The triple project forensic psychiatric center glostrup copenhagen university hospital
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The ” Triple-project ” Forensic Psychiatric Center Glostrup Copenhagen University hospital. The Tripleproject ” – New Hampshire Model Mette Brandt-Christensen, MD, PhD, assistant professor Forensic Department, Psychiatric University Center Glostrup, Copenhagen.

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The triple project forensic psychiatric center glostrup copenhagen university hospital

The ”Triple-project”Forensic Psychiatric Center GlostrupCopenhagenUniversityhospital

The Tripleproject” – New Hampshire Model

Mette Brandt-Christensen, MD, PhD, assistant professor

Forensic Department,

Psychiatric University Center Glostrup, Copenhagen

Titel/beskrivelse (Sidehoved/fod)


Integrated treatment for dual disorder works does it also apply for triple disorder patients

Integrated treatment for dual disorder works – Does it also apply for “triple-disorder”-patients?

The Tripleproject” – New Hampshire Model

Mette Brandt-Christensen, MD, PhD, assistant professor

Forensic Department,

Psychiatric University Center Glostrup, Copenhagen

Titel/beskrivelse (Sidehoved/fod)


Triple disorder severe mental disorder substance abuse forensic status
Triple-disorder: Severe mental disorder Substance abuse Forensic status

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Developing the ”Triple”project – integrated treatmentfor Triple-disordercostum-fit – one size does not fit all

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The nhm program modified

Pre- consideration

Pre-engagement

END

OF

ABUSE

Consideration

Engagement

Relapse

Preparation

Maintenance

Relapseprevention

Action

Active treatment

The NHM – program modified

Stages of the integrated Triple-disorder treatment

– the Glostrup model

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Stages of care and treatment.Definitions and goals:Mueser, Kim, et al 2006 and Prochaska James O. et al 2008. Adapted by Retsbo, 2011

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Care and treatment – the stages of NHM in the”Triple-Project”Inspiration from: Mueser, Kim et al, 2006; modified by Retsbo, august, 2011

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Triple disorder treatment
Triple-disorder treatment

Goals:

Staff qualification program:

  • All employees (nursing staff and psychiatrists): 3 days seminar

  • 29 employees (nursing staff and psychiatrists): 4 days seminar followed by supervision sessions

    Assessment, care & treatment:

  • Screening of all patients for substance abuse

  • Stage-based care and treatment ad modum NHM

  • Compendium with detailed description of the care- & treatment program

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Triple disorder treatment1
Triple-disorder treatment

Hopes for the project:

Assessment, care & treatment

  • Experiencing increased quality of life

  • Reduction of drug consumption

  • Reduction of criminal activities

    Staff qualification program:

  • Change in attitude and more apprecitiavely approach towards tripple-disorder-patients

  • Increased job satisfaction

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Triple disorder treatment2
Triple-disorder treatment

Challenges:

  • A non-confronting and appreciative approach in all stages

  • Non-consulting approach to patient during the first two stages

  • Balancing efforts of harm-reduction and obligations towards judicial system

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Triple disorder treatment3
Triple-disorder treatment

Project ends autumn 2012:

  • Evaluation of selected out-come target from the NHM program (ASI-data, including patients´ experience of QoL)

  • Evaluation of staff qualification-program

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Integrated treatment for triple disorder
Integrated treatment for Triple-disorder

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Integrated treatment for triple disorder1
Integrated treatment for Triple-disorder

Titel/beskrivelse (Sidehoved/fod)


Integrated treatment for triple disorder2
Integrated treatment for Triple-disorder

Thank you for your attention!

Contact: Email: [email protected]

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