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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:
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
Cost; £POA
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
Accountability;
Sobriety Management with smart phone enabled breathalyser
Cravings;
Commence medication to prevent cravings
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
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
Treatment;
Prescription and medication 6 months
Weight coach
Follow up;
Monthly review
3D body composition analysis month 3 and month 6
Duration;
6 months minimum
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
