[Patients with drug dependence can be treated in a ward for alcohol dependence on certain conditions].
The treatment for drug dependence in Japan only focuses on detoxification and psychotic disorders, treatment facilities for this study are limited. My proposal for this problem is to improve this situation by having the alcohol treatment ward accept the drug dependency patients. However, drug dependency in-patient treatment has the following concerns, 1. Most patients have tendencies of violence. 2. Motivation and continuation of treatment by the patient is difficult. 3. Breaking rules and deviational conduct. 4. Disintegration of conduct. 5. Disorder of uniformity of group treatment. 6. Lack of specialized resources. In a response to these problems, I am presenting some techniques now on practice at Saitama Prefecture Psychiatric Hospital. Some of these important points are, 1. Building a treatment relationship before admission. 2. Establishing motivation before admission. 3. Stabilization of mental condition before admission. 4. Establishing an explanation and consensus about admission treatment. 5. Knowledge of the craving phase stage and its effects. 6. Devise the program to focus on recovery.7. Create an atmosphere to encourage participation in alcohol and drug dependency groups. 8. Preserve the balance of the program which respects the originality of both groups. I sincerely hope that the above devises will allow the opportunity for the alcohol treatment facilities to open up to the drug dependent patients in the future.
Naruse
Nobuya
N
Saitama Prefectural Psychiatric Hospital, 818-2 Komuro, Ina Kitaadachi-gun, Saitama 362-0806, Japan.
D000437:Alcoholism / Q000628:therapy*; D006757:Hospital Units; D006760:Hospitalization; D006801:Humans; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*