For a group of long-term and often ill patient drug treatment profile characterized by medical problems caused by the severity of the underlying disease, its complications and consequences; possible at the same time dependence on a few surfactants. Often characterized by a pathological adaptation to the disease, the absence of pronounced therapeutic settings, there may be a growing secondary social exclusion and social co-dependence in the near microenvironment, and the emergence of legal problems due to drug abuse and involvement in pathology treatment.
Features of medical and social work with this group of customers – Providing support for specific long-term treatment in optimum conditions, solving the problems of definition of disability and disability, marital counseling and family therapy, identifying potential problems and their prevention, promoting the inclusion of the work of therapeutic communities.
Working with a group of patients with substance abuse profile, who had significant social problems, experts consider the severity of substance abuse disorders, often accompanied by comorbid psychiatric and personality disorders, antisocial attitudes, analyze social maladjustment in one or more phases of social functioning, criminal history, the passage of compulsory treatment in the past and current legal problems.
Features of medical and social work with this client group – identifying patient unfavorable ambient contingent and its recovery, person-centered psychotherapy, psychic self-regulation, facilitation of drug treatment and rehabilitation in terms of optimizing the social status (therapeutic communities, support groups), integrated assessment social status and warning of potential problems, assist in solving financial problems the patient through the implementation of its own potential (in particular, vocational training and employment). Legal assistance, along with the legal advice is aimed at the prevention of socially dangerous actions, cooperation with law enforcement agencies and others
A specific group are people with disabilities, and disability in this case is not installed on the underlying disease profile of substance abuse, and on its complications and comorbidities. This is due to the lack of criteria for determining the severity of substance dependence. For this group of patients is characterized by a heavy and diverse pathology, accompanied by the loss of ability to work in one degree or another, in connection with which they are constantly in need of treatment and medical supervision. Degradation of the individual, reduced intellectual level, pathological adaptation to illness, severe psychological dependence on psychoactive substances are responsible for the occurrence of psychological problems. Typically, social exclusion disabled manifested in many areas – micro social, family and work, there is need for social care. Some patients have a history of criminal or legal problems, characterized by economic dependence and material poverty.
The problems listed above determine the direction of health and social work with this group of patients: assistance in obtaining assistance in connection with the disease profile of substance abuse and disease, which is a cause of disability, prevention of relapse and recurrence of the disease, assistance in passing the medical and social assessment, family counseling and family therapy , ensuring a safe social microenvironment, solution of problems of employment (recovery professional development, promoting the retraining regime change and the nature of work), assists in obtaining pensions, social benefits and payments, assistance in solving housing problems, including placing these patients in special hostels or boarding. Legal assistance to such customers – it’s part in the determination of capacity, in a possible guardianship, assistance in exercising their parental functions, if necessary, monitoring adherence to the administrative supervision.