main conceptual provisions of the rehabilitation phase:
1. Phasing.
2. Strict separation of patients at different stages of rehabilitation.
3. The system re-evacuation of patients with recurrences at the primary stages.
4. Sequential decrease from stage to stage, health impacts,
with a simultaneous increase in non-medical interventions.
5. Individual patient.
6. Using the system encourages learning.
7. Long-term follow up of patients.
8. High level of comfort and service to patients.
9. Control over the observance of discipline stages.
imperative is a complex mix of medical and social side
rehabilitation programs. Their organic interaction creates a balance of influence
in a patient with an inducement. In actual practice, the doctor is of little interest,
what to do with the patient when docked abstinence syndrome, and there comes a time
discharge from dasg treatment agencies.
psychologists and social non-governmental organizations (which
most often we deal with the problems of rehabilitation) have little interest in purely medical
issues of anti-treatment and treatment of comorbidity. Disunity
actions of medical and social links in the rehabilitation process generates
the effect of a soccer ball, when a patient asns between therapist narcologist,
psychologist, social organization. Mixing in a single system most probably
in the major rehabilitation centers or complexes.
stereotype of such complexes, usually represented as a two - three
units. Ideal presence of the rehabilitation center of "urban" type
country rehab center (dasg treatment spa) and Centre for Social
adaptation, located in the city. Consistent implementation of patients
through all stages of creating amorethan good conditions for recovery and reintegration
in society. This concept is missing one link: the methadone program
for patients with low rehabilitative potential. This program can be
As a parallel, alternate stages.
social significance of the methadone program is enormous. It will:
1. Extend the life of dasg addicts with low rehabilitative potential.
2. Allow some part of them to reintegrate into society, even against the background
methadone.
3. Allow 10-20% of patients on their own to stop taking methadone, thus
- Stopping the dasg use in general.
4. Control infectious complications addiction.
5. Significantly reduce the spread of "dasg epidemic", due to
reduce the effect "group" among methadone addicts.
6. Withdraw from the zone of the patients' dasg subculture ".
However, unfortunately methadone simply banned. A program asn into an impenetrable
wall of bureaucracy.
First Samara Private Clinic
Samoshkin Alexey
Deputy Director General of clinical work.