The most important is man
The way the center is managed in London combines the ability to use its mission to build a team, create an ethos and thus influence both the effectiveness of treatment and employee satisfaction. It is based on the well-established belief that …
The most important is man
The tradition of addiction treatment in Tworki is as long as the entire post-war history of the Psychiatric Hospital. This obliges. That is why the changes in addiction treatment that have taken place in Poland in recent years have significantly influenced the modern history of the Pruszków hospital. And this is thanks to PARPA. In 1998, the agency signed an agreement with the director of the hospital in Pruszków, under which the hospital undertook to introduce changes enabling the use of modern treatment methods in the withdrawal institution, and PARPA declared that it would co-finance the necessary investments and implementation of the therapeutic program for five years. The Agency recommended Jagoda Fudała as the head of the facility, which previously created the foundations of modern drug treatment in the penitentiary system. Changes were necessary.
secretaries of the facility – The first conversation with Jagoda Fudała, a few years ago, decided that I stayed. The next two weeks confirmed my belief that I did the right thing, because I already knew that …
everything’s going to change
The resort does not resemble today a few years ago. It has been thoroughly renovated, insulated, connected to the municipal boiler room. The stationary branch in Pruszków is planned for 65 people (including 15 women). Patients sleep in 2-5 bed rooms, they have a kitchen, dining room, room for “quiet work”, treatment room and doctor’s office, seven rooms for group therapy, nine rooms for individual psychotherapy. Carrying out such a renovation in a building with an area of 1500 m. Square was not easy. Without help from PARPA and the surrounding municipalities that referred the most patients for treatment, this would not have been possible. Out of a hundred municipalities, one-third decided to help. Local government officials understood that by investing in the resort, they invest in their residents. The commune commissions allocated funds for the renovation and retrofitting of therapeutic rooms, patient rooms, bathrooms and canteens. New furniture was purchased and the beds – with profiled mattresses – were given to patients by Germans. Therefore, the base changed, but at the same time, just as importantly, the profile of the center changed. Previously, the treatment was of a medical nature.
– We changed the terms and conditions of therapy. – recalls Jagoda Fudała – We have created new regulations, more stringent than the previous one. Patients complained, but signed new contracts and followed the rules. Therapists – because most of them had completed STU – thought similarly about what serves the patient and what does not. Here we agreed …
The appearance of the center, the program, the team, the work system changed, the atmosphere and …
In addition to the regulations and conditions applicable to patients, a jointly developed code of professional ethics appeared, to which all employees signed.
– Almost every record of the code had long discussions, but we knew that behind them is the good of the patient and ours, that thanks to this, as employees, we can feel okay, that we work in a good place and that we can be proud of it. It was also about creating a positive and recognizable image of the center, which was previously identified with a psychiatric hospital – says the initiator of changes.
One of the provisions of the code says that the therapist must not accept any gifts from patients and their families; neither before nor during or after treatment. The use of affinities, the skills of past and present patients, even to refurbish or renovate the center was and is a phenomenon encountered in addiction treatment. There is also a habit in many centers to this day that whoever ends the therapy “organizes” a farewell. Patients invited their colleagues and selected therapists to the event – once here as well. There was usually a lot of confusion, coffee was brewed with the power that the spoon stood in a glass, and patients sat in a cloud of smoke and it looked as if there was no change in their lives.
I decided that it does nothing – says Jagoda Fudała – Unconditional compliance with all the rules takes away the trouble of wondering what is right and what is not. Since they apply, patients and their families also recognize them. Everything is clear for both them and the band.
Visitors to the facility find out about some of these rules as soon as they enter, thanks to information hanging in prominent places.
– The patient is to be treated – says Ewa Serafin, psychologist and psychotherapy specialist, formally deputy head of the center – if he enters a different role, the process is disturbed. The patient is treated differently and he sees himself in a privileged position.
Patients learn about the existence of the code when signing a therapeutic contract. There is also a significant paragraph for them saying that therapists are committed to treating them as best they can. And so in terms of participation in the treatment process, both parties have their role to fulfill. And towards the records, all participants in this process remain equal. The credibility of this content depends primarily on the team. That is why ties are built around the code, it gives birth to a personal sense of work, and a team capable of accomplishing ambitious tasks works in London.
The team that cooperates with each other and it is he – in the joint opinion of our interlocutors – is the main strength of the facility. Here it is not so much to avoid debilitating conflicts, but to actively counteract them. Thanks to this, both cohesion and trust are born in the group, which favor an open exchange of opinions. It is in this way of management that the whole secret of the centre’s success and people’s involvement lies. The therapists do substantial work here, of course, but everyone adhering to the applicable rules knows that the reputation of the facility depends on it. Everyone has their mission to fulfill here, which is part of the mission of the entire center. This requires individual responsibility for each stage of work and position, and gives everyone the right to assess how other team members care about this image. The reward is personal satisfaction and awareness that you have your share in creating the image. A large group of people work in Pruszków today for this success.
After several years of systematic and consistently introduced changes, the Center in Pruszków employs two psychiatrists, 16 therapists, 11 of whom are addiction therapy specialists and five instructors. The team consists of eight nurses who have graduated from the Psychological Assistance Study and seven nurses. The cooperation of individual persons takes place according to a set rhythm. Twice a week clinical meetings are held, once a team of the shortest working therapists, led by a more experienced colleague. Therapists are therefore substantive in their support. – With the help of others it is easier to see the patient, solve his problem. I am not alone in my difficulties; it prevents burnout, but also mobilizes – says Ewa Serafin. In this way, skills are improved here. Professional development translates into job satisfaction and efficiency, which is crucial in times of increasing competition.