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Safe Hospital Program
Novel 5-Step Program
for Substance Abuse
Tien-Yu Chen, MD Psychiatrist, Tri-Service General Hospital
Neihu Safety and Health Promotion
Association, Taipei
22nd International Conference on Safe Community
Global Burden of
Disease Study 2013
Substance absuers
Related to disability
Violence and crimes
Trouble makers
Safe Hospital
High recurrent rate
Not easy to follow
Stress for staffs
High recurrent rate
Novel 5-step program (2011~2013)
Education
Comprehensive Tx
Not easy to follow Integrating different
institutes
Stress for staffs Case manage
Safe environment
Pics from Noun Project
Share Knowledge
Schools & Army
Specific Protection
75 Speeches and
8063 Participants (2011~2013)
Primary Prevention
Health Promotion
Tertiary Prevention
Minimize permanent disability
Comprehensive treatment
1436 referral; 624 admission (2011~2013)
Quaternary Prevention
1352 referral (2011~2013)
Prevent addictive drugs reuse
Specialists in detention center
Quinary Prevention
Prevent violence and crimes
Integrating different institutes
Individual case management
Primary Prevention
(Lectures in Community)
Need for substance screen
Secondary Prevention
(Hospital Lab)
Treatment Center for
Drug and Alcohol Addiction
Treatment Center for
Drug and Alcohol Addiction
Tertiary
Prevention
Detention
Center
Community
Meeting
Medical &
Mental Care
Quaternary
Prevention
Quinary
Prevention
Minimize
Disability
Prevent
Re-use
Case
Management
0
100
200
300
400
500
600
700
800
Pre-Treat 2 weeks 4 weeks 6 weeks 8 weeks 12 weeks
mg/Day
Alcohol Consumption
Case Management can
Decrease alcohol usage
690
268
118
195
52 30
N=36
Discharge from hospital
0
1000
2000
3000
4000
5000
6000
7000
Pre-Treat 2 weeks 4 weeks 6 weeks 8 weeks 12 weeks
NTD/Day
Money to Buy Heroin
Case Management can
Decrease heroin usage
6150
3840
1640
1050 840 440
N=23
2014 Government Service Quality Award 2013 Symbol of National Quality
*What’s the next step?
Pics from Noun Project
More More More
*Case management
*Integrating different institutes *Enhance community safety
Novel 5-Step Program For Substance Abuse
Thank You !
Tien-Yu Chen, MD [email protected]