The Turning Point Addiction Medicine Unit (TPAMU)
Box Hill Hospital 1East ward
Subacute hospital based withdrawal beds
Ward 1East is supported by 24/7 medical and nursing staff who are experts in managing AOD withdrawal complicated by medical or psychiatric issues. Ward 1East has the capacity to manage patients with a DSM 5/ICD10 diagnosis of severe substance use disorder or dependence, whose treatment may be outside the scope of standard community residential withdrawal. Admissions to 1East include patients with:
- alcohol and other drug dependence complicated by:
- comorbid medical conditions
- comorbid psychiatric conditions), and/or
- other complexity (e.g., patients with a history of withdrawal seizures)
- dependence on high doses of painkiller opioids needing stabilisation or substitution with high dose methadone or buprenorphine
- dependence on novel psychoactive and synthetic drugs including cannabis like substances, methamphetamine and GHB.
- transfer from high dose methadone (or other opioids) to buprenorphine.
- high dose and unstable illicit benzodiazepine use.
A 1East admission will often be the first phase in the TPAMU model of withdrawal management and recovery, and most patients undertaking withdrawal with TPAMU will be admitted to 1East initially, prior to transfer to a TPAMU step down bed.
Community residential withdrawal beds
Ward 1East is integrated with the community residential detoxification unit, Wellington House. Patient recovery plans can include a step-down to Wellington House for up to 28 days stabilisation treatment. In addition to consolidating medical treatment commenced in 1East, the program for patients in Wellington House includes:
- group psychotherapy
- in house mutual aid sessions
- life skills including financial advice, and
- physical activities.
While in Wellington House, there is opportunity for patients to be supported in developing post discharge recovery plans, including counselling or attendance at mutual aid groups.
Referral to these services is via the Eastern Consortium of Alcohol and Drug Services (ECADS) central intake number: 1800 778 278.