Model2 Pemulihan

KAUNSELING
KETAGIHAN
DAN
PEMULIHAN
MODEL-MODEL PEMULIHAN
D R . D I N I FA R H A N A B A H A R U D I N
Agenda
INTRODUCTION INPATIENT OUTPATIENT TREATMENT

TREATMENT.
Introduction
As the field of addiction treatment continues to rely upon more evidence-based
intervention, clients can benefit from inpatient services, outpatient services, or a
combination of both
Immediate and long-term needs are considered in determining treatment options

from a variety of possible interventions.
The criminal justice system serves as a major source of referrals to substance use
treatment.
Understanding the options, choices, benefits, and challenges to both inpatient and
outpatient treatment is essential for clinicians.
Counselors need to be familiar with addiction rehabilitation treatment options,

sources, and referral choices in an effort to reduce recidivism and curb the
excessive impact of addiction.
The impact of substance addiction treatment is extensive. Costs, according to van

Wormer and Davis (2018), are astronomical, affecting individuals, families,
friends, community, and the workplace.
Level of Care
• intervention services are provided for clients at
Early intervention risk or those who might have a substance-
related problem.
Outpatient • consists of non-residential services, which are

organized and can be delivered in a variety of
treatment settings.
• usually in an outpatient setting and can be

Intensive Outpatient delivered before or after work and school, during
weekdays, or on weekends.
Level of Care (cont.)
• a 24-hour residential (live-in) setting in which
services are provided by mental health
Residential professionals and addiction treatment counselors.
Inpatient • Consists of a regimented style of care; client is

required to obey a given set of procedures and
policies. Staff remains on-site 24 hours a day
Medically • designed to provide 24-hour medically managed

evaluation and treatment.
Managed Intensive • Clients in this level are often diagnosed with
substance use and mental health–related issues
Inpatient
Inpatient treatment
Refers to treatment within a residential setting, whereby
a client resides in the facility for a specified period of
time.
Inpatient treatment & rehabilitation centers can be
provided by the government or private. Examples include:
Penjara
PUSPEN AADK
KKM (Psychiatric facilities)
Private organizations/NGOs (e.g. PENGASIH, Solace Asia)
Inpatient treatment
Generic in nature (not tailored specific to individual needs).
Clients might be housed in a dorm setting or in a room with three

to four beds - not encouraged to bring personal belongings.
Might include medically monitored or managed detoxification
Movement might be restricted and regimented
Holistic including psychoeducation classes, individual and group

sessions.
Families are encouraged to visit and to become involved with the

client through phone calls and participation in treatment.
https://www.adk.gov.my/senarai-pusat-pemulihan-dadah-persendirian/
Outpatient treatment
Consists of interventions that are not limited to residential treatment.
Can be in a residential treatment center if living arrangements are required or a community-

based intensive outpatient treatment center.
Continuing care Intensive outpatient program Day program
• usually involve individual • clinician and client collaborate • more structured programs,
sessions in which a person is to identify and work toward whereby the client makes a
working toward maintaining goals with defined objectives commitment to attend a
abstinence or some type of that are measurable. program between five and
harm reduction. • working toward developing a seven days per week, where
• Alcoholics Anonymous (AA), more productive quality of life. sessions may run between
Narcotics Anonymous (NA), • Sessions could run from a few four and eight hours per day
Overeaters Anonymous (OA), hours per day to several hours – groups, individual sessions,
Gamblers Anonymous (GA) over the course of a week. similar to inpatient
(Half-way house)
Summary
As clinicians, we are morally and ethically obligated to advocate for efficacious treatment that is
beneficial to client and society alike.
Monumental consequences due to addiction experienced by individual, family, and community

present almost incalculable costs to society.
New, evidence-based approaches are desperately needed. The medical community and
policymakers must advocate for alternatives to imprisonment, drug-policy reform, and increased
public awareness of this crisis in an effort to improve quality of life.
https://www.ncbi.nlm.nih.gov/books/NBK64815/
https://www.moh.gov.my/moh/images/gallery/Polisi/PSYCHIATRY_OP
ERATIONAL_POLICY.pdf
https://slideplayer.com/slide/12948780/
https://www.freemalaysiatoday.com/category/leisure/health/2022/0
2/26/proven-treatments-for-substance-abuse-disorder/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664175/
References https://www.adk.gov.my/bahagian-dan-unit/bahagian-rawatan-
perubatan-dan-pemulihan/
https://www.adk.gov.my/rawatan-dan-pemulihan/rawatan-dan-
pemulihan-di-institusi/
https://www.adk.gov.my/rawatan-dan-pemulihan/rawatan-dan-
pemulihan-dalam-komuniti/
https://www.adk.gov.my/soalan-lazim-pusat-pemulihan-
penagihan-narkotik-puspen/
https://www.adk.gov.my/soalan-lazim-rumah-komuniti/
References https://www.adk.gov.my/soalan-lazim-pusat-khidmat-aadk/
https://www.adk.gov.my/soalan-lazim-pusat-integrasi-klien-pik/
https://www.bernama.com/bm/rencana/news.php?id=1769020

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KAUNSELING

INTRODUCTION INPATIENT OUTPATIENT TREATMENT

Immediate and long-term needs are considered in determining treatment options

Counselors need to be familiar with addiction rehabilitation treatment options,

The impact of substance addiction treatment is extensive. Costs, according to van

Outpatient • consists of non-residential services, which are

• usually in an outpatient setting and can be

Inpatient • Consists of a regimented style of care; client is

Medically • designed to provide 24-hour medically managed

Clients might be housed in a dorm setting or in a room with three

Might include medically monitored or managed detoxification

Movement might be restricted and regimented

Holistic including psychoeducation classes, individual and group

Families are encouraged to visit and to become involved with the

Can be in a residential treatment center if living arrangements are required or a community-

Continuing care Intensive outpatient program Day program

Monumental consequences due to addiction experienced by individual, family, and community

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