Dear Melinda,
In Portugal, the procedure to a person enter a TC is to go for a withdraw health unit prior to admission on TC long term programs based mostly on cognitive-behaviour or 12 steps models (in the Portuguese case, the public protocol is 6 months for alcohol addiction treatment, with a possibility to extend more 3 months; and 12 months for illicit drugs addiction treatment with a possibility to extend more 6 months according to the severity of the individual case).
Taking into consideration that we only have 3 public therapeutic communities run by the Division of Intervention on Addictive Behaviours and Addiction - Ministry of Health, all the other TCs are run by NGO/Nonprofit organisations (we also have a small number of private clinics),
· in most of the cases, the user – patient will go to a public detox unit run by the Ministry of Health, approximately 5-8 days
· on the last day he/she is directly transferred to the TC for the treatment program
· only a few cases, NGO have detox units
· regarding private clinics, as far as I know most of the programs are shorter term, and include all the services detox / treatment.
Hope to have helpedJ
Cheers
Rui
De: Therapeutic Communities [mailto:[log in to unmask]] Em nome de Eric Allan
Enviada: 1 de março de 2018 21:25
Para: [log in to unmask]
Assunto: Re: [EFTC] research on unplanned withdrawal following TC admission
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]] On Behalf Of Beckwith, Melinda
Sent: Thursday, 1 March 2018 7:04 PM
To: [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 | [log in to unmask]
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