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The ” Triple-project ” Forensic Psychiatric Center Glostrup Copenhagen University hospital

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

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  1. 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)

  2. 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)

  3. Triple-disorder: Severe mental disorder Substance abuse Forensic status Titel/beskrivelse (Sidehoved/fod)

  4. Developing the ”Triple”project – integrated treatmentfor Triple-disordercostum-fit – one size does not fit all Titel/beskrivelse (Sidehoved/fod)

  5. 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 Titel/beskrivelse (Sidehoved/fod)

  6. Stages of care and treatment.Definitions and goals:Mueser, Kim, et al 2006 and Prochaska James O. et al 2008. Adapted by Retsbo, 2011 Titel/beskrivelse (Sidehoved/fod)

  7. Care and treatment – the stages of NHM in the”Triple-Project”Inspiration from: Mueser, Kim et al, 2006; modified by Retsbo, august, 2011 Titel/beskrivelse (Sidehoved/fod)

  8. 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 Titel/beskrivelse (Sidehoved/fod)

  9. 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 Titel/beskrivelse (Sidehoved/fod)

  10. 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 Titel/beskrivelse (Sidehoved/fod)

  11. 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 Titel/beskrivelse (Sidehoved/fod)

  12. Integrated treatment for Triple-disorder Titel/beskrivelse (Sidehoved/fod)

  13. Integrated treatment for Triple-disorder Titel/beskrivelse (Sidehoved/fod)

  14. Integrated treatment for Triple-disorder Thank you for your attention! Contact: Email: Lisbeth.Henningsen.Retsbo@regionh.dk Titel/beskrivelse (Sidehoved/fod)

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