Adamson T A, Akindele M O
Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria.
West Afr J Med. 1994 Apr-Jun;13(2):105-8.
A new programme for the treatment of alcohol and drug dependence at the Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria is based on the modified Minnesota/Therapeutic Community model. It therefore incorporates the disease concept of drug dependence and the 12-steps of Alcoholic Anonymous (AA). Chores and responsibilities are shared by all while learning experiences/sanctions are meted out for rule contravention. Most of the patients seen were forcibly brought by relatives, they were all males and polydrug abusers with no appreciable withdrawal symptoms during detoxification phase of the programme. About a third completed the treatment schedule. A sharp drop in abscondence rate was observed with the introduction of spiritual therapy. Experience showed that the patients had difficulty in conforming to rigid rules and staff had problems in coping with some of the complex issues of drug management.
尼日利亚阿贝奥库塔阿罗神经精神病医院的一项针对酒精和药物依赖的新治疗方案，是基于改良后的明尼苏达/治疗社区模式。因此，该方案纳入了药物依赖的疾病概念以及戒酒互助会（AA）的12步戒酒法。所有人共同分担杂务和责任，同时对违反规则的行为给予学习体验/处罚。大多数前来就诊的患者是被亲属强行带来的，他们均为男性且滥用多种药物，在该方案的戒毒阶段没有明显的戒断症状。约三分之一的患者完成了治疗计划。引入精神疗法后，逃跑率大幅下降。经验表明，患者难以遵守严格的规则，工作人员在应对药物管理的一些复杂问题时也存在困难。
