Dear Maurizio
Thank you for giving us the translation of Conferenza per un
progetto delle Regioni sulle dipendenze. I wish I could write this in
Italian, but it is not possible. Maybe you can speak English, which will
put me further to shame, or someone can translate this for you.
I think the idea of an integrated pathway is good. It is important to have
balance between TC and community.
In my day, an example of balance would be in induction. A great deal of
thought was given to preparing a person for entry into a TC. This happened
in the community unless the person was in prison. The more orientation and
support a prospective resident received in the community,the more chance of
success,and the less fearful they were going to be.
It can be forgotten at times that for it is a massive step for someone to
take. Especially if they are withdrawing from drugs to enter a drug-free
TC.
One idea I remember that worked quite well was the 'buddy principle'
The 'buddy' would be a very senior resident, who would be working with
staff in induction. They were given the task of becoming a special friend
to a prospective entrant, so if that person eventually made it into the
community, there would someone already in there that they knew. It would
also be positive re-inforcement and role-modelling for the 'buddy' This is
not new and I know has been successful in other models since.
It was a bonus if the resident had previous ' negative street cred'.
We worked on the idea that if you succeeded with one of the 'heavies' then
you would almost certainly bring in others. The principle being 'If they
can do it so can I'.
Anyway enough of my reminiscences, thanks again for a very interesting article.
Warmest wishes
Dave
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