Although the case studies are an example of the process of ‘walking in partnership towards recovery’ it is worth noting that recovery facilitators have volunteered their time and expertise, with 4 years out of 10 having a small remuneration. Therefore when an hourly rate is noted this is an example figure and not a reflection of the current cost of psychotherapy.

The cost to the WA community of keeping one person in jail for one year is probably in excess of $90,000, and evidence indicates that drug and alcohol misuse contributes to dealing, stealing, prostitution and related anti-social behaviours resulting in imprisonment. This cost does not even take into account the cost to the community of countless children who are affected by a parent’s drug misuse and may possibly need to be taken into care, raised by grandparents and the consequences for them in the future.

The guiding principle …… continue as is….


A record of ten months in the life a troubled teenager. Mobility and the importance of a safe space are a critical factor in the counselling process.

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The significant difference in the seventeenth year is the constancy of contact provided by the B-Attitudes therapeutic nurse counsellor in terms of reaffirming the direction of the desired change using an agreed model and assisting by walking the walk and providing support for the client to meet commitments. If that was the cost of one year then multiply it by seventeen, then consider the cost of the B-Attitudes intervention.

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This case study reflects the level of ongoing counselling with a parent and the level of support required to move a client wishing for a drug free life style from ‘wishing’ to ‘action’ and eventual placement in a residential rehabilitation centre. Note the holistic nature of the counselling, the critical support of the significant other, the insignificance of a formal office setting but the need for mobility.

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