5. While the situation lasts

People who experience addictive disorders often endure other psychiatric disorders and organic comorbidities. They also often suffer social difficulties, and unfortunately, in many cases, stigma. All these circumstances complicate their navigation of the healthcare and welfare networks. The challenges encountered by people experiencing addictive disorders to navigate healthcare and welfare networks and community resources might handicap their recovery path and complicate their prognosis. These unmet needs for chronic issues in ambulatory settings can also precipitate frequent use of acute settings that provide 24h availability and accessibility, such emergency departments. But this is an undesirable pattern of service use for this vulnerable patient population, since patients receive care that is suboptimal because it is fragmented and episodic. Individualized plans of case management interventions for people experiencing addictive disorders can help them navigate the healthcare and welfare networks and improve their quality of life and prognosis. We artistically introduce lived experiences of case management interventions based on motivational interviewing that have been implemented in the Addictions Unit of Hospital Clínic de Barcelona.

By: Clara Oliveras, Barbara Citoler Naval, Soraya Sabater Plaza, Maria Teresa Pons Cabrera, Pablo Rodrigo Guzmán Cortez (Grup de Recerca en Addiccions Clínic, IDIBAPS, Barcelona, ES)