JiscMail Logo
Email discussion lists for the UK Education and Research communities

Help for THERAPEUTIC-COMMUNITIES Archives


THERAPEUTIC-COMMUNITIES Archives

THERAPEUTIC-COMMUNITIES Archives


THERAPEUTIC-COMMUNITIES@JISCMAIL.AC.UK


View:

Message:

[

First

|

Previous

|

Next

|

Last

]

By Topic:

[

First

|

Previous

|

Next

|

Last

]

By Author:

[

First

|

Previous

|

Next

|

Last

]

Font:

Proportional Font

LISTSERV Archives

LISTSERV Archives

THERAPEUTIC-COMMUNITIES Home

THERAPEUTIC-COMMUNITIES Home

THERAPEUTIC-COMMUNITIES  January 2009

THERAPEUTIC-COMMUNITIES January 2009

Options

Subscribe or Unsubscribe

Subscribe or Unsubscribe

Log In

Log In

Get Password

Get Password

Subject:

Re: Methadone residents study

From:

Rex Haigh <[log in to unmask]>

Reply-To:

Therapeutic Communities <[log in to unmask]>

Date:

Wed, 7 Jan 2009 19:47:59 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (293 lines)

As one of those wicked doctors, the first (and possibly only) real research
I did was to compare medical and social models for detox: "Where and when to
detoxify single homeless drinkers" Rex Haigh, George Hibbert: British
Medical Journal 1990 (301) 848-9.  
And - stunning conclusion - no significant difference except people
preferred the social model (in Simon House in Oxford, as opposed to the
Warneford Hospital).
But you're quite right about medicalising it too much - I remember it well
(wielding the stethoscope and clinical gadgets as a means of protection for
my fragile authority and clinical dignity). It was my first job in
psychiatry, and would have put me off for ever if they didn't do a good
group therapy programme as well - all long gone now, though.

Rex

-----Original Message-----
From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Rowdy Yates
Sent: 07 January 2009 12:24
To: [log in to unmask]
Subject: Re: [EFTC] Methadone residents study

Wendy

 

As you know, I think there are some real positives for your idea.
Certainly, I feel the voluntary sector in general (at least in the UK)
has lost touch with it's old skills-base in this respect.  Certainly,
when I was working at Lifeline in the 1970s we developed a real ability
to do home-based detoxs (effectively and with low levels of discomfort)
because that's all there was!  By and large the medical profession didn'
t want to know and if they did, they stuck folk on some godawful general
psychiatric ward (usually excusing the appalling conditions as a "test
of motivation"!!) and detoxified people with librium.

 

The early Synanon was characterised by the fact that people could come
in off the street and detox in the lobby of the hotel in which the TC
was based.  I've said before on this list, my view is that this had a
positive impact on the dynamic of the community.  When you started to
get pull-ups, as often as not, the people doing the pulling up were the
same community members who soothed your troubled brow and mopped up your
sick when you first arrived.

 

My view is that the medical profession has consistently demonised
home-based non-medical detoxification in their inexorable drive to
medicalise the whole of addiction.  The tendency of most doctors
(apologies to all the doctors on this list - but you know it's the
truth!!) to revert to the security blanket of the disease model of
addiction is profoundly depressing.  It's as if the work of Zinberg,
Engel, Kantzian, Schaz and all the other addiction theorists of the past
four decades had never existed!!

 

But maybe this is just the pining of an old man for those far-off good
old days when drug workers were able to work out whether someone was
stoned (and on what) without having to wait for the results of an
observed urine test (shudder!!).

 

One other thing though.  You say:

 

"indeed policy will not allow them to enter into a residential TC
treatment until successful completion of a detox"

 

Whose policy is this? It sounds completely daft to me.  It should be up
to the TC itself to decide the most appropriate entry
conditions/regulations.  Certainly, Phoenix Sheffield have for some time
accepted clients on reducing doses of methadone - I'm not sure of the
exact amounts/timescales and unfortunately, I don't think anyone from
Phoenix Sheffield is on the list - and my impression was that it had
been an extraordinarily uneventful development for them.  Certainly when
I was there about 18 months ago, it wasn't really possible to work out
who the detoxing residents were (though I suppose other residents would
be more critically aware.

 

Rowdy Yates 
Senior Research Fellow
Scottish Addiction Studies
Sociology, Social Policy & Criminology Section
Department of Applied Social Science
University of Stirling

E: <BLOCKED::mailto:[log in to unmask]> [log in to unmask]

W: <http://www.dass.stir.ac.uk/sections/showsection.php?id=4>
http://www.dass.stir.ac.uk/sections/showsection.php?id=4 (home)
      http://www.drugslibrary.stir.ac.uk
<http://www.drugslibrary.stir.ac.uk/>  (library)

T: +44(0)1786 - 467737
M: 07894- 864897

________________________________

From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Wendy
Dawson
Sent: 07 January 2009 11:31
To: [log in to unmask]
Subject: Re: [EFTC] Methadone residents study

 

Hi

 

This is disturbing news! 

 

Particularly as I am keen to challenge NTA guidelines by developing a
detox unit without prescribed medication here at the Ley. We have 15
people waiting to come into the Ley but their funders and indeed policy
will not allow them to enter into a residential TC treatment until
successful completion of a detox. However with increasing demand and
waiting time for detox these people may possibly be dead, change their
mind or decide to be maintained for the rest of their lives on a script
- where is the client choice in all of this? 

 

Best wishes

 

Wendy

 

 

 

Wendy Dawson

Chief Executive

 

The Ley Community

Sandy Croft, Sandy Lane

Yarnton

Oxford

OX5 1PB

 

Tel: +44 (0) 1865 378600

Fax: +44 (0) 1865 842238

 

Email: <mailto:[log in to unmask]> [log in to unmask]

Website: <http://www.ley.co.uk> www.ley.co.uk

Registered Charity No. 1074874

Company No. 3736193

 

The email message is intended solely for the above mentioned recipient
and may contain confidential or privileged information. If you have
received it in error please notify us immediately by telephone. You must
neither copy nor distribute the email transmission, nor cause nor permit
such copying or distribution.

________________________________

From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Anthony
Slater
Sent: 07 January 2009 11:20
To: [log in to unmask]
Subject: [EFTC] Methadone residents study

 

Hi,

 

This study is now being promoted in Norway via various news groups. 

 

In some ways this will be, I think, unfortunate for drug free addiction
tc's, as we have already been under a great deal of pressure to take
people on methadone in to treatment, in drug free recovery tc's. 

A real dilemma is that the medical authorities / advisors strongly also
recommend that individuals stay on it for life. 

 

More to come on this topic no doubt...........

 

Best wishes,

As ever 

 

 

 

Anthony Slater,

Director - Phoenix House Haga,

President, E.F.T.C.

Folkenborgveien 198,

1850 Mysen, Norway.

tlf. +47 69 89 82 50 / fax. + 47 69 89 82 51.

E-post: [log in to unmask]

www.phoenixhouse.no

www.eftc-europe.com

 

http://www.tc-of.org.uk/wiki/index.php/RadioTC_International_Norsk 

 

 

 

________________________________

Academic Excellence at the Heart of Scotland.
The University of Stirling is a charity registered in Scotland, number
SC 011159.


No virus found in this incoming message.
Checked by AVG - http://www.avg.com
Version: 8.0.176 / Virus Database: 270.10.3/1879 - Release Date:
06/01/2009 17:16



No virus found in this incoming message.
Checked by AVG - http://www.avg.com 
Version: 8.0.176 / Virus Database: 270.10.3/1879 - Release Date: 07/01/2009
08:49


***********************************************************************
This  message  may  contain  confidential and  privileged  information.
If you  are not the  intended recipient  you should not  disclose, copy
or distribute information in this e-mail or take any action in reliance
on its contents.  To do so is strictly  prohibited and may be unlawful.
Please  inform  the  sender that  this  message has  gone astray before
deleting it.  Thank you.

2008 marks the 60th anniversary of the NHS.  It's an opportunity to pay
tribute to the NHS staff and volunteers who help shape the service, and
celebrate their achievements.

If you work for the NHS  and  would like  an NHSmail  email account, go
to: www.connectingforhealth.nhs.uk/nhsmail
***********************************************************************

Top of Message | Previous Page | Permalink

JiscMail Tools


RSS Feeds and Sharing


Advanced Options


Archives

March 2024
May 2023
April 2023
March 2023
July 2022
June 2022
May 2022
April 2022
March 2022
February 2022
January 2022
December 2021
November 2021
October 2021
September 2021
August 2021
July 2021
June 2021
May 2021
April 2021
March 2021
February 2021
January 2021
December 2020
November 2020
October 2020
September 2020
August 2020
July 2020
June 2020
May 2020
April 2020
March 2020
February 2020
January 2020
December 2019
November 2019
October 2019
September 2019
August 2019
July 2019
June 2019
May 2019
April 2019
March 2019
February 2019
January 2019
December 2018
November 2018
October 2018
September 2018
August 2018
July 2018
June 2018
May 2018
April 2018
March 2018
February 2018
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
February 2017
January 2017
December 2016
November 2016
October 2016
September 2016
August 2016
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
January 2016
December 2015
November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010
February 2010
January 2010
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
December 2006
November 2006
October 2006
September 2006
August 2006
July 2006
June 2006
May 2006
April 2006
March 2006
February 2006
January 2006
December 2005
November 2005
October 2005
September 2005
August 2005
July 2005
June 2005
May 2005
April 2005
March 2005
February 2005
January 2005
December 2004
November 2004
October 2004


JiscMail is a Jisc service.

View our service policies at https://www.jiscmail.ac.uk/policyandsecurity/ and Jisc's privacy policy at https://www.jisc.ac.uk/website/privacy-notice

For help and support help@jisc.ac.uk

Secured by F-Secure Anti-Virus CataList Email List Search Powered by the LISTSERV Email List Manager