Multimorbid People with SUD

Duration
The length of therapy is dependent on the clients’ requirements, the objective achieved or the respective level of development.

Target group
In this context, mul­ti­mor­bi­di­ty or comorbidity means the simultaneous existence of one or more psychiatric diagnoses (according to ICD 10, DSM 5) and a dependency disorder in one and the same person. This can be personality disorders, psychoses, affective disorders or anxiety disorders etc. Scientific research shows that a high percentage of people with dependency disorders also display symptoms of further psychiatric disorder.

Therapy/re­ha­bi­li­ta­ti­on
The multimorbidity concept represents a comprehensive therapy model that is attuned to the individual requirements of the clients. Therapy places for these clients are available in all (Grüner Kreis) institutions, in particular in Johns­dorf, Ma­ri­en­hof and  Villa. After the completion of the outpatient clarification and preparatory phase, and after a psychiatric expert opinion, those affected are admitted as inpatients in the respective therapeutic community. In each case, the integration and therapy/rehabilitation take place according to requirements and available resources, deficiencies and levels of development. Here the individual members of the therapeutic community “learning from one another” has proved to be particularly beneficial. As a rule, clients with comorbidity have significantly worse progress and chances in therapy unless both disorders can be treated in integrative gradual programmes.

The­ra­py programme
With admission to the therapeutic community, those affected can in principle take part in the whole therapy programme (occupational or work therapy, psychotherapy, trauma therapy, clinical-health psychological therapy/rehabilitation, education, training, sport, active leisure time, general medical and psychiatric therapy/rehabilitation, social-work mentoring, psycho-education, skills training, cognitive training, special theme groups, relaxation training, yoga, creative therapy, cogpack etc.) The appropriate therapy plan is drawn up together with those affected and adapted to the respective development.

Objective
The objective is an abstinent or substituted life without co-use, the development and testing of new coping strategies in dealing with the psychological symptoms, dependency disorder, everyday life and fellow people, as well as the increase of self-awareness and tolerance of frustration, the acquisition of practical life skills, and ultimately the rehabilitation/integration into society or subsequent residential and working projects.

For clients who wish to remain in the association, the concept of long-term inpatient care is available as a follow-up care possibility.