In the center of the new concept of rehabilitation is patient with his numerous medical, psychological and social problems.
Interaction psychiatrist-psychiatrist, psychotherapist, clinical psychologist and a social worker in the process of treatment and rehabilitation.
Brigadier work method combines the efforts of specialists in the development and implementation of positive personal and social resources the patients.
This principle emphasizes the interrelationship of biological and psychosocial methods of work with patients. Methods aimed at restoring the health of patients and their return to the family and society.
Continuity implies serialthe transition from health to health and psychological and further - to the psychosocial interventions in the treatment and rehabilitation. The work begins with the patient in the inpatient (hospital, office, day care, night dispensary) and continues in rehabilitation centers, therapeutic communities, or in an outpatient rehabilitation departments (offices).
This principle assumes a long controlpsychophysical condition and social status of patients (at least 3-5 years). Alcoholics are at a dispensary in the regional drug treatment clinic for 3 years.
In the first two years of remission of the condition of patientsIt remains fragile and largely determined by the impairment of memory and intelligence, decrease the moral and ethical standards, organic lesion of the central nervous system, violation of the interaction with society, an increased tendency to anti-social acts, pronounced attraction to alcohol.
This principle implies close cooperation of patients with a variety of governmental, public and private entities.
Only in this case, they may be providedFull support on the return to society. The latter includes the acquisition of the profession, job, studies, obtaining housing, pensions, legal protection.
The primary level of trust of the patient based on the conviction of the need for time to seek medical help and confidence that help doctors and disease alleviated.
The secondary level of confidence is determinedDirect contact with specific doctors, psychologists, social workers. Trust is determined by their appearance, demeanor, to express their thoughts, speech culture, ethics behavior; quality medical and rehabilitation environment (the material basis of medical or rehabilitation institutions).
Tertiary level of confidence is determinedconcrete improvements in the patient's condition had withdrawal symptoms disappear (alcohol withdrawal), reduces the craving for alcohol, it feels better. The patient is trained to resist disease, it is involved in normal human relationships, school, work. Treatment and rehabilitation process is not only clear and important, but also productive.
Typically, the recovery stages are expressedall three levels of confidence, however, in cases of acute illness, especially when resuming craving for alcohol patients partially lose their trust in the capabilities of medicine.
The use of medical and psychosocialtechniques brigade method of work is only possible in the case of a genuine partnership with the patient. Otherwise, positive results not only occur, but develops quite the opposite phenomenon - antagonism.
The cooperation can be sustained andproductive in the presence of basic conditions, such as: 1) high enough motivation for patients to participate in treatment and rehabilitation, 2) highly qualified personnel and adherence to "brigadier" principle, 3) high quality treatment and rehabilitation of the environment.
For groups of psychological support include: "AA" - Alcoholics Anonymous, "Al-Anon" - relatives of alcoholics, "Alateen" - children of alcoholics.
This principle is very important, asIt promotes formation among patients with active helpers rehabilitation process. Persons who are in stable remission, patients are to a certain standard of showing the reality of recovery. They trust them willingly advice, but at the same time test their strength remission and their level of social adaptation.
Authority consultants earn morelabor, abstaining from alcohol is a "matter of honor." Many consultants for life held in this status and become stable "immunity" against relapse.
It is important in the treatment and rehabilitation processis a psychotherapy and psycho work with family members of patients and other relevant parties, helping to normalize the relations within the family, to prevent recurrence of the disease, to stabilize the social status of the patients.
treatment and rehabilitation system should be open and accessible to anyone who wants to get rid of his illness.
The media, hotlinesavailable to the public, patients and their families with real information about the effectiveness of treatment and rehabilitation, new technologies and on how to return the patients into society.
"Fundamentals of Health Protection Legislation" (1993) eliminate discrimination against patients with alcoholism, which have equal rights with all other patients.
They have the right to receive information about theirhealth, the right to free consent to medical intervention and can be waived, to preserve the secrets of the diagnosis, for the use of law enforcement services (lawyers, judges), the creation of associations to address substance abuse problems. openness strategy, democracy, legitimacy enhances the effectiveness of treatment.
It is based on the identification of specific biological,psychological and social features of the patient, which depends on its internal resources on the one hand, and factors that trigger a relapse - on the other hand.
These features include: comorbidities, type of personality and character features of the patient, his family specificity. Knowledge of these features would greatly improve the quality of treatment and rehabilitation and to avoid the recurrence of the disease.