SY43-2 * CRCT FOR SUBSTANCE USE DISORDER IN ADMISSION WARD

Abstract

Since 2011 in our psychiatric hospital, we implement CRCT. After Repetition of Inhibitive Stimuli Action (Stage 1), the patients begin Fake intake as Simulation of Undesirable Behavior for Stage 2. In it, patients repeat action as actual substance use. In almost patients the first Fake intake causes the strong conditioned reaction, as craving. But these reaction suppressed by Keyword Action. Additionally, repeating Fake intake causes the suppression of the conditioned reaction. Finally, patients repeat uprising all the happening on the day of substance intake (Stage 3), to gain the conditioned stimulations more similar to real life. In almost patients craving has been well-reduced at the time of discharge. But more than half patients of methamphetamine reuse it in a year after the time of discharge. It approves maintain CRCT (stage 4) is necessary. That is patients continue Keyword Action, Fake intake and Imagination intake a few times a day after discharge. Whether CRCT is maintained depends on the social skill on each patient. But it is so complicated that this social skill is also spoiled by addiction to substance. In some cases only CRCT for substance improve also social habit, but in other cases not. Our future mission is to spread adaption of CRCT to the social skill improving.