{"id":3098,"date":"2021-08-20T11:25:06","date_gmt":"2021-08-20T10:25:06","guid":{"rendered":"https:\/\/www.ecett.eu\/?p=3098"},"modified":"2023-06-18T11:00:38","modified_gmt":"2023-06-18T10:00:38","slug":"the-wab-network-an-initiative-created-by-and-for-addiction-workers","status":"publish","type":"post","link":"https:\/\/www.ecett.eu\/?p=3098","title":{"rendered":"GP The WaB Network: an initiative created by and for addiction workers (BE)"},"content":{"rendered":"<h6 style=\"text-align: center;\"><span style=\"color: #993300; font-size: 12pt;\">By Am\u00e9lia Ramackers from WaB Network (Belgium)<\/span><\/h6>\n<p style=\"text-align: justify;\">The WaB Network brings together different types of addiction services every month to cooperate and compose care pathways for users with complex and chronic situations for whom there is no or no longer any alternative at local level.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-3035 aligncenter\" src=\"https:\/\/www.ecett.eu\/wp-content\/uploads\/2021\/07\/210702-WaB-Logo-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" \/><\/p>\n<h4><strong>Observation<\/strong><\/h4>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Some addicted persons have great difficulty finding their place in the care system or wander from one service to another, in disorder and without progressing.<\/span><\/p>\n<h4><strong>History<\/strong><\/h4>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">In 2003, Trempoline organised a training course based on G. De Leon&#8217;s &#8220;integrated systems approach&#8221; (ISA). The professionals who participated in the ISA training created the WaB Network in March 2007 in a bottom-up dynamic. The Walloon Region and Brussels-Capital grant an annual subsidy to WaB for the hiring of a network coordinator.<\/span><\/p>\n<p><img decoding=\"async\" class=\"size-medium wp-image-2959 aligncenter\" src=\"https:\/\/www.ecett.eu\/wp-content\/uploads\/2021\/06\/wab-300x196.png\" alt=\"\" width=\"300\" height=\"196\" srcset=\"https:\/\/www.ecett.eu\/wp-content\/uploads\/2021\/06\/wab-300x196.png 300w, https:\/\/www.ecett.eu\/wp-content\/uploads\/2021\/06\/wab.png 318w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h4><strong>Theoretical support<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">The WaB network refers to two theoretical models:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Georges De Leon&#8217;s Integrated System Approach (ISA), which identifies ten stages related to the process of change in an individual. ISA aims to build a network of care services that offers addicted people a continuous process of change with intermediate goals that converge towards the same end: full recovery.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prochaska and DiClemente&#8217;s model, which identifies the stages of a process of change related to a person&#8217;s motivational state and which should be considered in a circular perspective with possible round trips. The intervention of a specific structure will depend on the motivational state presented by the subject, with each service helping its users to progress to the next stage.<\/span><\/li>\n<\/ol>\n<h4><strong>Target group<\/strong><\/h4>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Any drug dependent person who, due to his or her psychological, psychiatric, physical or administrative situation, or due to a referral from an institution, can no longer find answers to his or her need for help from the services in his or her region.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The services facing these deadlocks are also the beneficiaries of the WaB Network.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The WaB Network has 19 partner services ranging from low threshold to high threshold: street work, outpatient services, emergency accommodation, shelters, hospital detox services, therapeutic non-residential or residential communities.<\/span><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.ecett.eu\/wp-content\/uploads\/2021\/07\/210702-Aurore-Fle%CC%80ches.jpg\" \/><\/p>\n<p>&nbsp;<\/p>\n<h4><strong>Aims\u00a0<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">To develop good practice in cooperation between all support services\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">To facilitate communication, inter-professional and inter-institutional dialogue.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Continuous training of WaB Network members.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Evaluation of the services offered by the WaB Network.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Transpose the WaB model to other sectors than addiction.<\/span><\/li>\n<\/ul>\n<h4><span style=\"font-weight: 400;\"><strong>Clinical concertation, an innovative tool<\/strong><\/span><\/h4>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">A monthly clinical concertation day is organised between professionals (without users), to develop care pathways taking advantage of the diversity of resources represented in WaB, this meeting is itinerant through all partner services.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The agenda includes new Inclusions, re-inclusions, follow-ups and exchanges of good practice.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Service users have to sign an informed consent and fill in the inclusion form.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">After the consultations, the professionals propose several possible care pathways to the users.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Example of proposed care pathways for a street user who is &#8220;included&#8221;:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\"><span style=\"text-decoration: underline;\">1st care pathway:<\/span> Transit (short-term emergency accommodation) to settle down, Maison d&#8217;Accueil to find accommodation, detox at Revivo (hospital) then aftercare at Trempoline (therapeutic community).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\"><span style=\"text-decoration: underline;\">2nd care pathway<\/span>: if not accepted at Revivo, the St Bernard Psychiatric Centre is OK to wean him off before he enters Trempoline.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\"><span style=\"text-decoration: underline;\">3rd care pathway:<\/span> once in Trempoline, if things get stuck, a reorientation to Hautes Fagnes (therapeutic community) is possible.<\/span><\/p>\n<h4><strong>Reasons for inclusion:\u00a0<\/strong><\/h4>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of local resources.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exhaustion of local resources, referrals, multiple relapses, inadequacy.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wish to change geographical area.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency of the situation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accompaniment requested by the user.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accompaniment requested by the professional.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other.<\/span><\/li>\n<\/ol>\n<h4><strong>Results since 2008:<\/strong><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">58 clinical situations are discussed per month and mobilise more than twenty professionals from the 19 structures currently members of the network\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">111 users in the active file.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">621 users were included, i.e.\u00a0 3 x 621 care paths proposed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">54 users have died<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">30 tools have been created since the creation of WaB (folder, cadaster, evaluation,&#8230;).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transposition of the WaB model to 3 sectors: social defense, homelessness\u00a0 and unemployment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Computer database.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Website: www.reseauwab.be<\/span><\/li>\n<\/ul>\n<p><strong style=\"color: #222222; font-size: 1.25em;\">User profile<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The users are mostly men between 30 and 44 years of age, often with a long history of drug use and complicated institutional histories as well as legal and\/or mental health problems.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Addictions: alcohol (87%), cocaine\/cannabis (80%) and heroin (67%).<\/span><\/p>\n<h4><strong>Impact of the network<\/strong><\/h4>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Positive improvement on 4 levels: socio-administrative situation, consumption, medical situation and psychological situation.<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-weight: 400;\">88% positive impact on users&#8217; care trajectories\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">84% of the users think that the WaB care is good or excellent.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">94% of professionals in the field group are satisfied\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The Ecett Academy can help you to get in touch with the author of the GP, write to <a href=\"mailto:contact@ecett.eu\" target=\"_blank\" rel=\"noopener\">contact@ecett.eu<\/a>.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Am\u00e9lia Ramackers from WaB Network (Belgium) The WaB Network brings together different types of addiction services every month to cooperate and compose care pathways for users with complex and chronic situations for whom there is no or no longer any alternative at local level. Observation Some addicted persons have great difficulty finding their place &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/www.ecett.eu\/?p=3098\"> <span class=\"screen-reader-text\">GP The WaB Network: an initiative created by and for addiction workers (BE)<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[186,151,78,103],"tags":[],"class_list":["post-3098","post","type-post","status-publish","format-standard","hentry","category-bulletin-n25","category-bulletins","category-good-practices","category-partnerships"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>GP The WaB Network: an initiative created by and for addiction workers (BE) - Ecett Networks<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ecett.eu\/?p=3098\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GP The WaB Network: an initiative created by and for addiction workers (BE) - Ecett Networks\" \/>\n<meta property=\"og:description\" content=\"By Am\u00e9lia Ramackers from WaB Network (Belgium) The WaB Network brings together different types of addiction services every month to cooperate and compose care pathways for users with complex and chronic situations for whom there is no or no longer any alternative at local level. 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