Mandatory document to be completed by trainee for whom the traineeship is Research of a Good Practice (GP) (see form 1.

Transcription

1 Mandatory document to be completed by trainee for whom the traineeship is Research of a Good Practice (GP) (see form 1.b Objectives ) 3d: Good Practice 1 month after return, the trainee has to send this document back to his/her ECEtt helpdesk. DESCRIPTION 1. Name of the Good Practice (title + year) : COD center for observation and diagnosis 2. General objective of the Good Practice: drug rehabilitation, diagnosis, 3. Name of the Host institution: CEIS centro intaliano de solidarita 4. City: Modena Country: Italy 5. Name and of the contact person in the host institution: 6. Author of GP(name of the trainee who described the GP) : 7. Dates of the traineeship: Topic to which the Good Practice is related (underline or specify): Commu nity as method Networking Prevention Research Staff management Target groups Other: 9. Reason for choosing this GP : 10. Description of the GP (max 500 words): COD is a place working in the Therapeutic community method. As any TC strict daily routine is established and there is a set of base rules. It s a institution where people with addiction to drugs go after firs contact. In COD they can make a detox after medical examinations. In COD clients can stay up to 3 months during witch they behavior is observed, they are subjected to various psychological test and are examined by a psychiatrist trained in the field of addiction and TC. The aim of this extensive observation and evaluation is to gather information on the client, determine if he has special needs and start to create a planning for his future rehabilitation. A very important task is to establish a credible psychiatric diagnosis, if there is one, and after the detoxification period is ended. MMPI test is administrated and several clinical interviews took place. The program includes group and individual sessions as well as psychodrama, the objective of the group work is for the clients to get familiar with the lifestyle in the TC, and resolving conflicts. The groups have more educational approach, rather than therapeutic All clients of the center have case managers, together they resolve problems and create and individual planning for rehabilitation. The main objectives of COD are for the client to get to a safe environment, stop taking drugs, cure they abstinence, if there is one, and consider the possibilities for future rehabilitation there are several options: Undertake the rehabilitation process in a therapeutic community that can last up to 2 years. In this case, client is presented with the needed information about the rehabilitation process, contacts with the welcoming TC are established and the future case manager and client get acquainted. A decision can be made, that the client is not suitable for a drug free rehabilitation and methadone is prescribed. The medicine can be taken in ambulatory condition or reducing schema is prescribed in the case when the client decide to continue his treatment in TC. Some clients discontinue they treatment after the 3 mounts stay in COD, or quit after the detox is made. One of the advantages that COD offers is the familiarization in the rehabilitation of drug addiction, and giving information and direction for continuing the treatment in the best possible way for every client. It s a short program in the method of therapeutic community, where client can ameliorate they condition, receive information about existing

2 treatment possibilities, get a need assessment, and be directed towards the best possible treatment available to them. 10. Description of target group: drug abusers in active use. 11. Skills involved for the staff: expertise in the TC method, evaluations, test administration and interpretation, clinical interview skills. 12. Resources needed to implement the GP (human, technical and other): team trained in the therapeutic community method for drug addiction rehabilitation. 13. External conditions needed to implement the GP: 14. Risks related to the implementation of the GP: Not establishing a god network with other institution for rehabilitation. 15. Expected results of the GP for the clients (or staff): Clients better prepared for the treatment, fewer drop-outs. 16. Can the GP be measured? What can be the indicators? no 17. Theoretical references or documentation about GP: 18. Web link about the GP: 19. Pictures:

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5 21. Notes: CRITICAL REFLECTION 22. Why is it a good practice? Compare with your previous practice (max 200 words). It`s a good practice because it benefits the clients, and permit better understanding of they problems and need of treatment. It permits for enough time to be spend with the clients for and adequate evaluation to be made. The client are prepared for what lays ahead in they treatment and rehabilitation therefore there are less dropouts, and resistance to treatment. Medical needs are addressed in time, and under observation. 23. What might be the added values for your clients (or your staff)? Better understanding of the needs of each client, less dropouts. 24. Which elements of the GP are transferable to your own work? The evaluation and observation phase, and the exams by psychiatrist. 25. Which elements of the GP are impossible to transfer to your own work? To have a separate building and a team 26. Would you suggest to your organization to implement the GP?

6 Some aspects of it. APPROVAL BY THE HOST 27. Did you submit your description to your host? yes/no 28. Did you receive his/her agreement (i.e. he/she confirms that there are no major errors in the description of the GP)? yes/no