o.s. Prev-Centrum | Prev-Centrum, NGO Counselling Centre for Youngsters and Families

o.s. Prev-Centrum

Out-patient Treatment

		SERVICES Out-patient Counselling and Therapeutic Services for Addictive Substance Users: - the first contact - assessment - anonymous counselling service - pre-treatment and motivational counselling - buprenorphine substitution treatment – psycho-social component of the programme - after-care - supported employment Out-patient Counselling and Therapeutic Services for Families in Difficulties: - counselling services for parents and relatives of drug users, experimenters, and children or adolescents in at-risk environments - family therapy and counselling

TARGET GROUP - children and youngsters experimenting with addictive substances - adolescents and young adults abusing addictive substances - people with addictive substance dependence - clients of Buprenorphine (Subutex, Suboxone) substitution treatment - people abstaining after out-patient or in-patient therapy (including unfinished therapy) - families, parents, extended family members, and other close relations of the user - families with problems connected with risk behaviour of a child (truancy, theft, chicane etc.)		Education for Professionals Offering Psycho-Social Services course of family counselling open interdisciplinary seminars Telephone/Internet Information Service and Counselling telephone no.: +420 233 355 459 +420 777 161 138 information service and e-counselling: www.prevcentrum.cz

STAFF PROFESSIONAL TEAM: counsellor/therapist: education: Charles University – Faculty of Education; psychotherapy training SUR (community dynamic group psychotherapy), systemic family therapy of psychosomatic diseases. psychologist: education: Charles University – Philosophical Faculty; psychotherapy training: systemic family therapy of psychosomatic diseases; training in community dynamic group psychotherapy. psychologist: education: Palackeho University Olomouc –Philosophical Faculty; psychotherapy training: psychotherapy training SUR (community dynamic group psychotherapy) social worker/counsellor: education: University of South Bohemia – Psychosocial Faculty; training: crises intervention etc. social worker/counsellor: education: Faculty of Humanities of the Charles University, Medical Faculty of the Charles University; psychotherapy training – systemic family therapy of psychosomatic diseases. psychiatrist: education: Medical Faculty of the Charles University, psychotherapy training: systemic family therapy of psychosomatic diseases. EXTERNAL CO-OPERATOR MUDr. Zuzana Skodova – health service and counselling, prescription of substitution medication Guarantor of the buprenorphine substitution programme: MUDr. Zuzana Skodova Supervisor of individual psychotherapy and group work: MUDr. Richard Zajic Supervisor of family therapy: PhDr. Alena Palousova Team supervisor: PhDr. Veronika Cermakova		CO-OPERATING ORGANISATIONS Co-operation within Prev-Centrum, NGO: Primary Prevention Programmes, Prev-Centrum, NGO Low-threshold Services, Prev-centrum, NGO Co-operation with specialised facilities: Dr. Vratislav Rehak, hepatologist Dr. Zuzana Skodova, GP A-T office, Prague 6 K-centrum Sananim FN Motol, infectious-disease ward of the hospital Dr. Alena Palousova, clinical psychologist Detoxification Centre for Children and Adolescents, Pod Petrinem In-patient care, therapeutic communities and others Co-operation with local and state administration: Social Care Departments Probation and Mediation Service Co-operation with other institutions in the field of professional education FUNDING Government´s Council for Drug Policy Co-Ordination Prague City Council Ministry of Social Affairs Prev-Centrum´s own financial participation Prague 6 Administration European Social Fund

CONTACT Address: Meziškolská 1120/2, 169 00 Praha 6 tel./fax: +420 233 355 459, +420 777 161 138 e-mail: poradna@prevcentrum.cz web: www.prevcentrum.cz		OPENING HOURS Monday: 8.30 – 17.30 Tuesday: 8.30 – 17.30 Wednesday: 8.30 – 17.30 Thursday: 8.30 – 17.30 Friday: 8.30 – 16.00

BUPRENORPHINE SUBSTITUTION PROGRAMME Structure of the Programme (Main Principles): - high threshold - prescription of buprenorphine under the condition of regular attendance to the centre - relatively fast lowering of the dosages with the objective of stabilization on very low dosages / abstinence - systematic care – holistic approach (employment services, social counselling, intensive co-operation with physicians etc.) - group psychotherapy for clients on very low dosages of buprenorphine Phases of the Programme – Main Characteristics Phase 0 – Introductory Phase (4 weeks) Procedure: aproxx. 4 - 8 sessions Objectives: verifying client's indication for the programme and provision of legal buprenorphine (on prescription) Phase I – Motivational Phase (3 months) Procedure: case management, individual planning, motivational group (once a week), one-to-one sessions (once a month) Objectives: stabilising client's situation Phase II – Therapeutic Phase (3 - 12 months) Procedure: individual case management meetings / individual psychotherapy Objectives: client's abstinence from illicit substances, starting changes in client's lives – relationships, free time, lowering the dosages of substitution Phase III – Individual Psychotherapy (6 - 12 months) Procedure: individual psychotherapy (once a week), guarantor sessions Objectives: client's abstinence from illicit substances, further lowering the dosages of substitution, changes in client's life style towards peaceful life in abstinence Phase IV – After Care (3 - 12 months) Procedure: one-to-one sessions Objectives: maintaining client's abstinence; changes in client's life style ADDITIONAL SERVICES - CHARACTERISTIC Social Counselling - counselling of social-law and labour-law problems - stabilisation of client's social situation Supported employment - support and help in finding a job or training - social work, labour law counselling, carrier counselling, co-operation with employers, financial benefits etc. CO-OPERATION WITH PHYSICIANS: - information exchange concerning clients' attendance and other substantial circumstances - prescribing buprenorphine for relatively short periods of time (1 week) – at least in the beginning of the programme - regular contact with a client - individual plan – planned decrease of dosages; the date of planned ending of the programme - informing about changes in client's individual plan - prescription of buprenorphine after a least one meetings with a counsellor in the centre and on the basis of therapeutic contract - pause in prescription ("stop") in case of breaking the rules of the programme TRENDS: - prescription of buprenorphine and lowering its dosages is just one part of the whole therapeutic process - objectives change in respect to the phase of the programme – harm-reduction in the beginning; psychotherapy and social rehabilitation in later phases - importance of social re-integration - working with partners – users - the question of timing – when are the clients ready to abstain? -> Maintenance phase on very low dosages (around 2mg buprenorphine a day)