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William Andereck

What Addiction Does to People’s Brains and How to Help Them

William Andereck March 1, 2024

Published in March 2024 Good Work News; Originally published in San Francisco Chronicle, July 2023
Sadly, they are called “frequent flyers” — severely ill patients with serious medical conditions who routinely cycle in and out of hospital emergency departments. On any given day, their affliction could be an overwhelming infection, festering wounds or even a coma. Sometimes they require a ventilator and ICU care.

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The Integrated Circle of Care is a fluid and collaborative approach followed by workers from different agencies weaving through St. John’s Kitchen. Within this approach, staff members from each agency are aware of their specific personal roles. However, the high level of collaboration between workers means that people can approach any worker, without knowing their agency association or specific role, and still receive support – either that worker will support the person directly, or they will introduce the person to another worker who can support the person more appropriately.

This approach makes relationships more natural and support more accessible. Workers from different agencies are easily approachable, meaning that people build relationships with multiple workers. Having relationships with different workers is important to a person’s support – it makes support from a trusted source easy to find, and means that people have a choice of worker to approach in any given situation.

In order to maintain a circle of care around a person, workers from different agencies ask for consent from the person for information to be shared between workers. Continuous communication between workers helps to ensure that people do not fall into gaps between services, and also that services are not duplicated.

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