Most patients who are admitted to the Intensive Treatment Clinic have serious psychological problems combined with intensive substance abuse. As a result, there is often a major absence of structure in the life of these patients. Given this fact, the stabilisation and improvement of psychological problems and efforts to stop a pattern of substance abuse are the first treatment objectives.
An important role is played here by the following: starting or adjusting the medication chosen to accompany treatment, offering patients a daily structure and limiting disruptive behaviour. This makes it possible to carry out additional diagnostics on a patient who is sober and ‘clean’ wherever possible. In the event of a double diagnosis problem (DD problem), patients will always benefit from the integrated treatment of psychiatry and addiction. If patients are able to cope with this, they will also receive psychotherapy or group therapy. When treatment ends, we will formulate a follow-up advice and actively work with the referring organisation to ensure that it is implemented. In general, patients stay at the Intensive Treatment Clinic for a period of between six months and two years.
The creation of meaningful daytime activities with the object of achieving resilience is an important treatment objective for the Intensive Treatment Clinic departments. In the residential groups, patients also learn to interact with others in a healthy manner. They take part in an activities programme that consists of: work, education, sport and creative activities. Patients also work on their problems in the counselling they receive from a psychotherapist, both in individual sessions and in a group context. Group therapy will focus on a theme or disorder, such as addiction, aggression or coping with psychotic symptoms.
Preparing for life after admission
When treatment is coming to an end, we will actively work towards the patient’s transfer to the follow-up facility and we will introduce supervised and unsupervised leave. At this stage, a great deal of consideration is given to contact with the network and the organisation of activities outside the hospital, such as registration with a sports club or voluntary work. We also prepare people for the greater freedom that they will have with other institutions or in supervised housing. During these processes, we will place great emphasis on protective factors.
Medication forms part of the treatment provided to many patients. For example, this is often the case for patients with psychotic disorders. However, medication may also play a supporting role where a patient has addiction problems or personality problems or as part of the treatment provided to sex offenders. As such, putting patients on medication and helping patients to take their medication without fail are important treatment objectives.
Working with chain partners
We work intensively with our network of regional chain partners, such as sheltered-accommodation and mental healthcare institutions, including SBWU and GGZ-Centraal both during and after treatment. We actively include the referring chain partner in the treatment provided. To ease the transition of patients to a follow-up institution and in order to absorb any (temporary) crises, we will always offer a re-admission guarantee.
Van der Hoeven Kliniek is onderdeel van De Forensische Zorgspecialisten