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Yıl:2021; Cilt: 13; Sayı: 3>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2021;13(3):412-427
Bağımlı Hastalar için Rehabilitasyon: Erenköy BAHAR Modeli
B Ünübol, E Çinka, M Mayi, B Şamar, M Yılmaz, M F Urcan, S Demircan, R Bilici
Sağlık Bilimleri Üniversitesi, İstanbul Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Rehabilitasyon, bir hastalık ya da kaza nedeniyle veya doğumsal olarak fiziksel ve ruhsal yetilerini yitirmiş olan bireyin eski sağlığını elde etmesini sağlamak ya da var olan yeteneklerini güçlendirmek ve geliştirmek, fiziksel, ruhsal, psikolojik, sosyal ve ekonomik anlamda en üst kapasiteye ulaşabilmesi amacıyla gerçekleştirilen tüm faaliyetlerdir. Rehabilitasyon uygulamaları, kendi içerisinde, tıbbi rehabilitasyon, sosyal rehabilitasyon, mesleki rehabilitasyon ve psikiyatrik rehabilitasyon gibi alt başlıklara ayrılmıştır. Bağımlı kişilerin rehabilitasyonunda ise genel amaç, bağımlılığın yol açtığı psikolojik, hukuki, mali, sosyal ve fiziksel sonuçlarla başa çıkabilmesi için kişinin mevcut madde kullanımını durdurmasını sağlamaktır. Bu çalışmada, bağımlılıkta rehabilitasyon modellerinin bazı ülke örnekleriyle birlikte paylaşılması, ülkemizdeki bağımlılıkta rehabilitasyon uygulamalarının gelişim süreci ve güncel bir uygulama örneğinin sunulması amaçlanmıştır. Ülkemizde bağımlı hastaların rehabilitasyonunda, bireyselleştirilmiş ve bütüncül bir tedavi sunması nedeniyle ülkemiz için önemli bir model olduğunu düşündüğümüz Erenköy Bağımlı Hastalar İçin Rehabilitasyon (BAHAR) Merkezi’nin kapsamı ve işleyişi ayrıntılı olarak tanıtılarak, merkezin iki yıllık izlem sonuçları ve deneyimleri paylaşılmıştır. Merkezin rehabilitasyon programları, kademelendirilmiş olup, uyum programı, 0-3 aylık program, 3-6 aylık program ve 6-12 aylık programdan oluşmaktadır. Erenköy BAHAR merkezinde takip edilen bağımlı kişilerin tıbbi ve ruhsal sağlık açısından iyileşmekte olduğu; sosyal, ailevi, mesleki ve toplumsal rollerde gelişim gösterdikleri gözlenmiştir. Bu merkezin bağımlılık tedavi seçenekleri arasında bireylerin iyilik hallerini sürdürmeleri ve işlevselliklerini kazanmaları açısından önemli olduğu görülmüş olup ülkemizde benzer merkezlerin yaygınlaştırılabileceği düşünülebilir. Sonuç olarak; ülkemizde bağımlılıkta rehabilitasyon alanı yeni gelişmekte olup daha fazla çalışmalara ihtiyaç vardır.
Rehabilitation for Addicted Patients: Erenköy BAHAR Model
Rehabilitation is any action taken on an individual who has lost their physical or mental capabilities due to a disease or accident to recover their health or improve their capabilities in physical, mental, psychological, social and economic terms within their limitations. Rehabilitation application is divided into medical, social, occupational and psychiatric rehabilitation categories. Main purpose of rehabilitation application for addicted patients is the cessation of drug use in order to begin dealing with the psychological, legal, economic, social and physical damages done of the patients. The purpose of this study is to share several rehabilitation models applied on addicted patients of several countries, and to provide up-to-date knowledge on the development of rehabilitation models applied on addicted patients in our country with a relatively topical application example. In the practice of rehabilitation for addicted patients, we share the capacity and procedural operations, two years of research data and the experiences of what we believe is an important model for our country, the Erenköy Bagimli Hastalar Için Rehabilitasyon (BAHAR) Center’s model, for their individualized and integrated approach in recovery. The Center’s rehabilitation programs are cascaded into adaptation program, 0 to 3, 3 to 6, and 6 to 12 months long programs. In Erenköy BAHAR Center, patients’ recoveries in medical and spiritual sense were observed; and positive developments in social standing, family relations and occupational and social roles were recorded. It is seen that this center’s treatment methods for addiction are crucial for individual’s general wellbeing and functionality recovery, thus giving rise to the thought of establishing similar centers in our country. In conclusion, rehabilitation for addicted patients in our country is an emerging field and it requires more effort.

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