HEALTH WORKSHOP

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HEALTH WORKSHOP

• GUILLERMO BONO

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• I would like to take this special and unique
  opportunity to participate in this European
  Meeting to contribute, whit my point of view, to
  the Health and Social Protection matter relating
  to the addiction disorders.
• But, previously, I would like to make clear on
  what this point of view is based. It is based on
  my own experience, as well as in what Ive
  learned in Rauxas treatment and at the
  University in the Master in Drug Dependence and
  in the books and publications I have been reading
  for the last two years.
• There is a big influence ( if not causality, if
  these addictions are not treated at the early
  stages) between the addiction disorders-specially
  alcoholism- and the fact that the people suffe-

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• ring them end up their lifes even in a
  Psichiatryc Hospital, in jail,in the streets or
  in the cementery.
• In my opinion, the point is that -whith honouring
  exceptions- the fight against this kind of
  disorders is ( in prevention area as in the
  treatment one) absolutely not consensuated, not
  correctly focused in many cases and generates
  great contradictions whith fatal consequences for
  people. And that is so for many and different
  kind of reasons. One of them is the social
  ignorance about the real potential risks
  associated to the consumption of addictive
  substances. Another one, is ignorance and/or
  user mentality of many professionals who are
  treating with people in risk to develope an
  addictive disorder and with

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• those who already have got it.
• There are also other more evident causes that
  favour what I said before these are the
  cultural, political and economical reasons. In
  its name , in many cases, the eyes of those, who
  have the power to manage and decide, remain
  closed, or simply looking to another direction in
  spite of the seriousness of a situation that
  affects, in a terrible way, the lifes of many
  people who suffer of this kind of disorders or
  are in serious risk to contract them, as
  youngsters for instance.
• It is simply unethical to tolerate advertisings
  or reasonings that put on the costumers
  shoulders the responsability of a moderate use of
  a drug of abuse, like alcohol.

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• Or even to associate it with healthy activities,
  like sport, and with a general success in all the
  areas of life. Not to argue that only a small
  percentage of the whole number of consumers are
  going to develope the illness.
• And, what about considering unrecoverable the
  chronic ones. like me? (And for many years!!)
• I think that because of the lack of adequate
  treatments and vocations. There is a trend only
  to consider them worthy to be accompanied in
  their suffering with not other way out that a
  Harm Reduction Program without any other
  options.
• That favours a fatal conformism whith the own
  situation, washing at the same time social
  conscience ,and sparing big amounts of money
  that should be invested in- true- holistic-free
  of

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• drugs and addictive behaviours treatments, like
  the one I have the honour to represent here
  today, and to wich I am very greateful for,
  because it has return to me the dignity and
  selfesteem as a human being.
• I invite you to consider what I say about this
  treatment in FEANTSAs DVD and to take a look to
  the C.V. that I specially have written for this
  event. I also invite you to read the articles I
  have chosen. One of them is Alcohol and
  Homelessness Feantsa, Feb.2009 with wich advices
  and recommendations I agree. I encourage NGOs,
  professionals,volunteers and myself to work hard
  for concret solutions that make the day by day
  of the homeless people more bearable and to reach
  a future in wich Homelessness doesnt exist
  anymore.
• 
  
• 
  
• .

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Percentage of alcohol dependence / abuse among
homeless population

• 51 Westchester (US)
• Psychiatric Service. 1997 Apr48(4)504-9
• 25 London
• Addiction Research Theory, Vol 11(4), Aug
  2003.pp.245-256
• 79 Columbia University
• Dissertation Abstracts International Section A
  Humanities Social Sciences, Vol 62(12-A), 2002
  pp. 4333
• 72.7 Munich
• European Archives of Psychiatry Clinical
  Neuroscience, Vol 249 (1), 1999.pp. 33-44
• 82 South of Brasil
• European Archives of Psychiatry Clinical
  Neuroscience, Vol 249 (3), 1999.pp.150-155
• 63.7 Mannheim (Germany)
• Addiction 2002 Dic. 97 (12) 1593-60
• . 72.6 Barcelona (Spain)
• for publication.Fundació
  Jaume Bofill 2008
• . 27.0 Madrid (Spain)
• Muñoz M Universidad
  Complutense 1993

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Integral treatment of alcohol and other drug
dependence for alcoholic homeless (more than two
years)Phases

• RAUXA VAN Street outreach resource. Detection
  and motivation
• URBAN THERAPEUTIC COMMUNITY Detox, Reduction of
  addictive habits Rehabilitation
• RAUXA FLATS Social rehabilitation
• LABOUR INTEGRATION Rauxa Cooperative La
  Terrasseta restaurant
• DISCHARGE

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What does Associació Rauxa ?

• Rauxa is an example in participation.The
  treatment is based in cognitive-behavioral coping
  skills and relapse prevention individual and
  group therapies
• Patients share their life experiences,emotions,goa
  ls, difficulties, learning from each other.Most
  of therapy educators are rehabilitated patients
  well qualified, who are staff members.Some are
  cotherapists
• Patients in advance phase of treatment are
  responsible of new ones. They are incorporated in
  labour treatment activities as painters,builders
  or in La Terrasseta restaurant as cookers,
  waiters ,and hosting homeless people that go for
  supper.
• Rehabilitated patients are volunteers at the
  outreach resource (van) motivating homeless to do
  treatment.

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What does Guillermo Bono?

• I am employed as therapeutic assistant, doing
  different tasks.
• I am getting trained as a cotherapist by Dr
  Marín,attending two relapse prevention group
  therapies a week, as an active observer.
• Advanced in treatment patients are an example to
  new ones, showing them behavioral patterns to
  overcome alcoholism and other drug addictions.

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Bibliografía

• Feantsa,Alcohol y sinhogarismo feb 2009
• Marin Puig,ML Health problems among the
  homeless.How to prevent themAssociació Rauxa
  Barcelona. Feantsa
• Associació Rauxa,Memorias anuales (se pueden
  enviar)
• Associació Rauxa Conferencias de la Campaña de
  Sensibilización 2-26 nov2005.El alcoholismo como
  causa de marginación
• Muñoz et al Buenas prácticas europeas en la
  intervención con PSH con trastornos mentales
  graves y prolongados Universidad
  Complutense.Madrid
• Room R et al Alcohol and Public HealthLancet
  2005,365519-30
• EUROCARE Alcohol is involved in 1 in 10 deaths
  in Europe more protection is needed for european
  citizens. www.eurocare.org
• Jellinek EM La tabla del Dr EM Jellinek. http

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• THANK YOU