What is the AHS/AADAC Recovery Centre (ARC)? A voluntary detoxification program. 42 bed adult facility (14 female, 20 male, 6 acute beds)

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1 AHS/AADAC Recovery Centre (ARC): Detoxification Program April 9, 2009 Our Mission: Making a difference in people s lives by assisting to achieve freedom from the harmful effects of alcohol, other drugs, and gambling Our Vision: A healthy society free from the harmful effects of alcohol, other drugs, and gambling ARC Mandate: To provide stabilization, assessment, and referral services for individuals needing a safe and supportive environment during withdrawal What is the AHS/AADAC Recovery Centre (ARC)? A voluntary detoxification program 42 bed adult facility (14 female, 20 male, 6 acute beds) 3 ~ 7 day stabilization, assessment, and referral service Open 24 hours a day, 7 days a week, 365 days a year 3 1

2 Counseling Nurses ARC Support Structure: ARC is Informally known as Detox Treatment Team includes: Support Staff Physician Client Care Assistants (CCA), Nurses (RN/RPN) Physician(s) and Addiction Counselors Contracted Physician: visits for both current clients re: their myriad of needs, and previous clients who need a medical completed by a physician in order to attend 4 treatment Who needs DETOX? An individual who: is in active addiction who has recently been using requires stabilization who wishes to abstain from drugs and/or alcohol 5 Referral Process A Voluntary Program ~ Individuals must be willing to admit themselves to the program. Both phone and in-person referrals are typically booked through the Admission s Counselor. Potential clients should speak directly with ARC staff to discuss admission criteria based on individual client need. If the client is not in need of detox, they are encouraged to access appropriate community resources. 6 2

3 Client ARC Treatment Supports Access to Treatment Current drug of choice, emotional state, frequency/patterns of use and medical status are considerations for intake. Pregnant individuals and clients with a history of withdrawal seizures are given priority access to services. Calls for bookings commence at 0830 onwards. If an assessment is not immediately available, clients are welcome to leave a contact number or call to check in for cancellations. An interim safety plan is discussed if required. 7 Nursing Assessment The initial RN assessment consists of gathering an accurate medical history discerning areas of need, which may or may not be related to the client s substance abuse. The RN is then able to develop a treatment plan with the client, based on nursing diagnosis, and bring forward relevant info to the treatment team. Any outstanding medical issues are brought to the ARC physician s attention to be attended to during the stay at ARC 8 Life at ARC 1 Stabilization lasts for an average of three to seven days before discharge: Individuals blood pressure, pulse, cognitive state and other vital signs are monitored on a regular basis until withdrawal symptoms begin to subside; then are monitored once daily and as needed. Withdrawal monitoring tool: Withdrawal Assessment Form, which includes the Clinical Institute Withdrawal Assessment - Alcohol Revised (CIWA - Ar) is used to track withdrawal. 9 3

4 Life at ARC 2 Detoxing has many faces; individuals often suffer physical and psychological symptoms from substance abuse. Treatment is often symptomatic and can change frequently. Nurses follow standing medical orders for typical withdrawal symptoms and consult with the contracted physician to manage individuals if not responsive to standing protocols. Client Care Assistants (CCA) are available to help monitor clients well-being and are key motivational players in providing emotional and physical support while in treatment at ARC 10 Life at ARC 3 Each day there are two recovery focused groups facilitated by staff. Topics include: nutrition, finding support, communication, relapse prevention, process of recovery, effects on pregnancy, emotional awareness, medical and physical aspects of recovery and leisure. The 12-step community is highly involved with clients through several information sessions each week. Mon Fri: Evening groups are 12-step based, w/e sessions/meetings as well. 11 Role of a Counsellor at ARC AADAC Recovery Centre has addiction counsellors who meet with clients individually, complete an AADAC Adult Assessment Guide (AAAG) and together create a post-arc treatment plan. 12 4

5 AHS/AADAC Adult Assessment Guide (AAAG) The assessment s major considerations: Current patterns of use Major life area s influenced by addiction Concurrent Disorders Screen (CDS) Goals/plans for recovery 13 CDS An important section of the assessment is the Concurrent Disorders Screen (CDS). The screen asks questions around mental health and focuses on: depression, anxiety, anger, paranoia and fear possible history of suicidal ideations and attempts possible history of physical, emotional or sexual abuse or trauma As well as any previous involvement with mental health professionals. 14 Post ARC Treatment Plan All information acquired from the assessment, in combination with the client s goals and plans, is used to develop a comprehensive treatment plan. Treatment plans may incorporate multiple referrals to community agencies or treatment centres based on client needs and desired outcomes. 15 5

6 Case Scenarios: Potential Candidate for ARC Mother phones for daughter (basic info acquired). Daughter is requested to speak directly with ARC staff. Acquire client NAME & DOB Recent drug and/or Alcohol use history Use within last 7 days: beers daily x6 months Last used: today 0200 Suicidal Ideation: no Seizure history: Withdrawal related seizure 6 months ago when tried to detox on own. Nurse is informed and possibilities accommodate this client s needs are reviewed Bed shortage: Client will be referred to hospital until an opening is available Client informed to pack light, leave any electronics at home, and to bring in any prescribed medication 16 Case Scenarios: Not in Need Acquire client NAME & DOB Recent drug and/or Alcohol use history Use within last 7 days: Crack Cocaine 2 3 grams, 3x week Last used: 3 days ago Suicidal Ideation: no Seizure history: no Client will be referred to AHS/AADAC Adult Counseling for group work and to identify proper supports 17 AHS/AADAC Recovery Centre street Edmonton Alberta Important Numbers Karen Bergman: Treatment Supervisor Jordan Jahrig or Mary McCarthy: Admissions Counselors Facilitate Tours Shirley Travis RPN: Community Liaison Facilitate Tours AHS/AADAC Help Line: Ph:

7 Questions/Comments 19 Thank you for your participation For information about Telemental Health education sessions: (403) Initiatives Telemental Health Current Telelearning Sessions 11 7

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