Naruse Nobuya
Saitama Prefectural Psychiatric Hospital, 818-2 Komuro, Ina Kitaadachi-gun, Saitama 362-0806, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2009 Apr;44(2):63-77.
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.
在日本,药物依赖治疗仅侧重于戒毒和精神障碍,用于本研究的治疗设施有限。我针对此问题的提议是,通过让戒酒治疗病房接收药物依赖患者来改善这种情况。然而,药物依赖住院治疗存在以下问题:1. 大多数患者有暴力倾向。2. 患者治疗的积极性和持续性难以维持。3. 违规和偏差行为。4. 行为瓦解。5. 团体治疗的一致性紊乱。6. 缺乏专业资源。针对这些问题,我将介绍埼玉县精神病医院目前正在实践的一些技巧。其中一些要点包括:1. 入院前建立治疗关系。2. 入院前激发积极性。3. 入院前稳定精神状况。4. 就入院治疗达成解释和共识。5. 了解渴望阶段及其影响。6. 制定侧重于康复的计划。7. 营造鼓励参与戒酒和药物依赖团体的氛围。8. 保持尊重两个团体独特性的计划平衡。我真诚希望上述策略能为未来戒酒治疗设施接纳药物依赖患者创造机会。