The Hospital at Home

Stopping alcohol can feel impossible especially when you feel you are dependant upon on it.

Often it can feel as though there is no life without alcohol and despite the negative consequences we continue to drink. A medical alcohol detox is required when a dependency to alcohol has developed physically. 

The prospect of going to a hospital or detox facility can be daunting, time consuming and cost prohibitive. We would not recommend stopping alcohol on your own, as it can place you at risk of life-threatening alcohol withdrawals, seizures and delirium tremens. 

At Sanctum, a CQC regulated healthcare provider, we have created the “Hospital at Home” service. We can deliver detoxification from alcohol in the home environment, which is discrete, safe and comfortable, delivered by our team of experts.

Hospital at Home Detoxification 

The Team;

Consultant Psychiatrist, Registered Mental Health Nurse

The Process:    

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Screening;    

Screening Assessment

Assessment;  

Psychiatric Assessment by a Consultant Psychiatrist

Physical Health Assessment 

Nursing Care Plan conducted by a Registered Mental Health Nurse

Laboratory investigations

Detoxification;    

Medically managed medication assisted withdrawal programme 

Vitamin Supplementation

Stabilisation;    

Four times daily nursing review 

Duration;    

Up to 7 days 

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Cost; £POA

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Hospital at Home Rehabilitation

The Team:

Consultant Psychiatrist, Registered Mental Health Nurse, Recovery Coach, Psychotherapist, Sobriety Management Coordinator. 

The Process:    

Detoxification;

Hospital at Home detoxification protocol (as above)

Assessment;

Psychological Assessment

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Accountability;

Sobriety Management with smart phone enabled breathalyser

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Cravings;

Commence medication to prevent cravings

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Recovery;

Recovery programme including:

Psychiatric follow up

Weekly therapy sessions                      

Daily Nursing review 

Daily Recovery Manager review

Sanctum recovery modules 

Duration;

5 week programme

Cost; £POA

The Sinclair Method (TSM) by SANCTUM

Not everybody is ready for a life without alcohol and complete abstinence. Some people want to moderate their level of drinking or reduce their intake gradually and safely. TSM actually requires you to drink, you will effectively be drinking yourself sober! 

So how does it work? 

TSM is a treatment for alcohol addiction that uses a technique called pharmacological extinction—the use of an opiate blocker to turn habit-forming behaviours into habit-erasing behaviours. TSM consists of taking an opiate blocker one hour before your first drink of the day for the rest of your life as long as you continue to drink. The opiate blocker chemically disrupts the body’s behaviour/reward cycle causing you to want to drink less instead of more.

Endorphins are the brain’s natural morphine and are released during alcohol consumption. Endorphins are absorbed by neurons in the brain and are responsible for the rewarding effect of alcohol. New connections form between the neurons and repeated drinking reinforces these connections leading to cravings. TSM utilises an opiate blocker which binds to these receptors and keeps endorphins from being absorbed. There is subsequently no reward.

The Sinclair Method has a 78% long-term success rate. 

The Team;   

Consultant Psychiatrist, Registered Mental Health Nurse, Recovery Coach

Screening;    

Screening Assessment

Assessment;    

Psychiatric Assessment by a Consultant Psychiatrist

Physical Health Assessment

Nursing Care Plan conducted by a Registered Mental Health Nurse

PEth Test- very specific alcohol biomarker 

Initiation;    

Prescription and medication issued

Nursing review 

Recovery Manager Support

Follow up;

Monthly Psychiatry Review        

Private Prescription                        

Medication                            

PETH test at 6 months                    

Transfer of care to medical provider 

 Alcohol Tracker

Duration;    

6 months minimum

Cost;   £POA

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Addictive Eating/Weight Management Service

Our weight-loss pill works on two areas of your brain—the hunger centre and the reward system - to reduce hunger and help control cravings.

We utilise a unique medication which is a combination of antidepressant and opiate blocker medications. These two medications work together in the brain to help down-regulate hunger signals. Patients feel full with less food and have fewer food cravings when they are not hungry.

The first component is an opioid antagonist. It blocks the centre in the brain where opiate-like medications bind. The second component, the antidepressant, helps keep the levels of dopamine and norepinephrine slightly higher in the central nervous system. In combination the medication works on the hypothalamus (appetite regulatory centre) and dopamine mesolimbic reward system in the brain to regulate appetite. 

11.7% weight loss was the average weight loss in people who continued treatment with medication for one year. 32% of these people lost over 15% of their body weight at one year.

The Process    

Screening;    

Screening Assessment

Assessment;    

Psychiatric assessment by a Consultant Psychiatrist

Physical health assessment 

3D Body composition analysis and report 

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Treatment;    

Prescription and medication 6 months

Weight coach 

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Follow up;    

Monthly review 

3D body composition analysis month 3 and month 6

Duration;    

6 months minimum

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Cost;      £POA

Tier 1 - Initial assessment and prescribing

Tier 2 - Includes Tier 1 and body composition scanning

Tier 3 - Includes Tier 1, Tier 2 and 1-2-1 personal weight coach