T.C. as part of a care and treatment system Rehabilitation as part of the chain Ginette Hendriks.

T.C. as part of a care and treatment system

Rehabilitation as part of the chain

Ginette Hendriks

Introduction

Ginette Hendriks Head of one of the three

rehabilitation units from Addiction Care

North Netherlands (VNN). “The T.C. as part of a care and treatment

system”

About VNN, for addiction care in the northern part of the Netherlands

catchment area the North of Netherlands the three northern provinces approximately 1,5 million inhabitants treated prevalence is about 9.000 in 2006

* Inpatient 14 %* Daypatient 1 %* Outpatient 97 %

Types of care :1. Probation2. Prevention ( for example: prevention projects on

schools, information programs for teachers and parents)

3. Case management such as Assertive Community Treatment and our heroine project

4. Outpatient care5. Daypatient care 6. Inpatient care (for example: T.C and the inpatient

family treatment)7. Rehabilitation,sheltered homes and aftercare

About VNN, for addiction care in the northern part of the Netherlands

The chain of care“from front door to back door”

Assessment+ referral

OutpatientCare TC

Aftercare and

evaluation

Admission-Crisis-Detox

-Diagnosis-Motivational

treatment

Daypatientcare

Day/outpatientCare

Rehabilitation

(Work/Home

What’s happening after the TCRehabilitation starts

Types of rehabilitation:

Inpatient **/***

Different kinds of sheltered homes */****

Support and coaching at home */***

Outpatient */**

Chronic recidivism program ***

**** = intensity of sheltering * = 1 weekly conversation / contact

Some figures

• 14 beds inpatient rehabilitation• 8 beds sheltered homes */****• opiate 36%, cocaine 16%, alcohol 29% and other substance abuse 19%• mean age 38• female 29%• 20% drop out• more than 5 years addicted

Aantal BZW plekkenMiddelen gebruikGem. LeeftijdMan / vrouwUitstroom / uitvalDuur verslaving

Rehabilitation in a few statements

Patient centered Clients make their own treatment plan Minimally 1 conversation a week Each program has his own weekly group Groups on indication and voluntary like Social Juridical Groups, STEPPS, relapse prevention groups. (re)entry to work (every client works for 20 hours a week) Reintegration to work Coaching instead of treatment Relapse prevention and relapse management Every client joins a self-help group like the A.A or create their own Multidisciplinary team ( psychiatrist, systemic therapist, psycho therapist, reintegration worker, social juridical worker, coaches)

The don'ts in attitude

1. Do not advice ( they have to choose themselves)

2. Do not judge (they have to be there own judge)

3. Don’t take over the responsibility (they can en may make mistakes)

Aftercare

STEPPS program (VERS I) Stairways program (VERS II) 4 reunion days a year Regular and periodically screening Outpatient care Short Brake Bed E health Other

The pathway to rehabilitation

T.C.

Inpatient**/***

Shelteredhomes*/****

S & PAt home

*/***

Out and

Day pat.*/**

Chr. Rec. Progr

***

Aftercare

See YOU in 2009

I hope to see all of you in the Netherlands in 2009 ,when we will organize together with Parnassia the EFTC 2009.

Eyes on the Future