Day 1 :
Keynote Forum
Sohail Akhtar
Waikato District Health Board, New Zealand
Keynote: Patient dropout from opioid substitution treatment
Time : 09:15-10:00
Biography:
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.
Abstract:
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.
Keynote Forum
Nicola Beer
University of Bath, UK
Keynote: Complementary approaches to food addiction & eating disorders
Time : 10:00-10:45
Biography:
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.
Abstract:
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.
- Addiction Medicine | Impulse Control Disorder and Addiction | Substance Abuse and Mental Illness | Anxiety and Depression | Alcoholism and Drug Addiction
Location: Dubai, UAE
Session Introduction
Sarfraz Hussain
Punjab University, Pakistan
Title: Role of spiritual therapy in motivation & rehabilitation in substance use disorders
Time : 11:00-11:30
Biography:
Sarfraz Hussain has done his MBBS from Rawalpindi Medical College affiliated with Punjab Univeristy Lahore. He has done his Post-graduation in Psychiatry from WHO collaborating Center on Mental Health Research and Training, Rawalpindi Medical College and MCPS from College of Physicians and Surgeons Pakistan. He has a certificate of Specialist Psychiatry from Saudi Medical Council Riyadh. He is a live member of Pakistan Psychiatric Society since 2008. He is presently working as a Consultant Psychiatrist at Brain Center Hospital, Pakistan
Abstract:
Since many years, there is an increasing trend of substance use or drug addiction. It has been observed in most of the countries of the world. Healthcare scientists are facing new challenges as patterns of substance use are progressively becoming more complicated. Substance tolerance, dependance and addiction are all manifestations of brain changes resulting from chronic substance abuse. Repeated substance use is cause of neuro adaptations in various neuronal circuits in the brain that are involved in motivation, memory and behaviour control. In addition to the pharmacological treatment, motivation should be the focus which is unfortunately a missing dimension in the treatment, in the regimen of high relapse. Motivation is guided by the heart and the brain so there is the role of morality and spiritualism to quit substances and other drugs. There are multiple motivational factors and reasons to quit other substances. These factors may be more than one. To find out the other factors studies have shown that different motivational factors are divided into biological, psycological and social factors. The recovery from addiction is a long process that requires time, commitment, motivation and support. First step in the treatment is to decide to make a change. Studies have shown that a patients motivation has better results in the treament outcome. A person with poor motivation who would give up drugs has managed so with long term effects of positive support thus this discusssion is aimed at the role of biological basis and motivation in quitting substance use disorder. Spirit, heart and mind explain the phenomena of behaviour change. Spirit is symbolic of God, heart is a place of worldly achievement while mind is our behaviour regulator. To control our body two forces are acting on us. Devine power and devil power: divine force results in a good outcome while devil force results in a bad outcome. Examples of bad behaviours are crime, gambling, drug addictions, alcoholisms, drug traffickings and other crimes associated with it. In case of spiritual blessings, it can bring a good change, gentle behaviour and a drug free life.
Ahmad Mousa Aldisi
The National Rehabilitation Center, UAE
Title: Patient satisfaction in substance abuse institutions as indicator for successful implementation of total quality management
Time : 11:30-12:00
Biography:
Ahmad Mousa Aldisi has completed RN Diploma from Rufaida College for Nursing and Midwifery. He has completed his Bachelors of Nursing from University of Jordan, Clinical Instructors Diploma and Masters in Quality Management from University of Wollongong, Dubai. He has worked as the Head of Nursing Development unit in the National Center for Mental Health in Jordan and also worked as a Lecturer at Rufaidah College for Nursing and Midwifery. He is currently working as a Specialist Nurse at The National Rehabilitation Cente (for treatment and rehabilitation of addiction patients) in Abu Dhabi, UAE.
Abstract:
Total quality management (TQM) is a management approach of an organization centered on quality, based on the participation of all its members and aiming at long term success through customer satisfaction and benefits to all members of the organization and society. Nowadays, there is a growing interest in TQM in healthcare facilities. Patient satisfaction is an essential and normally utilized marker for estimating the quality in health care. Patient satisfaction influences clinical results, patient retention and medical negligence claims. It affects the auspicious, proficient and patient-centered conveyance of quality health care. Little is currently known about patients’ satisfaction with different domains of substance abuse treatment. Few studies have investigated the aspects of patient satisfaction associated with patients’ perceived treatment outcome. This presentation illustrates the importance of patient satisfaction of substance abuse clients as indicator of TQM in healthcare institutions based on a systematic review of literature, with focus on financial and clinical significance of patient overall satisfaction with treatment, taking in consideration the main variables and limitations in assessing the satisfaction of substance abuse client such as management and organizational factors, client factors, baseline drug use, treatment duration (length of stay), treatment type and many other factors.
Khurram Tanveer Sadiq
Greater Manchester Mental Health NHS Foundation Trust, United Kingdom
Title: Modern day addiction: Cyber technology and social media
Time : 12:00-12:30
Biography:
Khurram Tanveer Sadiq is a Consultant Psychiatrist in General Adult Psychiatry in Manchester. His niche areas are Adult ADHD, Autistic Spectrum Disorder, Psycho-oncology, Leadership, Music & Mental health and Social Media & Mental health. He was included in the 2017 publication by International Association of Health Professionals as one of the Leading Psychiatrist in UK. He has also appeared in the Summer edition of Continental Who’s Who Publication Inner Circle Executive (ICE). He is also a Key Note Speaker &blogger. He has appeared several health-related TV programs regarding the impact of Social Media on mental health. He is well published in different areas of mental health.
Abstract:
Well we live in a dynamic world of Social Media. The world is divided into two Paradoxes, Real world and Online, which is now declared a domain. We know the advantages of Social Media, how connected we are, how easy it is to communicate however what we disregard is the unknown dark realm of the Social Media with a dynamic interface which is very engaging and addictive in nature. With the expansion of Social Media and advent Of Smart phones, our universe is in our hands and just a touch away. Screen time has increased considerably, real time has decreased substantiality, there is a false perception of anonymity, closeness, proximity and security. This leads to a lot of deviant behaviours. Outdoor activities have been replaced with Gaming consoles, VR Gismos and ever engaging Social Media. Social isolation is on the rise, there has been an increase in the mental health disorders amongst children, adolescents and adults. No one could imagine that soon this cyber technology will become an addiction that changes the morphology of the brain and in turn bent on ripping apart the societal fabric.
Amany Haroun El Rasheed
Al Amal Psychiatric Hospital, UAE
Title: New drugs of abuse: What clinicians need to know?
Time : 14:00-15:30
Biography:
Amany Haroun El Rasheed was a Professor in Psychiatry, Faculty of Medicine at Ain Shams University. She is currently working as a Consultant Psychiatrist at Al Amal Hospital, Ministry of Health, Dubai, UAE. She was a NIDA (National Institute of Drug Abuse) Hubert H. Humphrey Drug Abuse Research Fellow in Johns Hopkins University.
Abstract:
Drug abuse is a growing concern all over the world and over the past decade, novel drugs have emerged and have become increasingly popular. Designer drugs otherwise known as synthetic drugs-are manufactured to chemically resemble illicit drugs, but may be purchased legally because drug manufacturers constantly change the chemical structure to circumvent drug laws. In fact, designer synthetic drugs are found to be more potent and dangerous than their street drug counterparts. People who abuse designer synthetic drugs have suffered a number of negative health outcomes that include anxiety, seizures, hallucinations, loss of consciousness and significant organ damage. Recognition and treatment of new drugs of abuse pose many challenges for health care providers due to lack of quantitative reporting and the difficulty of detection in routine blood and urine analyses. Clinicians should familiarize themselves with management principles of these new agents. Therefore, the purpose of this workshop is to describe the pharmacology, clinical and adverse effects of several new classes of drugs of abuse as well as management of patients with addiction to these drugs.
Masa Karleusa Valkanou
Lorijen Hospital, Serbia
Title: Factors determining heroin addiction treatment outcome and the likelihood of sustained abstinence in heroin addicts
Time : 15:30-16:00
Biography:
Masa Karleusa Valkanou is a Clinical Psychologist with 10 years of experience, working at The Lighthouse of Arabia, Dubai, UAE. She has completed her MSc in Psychology and Counseling from University of Sheffield. She is a Certified Systemic Family Psychotherapist enrolled in Child and Adolescent Psychoanalytic Psychotherapy. Her specialization works are with adults, children and adolescents of different psychological disorders. She has gained rich clinical experience in the field of addiction working at psychiatric clinic for addiction, Lorijen Hospital, Serbia. She has worked as a Lecturer at ESB-Heriot-Watt University, the Military Academy Serbia and Centre for Talented Youth, Nikola Tesla.
Abstract:
Background & Aim: Factors determining heroin addiction treatment outcome have not been studied extensively despite the practical and theoretical significance. It is uncertain whether we are able to predict the odds of sustained heroin abstinence and affect the factors that increase the likelihood of the recovery. This study aimed to identify factors that either individually or in synergy support the sustained multiannual abstinence.
Method: In this translational ambidirectional cohort study, we evaluated two groups of heroin addicts that underwent the same therapeutic procedures with different outcomes (133 abstainers and 56 relapsers) using the non-standardized questionnaire to study: The history of addiction, motivation for the treatment, parental attitudes and control, job satisfaction, social and emotional relationships, alternative satisfactions, use of other substances during treatment and treatment characteristics. The chi square analysis was used to determine specific significant factors that act individually. The binary logistic regression provided a mathematical model of the synergistic effect of significant factors.
Result: The study found a new variable, an abstinence marker, defined by the synergistic effect of the following factors: Use of tramadol before treatment (p=0.011), non-use of Benzodiazepines (p=0.001), length of Naltrexone use (p˂0.0005), non-use of Cannabis (p=0.002), non-compulsive exercise (p=0.009) and employment and job satisfaction (p˂0.0005) during recovery.
Conclusion: This study reports a mathematical model that predicts multiannual sustained abstinence as an outcome of heroin addiction treatment.
Sahida Tabassum Mohammad
OneUp Education, UAE
Title: Early intervention for children with disability
Time : 16:00-16:30
Biography:
Sahida Tabassum Mohammed is a Educator with 14 years of experience in UAE and India. She has worked as a Counselor, Psychologist, Educator, Teacher, Leader and SEN specialist. She has completed her Bachelor’s in Psychology, Masters in Organic Chemistry and Diploma in Psychological Counselling. She is currently pursuing her Masters in Counselling and Psychotherapy. She is a Member of American Association for Counselling and Member of International Association for Counselling, Qualified Teacher and Emirates Autism Society.
Abstract:
Early intervention is an arrangement of administrations that helps children and toddlers with formative postponements or inabilities. Early intervention centered around helping qualified children and babies learn the basic and brand-new skills that typically develop during the first three years of life. Early intervention for kids with inability is compromised of treatments and administrations. This programs or sessions aimed at promoting your child’s development. Services are the places and associations that offer these treatments. A service can give one therapy or few kinds. Your child can get early intervention therapies and services from multiple points of view, including at home, home through video conferencing, child care and kindergarten or in a master setting. Early intervention works best when it’s focused at your child’s individual needs. For this to occur, you require a determination, which says what inability your child has. When you have a diagnosis, your kid’s specialist or health provider can recommendation which early intervention therapy or service may be best for your kid. Depending on the necessities of your family and child, early intervention may include a therapist working with your child, a specialist cooperating with you and your child or a specialist working in a gathering session with other youngsters. A pediatrician may have the capacity to state that your child is moderate in acheiving formative breakthroughs in excess of one region, for example, speech or versatility, as a result of formative postponement. At that point you can work out which early mediations will best focus on your child’s deferrals.