Safe Hospital Program

Novel 5-Step Program

for Substance Abuse

Tien-Yu Chen, MD Psychiatrist, Tri-Service General Hospital

Neihu Safety and Health Promotion

Association, Taipei

22nd International Conference on Safe Community

Global Burden of

Disease Study 2013

Substance absuers

Related to disability

Violence and crimes

Trouble makers

Safe Hospital

High recurrent rate

Not easy to follow

Stress for staffs

High recurrent rate

Novel 5-step program (2011~2013)

Education

Comprehensive Tx

Not easy to follow Integrating different

institutes

Stress for staffs Case manage

Safe environment

Pics from Noun Project

Share Knowledge

Schools & Army

Specific Protection

75 Speeches and

8063 Participants (2011~2013)

Primary Prevention

Health Promotion

Secondary Prevention

Prevent further

complication

Arrest disease

Illegal drug &

Alcohol screen

Tertiary Prevention

Minimize permanent disability

Comprehensive treatment

1436 referral; 624 admission (2011~2013)

Quaternary Prevention

1352 referral (2011~2013)

Prevent addictive drugs reuse

Specialists in detention center

Quinary Prevention

Prevent violence and crimes

Integrating different institutes

Individual case management

Primary Prevention

(Lectures in Community)

Need for substance screen

Secondary Prevention

(Hospital Lab)

Treatment Center for

Drug and Alcohol Addiction

Treatment Center for

Drug and Alcohol Addiction

Tertiary

Prevention

Detention

Center

Community

Meeting

Medical &

Mental Care

Quaternary

Prevention

Quinary

Prevention

Minimize

Disability

Prevent

Re-use

Case

Management

0

100

200

300

400

500

600

700

800

Pre-Treat 2 weeks 4 weeks 6 weeks 8 weeks 12 weeks

mg/Day

Alcohol Consumption

Case Management can

Decrease alcohol usage

690

268

118

195

52 30

N=36

Discharge from hospital

0

1000

2000

3000

4000

5000

6000

7000

Pre-Treat 2 weeks 4 weeks 6 weeks 8 weeks 12 weeks

NTD/Day

Money to Buy Heroin

Case Management can

Decrease heroin usage

6150

3840

1640

1050 840 440

N=23

0.6

0.65

0.7

0.75

0.8

0.85

0.9

0.95

2009 2010 2011 2012 2013

5-Step Program

Staff Mental Condition

2014 Government Service Quality Award 2013 Symbol of National Quality

*What’s the next step?

Pics from Noun Project

More More More

*Case management

*Integrating different institutes *Enhance community safety

Novel 5-Step Program For Substance Abuse

Thank You !

Tien-Yu Chen, MD chenforsleep@gmail.com