| Objective of the Project |
The project aims to implement, from the very beginning of hospitalization, a complex, differentiated and comprehensive system of care, which will allow fundamental changes in the manner of addicted patient’s progress through treatment and at the same time allow modification of care for patients who remain disadvantaged (for instance in case of simultaneous dual psychiatric diagnosis). The said changes include: at present time, the addicted patients undergo initial detoxification and then a long-term hospitalization / residency programme of 4 – 18 months, all clients with carious needs are offered with almost identical structure of care without taking account of their specific needs and capacities. By creation of a centre for extensive and differentiated addictology care, diagnostics and detoxification“(hereinafter the “Centre”) we will create conditions for initial stabilization of the patients in more than one problem areas simultaneously, provide complex diagnosis of is or her needs and potential and in cooperation with the patient define more precisely the differentiated care he or she may need and respond to (whether out-patient, community or hospitalization). The Sanatorium has client all over the country, cooperates with all facilities providing serious care to this type of patient and therefore the impact will be country-wide.
The individual objectives include:
• extending the spectrum of therapeutic activities and providing complex therapy – new premises will be modified to allow building up the programme in complex manner, so that the mutually interlinked interventions affect simultaneously the mental health, physical fitness, social stabilization, preparation for release and improving competences of the client by involving them in treatment more.
• shortening the time patients are hospitalized and speeding up the process of their return into civil life – the extended, complex programme of the Centre will aim to ensure that at the end of the programme the patient will be stabilized in basic areas and competent to make the decision on the form of subsequent therapeutic programme, i.e. to continue in therapy at his home address. The more complex focus of therapeutic interventions should reduce the number of relapses in patients who interrupt programme themselves early.
• extending alternative therapeutic processes from hospitalization to community and out-patient care – a significant change will be creation of alternatives to the current dominant therapy involving “detox + treatment“ for example in the form of detox + outpatient care, detox + therapeutic community or detox + mental health centre.
• preparation for the future system and different progress of patient trough care – anticipated change in psychiatric services involves focus on outpatient and community care. New Centre will address these needs and create room for client stabilization without the need for direct care in the psychiatric sanatorium.
• Providing alternative to long-term care by making it available to those clients, for whom the long-term nature of hospitalization was a barrier they could not overcome.
• The new Centre is designed to operatively provide individual programmes according to specific needs of clients: for example for clients looking after children, clients having additional psychiatric diagnosis etc.
• Minimization or patient stigmatization – the new Centre will replace the present closed detox, where the patients are treated during this initial phase of treatment as incompetent, irrational and without motivation and information about the extent of their problems. The closed-in nature of the ward, the limited contact with outside worlds and the control over patients and their resulting passive role at least increase any shortcomings in competency and internal stigma. Programme provided in the new Centre will be adjusted so that it offers, after the post-acute phase, an open treatment and strengthen cooperation of the client to maximum.
The concrete activities of the project include reconstruction of premises in Pavilion C (construction work), equipment of premises and preparation of the qualified staff for the new methods of work with patients (primarily improving qualification and additional staff).
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