A five day opiate withdrawal programme gives general and mental health nurses the opportunity to help people turn their lives aroundCygnet’s unique approach to detox transforms lives
assessed to ensure they have appropriate
time for patients to take naltrexone because
support in place and that they will not be
it gets them through all the good and bad
returning to an environment where they are
opiates have something awful in their past
so it is important to give them this support,”
home that they share with other drug users
eNTAl heAlTh cAre Acute mental health care services support
people with a wide range of mental health problems, many of whom live with longstanding conditions either independently or with support from community mental health services. Such people occasionally experience crises and require admission for inpatient care to
naltrexone implant, which releases the drug
stabilise them. In many cases a admission
referred directly from their GP, although
for a short period is enough to resolve the
“Since the first three months are the most
crisis and enable them to return home.
difficult for patients, an implant can take
privately funded as government policy on
pressure off their relationship with their
supervisor,” explains Sharon. “These
health treatment and associated services.
rather than detoxification over the past few
AcuTe M The company has a range of facilities across years. The current government appears
fraught, especially if the supervisor has been
the country offering a broad spectrum of
more interested in detoxification, and if this
coping with the patient’s drug use for years,
mental healthcare. Its hospital in Harrogate
translates into policy change there may be
has a 19-bed acute admissions unit offering
medication on a daily basis can add to the
standard acute care similar to that seen
However, the hospital also offers a unique
for a comfortable way of withdrawing from
programme and patients’ medical needs the
service to people who are addicted to heroin
or other opiates. Its 14-bed Detox 5 centre
“It real y is so rewarding – it’s a numbers of general and mental health
nurses, and is looking to recruit more of
great feeling when your
both groups to its team. In order to work on
through an inpatient treatment programme
patients achieve al their
and willing to give people another chance.
objectives in only a week”
The unit not only offers nurses a unique
setting and treatment programme, but also
opiates. They are lightly sedated for the first
the opportunity to pick up skills they are
clinical director at the hospital, says the
few days, so they sleep for much of what is
usually the most physically difficult time.
combination of mental health and general
“We liaise with the patient’s family, GP
They also receive symptomatic relief such as
pain control and drugs to combat nausea,
appropriate,” she explains. “The assessment
and are closely monitored to ensure they
looks at the patient’s physical and mental
health to check they are well enough to go
through the programme, but we also assess
years ago after working in burns and plastic
them psychologically to be sure that they are
evening, when they are able to socialise.
surgery. She is passionate about the service
They are also allowed to make phone calls
Patients’ social circumstances are also
from a pre-approved list of contacts. These
“It’s a quite unique place,” she says. “It
measures are important to prevent patients
really turns people’s lives round, and the
from discussing their drug use with each
cards and letters we receive really show that.
services offered by cygnet
other or contacting drug-related contacts
It really is rewarding – especially when you
The company offers a range of services
outside. For the same reason the unit does
including:
not accept patients from the same post code
addiction for 20 or 30 years. It’s also a great
l Addiction treatment
feeling when your patients achieve all their
l Private psychiatry
l Counsel ing and therapy
“We see patients from all walks of life – a
l Low secure rehabilitation
naltrexone, an opiate blocker that will rid
lot of them are quite high fliers who came to
their body of any remaining opiates. The
heroin via cocaine. The most heartbreaking
l Medium secure care
drug also blocks the euphoria associated
to me are the ones who are in their thirties
l Psychiatric intensive care .nursingtimesjobs.com/alerts
with opiate use, so they continue to take the
and took heroin for six months in their late
l Borderline personality disorder care
drug for a year after discharge. The drug is
l Eating disorder treatment
administered by a “supervisor” - this may
getting off the methadone they have been
l Autism services
be a family member or friend who agrees to
prescribed ever since. Those people could
l Elderly mental health care
support the patient through the year.
have been through detox so long ago, so it
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“We believe a year is the right amount of
Nursing Times 14 September Vol 106 No 36 www.nursingtimes.net
Maladie inflammatoires de l’intestin (Colitis ulcerosa / M. Crohn) et emploi de la thérapie BEMER Les maladies inflammatoires chroniques de l’intestin sont en augmentation et enveniment la vie de nombreuses personnes. Malgré de recherches intenses, leurs causes restent encore très mal identifiées. La colite est une inflammation du gros intestin (colon) ; lorsque des ulcères se