Day 1 :
Waikato District Health Board, New Zealand
Time : 09:15-10:00
Sohail Akhtar has completed his Medical degree from the University of the Punjab, Pakistan. He has completed the Psychiatric Training and was then a Diplomat in Mental Health from College of Psychiatrists of South Africa. He has worked as a Senior Medical Superintendent at Polokwane/Mankweng Hospital Complex and Thabamoopo Psychiatric Hospital in South Africa. He has also completed Post Graduate Diploma in Public Management from Regenesys School of Public Management, South Africa. He has worked as a Senior Medical Officer in Psychiatry in New Zealand, completed his Post Graduate Diploma in Addiction and Co-Existing Disorders from University of Otago New Zealand. He also completed Masters in Addiction from University of Otago. He is the Senior Medical Officer in Community Alcohol and Drug Service of Waikato District Health Board, Hamilton, New Zealand. He is a Member of RANZCP vocational CPD program and Member of National Association of Opioid Treatment Providers, New Zealand and contributed in drafting the National Guidelines of Opioid Substitution Treatment.
Opioid Substitution Treatment (OST) is an established treatment for opioid dependence. In New Zealand, OST programs are regulated by the Ministry of Health and Methadone and Buprenorphine/Naloxone (Suboxone) are the primary medications. Retention on OST is a key indicator for stabilization of patients with opioid dependence. As yet, there have been no studies exploring the factors associated with New Zealand OST patient dropout, which is defined as discontinuation of OST by patients, against medical advice, for at least one month. Previous studies have showed that patients who drop out of treatment have a higher risk of harm to themselves by taking fatal overdoses and to society by engaging in criminal activities. Previous research has demonstrated that the effectiveness of OST is strongly correlated with patient retention. The purpose of the present research was to study dropout rates and identify factors associated with the dropout of patients from OST at the Community Alcohol and Drug Service (CADS), Hamilton, from 1st January 2013 to 30th April 2014. It was a retrospective, longitudinal, quantitative study. A retrospective clinical audit of patients on OST was conducted. There were 150 patients on OST in Hamilton under the CADS team during the period of study. Nine patients dropped out during the study period. 64 patients were randomly selected from the remaining 141 patients who remained on treatment as a comparison group and for the study sample to be approximately half of the overall population of 150 patients. Time and resources were also factors in determining the size of the sample group. File review was conducted and potential predictors of dropout were identified. 35 independent variables were selected and dropout was the dependent variable. The statistical program SPSS 22 was used to analyze the data. Fisher’s exact test was used and four variables were identified as being associated with dropout, history of intravenous drug use, (Fisher’s exact p value=0.05) history of lifetime imprisonment (Fisher’s exact p value=0.05), other medications prescribed, (Fisher’s exact p value=0.04) and opioid type prescribed during the study, i.e. Methadone or Suboxone. Patients on Suboxone dropped out more than those on methadone, (Fisher’s exact p value=0.00). The overall dropout rate was 6%, which was less than the rates of 15-85% found in previous studies. The limitations of the study were that it was retrospective and the number of dropouts was small. Furthermore, only patient factors associated with dropout were included in the study and service factors were not included. Therefore, the results of the study should be interpreted with caution. There is scope for a future study with a larger sample size and the inclusion of service factors to validate the finding.
University of Bath, UK
Time : 10:00-10:45
Nicola Beer is the Founder of the Marriage Makeover and Pure Peace Coaching which focuses on eating peacefully. She is a co-author of 4 international best-seller books. Currently she runs an Eating Disorder Support group in Dubai. She is a UK Certified in NLP coaching, Grief and Loss Recovery, Hypnotherapy, Addiction coaching. She has also completed several courses in Transpersonal Counseling and Psychology and Emotional Psychosomatic Body Work. She has completed her BSc in Sociology from the University of Bath, UK.
Adopting a hollostic approach to helping with eating disorders and compulsive food behaviours can be extremely beneficial in supporting clients to break the unsatisifying cycle of binging, starving or purging. In addition to psychiatry methods there are many other forms of support that can help when it comes to food addiction, compuslive eating, bulimia and other eating disorders. Such as hypnotherapy, emotional psychosomatic bodywork, NLP coaching, group support, 12 step programs and inner child work. These approaches can help clients to release the emotional triggers, stop obsessing about food or acting out harmful food behaviors. Enabling them to form new habits in the way they treat themselves, live their lives and utlimtately eat. In this presentation, Nicola will share some personal stories and how this type of support can complement other approaches to addictions. As well as share the single biggest factor that needs to be present to overcome any addiction.