THERAPEUTIC COMMUNITIES IN SPAIN. The value of long-term programs. Gisela Hansen-Rodríguez. Recovery-based program

Transcription

1 THERAPEUTIC COMMUNITIES IN SPAIN The value of long-term programs Recovery-based program Gisela Hansen-Rodríguez

2 Connections with Major International Organizations Canada Chile Slovenia Spain Italy Nicaragua Portugal Sweden Switzerland Uruguay USA The Dianova Network

3 Dianova Spain

4 Evaluation Neurologic stabilization Healthy life-styles Social and community integration Indicator for successful social rehabilitation Why long-term treatment?

5 Dianova Can Parellada recovery-based program Where our clients come from? And what`s next after residential treatment? Networking: Catalonia- Madrid Reinsertion in TC Residential treatment: TC rural setting Outgoing treatment public health services Reinsertion in apartaments 5

6 Can Parellada Recovery-based program Residential and Outpatient Program for adults with substance abuse and/or associated disorders

7 Program: stages and goals

8 Intervention model Therapeutic Community: residential program Holistic, biopsychosocial and educational approach Gender approach Individualized educational & therapeutic programs Averageduration6-9 months (6m min for TD) Outpatient follow-up

9 Interdisciplinary team 2 Management staff 1 Psychiatrist 1 Physician 2 Nurses 2 Psychologists 1 Social Worker 6 Social educators 5 Educational Assistants 1 Administrative staff 37 vacancies Biopsychosocial approach

10 User Profile (n=188) Gender: 24% women 76% men (specific gender barrier to acces and stay in rehab programes) Average age: 39 women 41 men Average stay: 4months 6 days Retention index: 74% clients stayed > 3 months Economic Situation: 54% no income 21% invalidesa 13% temporary Invalidesa 1% Own salary Substitution treatment: 19% metadone and suboxone Psychiatrych diagnoses: 69% (only 21% in mental health services), mainly personality disorder (32%), mood disorder (18%) Psychotic disorder (13%) Therapeutical Discharge: 30% (Average 10 months)

11 User Profile (n=188) 3% 1% 1% 5% Main drug Cocaïna 17% Alcohol Pluriconsum 48% 24% Heroïna Amfetamines i derivats

12 User Profile (n=188) Where do they live? Housing Alone With her/his kids 28% 27% Parents 2% 3% Partner and their kids Partner and their kids 1% 4% 35%

13 User Profile (n=188) More than 1 drug Coc + Alcohol 11% Alcohol + Benzos 20% 2% 67% Other Her + Coc

14 About gender barriers South Europe1:8 At Catalan level 1:4 Can Parellada Re-designed programe gender approach Trained staff There s a long way until gender equality in rehabilitation programs (odd ratio data collect 2016).

15 Program: stages and goals Evaluation Phase (2 weeks) Program information (Social Worker) Assessment of the case Motivational interview (Client + Family) 2 weeks

16 Program: stages and goals Detoxification and early integration (1-2 months) Adaptation to the program Being part of a new group Physical and Psychiatric stabilization Recover health habits

17 Program: stages and goals Rehabilitation (4-6 months) Group & individual therapy occupational activities Family outings 2 weeks

18 Program Activities: medical area Medical and psychiatric care Health Education program class group Give up smoking program Mental health workshop Overdose prevention program STDs program: prevention and treatment

19 Program Activities: Social and personal development Individual psychotherapy Group Psychotherapy Brain & Addiction group sessions Relapse prevention group sessions Gender and drugs program Cognitive stimulation Social skills program

20 Artistic workshops Painting Music Therapy Yoga Ioga Emotionary

21 Program: stages and goals Reinsertion phase (1-3 months) Social integration through training or leisure activities / free time management Money Management 2 weeks

22 Program: stages and goals

23 g Thankyou! a.org An NGO with Special Consultative Status to the ECOSOC Representing civil society to the Organization of American States Official Partner of the UNESCO (Consultative Status) Member of the European Forum on Drugs