Page 173 - HA Convention 2015

Service Priorities and Programmes Free Papers

SPP5.3 Healthcare Advances, Research and Innovations 09:00 Room 221

Crisis Accommodation Programme for Ketamine Abusers in Bridging the Gap between Treatment and

Rehabilitation for Abstinence from Ketamine Use
Ko FSL1, Siu AMH 2, Mak SK 3, Chiu JCK1, Choi RYY 1, Cheuk YL 3, Wei KC 4, Wong FY4, Ng CSH 5, Ng SYK 3, Leong HT 3 , Man CY 6
1Occupational Therapy Department, North District Hospital,
2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, 3Department of Surgery, North District Hospital,
4Christian Chaplaincy, North District Hospital, 5Integrated Ambulatory Care Centre, North District Hospital,
6Hospital Chief Executive’s Office, North District Hospital, Hong Kong

Introduction

Prolonged ketamine use can adversely affect urinary and multiple body systems as well as cognitive and motor functions.
Studies show that potential recovery of these bodily and functional deteriorations after abstinence from the ketamine
use is possible. To bridge the gap between treatment and community-based rehabilitation, a new multidisciplinary Crisis
Accommodation Programme is established in North District Hospital for managing the health and functional issues of young
ketamine abusers. The Programme is a five-day inpatient intervention involving urological, radiological and other medical
investigations and treatment for managing the health crisis of patients. Focused occupational therapy is also provided to
promote the patients’ awareness of their functional and role performance crises, and to enhance their personal preparedness
for abstinence from ketamine use and relapse prevention.

Objectives Tuesday, 19 May

To examine the clinical effectiveness of the Crisis Accommodation Programme in enhancing the motivation and readiness to
engage in rehabilitation as well as in the reduction of ketamine use.

Methodology

172 ketamine abusers were involved in this study, with 78 male (45.3%) and 94 female (54.7%) participants between the age
of 17 to 43 (M=27.18 years, SD=4.75). Two sets of questionnaires were used, including the “drug use frequency on ketamine
consumption” and the “contemplation ladder on motivation and readiness for abstinence from ketamine use”, to collect
outcomes at completion, two weeks and 13 weeks after completion of the Crisis Accommodation Programme.

Results

Evaluation using repeated measures analysis of variance (ANOVA) showed significant improvements in treatment motivation
and reduction of ketamine use in all three stages of evaluation. There was improvement in treatment motivation from
completion, post-two weeks and post-13 weeks of the programme (F=65.11 p <.001). At 13 weeks after completion of the
programme, there was also significant reduction of ketamine use (F=14.72, p <.001). The outcomes of this study indicate that
the use of the intensive and comprehensive intervention in the Crisis Accommodation Programmes is effective in decreasing
ketamine consumption and in enhancing the motivation and readiness to abstain from ketamine use.

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