1 / 29

Welcome to A-Senteret!

Welcome to A-Senteret!. A-Senteret:. Part of «The City Mission », founded in 1855 CM: running 40 different projects, 1200 employees, 1350 volunteers, A-senteret founded in 1957

andren
Télécharger la présentation

Welcome to A-Senteret!

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome to A-Senteret!

  2. A-Senteret: • Part of «The City Mission », founded in 1855 • CM: running 40 different projects, 1200 employees, 1350 volunteers, • A-senteret founded in 1957 • Since 2004 fully funded by the regional Health Authority (State ), before 2004: Local Authority. So: privatly owned but on contract with HA, non-profit • 2004: TSB= Specialised interdisciplinary treatment for substance abuse/addiction E.S.Hubbuck/A.Ekberg

  3. Hva er A-senteret? • 45 employees, Outpatient:12, Inpatient: 24 (half of these parttime) • Outpatient: 7.475 yearly consultations, Inpatient: 20 beds (7.300) E.S.Hubbuck/A.Ekberg

  4. Our work: • Assessment of referrals • Outpatient treatment • Inpatient treatment • Supervision/Information/Lectures E.S.Hubbuck/A.Ekberg

  5. Alcohol in Norway (SIRUS): • Most people drink alcohol (87%) • 2009: 6,70 l alcohol sold per adult (Finland 10,0) • 10% consumes half of the total consumption • Over the last 15 yrs consumption has increased by 40% • We still binge drink on weekends but continental drinking patterns has also emerged • Around 1.5 million Norwegians are affected by high alcohol consumption E.S.Hubbuck/A.Ekberg

  6. Alcohol in Norway (SIRUS): • 50-150 000 childrenaffected by parentsalcohol-/drugproblems • 50- 100 000 spouses/partners affected • 2010: 414 deaths caused by alcohol , highconsumption over a long periodof time (317 male,97 female), this is only a fractionof all deaths thatfully or in part arecaused by alcohol • 2011: 6788 admissions to somatic hospitals withalcoholrelated underlying diagnosis (4678 male, 2110 female) • 2010: 23000 patients in TSB treatment, 36% inpatient E.S.Hubbuck/A.Ekberg

  7. A-senteret – understanding, ideology and methods • Psychological perspectives • Medical perspectives • Social perspectives • Spiritual /existential perspectives • No «one fits all approach» • Motivational interviewing, mentalization, psychodynamic, mindfullness, cognitive …. E.S.Hubbuck/A.Ekberg

  8. Outcomes: • Increased quality of life • Changes in use /consumption of alcohol/drugs • Relapse prevention E.S.Hubbuck/A.Ekberg

  9. Who can receive treatment at A-senteret? • People with problems related to use of alcohol, illegal substances or medication • People with problems as above combined with mild or moderate psychiatric illnesses • Relatives/ people who are being affected by anothers dependency/alcohol problems E.S.Hubbuck/A.Ekberg

  10. Patient population at A-senteret E.S.Hubbuck/A.Ekberg

  11. Patient population at A-senteret E.S.Hubbuck/A.Ekberg

  12. Referals from: • General Practitoners, medical doctors • Local Authorities, social welfare office • Other parts of the Health Service, Specialist E.S.Hubbuck/A.Ekberg

  13. Assessment of referrals • Assessment of statutory rights to health services/treatment within TSB • Outcomes: statutory right, treatment without statutory right, refusal • Assessment team: psychologist, social worker and medical doctor (Interdisciplinary) • Guidlines from Directorate of Health E.S.Hubbuck/A.Ekberg

  14. Outpatient unit • Examination and further assessment • Individual treatment plan • Time in, and intensity of, treatment varies with individual needs • Individual therapy • Couple and/or family sessions • External liaison and collaboration • Internal interdisciplinary collaboration • In addition: Group therapy or course for some patients E.S.Hubbuck/A.Ekberg

  15. Outpatient groups: • Awarness group • Womens group • Course in how to cope with depression and prevent relaps • Gay/lesbian group • Course in Mindfullness and stressreduction • Psychoterapy group • Transition group/follow-up from in-patient E.S.Hubbuck/A.Ekberg

  16. Outpatient groups • Information course • Mindfullness/Stressreduction course • Group for adult children of parents with alcohol-/drugproblems • Group for spouses/partners E.S.Hubbuck/A.Ekberg

  17. Inpatient unit • 20 patients in the unit • 7 days a week but most have weekend leaves • 3 social workers, 3 nurses, 3 psychologists, 2 doctors and the unit leader • Main treatment method is group therapy • Patients have 2 individual consultations/ week E.S.Hubbuck/A.Ekberg

  18. Inpatient unit- treatment phases • Assessment phase • Preparation phase • Admission to the inpatient unit • Treatment planning • Treatment phase • Termination phase • Follow-up E.S.Hubbuck/A.Ekberg

  19. Inpatient unit- structure • Private rooms • Morning meeting (mandatory) • Group therapy x 6 per week (mandatory) • Daily chores assigned to all patients • Expectation that everyone is back on the unit 2230 • Most patients are on weekend leaves • No addictive medications are distributed • We expect that patients abstain from alcohol and drug use during treatment • Cooperation with referrers, GP’s, other specialists E.S.Hubbuck/A.Ekberg

  20. Detox before admission • All patients has to be detoxified of all substances before admission to the inpatient unit • This leads to different detox facilities and length of time which is discussed in the preparation phase. • Also possible with 5 days of alcohol testing/ urine samples before admission E.S.Hubbuck/A.Ekberg

  21. Group treatment at the inpatient unit • Mandatory group treatment 6 times per week • Monday: Mentalization/ psychodynamic based groups • Tuesday: Physical activity group and Mindfulness based group • Wednesday: Psychoeducational group with focus on psychological health • Thursday: Physical activity group • Friday: Psychoeducational group with focus on addiction, change process, high-risk situations, relapse • Also other, optional groups: Yoga, Physical activity, Art therapy E.S.Hubbuck/A.Ekberg

  22. Why group treatment? • People with addictions often have problems when it comes to healthy attachments • Group psychotherapy work both with the difficult relationships, and in them • Participants use each other to improve their understanding of their own and others mental processes -> improved relationships E.S.Hubbuck/A.Ekberg

  23. Why group treatment? • Patients in groups • Can get a sense of belonging and a installation of hope • Participate w/o use of substances in social setting which improves social skills and interpersonal functioning • Experience that some of their problems are universal • Get to help others in their treatment • Can learn from others mistakes and successes E.S.Hubbuck/A.Ekberg

  24. Individual treatment • All patients has an individual therapist assigned from the beginning • Patients are presented and discussed at team meetings which ensures that interdisciplinary aspects are taken into consideration • When necessary, team members with other backgrounds complement the individual therapist E.S.Hubbuck/A.Ekberg

  25. Individual treatment • In the treatment phase, family members including children are often invited • Contact is also established with the workplace • Termination date is set at the beginning and planning for life afterwards start already in the treatment planning stage • Individual therapists has different theoretical backgrounds and adapt to patients needs E.S.Hubbuck/A.Ekberg

  26. E.S.Hubbuck/A.Ekberg

  27. E.S.Hubbuck/A.Ekberg

  28. E.S.Hubbuck/A.Ekberg

  29. E.S.Hubbuck/A.Ekberg

More Related