Thank you, Rowdy. These papers are very useful also in France where our
residential programs are often accused of being too much expensive when
compared with non-residential ones...
JM
-----Message d'origine-----
From: Rowdy Yates
Sent: Friday, February 08, 2013 5:24 PM
To: [log in to unmask]
Subject: Re: [EFTC] Increase in Complex Cases
Mark
The issue of there being a more damaged population in TC settings than other
treatment settings is well attested in the literature. It's one of the
things that undermines the validity of a number of studies which compare
residential and non-residential treatment. See my attached article for the
TC journal (31/2). In part this difference may simply be systemic. If
people see residential treatment as very expensive and therefore a response
of last resort, then it stands to reason that it will be the most damaged
individuals who have the most failed attempts at other (purportedly) cheaper
interventions. For a more detailed see my article (attached) "Different
Strokes" which compares to populations from each treatment modality - some
really significant differences found.
R. Yates
Senior Research Fellow
Scottish Addiction Studies
School of Applied Social Science
University of Stirling
Scotland
T: +44 (0) 1786-467737
F: +44 (0) 1786-466299
W: http://www.dass.stir.ac.uk/sections/showsection.php?id=4 (home)
W: http://www.drugslibrary.stir.ac.uk/ (online library)
W: http://roryyates.bandcamp.com (Wrestling With Demons: Four Songs of
Addiction & Recovery)
________________________________________
From: Therapeutic Communities [[log in to unmask]] On
Behalf Of Mark Gilman [[log in to unmask]]
Sent: 08 February 2013 07:42
To: [log in to unmask]
Subject: Re: [EFTC] Increase in Complex Cases
Thank you Karen. Is it Alcohol that's the difference?
Sent from my Blackberry Handheld. Best regards. Mark Gilman.
----- Original Message -----
From: Therapeutic Communities <[log in to unmask]>
To: [log in to unmask]
<[log in to unmask]>
Sent: Fri Feb 08 07:27:36 2013
Subject: Re: [EFTC] Increase in Complex Cases
Mark
We have always had higher complexity in our residentials however we have
seen this compounded by poor physical health over the last year in exactly
the way you describe.
We have also concerningly seen an increase in presentations with Hep C and
an increase in older people.
Ill get some stats for you and send them off list.
We are also reviewing our clinical governance and taking steps to ensure we
can continue to meet these increasingly complex needs.
Karen
Karen Biggs Chief Executive - Phoenix Futures
ASRA House, 1 Long Lane, London SE1 4PG Call: 020 7234 9743 or 07904 122198
View: www.phoenix-futures.org.uk
Phoenix Futures is recovery in our communities
This message has been sent using a mobile device
----- Original Message -----
From: Mark Gilman [mailto:[log in to unmask]]
Sent: Thursday, February 07, 2013 07:21 PM
To: [log in to unmask]
<[log in to unmask]>
Subject: [EFTC] Increase in Complex Cases
Colleagues in various UK Residential Treatment Facilities have been making
me aware of a steady increase in the number of people attending in very poor
physical health. For example, it is not uncommon now to hear of people
turning up at the detox centres that feed the residential rehabilitation
centres on 140ml methadone + Diazepam + 200 units alcohol with co-morbid
mental health issues and in very poor physical health. I wonder if others
are seeing a similar situation?
Best Wishes
Mark Gilman
Strategic Recovery Lead
National Treatment Agency
6th Floor | Skipton House | 80 London Road |London SE1 6LH
Mobile: 07867538111
www.nta.nhs.uk
Building Recovery in Communities
Recovery Resources: supporting the commissioning and delivery of the drug
strategy outcomes
New online resources to support drug treatment and recovery are available
now at www.nta.nhs.uk/recovery-resources.aspx
This email and the files transmitted with it are private and intended solely
for the use of the individual or entity to whom they are addressed. If you
received this email in error, please return it to the sender and delete it
from your system
_____________________________________________________________________
This e-mail and any files transmitted with it are confidential. If you are
not the intended recipient, any reading, printing, storage, disclosure,
copying or any other action taken in respect of this e-mail is prohibited
and may be unlawful. If you are not the intended recipient, please notify
the sender immediately by using the reply function and then permanently
delete what you have received. Views or opinions expressed by an individual
within this email may not necessarily reflect the views of the organisation.
This email has been scanned for all viruses by the MessageLabs Email
Security System. For more information on a proactive email security
service working around the clock, around the globe, visit
http://www.messagelabs.com
______________________________________________________________________
Phoenix Futures brings positive change in the lives of individuals, families
and communities affected by
substance misuse. We reduce the impact of drug and alcohol related harm and
enable our service users to
rebuild their lives. Our purpose is achieved through the skills and
dedication of our staff.
Phoenix House (operating as Phoenix Futures) is a registered charity in
England and Wales (No. 284880)
and in Scotland (No. SC039008); Company Limited by Guarantee Number 1626869;
Registered Housing Corporation
Number H3795; National Housing Federation Member.
Disclaimer: This e-mail is from Phoenix Futures. This message is
confidential and intended for the
addressee(s) only. If you are not the addressee(s) please notify the sender
immediately so that the error
can be corrected. This message and any attachments received cannot be
guaranteed free of viruses and it is
the recipient's responsibility to check them. Any views expressed in this
communication are not
necessarily those of Phoenix Futures.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
_____________________________________________________________________
This e-mail and any files transmitted with it are confidential. If you are
not the intended recipient, any reading, printing, storage, disclosure,
copying or any other action taken in respect of this e-mail is prohibited
and may be unlawful. If you are not the intended recipient, please notify
the sender immediately by using the reply function and then permanently
delete what you have received. Views or opinions expressed by an individual
within this email may not necessarily reflect the views of the organisation.
This email has been scanned for all viruses by the MessageLabs Email
Security System. For more information on a proactive email security
service working around the clock, around the globe, visit
http://www.messagelabs.com
______________________________________________________________________
--
The University of Stirling is ranked in the top 50 in the world in The Times
Higher Education 100 Under 50 table, which ranks the world's best 100
universities under 50 years old.
The University of Stirling is a charity registered in Scotland,
number SC 011159.
|
