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Addiction Prevention and Treatment
Notices for Inpatient Admission to the Addiction Prevention and Treatment Department
Pursuant to the existing health insurance regulations, the health insurance coverage does not include alcohol and drug addiction treatment. Hence, drug and alcohol addicts (without psychiatric symptoms) need to pay the full amount of the medical expenses when receiving treatment.
 
Counseling Manual for Addiction Withdrawal and Treatment
Addiction Withdrawal Treatment at Municipal Kai-Syuan Psychiatric Hospital
Q: What kinds of medical services does Municipal Kai-Syuan Psychiatric Hospital provide for addict patients?
A: (1) Patient education and counseling service (Patient Education Office)
  (2) Outpatient treatment (including initial visit, subsequent visits and the special clinic for drug addiction withdrawal treatment)
  (3) Emergency treatment (including retention and observation at the Emergency Room)
  (4) Full-time hospitalization
Q: What kinds of services are included in the outpatient treatment services?
A: (1)

Initial visit:

  1. It is the first step for patients who have never visited the Outpatient Department to establish a relationship with the hospital.
  2. The members of the medical team, including psychiatrists, nursing personnel and clinical psychologists, will inquire about the details regarding patients' conditions and examine patients’ physical and mental status during their initial visit.
  3. After the initial assessment and diagnosis are completed, follow-up treatment will be arranged according to patients’ conditions, such as: medication, psychotherapy, family therapy, crisis intervention, and referral to special clinics or full-time hospitalization programs.
  (2) Special clinic for drug addiction withdrawal treatment:

   The clinic targets the patients discharged from the hospital after receiving full-time hospitalization, allowing them to continue to receive follow-up treatment. Medication services, psychotherapy, family therapy and group psychotherapy are provided during the clinic’s operating hours with great emphasis on relapse prevention, in order to provide a problem-solving channel for patients.

Q: What kinds of services are included in the emergency treatment services?
A: (1)

The specialists with respective responsibilities and medical team members at the Emergency Room provide 24-hour, year-round treatments for withdrawal symptoms associated with various drugs, psychiatric illness induced by acute substance abuse, and various emergency situations (such as self-harm, suicide and aggressive and violent behavior) associated with substance abuse.

  (2) After immediate assessment and intervention by the Emergency Department, patients may be retained for further observation or referred for full-time hospitalization.
Q: What kinds of treatment are included in full-time hospitalization?
A: (1)

Complete diagnoses and assessments

  (2) Handling by the Psychiatry Department
  (3) Medication
  (4) Psychological and social therapy
 
General Principles of Treatment for Addicted Patients
Q: What kinds of treatment environments are available for addicted patients?
A: (1)

Outpatient treatment: It is most inexpensive. Patients are allowed to keep working, but this treatment is likely to fail due to the temptations surrounding patients. This treatment includes crisis intervention, comprehensive screening and assessment, short-term intermittent therapy and follow-up tracking. It is suitable for patients without any acute or chronic physical and mental illness or behavior problems, who have supportive family members and friends to help them maintain withdrawal, or who are recovering in a more structured treatment environment.

  (2) Full-time hospitalization: It aims to complete detoxification in a short term and help patients reach a stable condition by offering a protective environment. It is the most expensive and suitable for people with acute or progressive physical and mental illness associated with substance dependence and requiring placement in a safe environment in order to receive physical and mental treatment, such as addicted patients with substance intoxication, patients with severe withdrawal symptoms, patients who have complicated physical and psychiatric diseases, and patients who failed outpatient treatment.
  (3) Residential therapy: Examples include therapeutic communities and half-way houses. In addition to various treatment modes, rehabilitation activities and self-help groups are also accessible. It is suitable for patients who failed outpatient treatment, those who have not met the conditions for full-time hospitalization but use a lot of addictive substances in daily life and during social activities, and those who are often stuck at high risk situations for relapse due to lack of a rehabilitation environment and adequate social and vocational skills to maintain their withdrawal.
Q: What stages are there to manage addict patients?
A: (1)

Acute intervention period (about 1-2 weeks): Stabilize patients’ conditions and end the vicious cycle for initial abstinence

  1. Objectives:
    <1> Preventing risks of withdrawal and acute psychiatric symptoms
     <2> Providing an isolated environment to end the vicious cycle
     <3> Establishing a therapeutic relationship to increase motivation to withdraw from addiction
     <4> Performing complete assessments to tackle real problems
  2. Methods: Short-term, full-time hospitalization is a more ideal method of medical intervention
  3. Description:
    <1> Detoxification and management of withdrawal symptoms
    <2> Assessment of physiological, psychological and social functions
    <3> Rehabilitation assessment
    <4> Psychological support
    <5> Arrangement of a rehabilitation environment
  (2)

Recovery period: Offer active rehabilitation and prevent relapse to extend the duration of abstinence

  • Objectives:
    <1> Performing continual assessment
    <2> Increasing the motivation to stop substance abuse
    <3> Developing individual relapse prevention programs to reduce the risk of relapse
    <4> Helping patients to create a new lifestyle and acquire life skills
    <5> Training and supporting patients to execute autonomous functions
    <6> Improving their self-adaptation ability
  • Methods:
    <1> Continuous outpatient follow-up visits
    <2> Long-term residential therapy
  • Description:
    <1> Establishment of the goals and plans for rehabilitation
    <2> Education and instructions on relapse prevention skills
    <3> Supportive psychotherapy or guidance: individuals, groups and families
    <4> Placement: therapeutic communities
    <5> Self-help groups
    <6> Crisis Intervention
  (3)

Follow-up guidance period (approximately 1-3 years): Build a healthy and adaptive lifestyle

  • Objectives:
    <1> Helping patients to return to communities and restore a normal lifestyle
    <2> Helping patients to maintain lifelong health and ensure a life without drug abuse
  • Methods: The medical services are provided mainly through outpatient follow-up.
  • Description:
    <1> Self-help groups
    <2> Half-way houses
    <3> Crisis management
Q: What are the setup and management of the wards for addiction withdrawal and treatment?
A: (1)

The Addiction Prevention and Treatment Department assigns patients to suitable wards according to the type of substances patients were using, patients’ characteristics and the stage of treatment. Each ward has 2-4 beds and is equipped with a complete surveillance system to effectively and completely monitor patients’ every move and watch for sudden changes of condition.

  (2)

A protection room and restraint room have been installed in each ward to isolate and protect patients with serious conditions and those who are likely to inflict injury to themselves or others.

  (3)

Humanistic management is adopted for life management in the wards. An emphasis is placed on the guidance of daily life and patients’ emotional release, in the hope that the disputes and fights among patients may be reduced.

Q: How are the treatment expenses charged?
A: (1)

Pursuant to the existing health insurance regulations, the health insurance coverage does not include alcohol and drug addiction treatment. Hence, drug and alcohol addicts need to pay the full amount of the medical expenses when receiving treatment. The estimated weekly expenses are $28-29 thousand on average according to the existing charge standard. Please refer to the Explanation of Hospitalization Medical Expenses for Self-pay Patients at the Wards for Addiction Withdrawal and Treatment at Kai-Syuan Psychiatric Hospital.

  (2)

In the case that the psychiatric disorders result from the use of addictive substances and have been determined by psychiatrists as drug-induced or alcohol-induced psychiatric disorders through diagnosis, patients may enjoy the partial coverage of the health insurance pursuant to the health insurance regulations. In accordance with the provisions of Article 35 of the National Health Insurance Law:

  • Acute psychiatric wards: 10% for within 30 days; 20% from the 31st to the 60th day; and 30% from the 61st day
  • Chronic psychiatric wards: 5% for within 30 days; 10% from the 31st to the 90th day; and 20% from the 91st to the 180th day. Inpatients need to pay about over $10 thousand every month on average.
Addiction Treatment Procedures
  • Initial visit procedures: Fill out an initial visit form at the Information Counter first → Register at the Registration Counter → Psychiatrists determine whether outpatient follow-up or admission to the withdrawal ward is needed after diagnosis; patients with obvious psychiatric symptoms and self-injury or violent behavior will be sent to the Intensive Care Unit
  • Emergency visit procedures: Please go to the Emergency Room first → Register for emergency treatment → Psychiatrists determine whether retention for observation, hospitalization or crisis management is needed after diagnosis; patients with severe physiological problems or intoxication symptoms will be referred to another hospital.
The flowchart of the above procedures is as follows:
Addiction Treatment Procedures

Description

 
Explanation of Hospitalization Medical Expenses for Self-pay Patients at the Wards for Addiction Withdrawal and Treatment at Kai-Syuan Psychiatric Hospital
  •  The treatment expenses are collected according to individuals’ actual hospitalization situations (refer to the charge standard for health insurance holders).
  • The treatments provided include: medication, psychotherapy, group therapy, activity and recreation therapies, behavior therapy, occupational therapy, family therapy, and patient education and guidance.
  • The inspections charged include: liver function tests, renal function tests, blood test, Hepatitis B test, AIDS test, syphilis test, electrolyte tests, electrocardiogram examination, chest x-rays, drug screening and confirmation tests and other biochemical tests.
  • Meal fees are not included in the table below.
  • Please make full payments in cash according to the bill payable on the day of patient discharge or before leaving the hospital.
  • The calculation of daily ward fees starts from 12:00 a.m. every day.
  • An extra ward fee of $1500 per ward/per day is collected for first-class wards.
Days of Hospitalization Below are the estimated medical expenses, which may be slightly different from the actual expenses. The actual expenses are the correct amount payable.
1

7,000-7,500
2 13,000-13,500
3

16,500-17,000

4 20,000-20,500
5 23,000-23,500
6 26,000-26,500
7 28,500-29,000
8 30,500-31,000
9

32,500-33,000

10

34,500-35,000

 
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updated 2014.08.22

 
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