achieved by those who complete the full 14 week programme. Self Esteem Outcomes at Departure, SFF Rehab, Admissio 4 weeks 9 weeks 14 Weeks WEEK OF PROGRAMME SCALE USED SCALE RESULTS Self-Efficacy Outcomes The below graph illustrates the averaged self-efficacy outcomes of the 52 cliets who departed SFF Rehab durig 2015, as measured by the Pearli Mastery Scale (Leoard Pearli). The Pearli Mastery Scale is desiged to measure self-cocept ad the extet to which idividuals perceive themselves i cotrol of forces that have a sigificat impact o their lives. The average Pearli Scale score of service users at admissio to SFF Rehabwas 12. The above chart illustrates the icremetal icreases i service users self-efficacy as they progress through the programme, with the highest self-efficacy outcomes achieved by those who complete the full 14 week programme, averagig a 16 scale score. Self Etticacy Outcomes at Departure, SFF Rehab, Admissio 4 weeks 9 weeks 14 Weeks WEEK OF PROGRAMME SCALE USED POST SERVICE OUTCOMES (PSO) 6-MONTH ST. FRANCIS FARM REHAB % deterioratio DRUG AND ALCOHOL USE, 6 MONTHS PSO 71% drug/alcohol free 17% the same 11% usig less drug/alcohol OVERALL QUALITY OF LIFE, 6 MONTHS PSO 56% greatly improved 18% the same 26% improved 20 Merchats Quay Irelad Aual Review 2015

23 Completios As the below graphics illustrate, of the 52 cliets who departed the service durig 2015, a impressive 61% completed the programme. % Programme Completios, SFF Rehab 2015 (52 departures) 61% Completed Programme 6% Asked to Leave 33% Early Leaver Post Service Outcomes (PSO) 6-Moth, SFF Rehab, (58%) Cliets cotacted out of a possible 125 Drug & Alcohol Use: 51 (71%) of the 72 cliets cotacted reported beig drug / alcohol free ad 12 cliets (11%) reported that they were usig less, a total of 82% of cliets reported positive outcomes. 12 cliets (17%) reported their drug / alcohol use was the same ad 1 cliet reported a deterioratio i their Drug & Alcohol use. Overall Quality of Life: 40 (56%) of the 72 cliets cotacted, reported that their overall quality of life had greatly improved ad 18 cliets (26%) reported that their overall quality of life had improved. A total of 82% of cliets reported positive outcomes i terms of their overall quality of life. I additio,13 cliets (18%) reported their overall quality of life was the same, ad o oe reported that their overall quality of their life had deteriorated. Family Relatioships: 27 (38%) of the 72 cliets cotacted reported their family relatioships had greatly improved, while 25 (35%) of cliets report their family relatioships improved. 18 (25%) cliets reported their family relatioships to be the THE DAY THAT PAT BECAME HOMELESS At what momet does a perso become homeless? For some the process is gradual. But Pat kew the precise momet whe homelessess would happe to him ad he was helpless to stop it... It is hard to imagie that oe day a perso would have a roof over his head, ad the ext, othig. Homelessess. That s how it is for Pat. A sigle male i his 40s, Pat is oe of the 3,000-ad-coutig casualties of Irelad s housig crisis. He came to the Riverbak drop-i service visibly upset. Due to be evicted from his apartmet i a moths time. He had o frieds, o family, o place to put his thigs, eve if he had the help to move them. Like so may who come to MQI, Pat was o ret allowace. His optios were dwidlig daily. Number 200 Of the may urget thigs that your support fuds at MQI, oe of them is for project workers like Aoife to help people like Pat. Her worry is clear. I was told that at least two hudred ames are ahead of Pat o the waitig list for social housig. They said that because Pat is a sigle male, there is a very real possibility that he wo t fid a place i time that whe his teacy rus out, he will be homeless. I felt so helpless. Never give up Some cliets, Aoife reports, have eve less otice of evictio tha Pat. But staff are t givig up. Sometimes we ca review the otice of evictio ad fid a clause that lets us get cliets oto a solicitor. There is the outreach team, the Night Café, the oe to oe cousellig. Pat ca come here if he eeds a bus pass or to see a detist or a doctor. We are pritig out flat lists every day for cliets. We just have to thak supporters for all that they have doe for us. His last day Pat is quite a friedly perso. He s worked most of his life. Several years ago, though, he had to go o disability allowace. He ever thought it would come to this. His last day. His last hour. His last time closig the door to his flat. Nowhere to tur, except for MQI. The last day that I met with him he wet off very upset, Aoife says quietly. You ca see it s showig i him. I ve asked Pat to come ito us agai, eve if it s just for a cup of tea ad a chat. It s importat that he kows he is ot aloe that Merchats Quay are here for him, that our door is always ope. I really hope he does come back i agai. Ad while we fight for log-term solutios to this housig crisis, MQI are deeply grateful for the help we ca offer to Pat ad to others like him... because of supporters like you. Thak you, from all of us, for carig. POST SERVICE OUTCOMES (PSO) 6-MONTH ST. FRANCIS FARM REHAB % deterioratio Merchats Quay Irelad Aual Review

24 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued Cliet artwork from therapy decorates the halls of MQI s High Park same, ad 1 cliet reported a deterioratio i family relatioships. Social relatioships: 28 (39%) of the 72 cliets cotacted reported their social relatioships had greatly improved, while 22 (31%) of cliets report their social relatioships improved. 19 (26%) cliets reported their Social Relatioships to be the same, ad 2 cliets reported a deterioratio i social relatioships. ** All figures ad percetages based o the 72 cliets cotacted for a six moth PSO Post Service Outcomes 12-Moth, SFF Rehab, (47%) Cliets cotacted out of a possible 87 Drug & Alcohol Use: 26 (63%) of the 41 cliets cotacted reported beig drug / alcohol free ad 5 cliets (12%) reported that they were usig less, a total of 75% of cliets reported positive outcomes. 9 cliets (22%) reported their drug / alcohol use was the same ad 1 cliet reported a deterioratio i their Drug & Alcohol use. Overall Quality of Life: 24 (58%) of the 41 cliets cotacted, reported that their Overall Quality of Life had greatly improved ad 7 cliets (17%) reported that their overall quality of life had improved. A total of 75% of cliets reported positive outcomes i terms of their overall quality of life. I additio, 6 cliets (15%) reported their overall quality of life was the, ad 4 (10%) cliets reported that their overall quality of their life had deteriorated. Family Relatioships: 22 (54%) of the 41 cliets cotacted reported their family relatioships had greatly improved, while 7 (17%) of cliets report their family relatioships improved. 11 (27%) cliets reported their family Relatioships to be the same, ad 1 cliet reported a deterioratio i family relatioship. Social relatioships: 16 (39%) of the 41 cliets cotacted reported their social relatioships had greatly improved, while 14 (34%) of cliets report their social relatioships improved. 6 (15%) cliets reported their Social Relatioships to be the same, ad 5 cliets reported a deterioratio i social relatioships. SFF Detox ad Rehab Developmets 2015 I 2015, we itroduced a ew Welcome Pack for the St. Fracis Farm Detox & Rehab services. The Welcome Pack provides a comprehesive summary of our history, ethos, iformatio o how to access our service ad a overview of the programme cotet. Service admittace criteria is outlied i detail ad there is iformatio o the various service policies ad house rules, the Service User s Charter, farm safety ad visitors guidelies. The Welcome Pack provides a valuable resource to both cliets accessig the service ad the agecies referrig to the service. Durig 2015, we itroduced the SMART Recovery, Self-Maagemet ad Recovery Traiig ito our schedule of group work. The modules used i SMART Recovery programme, Cost/Beefit Aalysis, Cogitive Behavioural Therapy ad Ratioal Emotive Behavioural Therapy; fit well withi the therapeutic commuity framework ad complemet our philosophy of persoal resposibility ad cliet empowermet. We were the first residetial detox ad rehab programmes i Irelad to pilot SMART Recovery. I partership with the Educatio ad Traiig Board (ETB) we also itroduced Art Therapy ito our programmes. This therapy is a o-verbal approach, which eables our service users to express ad explore their life experieces ad related emotios i a structured ad safe eviromet. The appoitmet of a ew full time accredited cousellor role to the detox team has eabled the service develop ad improve the oe-to-oe support, care plaig ad referral to post detox support provided to service users. POST SERVICE OUTCOMES (PSO) 12-MONTH ST. FRANCIS FARM REHAB 2015 DRUG AND ALCOHOL USE, 12 MONTHS PSO 63% drug/alcohol free 3% deterioratio 22% the same 12% usig less drug/alcohol OVERALL QUALITY OF LIFE, 12 MONTHS PSO 58% greatly improved 10% deterioratio 15% the same 17% improved 22 Merchats Quay Irelad Aual Review 2015

25 SFF Detox ad Rehab Plaed Developmets 2016 Durig 2016 the St. Fracis Farm Detox & Rehab plas to further develop ad improve the service i the followig areas; To recruit for ew Seior Cousellor ad Addictio Support roles aimed at better maagig the icreasig levels of referrals to the service, reducig the waitig times for assessmet ad developig the oe-to-oe support to service users. To develop Overdose Prevetio Leaflet to be provided for all cliets leavig the service. To further develop through ad post service outcome metrics i the Detox service. To provide off site Assessmet Cliics i Dubli ad Cork aimed at reducig the levels of Assessmet appoitmet oattedace. To develop a commo cliet Assessmet process with the HSE South East ad South. To cotiue explorig the developmet of a alcohol detoxificatio compoet for the programme. To further develop the service s Case Maagemet systems i lie with NDRIC. Carry out a desig upgrade of MQI s Salesforce Treatmet Outcome Moitorig & Iformatio System (TOMIS) to ecass Plus levels, eablig electroic submissio of reports ad data to the HSE, Task Forces & HRB. HIGH PARK RESIDENTIAL PROGRAMME The High Park residetial rehab service aims to help participats become ad remai drug free. The service is a low threshold programme that seeks to attract service users who might ot otherwise egage i drug free treatmet such as prisoers, homeless ad female drug users. The emphasis is o assistig service users to gai isight ito the issues which uderpi their drug use ad developig realistic measures to prevet relapse. The High Park programme offers idividual care plas, oe-to-oe cousellig, group therapy, psychoeducatioal groups, fitess-gym activities, outdoor pursuits ad recreatioal activities ad where ecessary i-house detoxificatio i partership with commuity GP s. Durig 2015 a total of 286 cliets were referred to High Park, of these 72% were male (206) ad 28% were female (80). Durig the year 232 cliets were offered appoitmets for Comprehesive Needs Assessmets, of which 177 atteded. There were 61 cliets admitted to High Park durig 2015, 43 male (70%) ad 18 female (30%), a 42% icrease i admissios compared to I additio to cliets addictio eeds, 72% of cliets were homeless ad 54% the subject of Crimial Justice Orders at admissio. Self Esteem Outcomes The graph to the right illustrates the averaged self-esteem outcomes of the 60 cliets who departed High Park durig 2015 as measured by the Roseberg Self Esteem Scale. The Roseberg Self Esteem Scale was completed by cliets at up to 4 stages durig their programme, depedig o their legth of stay, at admissio, at four weeks, at ie weeks ad at the fial week of their 14 week programme. The Roseberg Scale has a rage of 0-30, with 30 a idicatio of the highest score ad self-esteem level. Whe carried out o a cross sectio of the geeral populatio the average Roseberg self-esteem measure was 15. The average scale score of service users at admissio to High Park was 14, icreasig to a score of 19 for cliets who completed the full 14 week programme. The above chart illustrates the icremetal icreases i service user s self-esteem as they progress through the programme, with the highest self-esteem outcomes achieved SCALE RESULTS SCALE RESULTS by those who complete the full 14 week programme. Self-Efficacy Outcomes. The below graph illustrates the averaged self-efficacy outcomes of the 60 cliets who departed High Park durig 2015, as measured by the Pearli Mastery Scale (Leoard Pearli). The Pearli Mastery Scale is desiged to measure self-cocept ad the extet to which idividuals perceive themselves i cotrol of forces that have a sigificat impact o their lives. The Pearli Mastery Scale was completed by cliets at up to four stages durig their High Park programme, depedig o their legth of stay, at admissio, at four weeks, at ie weeks ad at the fial week of their 14 week programme. The Pearli Mastery Scale has a rage of 7-28, with 28 a idicatio of the highest score ad self-efficacy. Self Esteem Outcomes at Departure, High Park, Admissio 4 weeks 9 weeks 14 Weeks WEEK OF PROGRAMME SCALE USED Self Etticacy Outcomes at Departure, High Park, Admissio 4 weeks 9 weeks 14 Weeks WEEK OF PROGRAMME SCALE USED POST SERVICE OUTCOMES (PSO) 12-MONTH ST. FRANCIS FARM REHAB % deterioratio Merchats Quay Irelad Aual Review

26 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued The average Pearli Scale score of service users at admissio to High Park was 11. The above chart illustrates the icremetal icreases i service users selfefficacy as they progress through the programme, with the highest self-efficacy outcomes achieved by those who complete the full 14 week programme, averagig a 15 scale score. Post Service Outcomes, 6 Moth, High Park, (18%) Cliets cotacted out of a possible 130 Drug & Alcohol Use: 54% of the 23 cliets cotacted reported beig drug/alcohol free ad 25% reported that they were usig less, a total of 79% of cliets reported positive outcomes. Eight per cet of the cliets cotacted reported their Drug & alcohol use was the same, ad 13% reported a deterioratio. Overall Quality of Life: 63% of the 23 cliets cotacted, reported that their Overall Quality of Life had greatly improved ad 17% reported that their overall quality of life had improved. A total of 80% of cliets reported positive outcomes i terms of their overall quality of life. Eight per cet of the cliets cotacted reported their overall quality of life was the same, ad 12% reported a deterioratio. Family Relatioships: 46% of the 23 cliets cotacted reported their family relatioships had greatly improved, while 23% of cliets report their family relatioships improved, a total of 69% of cliets reported positive outcomes. Four per cet of the cliets cotacted reported their family relatioships were the same, ad 12% reported a deterioratio. Social relatioships: 33% of the 23 cliets cotacted reported their social relatioships had greatly improved, while 42% of cliets report their social relatioships improved, a total of 75% of cliets reported positive outcomes. Eight per cet of the cliets cotacted reported their family relatioships were the same, ad 17% reported a deterioratio. Post Service Outcomes, 12 Moth, High Park, (44%) Cliets cotacted out of a possible 16 Drug & Alcohol Use: 100% of the cliets had a positive outcome i terms of their Drug & Alcohol use. 50% of cliets reported they were drug/alcohol free, while 50% stated they were usig less. Overall Quality of Life: 100% of the cliets had a positive outcome i terms of their overall Quality of life. 67% of cliets reported their overall quality of life has great Messages of hope lie the pathway i High Park improved, while 33% reported a improvemet. Family Relatioships: 33% of the seve cliets cotacted reported their family relatioships had greatly improved, while 33% of cliets report their family relatioships improved, a total of 66% of cliets reported positive outcomes. 17% of the cliets cotacted reported their family relatioships were the same, ad 17% reported a deterioratio. Social relatioships: All seve cliets reported a improvemet i their Social relatioship 12 moths after their departure from High Park. High Park Developmets 2015 Durig 2015 a comprehesive review of the High Park service was iitiated with the staff team ad service users. As a result of this review a umber of programme chaged POST SERVICE OUTCOMES (PSO) 12-MONTH HIGH PARK 2015 DRUG AND ALCOHOL USE, 12 MONTHS PSO 50% drug/alcohol free 50% usig less drug/alcohol Deterioratio=0 The same=0 OVERALL QUALITY OF LIFE, 67% 12 MONTHS greatly PSO improved 33% improved Deterioratio=0 The same=0 24 Merchats Quay Irelad Aual Review 2015

27 were implemeted with the aim of developig a more flexible ad cliet cetred approach ad culture. Followig a review of iteratioal research ito the optimum programme legth ad service user outcomes, the legth of the High Programme was reduced from 17 to 14 weeks. A review of the referral, assessmet ad admissio systems with the view to streamliig ad reducig waitig times. High Park Plaed Developmets for 2016 Durig 2016 High Park plas to further develop ad improve the service i the followig areas; To recruit for ew Seior Cousellor role aimed at better maagig the icreasig levels of referrals to the service, reducig the waitig times for assessmet ad developig the oe-to-oe support to service users. Pilot the implemetatio of ew psychometric tools aimed at capturig cliet outcomes as they progress through the programme. To further develop the service s Care Plaig ad Case Maagemet systems i lie with NDRIC. Carry out a desig upgrade of MQI s Salesforce Treatmet Outcome Moitorig & Iformatio System (TOMIS) to ecass Plus levels, eablig electroic submissio of reports ad data to the HSE, Task Forces & HRB. To review ad develop the Pre-etry Group lookig at more iput from the High Park team ad the Riverbak veue this is curretly ru from. AFTERCARE AND SOCIAL HOUSING Drug Free Day Programme Our Drug-Free Day Programme based i Dolphis Bar, Dubli, is part of MQI s Aftercare Services ad is targeted at cliets THE FAMILY AT OUR DOORSTEP It was early 5 o clock whe she approached the door. Her childre stood cotetedly beside her, clearly uaware of their straits. At first we thought she d come to the wrog place. But the aguish i her eyes said it all Iwoder why she is here. It s the first thought that wet through MQI cotact worker Paul s head whe he glaced up ad saw a mother ad her youg childre stadig at our door that Friday eveig. The ext thig he oticed was the aguish o her face. Left i the balace By law our cliets are all aged 18 ad over. But the reality is, we are the oly place ope past 5pm o a Friday. Someoe had referred her here...o a Friday eveig whe everythig was closig, a ewly homeless woma with childre, ad with a severe shortage of emergecy housig as it is. We were all of us thikig, Are we goig to have to sed this mother ad her childre back out o the streets? Is there othig we ca do? Staff moved to act. As Paul explais, There were youg childre, so we took the family off ito a quiet side room. We gave them somethig to eat ad just looked after them, while we basically put ito actio all the thigs that subscribers help us to do for our adult cliets. With the family s welfare hagig i the balace, it was quite tough, quite emotioal, he says. Oe by oe staff delayed plas to head home. For hours we made Whe a ewly homeless mother ad her childre had owhere left to tur, you gave us the power to help. (To protect the idetity of the family, above photo is a facsimile.) phoe calls ad did loads of research. There is just ot much out there for mothers with childre who are just becomig homeless. Safe passage I the ed, the MQI team maaged to secure a referral to a family service for the followig morig. Because of help like yours, they did somethig else as well. Whe at 8 o clock staff fially foud safe, modestly priced accommodatios for the mother ad her childre, they were able to cover the costs ad keep the youg family off the streets that ight as a direct result of your support. Ad for givig us the flexibility to do what was right, eve for this oe family i crisis, we thak you with all our hearts. That mother, she might t have kow where she got the help from...but I did. The fact that she ad her childre were leavig here that ight, safe ad with a place to stay off the streets, I would love to thak our supporters i perso for what they did for her. To let them kow how much we appreciate it. Paul, MQI Ope Access POST SERVICE OUTCOMES (PSO) 12-MONTH HIGH PARK 2015 FAMILY RELATIONSHIPS, 12 MONTHS PSO 33% greatly improved 17% deterioratio 17% the same 33% improved SOCIAL RELATIONSHIPS, 12 MONTHS PSO Deterioratio=0 The same=0 Greatly improved=0 100% improved Merchats Quay Irelad Aual Review

28 PROMOTING POSITIVE CHANGE PROGRESSION PATHWAYS PROGRAMMES, cotiued exitig our residetial rehab services at High Park ad St. Fracis Farm. The day programme is six moths i duratio ad provides oe-to-oe care plaig, support groups ad educatio sessios aimed at assistig cliets reitegrate ito society. Demad for the service was high durig 2015 with 29 cliets admitted to the service durig the year, a 53% icrease compared to Of the 27 cliets who left the service durig 2015, 56% of them completed the programme. Weekly Aftercare Support Group The weekly Aftercare Support Group is also targeted at cliets exitig our residetial rehab services at High Park ad St. Fracis Farm. Demad for the service was high ad cosistet through 2015 with 31 cliets admitted to the service, a 41% icrease compared to Of the 33 cliets who left the service durig the year, 55% of them completed the programme. Trasitioal Housig Services Ballymout ad Leixlip Fidig accommodatio for the large proportio of cliets leavig our residetial rehab services who are effectively homeless has bee a icreasig challege i recet years. MQI operates two short-term trasitioal housig services, oe i Ballymout, Dubli, developed with the support of oe of the orgaisatio s doors, the other i Leixlip, Co Kildare, developed i partership with Respod Housig Associatio. Across both houses we provide a total capacity of ie supported accommodatio uits. Demad for the Ballymout ad Leixlip Trasitioal Housig services was high durig 2015, with 23 cliets admitted durig the year, a 35% icrease compared to I additio, Residetial Rehab at High Park i Dubli occupacy levels for the ie uits were 79% durig this period. Of the 25 cliets who departed the service durig the year, 60% completed the programme. AFTERCARE SERVICE DEVELOPMENTS 2015 Durig 2015 the Aftercare Service moved ito ew premises i Dolphis Bar ad developed the service i the followig areas; The settig up of a computer traiig room for cliets. The awardig of FETAC Level 3 accreditatio for the Drama & Commuicatio Skills group-work programme. The implemetatio of the ecass Salesforce CRM Treatmet Outcome Moitorig & Iformatio System (TOMIS). The developmet of the liks with Busiess i the Commuity aimed at icreasig access for service users to work placemets. Premises reovatios i Ballymout & Leixlip Trasitioal Housig Services. Aftercare Plaed Service Developmets 2016 Durig 2016 the Aftercare team pla to further develop ad improve the service i the followig ways; The productio of a Aftercare Service Welcome Pack. To develop cultural ad social activities i the programme. To further develop the ecass Salesforce CRM Treatmet Outcome Moitorig & Iformatio System i areas such as outcome psychometrics. To develop the use of the ew Aftercare premises i Dolphis Bar. Commuity Employmet (CE) Services MQI works i partership with the Departmet of Social Protectio (DSP) to provide hads o traiig for prospective PATHWAYS OUT OF HOMELESSNESS AND ADDICTION AT MQI, REFERRALS TO HIGH PARK COUNSELLING & RESIDENTIAL SERVICES ST. FRANCIS FARM REHAB CENTER 47 OF ADMISSIONS CAME FROM HOMELESSNESS 26 Merchats Quay Irelad Aual Review 2015

29 drugs workers, cliets ad post treatmet service users. This is doe through a umber of Commuity Employmet (CE) projects based i our services. CE projects provide participats with skills that eable them to access permaet employmet. I may cases our CE projects have ofte provided service users with their first experiece of paid employmet. Durig 2015 a total of 76 persos participated i CE placemets at Merchats Quay Irelad. As of Jauary 1, 2016, 46 participats remaied o CE placemet at Merchats Quay. Of the leavers durig the year seve secured permaet employmet, four retured to educatio ad three trasferred oto aother scheme. PASTORAL CARE AT MQI From its earliest days back i 1969, Merchats Quay Irelad has bee dedicated to the Fracisca traditio of speakig the laguage of the huma heart. A itegral part of that ethos is to welcome Irelad s homeless ad hugry regardless of their faith, ad to offer pastoral care. This healig traditio came full circle with the 2011 appoitmet of Fracisca Friar Gabriel Kiaha as Chaplai to MQI. Gabriel is available to cliets ad staff o a regular basis i MQI s facilities at Riverbak Ope Access Cetre, Athloe Ope Door, High Park, Dolphis Bar ad St. Fracis Farm i Tullow. Gabriel works i collaboratio with Pastoral Care voluteers Jimmy Due ad Fracisca Sister Brid O Sulliva. Gabriel is ofte foud with our cliets ad staff whe they eed his comfort ad guidace most. He also speaks to civic ad studet groups that come to MQI. I MQI s more structured programmes, Gabriel helps oversee the ow established Faith & Spirituality Group Sessios at St. Fracis Farm, High Park, ad i the Aftercare Day Programme. Because MQI serve people from may differet faiths ad sometimes oe a importat aspect of these groups is that cliets ca explore faith ad spirituality i a ope ad acceptig eviromet. I ever wat to come across as tryig to supply them with aswers; rather I would hope to be oe who helps facilitate their questioig (Gabriel Kiaha OFM). TRAINING AND EDUCATION MQI & UCD At MQI we believe strogly i the provisio of accessible traiig which provides progressio routes ito educatio for those who may have bee excluded from formal educatio. It also helps provide a mechaism whereby prior learig ca be recogised ad accredited. It is for this reaso that, i 1998, Merchats Quay Irelad ad Uiversity College Dubli etered ito a partership to offer our Certificate ad Diploma courses i Drugs Cousellig ad Itervetio Skills. Our aim is to deliver professioal accredited traiig for those iterested i developig their skills, kowledge ad careers i the drugs ad addictio field. UCD s commitmet to makig educatio more accessible fits perfectly with our ow missio of improvig services ad ifluecig chage ad we are pleased to say that our partership has goe from stregth to stregth. I 2009, we lauched the Certificate programme i Cork ad i 2010 we developed a clear progressio route whereby studets ca move from the Certificate programme to the Diploma ad the owards towards a Degree i Social Sciece i UCD. MQI/Uiversity College Dubli, Certificate i Drugs Cousellig Theory & Itervetio Skills delivered i Dubli & Cork, a total of 25 studets availed of this programme MQI/Uiversity College Dubli, Diploma i Drugs Cousellig Theory & Itervetio Skills delivered i Dubli, a total of 18 studets availed of this programme MQI/Uiversity College Dubli, Diploma i Drugs Cousellig Theory & Itervetio Skills delivered i Dubli & Cork, a total of 11 studets availed of this programme 54 people participated i our three uiversity courses HUMAN RESOURCES Merchats Quay Irelad strives to attract, develop, egage ad retai, high calibre persoel to deliver a high stadard of service to our cliets. As at 31/12/2015 total headcout i Merchats Quay Irelad was 292, this icludes Employees, Commuity Employmet, Voluteers, Studet Placemets, Graduate Voluteers ad Relief workers. I 2015 employee umbers icreased by 12% ad Voluteer umbers icreased by 5%. These icreases were maily due to the opeig of the Night Café i Jauary which saw a icrease of circa 20 persoel. The implemetatio of a Huma Resource Busiess Parter model i 2015 has bee embraced by both persoel ad maagemet, who are spread across a umber of geographical locatios. Learig ad developmet forms a essetial part of our orgaisatio s Strategic Pla ad thus supports ad equips persoel to meet the challeges they ecouter, while deliverig a highlevel of service to cliets. Our Scholarship Fud ecourages ad supports both our cliets ad persoel i up-skillig, by applyig for fudig to further their qualificatios i a recogised educatioal istitute. Health & Safety cotiues to be of high importace for persoel ad maagers i Merchats Quay Irelad. Regular Health & Safety Committee meetigs are paramout ad are supported by striget processes, which esure the safety of all persoel ad cliets. GROWTH AND CHANGE AT MQI S HIGH PARK & ST. FRANCIS FARM DETOX & REHAB CENTRE If I have bee able to be a part of that, to give some support to MQI staff ad make some of the cliet s jourey maybe that bit easier tha it might have bee, I will go to my rest that ight a happy ma. Michael Costello, High Park Voluteer Merchats Quay Irelad Aual Review

30 FINANCE AND GOVERNANCE 2015 CORPORATE GOVERNANCE MQI are dedicated to achievig the highest stadards i Corporate Goverace. Directors are appoited by the Members of the Compay. The Chairperso of the Board of Directors shall be appoited by the Members for a three year term ad may be reappoited. The Members are the Defiitory of the Order of Friars Mior of the Irish Fracisca Provice. The term of office of a Director shall be three years ad Directors may be reappoited. The compositio of the Board shall be ot more tha te persos ad ot less tha five. The quorum for meetigs is four. All Directors are chose o the basis of their willigess to serve, ability, goverace experiece ad support of the ethos ad missio of the Compay. I lie with this, the Board ehaced its membership with the appoitmet of Mr Ray Lagto o Jue 18, 2015 ad Dr Siobha Garriga o September 1, The Board is committed to esurig it has the ecessary mix of skills ad expertise ad where ecessary, seeks professioal advice. The Board meets formally at least six times a year. Durig 2015 the Board met te times. Directors are required to udergo a iductio programme to esure that collectively they have the overview ecessary oversight for the appropriate goverace of the orgaisatio. Traiig is arraged whe a eed is idetified. With the exceptio of ecessitous expeses, Directors are ot remuerated for their work o the Board or ca they be appoited to ay salaried positio of the Compay. No expeses were paid to Directors durig the fiacial year (2015: il). The Members meet aually to receive the aual report ad audited fiacial statemets of the Compay. Other meetigs may take place as required. There are curretly six sub-committees of the Board: 1. The Fiace Sub-Committee is resposible for overseeig the Board s fiacial resposibilities ad esurig that effective systems, fiacial cotrols ad procedures are i place to eable the orgaisatio to operate i a orderly ad efficiet maer, ad to report ad make recommedatios to the Board thereo. 2. The Audit & Risk Committee is resposible for the moitorig ad review of the orgaisatio s fiacial performace ad fiacial cotrols, icludig the orgaisatio s iteral audit fuctio, makig recommedatios to the Board about the appoitmet ad remueratio of the exteral auditor ad all matters relatig to the exteral audit process, ad overseeig reviewig ad moitorig Risk withi the orgaisatio. 3. The Cliet Services Sub Committee is resposible for overseeig the services ad operatios of the Compay. It is also resposible for assistig the Board i the plaig ad developmet of ew services, the developmet ad implemetatio of appropriate quality stadards, compliace reportig to stakeholders ad the cliical goverace of the services such as supervisio, good quality stadards ad best practice. The Committee is also resposible for cosiderig the impact of ay ew Cliet Service proposals i lie with the strategic pla, opportuities ad cosiderig the challeges which may arise i ay chage process. 4. The Goverace & Nomiatios Sub Committee is resposible for esurig that best practice is adhered to regardig goverace, accoutability ad trasparecy, moitorig ad reviewig adherece to relevat volutary Codes ad Statutory Guidelies ad makig recommedatios o omiatios for Board membership, esurig that the orgaisatio has sufficiet resourcig with the correct skills ad expertise i place to achieve its strategic objectives. 5. The HR & Remueratio Sub Committee is resposible for overseeig employmet practices, pay ad pay structures ad to cosider, advise ad recommed o orgaisatioal restructurig. 6. The Fudraisig Sub Committee is resposible for esurig that best practices are adhered to regardig Fudraisig practice, oversight ad to make recommedatios to the Board regardig the Fudraisig strategy. if I have bee able to be a part of that, to give some support to MQI staff ad make some of the cliet s jourey maybe that bit easier tha it might have bee, I will go to my rest that ight a happy ma. Michael Costello, High Park voluteer COMMITMENT TO BEST PRACTICE IN CORPORATE GOVERNANCE MQI cotaied withi Code of Practice for Good Goverace of Commuity, Volutary ad Charitable Orgaisatios i Irelad ( the Code ) ad is curretly o the jourey to beig fully compliat. MQI recogises that orgaisatios have a resposibility to follow a code of good practice whe it comes to how their orgaisatios are ru. Merchats Quay Project is curretly o the jourey towards beig compliat with the Goverace Code: A Code of Practice for Good Goverace of Commuity, Volutary ad Charitable Orgaisatios i Irelad. The 28 Merchats Quay Irelad Aual Review 2015

31 aim of the Code is to determie ad formulate stadards of best practice i corporate goverace applicable to areas such as leadership, exercisig cotrol, trasparecy ad accoutability, workig effectively ad behavig with itegrity. This process ivolves a thorough review ad assessmet of the orgaisatio s policies, procedures, structures ad values to esure that the compay is ru as effectively as possible, with a focus o icreasig trasparecy ad a reassurace to all stakeholders that fuds ad doatios are beig well maaged. COMMITMENT TO STANDARDS IN FUNDRAISING PRACTICE MQI is fully committed to achievig the stadards cotaied withi the Statemet of Guidig Priciples for Fudraisig ( the Statemet ). The Statemet was developed by the Irish Charities ad Tax Research Group ad exists to provide charities i Irelad with a Fudraisig Code of Practice. The purpose of the statemet is to: Improve the way charities i Irelad raise their fuds Promote high levels of accoutability ad trasparecy by orgaisatios fudraisig from the public Provide clarity ad assuraces to doors ad prospective doors about the orgaisatios they support. MQI is committed to complyig with the Statemet for Guidig Priciples for Fudraisig ad has formally discussed ad adopted the Statemet at a meetig of the Board. The Board meets regularly to discuss plas for fudig, icludig ay shortfall or excess ad allocatio of fuds.. FINANCE AND FUNDRAISING OVERVIEW MQI is fiaced by a mix of statutory ad volutary fudig. I 2015 MQP raised a total icome of 10.4m beig a icrease of 10% o icome i 2014 ( 9.4m). The mai reaso for this icrease beig the opeig of the State Fuded Night Café i Jauary 2015 operates betwee 11pm ad 8am, seve ights per week, caterig for 70 people each ight. 64% of MQI Icome was Statutory Govermet fudig the balace raised through our fudraisig activities ad Traiig. Fudraisig geerated 3.3m, remaiig level with 3.3m i 2014 makig up 34% of our icome for The remaiig 2% was made up of traiig ad other small icome. Expediture was up 18% to 9.5m (2014: 7.8m), agai the mai reaso beig the opeig of the Night Café. I 2015 the charities kow as Merchats Quay Irelad ivested i its primary services ad developmet of ew services i lie with demad this icludes cousellors, project workers, outreach workers, urses, caterig, staff, food ad homeless resources. Allocatig sufficiet expediture to staff admiistratio ad maagemet is essetial to esure that all resources, icludig doatios, are used for public beefit ad that highest stadards are maitaied at all times. I 2015 a decisio was made to ivest i various fudraisig campaigs which resulted i icreased costs i the curret year. The ivestmets were made i lie with the fudraisig strategy for geeratig more log term icome streams. I additio to this the orgaisatio decided to fudraisig for more specific projects i 2015 such as our metal health ad commuity egagemet teams as Merchat s Quay Project Limited is oe of four compaies operatig uder the baer ame of Merchat s Quay Irelad carryig out activities for social justice for homeless persos ad drug users o a atiowide basis some of these projects sit i Fracisca Social Justice Iitiatives Ltd. After may years of beig impacted by the difficult ecoomic climate 2015 was a positive year fiacially for MQP, ad this will allow us to focus o implemetig our strategic priorities ad to esure we give best care ad service possible to our cliets. We cotiue to commit volutary icome to all our services, the cotiuum of all core services remais oe of our key goals. The Board of Directors cosiders the eed to provide agaist ay future icome shortfall ad allow fuds to be available to support service developmets. The reserves are reviewed by the Audit Committee as part of a review ad assessmet of the orgaisatios risks. The orgaisatio beefits greatly from the ivolvemet ad ethusiastic support of may of its voluteers. I accordace with FRS102 ad the Charities SORP (FRS102), the ecoomic cotributio of geeral voluteers is ot recogised i the accouts. MQI is gratefully supported by various differet state fuders icludig Midlads Regioal Drugs Task Force, HSE, Probatio ad Welfare, Dubli City Coucil, Dubli Regioal Homeless Executive, South Ier City Drugs Task Force, TUSLA, Departmet of Social Protectio, South East Regioal Drugs Task Force ad the Irish Priso Service. OUTLOOK FOR 2016 MQI is committed to its cliets ad maximisig the value of the services for these cliets. I additio to cotiuig to try ad develop ew icome streams i lie with emergig cliet eed MQI will be expadig its Metal Health Team i 2015 ad also workig with a ew Commuity Egagemet Iitiative both of which were made possible with the help of the MQI doors. MQI will cotiue to work with State Fuders, Doors ad staff to try ad esure its frot lie ad core services are maitaied ad the eeds of the cliets are met. How doatios are wisely used: 7% Admistratio 86% Services 7% Fudraisig Merchats Quay Irelad Aual Review

32 FINANCE 2015 STATEMENT OF FINANCIAL ACTIVITY FOR MQI FOR THE YEAR ENDED 31 DECEMBER 2015 Total Fuds Total Fuds Variece Icome Resources Icome from Charitable Activities... 6,808,582 5,759,293 1,049,289 Doatios... 3,337,777 3,268,457 69,320 Other Icome , ,258-35,092 Total Icome... 10,447,524 9,364,008 1,083,516 Resources Expaded Expediture o Charitable Activities... 8,649,725 7,049,744 1,599,981 Expediture o Rasig fuds , , ,416 Total Expediture... 9,476,129 7,769,732 1,706,397 Movemet i Total Fuds for the year ,396 1,594, ,800 Actuarial (Loss) / Gai i respect of the Pesio Scheme... 43,512-33,111 76,623 Total Fuds as at 1 Jauary ,644,740 1,083,577 1,561,163 Total Fuds as at 31 December ,659,647 2,644,742 1,014,905 MERCHANTS QUAY IRELAND (BALANCE SHEET AS AT 31 DECEMBER 2015) Fixed Assets Tagible Assets... 52,732 70,240 Curret Assets Debtors , ,607 Cash at bak ad i had... 3,573,223 2,751,805 3,842,236 3,222,412 Creditors (Amouts fallig due withi oe year)... (1,140,247) (1,147,822) Net Curret Assets/(Liabilities)... 2,701,990 2,074,590 Total Assets Less Curret Liabilities... 2,754,722 2,144,830 Creditors (Amouts fallig due after more tha oe year) Net Assets/(Liabilities) Excludig Pesio Liability... 2,754,722 2,144,830 Net Pesio Liability... (23,762) (92,943) Net Assets / Liability Icludig Pesio Liability... 2,730,960 2,051,887 Charity Fuds Restricted Fuds , ,902 Urestricted Fuds , ,425 Desigated Fuds... 2,076,717 1,532,560 Total Fuds... 2,730,960 2,051, Merchats Quay Irelad Aual Review 2015

33 FINANCE 2015 FRANCISCAN SOCIAL JUSTICE INITIATIVES LIMITED (BALANCE SHEET AS AT 31 DECEMBER 2015) Fixed Assets Tagible Assets Curret Assets Debtors , Cash at bak ad i had , ,549 1,066, ,613 Creditors (amouts fallig due withi oe year)... (137,827) (174,758) Net Curret Assets/(Liabilities) , ,855 Total Assets Less Curret Liabilities , ,855 Creditors (amouts fallig due after more tha oe year) Net Curret Assets/(Liabilities) , ,855 Charity Fuds Restricted Fuds , ,655 Urestricted Fuds... 89,082 98,200 Desigated Fuds , ,000 Total Fuds , ,855 MERCHANTS QUAY PROJECT CE SCHEME LIMITED (BALANCE SHEET AS AT 31 DECEMBER 2015) Fixed Assets Tagible Assets Curret Assets Debtors... 59,535 58,108 Cash at bak ad i had... 96,980 3, ,515 61,473 Creditors (amouts fallig due withi oe year)... (156,515) (61,473) Net Curret Assets Total Assets Less Curret Liabilities Merchats Quay Irelad Aual Review

34 ACKNOWLEDGEMENTS THANK YOU TO OUR SUPPORTERS Merchats Quay Irelad is so grateful for the fiacial support we receive from idividuals, families, religious orgaisatios, busiesses, charitable trusts ad foudatios. Without their steadfast support we would be uable to cotiue expadig our vital services to those i eed i Irelad. To all our supporters we wish to express our immese gratitude. We would like to ackowledge the followig supports received i 2015 Gwada Trust ESB Eergy for Geeratios Fud OFM Fracisca Friary The Irelad Fuds Commuity Foudatio for Irelad The Charitable Ifirmary Trust We were gratefully supported by the followig: ESB Eergy for Geeratios Fud Midlads Regioal Drugs Task Force HSE Probatio Service Dubli City Coucil Dubli Regioal Homeless Executive South Ier City Drugs Task Force Tusla (Formerly The Family Support Agecy) Irish Priso Service Departmet of Social Protectio South East Regioal Drugs Task Force Ivestig i your future The Equality for Wome Measure is fuded by the Europea Social Fud (ESF) through the Huma Capital Ivestmet Operatioal Programme ad the Departmet of Justice ad Equality. 32 Merchats Quay Irelad Aual Review 2015

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36 Merchats Quay Irelad PO Box 11958, Dubli 8 Locatio: Merchats Quay Irelad Merchats Court 24 Merchats Quay, Dubli 8 A hot meal. A helpig had. A fresh start. Direct Lie: ifo@mqi.ie Fax: Merchats Quay Irelad ISSN No: