Table 1 BCMHA recovery and clinical pathway model
Treatment | Goals | Treatment elements |
|---|---|---|
Recovery 1 (20–40 days) | • Complete the withdrawal management process | • Medication treatment by psychiatrists and GPs. One-to-one sessions with psychiatrists and counsellors. |
• Stabilize all medical and psychiatric disorders | ||
• Stabilize sleep patterns | • Complimentary therapies e.g. | |
• Reduce behavioural and emotional instability | • acupuncture and yoga. | |
• Group programs include: Motivational Enhancement, Anger Management, Early Recovery - Substances (Matrix), Early Recovery - Mental Health, Emotional Boot Camp (introductory), Life Skills, Talking Circle. | ||
• Introduce a range of healthy habits | ||
• Prepare residents to participate in structured educational, therapeutic, and recreational activities | ||
• Recreational activities | ||
Recovery 2 (90–180 days) | • Provide clients with a basic understanding of the nature of addiction and mental health problems | • Continued medical follow-up, therapy sessions and complimentary therapies. |
• Teach clients techniques for self- managing emotions and behaviours | • Group programs include: Emotional Bootcamp, Anger Management, Seeking Safety, Cognitive Behavioural Therapy (for psychosis and affective disorders), Emotional Boot Camp, Mindfulness, Relapse Prevention (Matrix), Living Free, Life Skills, Talking Circle, Stages of Change, | |
• Allow clients to explore a range of creative and recreational activities | ||
• Introduce clients to techniques for managing substance use and mental health problems | ||
• Work on developing a personal strengths inventory | ||
• Hep C treatment group. | ||
• Recreational activities and Art therapy | ||
Recovery 3 (40–60 days) | • Identify a secure housing situation | • Continuation of Recovery 2 programs as well as Life Management, Stepping Up and Stepping Out. |
• Establish a financial and vocational plan | ||
• Connecting the client with community organizations and resources, including connecting clients with the Ministry of Housing and Income Assistance (former MIEA) and other providers | ||
• Community activity and involvement is supported. | ||
• Self-medication plans initiated. | ||
• Developing and implementing a relapse prevention plan, including connections with treatment providers in the community as appropriate |