Most welcome Melinda.
According to the SICAD 2014 Report (our addiction national agency, under the Ministry of Health, http://www.sicad.pt/EN/Paginas/default.aspx ), only 18% of users on public withdraw units have been sent to therapeutic communities (the other 72% went to substitution programs mostly methadone, which means a lot is still to be worked out on this issue vs cost comparison on public health expenditure / investment).
Though in the Portuguese, here’s the Report link http://www.sicad.pt/BK/EstatisticaInvestigacao/InformacaoEstatistica/ConsumosProblemas/Documents/UDPublicas/Relatorio_UDP_2014.pdf
I’m not aware of any research scientific papers in Portugal regarding this topic.
Cheers
Rui
De: Therapeutic Communities [mailto:[log in to unmask]] Em nome de Beckwith, Melinda
Enviada: 8 de março de 2018 05:40
Para: [log in to unmask]
Assunto: Re: [EFTC] research on unplanned withdrawal following TC admission
Rui, Dirk, Lynne, Anita,
Thank you all for being so helpful. It has been very interesting to hear what different TCs do around the world and this helps to shape and refine my approach to the literature review.
It does seem then that my original question regarding the percentage of people who enter the TC still in withdrawal or who go into withdrawal upon entering the TC may depend on how withdrawal is managed – either in-house or via separate specialist withdrawal units.
If anyone does know of any research or reports that capture rates of withdrawal at admission for TCs without an associated withdrawal management service, that would be super, but I’m hearing this may not exist.
Thanks again,
Melinda Beckwith
B. HlthSc (Hons), M.Psych (Clin)
PhD Candidate
Turning Point
Eastern Health Clinical School, Monash University
a | 110 Church Street, Richmond VIC 3121
p | +61 (0)403 687 938
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On 2 Mar 2018, at 8:28 PM, Dirk Vandevelde <[log in to unmask]> wrote:
Hi Melinda.
In Belgium the most common practice is that drug addicts go (if necessary) first to a withdrawal unit (in specialised withdrawal units or in general clinics) from where they can be orientated tot specialised treatment such as TC’s.
The “welcome house” (where Claire refers to) is a practice which we apply already since 1997.
We created a more smooth entrance to the TC with a great influence on the retention rate in the TC. We now have a much smaller drop out number in the first month of the programme.
Regards.
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Directeur
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Van:Therapeutic Communities [ <mailto:[log in to unmask]> mailto:[log in to unmask]] Namens Beckwith, Melinda
Verzonden: vrijdag 2 maart 2018 1:50
Aan: <mailto:[log in to unmask]> [log in to unmask]
Onderwerp: Re: [EFTC] research on unplanned withdrawal following TC admission
Thanks Eric,
Clare (Windana) mentioned this was one of the emergent issues being addressed by their new Welcome House so I'm going to catch up with her and pick her brains a bit.
Forgive my naivety all - I've just realised I've been assuming that detox/withdrawal at a separate service prior to entering a TC is a worldwide approach but this may not be the case. Is it standard in other countries (outside of Australia) too? Or are there a variety of approaches used to manage a person's transition into a TC? This may well change my approach to the literature review.
I'm very thankful for this group's collective wisdom.
Kind regards,
Melinda
On 2 Mar 2018, at 8:25 AM, Eric Allan < <mailto:[log in to unmask]> [log in to unmask]> wrote:
Sorry Melinda ,
I don’t have any, this might be a broader one to put out to the EFTC or the journal.
It certainly used to be common practice here. In Victoria the proliferation of detox after the Pennington report changed all that
Regards
Eric
From: Therapeutic Communities [ <mailto:[log in to unmask]> mailto:[log in to unmask]] On Behalf Of Beckwith, Melinda
Sent: Thursday, 1 March 2018 7:04 PM
To: <mailto:[log in to unmask]> [log in to unmask]
Subject: [EFTC] research on unplanned withdrawal following TC admission
Dear TC world,
I hope you can nudge me in the right direction. I've been contracted to run an evaluation of an initiative to address residual or unplanned withdrawal in some TCs here in Australia. Despite usual protocol that anyone physically dependent on a substance go through a withdrawal process prior to admission, anecdotally, residents and staff report some people enter these TCs either with residual withdrawal symptoms or without the full extent of their substance use and withdrawal needs being shared and/or addressed and thus they go into withdrawal unexpectedly after admission to the TC.
I have found a little research around management of this issue, but I'm searching for any research reports or papers that might indicate rates at which residual or unplanned withdrawal occurs within TCs and I haven't had much luck. I would be very grateful for any leads.
Any research recently or currently being conducted around management of this phenomenon would also be very welcome, particularly if it can give an indication of the proportion of new admissions experiencing residual or unplanned withdrawal.
Thanks in advance,
Melinda Beckwith
B. HlthSc (Hons), M.Psych (Clin)
PhD Candidate
Turning Point
Eastern Health Clinical School, MONASH University
a | 110 Church St, Richmond VIC 3121 AUSTRALIA
t | +61 (0)403 687 938
e | <mailto:[log in to unmask]> [log in to unmask]
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