Agensi antidadah kebangsaan kementerian dalam negeri
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Demographic determinants of the drug abu
Drug-Treatment Clinic
The first stage for an addict seeking treatment is usually to register with an outpatient clinic. This is a clinic that is attached to a hospital and staffed by psychiatrists, social workers, nurses, and probably probation officers. Some clinics have day centres where the addict can spend a good deal of time. Patients may be referred for treatment by their general practitioner or other doctors or by a social worker, probation officer or another agency. Some refer themselves, although some clinics insist on a formal referral letter from another doctor. A probation officer may have clients who are drug dependants, who agree or are obliged to undergo treatment and rehabilitation as requirements of probation under the Criminal Justice Act 1991, 61 or as an additional requirement to his probation order imposed by the Courts under section 3(1) of the Powers of the Criminal Courts Act 1973. Even though the Criminal Justice Act 1991 introduced treatment and rehabilitation of drug offenders, their consent was still required. 62 The requirement for consent for community sentences for offences has, however, been removed by the Crime 6 0 ACMD (1996), Drug Misusers and the Criminal Justice System. Part 3: Drug Misusers and the Prison System - An Integrated Approach , at pg 15; See also Institute for the Study of Drug Dependence (1998), UK Trends and Update, in content 3.30 – www.isdd.co.uk/rends/. 6 1 As amended by Criminal Justice Act 1993, & supplemented by Criminal Justice and Public Order Act 1994. 6 2 Section 1A of the Powers of the Criminal Courts Act 1973. Drug Dependants’ Treatments and Rehabilitation : From the ‘Cold Turkey’ to ‘Hot Turkey’ 213 Dr Abdul Rani bin Kamarudin , m/s 193-226 (Sentence) Act 1997. Therefore, it is now by no means certain that any probationer receiving treatment as an outpatient under the terms of his license is a volunteer. All the outpatient centres may refer patients for in-patient treatment for withdrawal and for supportive treatment during acute episodes of their condition. The support of social work, occupational therapy, and other specialized departments of the hospital are equally available where in-patient treatment is given. Patients may be admitted into in-patient facilities for assessment, for stabilization of dosages, for detoxification and for treatment of the complications of drug dependence. They may remain in hospital for a period, which may be on or off drugs. In-patient detoxification is essential for those who are severely dependent on sedative hypnotic drugs because of the risks associated with their withdrawal. 63 If an addict wishes to come off all drugs, he will probably be admitted into an in-patient unit (although some addicts come on and off, on an outpatient basis). Once withdrawal is complete, the major task of encouragement to abstain from drugs commences. In this manner, treatment and rehabilitation become almost indistinguishable terms. A long period of after-care is inevitably necessary after the discharge because much of the work of treating the causes of addiction must be done outside hospitals. Co-operation between medical staffs, social workers and lay organizations is therefore crucial. Download 1.88 Mb. Do'stlaringiz bilan baham: |
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