PTSD Centered NeuroTrophic Stimulation Therapy NTST Program - Last Door Recovery Society 323 8th Street New Westminster BC V3M 3R3
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
PTSD Centered NeuroTrophic
Stimulation Therapy [NTST] Program
Last Door Recovery Society
323 8th Street
New Westminster BC
V3M 3R3
1-888-525-9771
www.lastdoor.org/ntst
INDEX
o Introduction Page 1
o Treatment Components and Therapies Page 2 to 9
• Detox
• Neural Auricular Acupuncture
• Neural Therapy
• Bio-Acupuncture/Acupoint Injection Therapy
• Cranial Electro-Stimulation
• Last Door Social Model Program
• Lifestyle and Nutrition
• Meditation
• Evoked Potential Brain Scans
• Psychiatrist Assessment
• Medication Management
• Continuum of Mental Health Services
• PTSD Family Education
• Follow Up
INDEX
• Recovery Booster Program
o Eligibility Page 10
o Reporting and Documentation Page 11
o Summary Page 12
o Licensing, Accreditation Page 13
o Contact Page 14
1
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntst
A TREATMENT DESIGNED TO ADDRESS
INTRODUCTION TO TREATMENTOF CO-MORBID HEALTH ISSUES
CO-MORBID HEALTH ISSUES
Thirty years of continued program development has made the Last Door Recovery Centre a world
leader in Addiction Treatment and an ideal setting for launching evidence based therapies for PTSD
and Co-morbid Health Issues.
The Last Door Recovery Centre is pleased to announce an exciting addition to their residential
treatment programs with the introduction of the integrated NeuroTrophic Stimulation Therapy©
Program (NTST©).
The NTST© Program paradigm combines distinct assessment and treatment procedures specifically designed
to monitor and stimulate the central nervous system [CNS] with a focus on restoring normal functioning of
deteriorated or dysfunctional brain controls and related structures and processes.
These interventions are not only supported by sustained biomedical clinical research but also evidenced to
be the forefront of best practices. Current international peer-reviewed biomedical literature shows growing
evidence regarding the use of customized biomedical and neurophysiological assessments and restorative
medical care specifically designed to understand and address complex resisting “plateaued” patients are
more successful than simpler traditional standardized ‘cookie-cutter’ approaches1.
Each patient is a multifaceted individual with a unique set of needs which the NTST© Program is able to
effectively address with evidence-based application of customized protocols and adaptive Patient guidance.
The conclusions published by Dr. Charles C. Engel2, MD, MPH, Colonel, Medical Corps, US Army, compared
outcome data of a four week course of twice weekly TCM Acupuncture to that of usual “mainstream” conven-
tional PTSD care. Acupuncture treated patients’ data showed significantly greater improvements in PTSD
symptoms (pre-post ES 1.4-1.6; versus usual care ES 0.7-1.0)3.
The NTST© Program has been created in order to mitigate adverse side effects and improve outcomes
when treating PTSD, Traumatic Brain Injury [TBI], mental health, substance withdrawal and other concurrent
disorder patients. It is partly inspired and based upon the unique state-of-the-art neurophysiological approach
developed by Dr. Philippe A. Souvestre, MD (France), founder and medical director of the NeuroKinetics
Traumatology Clinic, based in Vancouver, Canada4.
Principles of the NTST© Program include that each patient is initially assessed and a individualized Treatment
Program is developed based on the patient’s biomedical, neurophysiologic, and psychosocial data. All initial
data is recorded as a baseline, monitored and revisited at each follow up to insured personalized care for a
successful outcome. Nesting the NTST© Program within Last Door’s social model program permits effective,
safe and monitored treatment for patients and facilitates adjustments based on residential support and general
recovery progress.
1 Perspective: Balancing Personalized Medicine and Personalized Care.
2 Dr. Charles C Engel Bio
3a Dr. Engel, Director of DoD Deployment Health Clinical Center located at Water Reed, Bethesda, MD.
3b Supplemental Article: Acupuncture lessens PTSD, depression, pain in veterans. (Psychiatry)(posttraumatic stress disorder)
3c Supplemental Study: Efficacy of Acupuncture for PTSD in Military Personnel: A Randomized Controlled Trial
4 Dr. Philippe Souvestre Bio
visit www.lastdoor.org/ntst-references to view references
2
1-888-525-9771 BREAKING THE CHAINS OF ADDICTION
The classical PTSD approach has been focused on moderating out-patient symptoms and complaints. Some
attempts have been made to manage symptoms with short term bio-feedback treatments with some positive
CO-MORBID NTST TREATMENT COMPONENTS AND THERAPIES
interim relief. However, long term recovery and stabilization appears to be challenging and often resulting in
failure with patients subjected to pharmaceutical regimes for undetermined periods of time with minimal or
negligible benefits. The NTST© program focuses both on holistic patient care and stabilization with an emphasis
on immediate symptom relief.
The NeuroTrophic Stimulation Therapy© Program will enhance Last Door’s Recovery Treatment Program by
augmenting the individual therapeutic plan to address each patient’s symptomatology and recovery goals.
Each NTST© therapeutic cycle is delivered in 12 weeks. This is the time needed for both therapeutic recovery
and patient stabilization. The NTST© Program’s strength is its flexibility as it is adjustable to individually
scheduled protocols to optimize effectiveness for general and specific patient’ recovery.
CO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES
1. Detox - Last Door integrates medically supervised Residential Withdrawal Management Protocols under the
care of an American Society of Addiction Medicine [ASAM] Certified Addiction Specialist. Last Door’s social
program residential environment enhances the medically monitored detoxification period by customizing the
protocol with supplemental nutritional efficiencies that support any lingering physical, mental or behavioral
issues. Patient’s also benefit from the social supports of other patient’s who have stabilized and provide peer
support and mentorship. Noticeable bio-psycho-social changes appear within the first week of treatment for
patient’s fostering “group-readiness”. Detox includes the leading edge Nicotine Withdrawal Program pioneered
at Last Door 17 years ago and subsequently replicated by many treatment centres.
2. Neural Auricular Acupuncture - One of the most prominent biomedical acupunctural approaches, Neural
Auricular (ear) Acupuncture is used worldwide since the 1970’s. It includes a large number of different protocols
such as the ‘5 needle’ NADA protocol specifically developed for addictions and PTSD treatment5 ; and also
includes the latest Auricular Trauma Protocol, “a 6 point auricular acupuncture protocol to influence neuro-ana-
tomical and psycho-emotional targets of trauma”6.
The ear represents a micro-system reflecting the whole body with complex innervation networks connected to
specific controlling structures of the brain. When stimulated, such central neural controls are able to reduce
physiological dysfunction, pain and discomfort, and calm hypersensitivities and emotional unrest, as they support
proper brain function and regulation.
Each treatment procedure includes a root-treatment shown to be universally applicable to each patient, plus
a further customized protocol suiting each patient’s condition and symptoms. International peer-reviewed
biomedical and scientific literature shows Auricular Medicine to be an effective way of reducing symptoms of
PTSD and concurrent disorders. Customized treatments allow for longitudinal protocols with improved restorative
responses and appropriate healing stabilization periods7.
5 NADA Explained
6 HMI Auricular Trauma Protocol
7 Auricular Therapy in the US Military
visit www.lastdoor.org/ntst-references to view references
3
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntst
It is also shown to be effective for rapidly reducing physical, cognitive and mental symptoms of Postural
Deficiency Syndrome [PDS] experienced by both populations of Trauma Brain Injury [TBI] patients and PTSD8.
For several decades Neural Auricular Acupuncture has been used in the Armed Forces and civilian world with
demonstrable success in restoring awareness and re-synchronizing the patient’s mind-body connection. Improve
relaxation and patient serenity are noticeable in early treatment sessions9.
CO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES
3. Neural Therapy [NT] - During interviews and medical examinations, even with unidentified PTSD, patients
communicate as if they could be “stuck” by a trauma “locked within the body”. In order for the Patient’s body
and mind to heal or re-sync together after a trauma, the logical approach is to look at “obstacles in the healing
processes”. These obstacles are usually hidden scars or damaged areas that block the functional pathways of
the CNS, these areas of the body may get deteriorated to the point where normal homeostasis and neural
plasticity no longer are capable of adapting any physiological changes and leads to a chronic reduced capacity
to heal and adapt.
When a significant trauma or the accumulative effect of a series of traumas occurs, besides noticeable and
measurable physical damages, victims may present PTSD symptoms. NT is based on the understanding that
damaged areas of the body are not effectively regulating physiological processes due to dysfunctional tissue of
the damaged area (aka. dead zones). NT re-establishes neurophysiologic function and cellular communication to
dysfunctional area. By “releasing the trauma” and allowing the body to return to homeostatic function.
Trauma, internal or external can cause the brain`s governance to perceive the affected dysfunctional area as
a “foreign body”. In error, the brain’s governance over the autonomic regulatory processes will exhaust all
resources available to attempt to eliminate and evacuate the mistaken scar tissue. This depresses the whole
body until the `foreign body` is removed or neutralized with NT.
Visible abnormal scar tissue is sometimes the site of dysfunction, but more often it is typically asymptomatic and
will require a specific and thorough investigation in order to be located, identified and treated. This “unlocking”
releases physiological tension, psychological alteration and re-establishes proper neural and cellular matrix
functionality and connectivity throughout the body and the brain allowing healing and autonomic regulation of
the disconnected regions.
8 Postural Deficiency Syndrome [PDS], An applicable Model?
9a Ear Acupuncture in Western European Traditional Medicine
9b Military: Battlefield Acupuncture - AsMA papers [2011, 2012, 2013] US Forces
9c Military Acupuncture for PTSD
9d Positive Reporting on the use of NADA for substance withdrawal
9e The Neurobiology of Acupuncture
visit www.lastdoor.org/ntst-references to view references
4
1-888-525-9771 BREAKING THE CHAINS OF ADDICTION
CO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES CONT.
4. Bio-Acupuncture/Acupoint Injection Therapy - Acupuncture/Acupoint Injection Therapy [BA/AIT]
includes ultra-low doses of Health Canada approved therapeutic substances10. This injection technique
delivers therapeutic fluids over or into various tissues of the skin, matrix, or deeper structures connecting with
fascia, muscles, tendons, or ligaments in order to treat severe, acute or chronic pain, often dominant among
other symptoms, and reflective of tissue damage due to injury. Such conditions are commonly seen in PTSD
conditions.
These PTSD patients usually live with these unresolved aftermaths of multiple physical injuries and/or emotional
scarring not realizing what is causing this pain, and that it can be treated. It is common to observe direct head,
neck, and shoulders injuries, but also hidden or indirect lower back, hip girdle and lower limbs disorders that
can also result in significant neck pain, headaches, eye tension, dizziness, disorientation, insomnia, anxiety
and panic attacks.
One of the initial BA/AIT protocols for the NTST Program is the Souvestre Technique. This technique releases
the myofascial tissue of the jaw that ties to the base of the cranium, in turn releasing pressure, tension and
inflammation not only locally for head, eye, jaw and neck issues, but also and globally throughout the body.
The Souvestre Technique allows both a rapid simultaneous localized and general systemic release of all
connected neurophysiological systems governed by brain sensory-motor and cognitive controls.
Immediately after the treatment, a noticeable global reset of dysfunctional central neural controls is felt; the
patient immediately feels the releasing of tension and a reduction of symptomology. Objectively, the Patient’s
physical and emotional hyper-sensitivity/hyper-excitability (unpredictable aggressive and violent behaviour)
is reduced with a surprisingly rapid return to more positive social engagement.
Similar therapeutic approach and injection methodology are now also being used extensively in Japanese
dentistry to correct TMJ and mandibular disorders.
10 For the purpose of this document, the substances are considered Proprietary, and will be disclosed to patient and practitioner as required
visit www.lastdoor.org/ntst-references to view references
5
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntstCO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES CONT.
5. Cranial Electro-Stimulation - International peer-reviewed clinical studies report Cranial Electro-Stimulation
[CES] is found to be effective in reducing symptoms of PTSD and the co-occurring conditions of anxiety,
depression, and insomnia. Health Canada approved CES devices operate by re-establishing dysfunctional cell
membrane potentials through a pulsed, low-intensity current applied on the ear lobe or under the lobule of the
ear that travels through the vagus nerve. CES protocol directly affects relevant brain controls located in the
limbic system in physically restoring and strengthening related neural connections and pathways11.
6. Last Door Social Model Program - Patients with PTSD, depression, social phobias and addictions require
a minimum commitment of 100 days to fully reap the combined benefits of Last Door’s specialized mental health
services, clinical treatment assignments, family program and NTST treatments. In cases of complex co-morbid
issues, more time may be needed in which case treatment is considered open ended. (reduced rate may apply)
Family suites and weekly family and partner groups are provided. Longer term, supported Transitional Living is
offered to provide enhanced relapse prevention and social reintegration supports that may be required for some
to transition successfully to their personal lives.
Our Community (Social) Model Program is a peer oriented process of rehabilitation and healing. The approach,
developed over 30 years of successful addictions treatment, is integrated in the day to day life of Patient’s who
are helped through issues, often relearning the “splendour of the ordinary”. Individuals listen, learn and observe
at their own pace, gaining information, skills and perspective. They then practice new ideas and behaviours in a
safe community and assess workability for their daily lives; patients begin to trust their own ability to solve
problems experientially.
The added benefits of this Social Model prepare patients with PTSD to engage in ongoing psychotherapy
successfully. Patients detox and stabilize getting physically well and preparing for the more successful and
willing integration of emotional health. This is often in contrast with frustrating experiences in attempts at
out-patient psychotherapy with patients who are still misusing substances or in need physical stabilization.
Substance effected persons are better suited to handle exposure therapies and somatic therapies via long
term residential programming.
Last Door Alumni, Military Veteran Ronnie I., says ‘‘at Last Door I experienced a camaraderie between patients,
staff and alumni when people called each other by name, I instantly felt like I was home... safe, it was the
first time in the civilian world I felt I could trust again’’ This example underscores the foundation of recovery
embedded in Last Door’s social process.
Upon intake and assessment, Last Door’s multidisciplinary team integrates best practices with the patient’s
current mental health team. Last Door’s electronic health records software communicates efficiently with the
integrated case management team; making all the medical information, case notes, progress reports and
significant history available to the entire healthcare team12.
11a Scientific Research on CES
11b CES, validity and research from the Armed Services in the US
11c Effects of CES on resting state brain activity
12 Full list of Last Door’s Clinical Benefits
visit www.lastdoor.org/ntst-references to view references
6
1-888-525-9771 BREAKING THE CHAINS OF ADDICTIONCO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES CONT.
7. Lifestyle and Nutrition - This twelve week, 24 session, psycho-educational group, provides patients with
learning opportunities for improved lifestyle behaviours. Sessions feature physical fitness, body-mass co-factors,
nutrition, dental hygiene, meditation and exercise as well as essential health knowledge and social balance.
Patients learn the adverse effects of unhealthy eating habits and lifestyle choices as well as their consequences
on the brain’s health and functional performance.
8. Meditation – Weekly Mediation groups support NTST patients by bringing them to the present by
reconnecting the awareness between the mind and body.
9. Evoked Potential Brain Scans - NTST patients will receive two onsite Brain Scans by a trained professional
at intake and during the course of treatment. Scans have demonstrated evidence-based roles in identifying
specific areas and types of central neural dysfunction. These scans further indicate two distinct classes of
additional support to treatments provided:
a.Nutrition and diet adjustments targeted at accelerated healing necessitated by the patient’s
condition factors, such as additional damage of injury, drugs and alcohol.
b.Exercise and learning experiences aimed at building alternate and stronger neural networks to
augment and reinforce the social programming teachings and the NTST treatments and insights.
10. Psychiatrist Assessment - Consultation with patient to review his (past/current) medical file and
medications and confirm the degree of his PTSD, in treatment monitoring of progress and then on discharge,
reassess the patient with a view to tracking and recording the degree of change. Consultation will also
determine any immediate concerns and when necessary, assist with treatment plan adjustments.
7
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntstCO-MORBID NTST TREATMENT COMPONENTS
AND THERAPIES CONT.
11. Medication Management - Monitored by Last Door’s Pharmaceutical MAS Committee, Fraser Health
Authority and Dr. Wardman, for optimum integration with existing patient’s physicians. Medication compliance
and adjustments for optimum patient satisfaction can be safely made with time and Last Door’s environment.
12. Continuum of Mental Health Services - Patients who successfully complete NTST treatment have the
added benefit of life-time access to Last Door’s alumni groups which take place on Wednesday and Thursday
evenings. Out of town patients have access to Last Door’s online coaching and counselling, and also have
access to two onsite suites for visitors. (It’s common for alumni to visit Last Door when celebrating recovery
milestones).
Last Door also hosts a plethora of recovery events for alumni creating opportunities to connect and reconnect to
a vibrant recovery community. This value added service allows patients to enlarge their support circles so they
can continue to find solutions to the everyday negative life situations.
Typically patients are involved in Last Door’s Social Model program for 6 to 9 months. 3 to 4 months of core
treatment and 3 months of transitional living during reintegration into work or education. During transitional
living, patients are involved in alumni peer support with new patients.
Last Door has an open door office environment, alumni benefit from the ability to drop in or call to speak to a
counsellor on a one on one basis, no appointment is ever needed. Patients are also assisted with the transition
into former out-patient PTSD programs. Patients can do both, while in transitional living, providing a streamlined
approach to the continuum of care. A specialized support group will be available for NTST patient graduates.
8
1-888-525-9771 BREAKING THE CHAINS OF ADDICTIONCO-MORBID NTST TREATMENT COMPONENTS AND THERAPIES CONT. 13. PTSD Family Education - Learning enhancement for caregivers and family members of NTST patients. Loved ones will benefit from Last Door’s social model program by participation in the entire treatment process from intake to discharge. Family and caregivers can attend weekly groups at Last Door to familiarize themselves with the tools necessary to support persons in recovery. Augmented specialized services to family and associates of persons with PTSD, with a focus on being supportive, recognizing signs of a relapse, self-care, and detachment so they can be supportive and remain healthy. Caregivers will be included in the patient’s case worker progress reporting. The caregiver will learn how the patient was able to get well and use this knowledge to support the better choices when the patient returns home. Last Door strongly believes that before a patient returns home, a healthy plan involving the caregiver is in place. 14. Follow Up - At discharge Last Door’s electronic health record systems produces a three month and six month outcomes assessment report. The Brain Scan and Psychiatrist Assessment at discharge are solid markers for continuing care and monitoring. Patient communication with the staff team produces excellent feedback and monitoring of social satisfaction with outcomes. 15. Recovery Booster Program - NTST patient’s may experience a re-occurrence of PTST symptoms or a renewed trauma experience. Alumni who require crisis management can readmit for support at a reduced rate. Alumni have checked in for in-patient continuing care for periods as short as a weekend, to up to a month. Some patient’s have also readmitted for a Booster Program for post-surgery care or medication management for relapse prevention. 9 BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntst
PATIENT’S ELIGIBILITY CRITERIA FOR
THE NTST PROGRAM
Clients can be selected from the following groups:
• Active Service Personnel, (civil servant, military or para-military, and any relevant recognized
community services)
• VA status Personnel
• First Responders, Emergency Personnel
• Law Enforcement
• Medical Practitioners
Further eligibility requirements:
• 21 and over
• PTSD – clinical diagnosis
• Physical mobility and cognitive ability
• Acknowledgement and evaluation of patient’s “Damage vs. Dysfunction” status – (In certain
cases where areas of the brain are damaged, it may not be possible to rebuild neural networks
but dysfunction can be reset and the reduction of disability caused by the damage be minimized
by specific compensations.)
ELIGIBILITY
10
1-888-525-9771 BREAKING THE CHAINS OF ADDICTIONREPORTING AND DOCUMENTATION
• NTST Pre-Assessment Questionnaire – Questionnaire to assess patient’s symptoms, functional
status and quality of life immediately before each acupuncture assessment
• Progress Reports – Can be provided as requested, and sent on schedule or as per Last Door’s
protocol. NTST weekly symptom daily journals [DJ] are required to be submitted at the end of each
week by patient.
• NTST Interview – General health interview and recording of diagnostic information to complement
treatment notes.
• Treatment Effectiveness Assessment (TEA) – Patient is asked to express the extent of changes
observed and felt from his involvement in the Program to the current point (or how things are at
baseline, for the first TEA) in four areas: substance use, health, lifestyle, and community involvement13.
Supported by Canadian Veterans Advocacy
“The Last Door is an innovative treatment facility with a family
environment. I recommend soldiers and veterans who struggle
with addiction(s) and PTSD to consider a successful
centre like Last Door.”
Silvain Chartand CO
Director Information Management & Information Technology
13. The Treatment Effectiveness Assessment (TEA): an efficient, Patient -centered instrument for evaluating progress in recovery from addiction
Visit www.lastdoor.org/ntst-references to view references
11
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntstPATIENTS’ SUMMARY
• Establish safety, security and trust within Last Door’s Recovery Community,
• Be given an opportunity to grieve their trauma,
• Learn how to live in the present, not live in the past and in the future,
• Exercises will self-evaluate fears of the past and future,
• Exercises will prepare for trauma symptom reoccurrence,
• Learn how to live with no past shame or guilt,
• Be part of a support network,
• Rebuild relationships with community and family,
• Patients who have suffered severe, persistent symptoms of PTSD and have not responded to
conventional pharmaceuticals or psychotherapy will find comfort and long term solutions to their
PTSD and addiction issues,
SERVICES
SUPPORTING LINKS
To read more on these supporting links visit www.lastdoor.org/ntst-references
• Acupuncture does work as it stimulates a natural pain killer, scientists find
• Study Quoted: Bai et al. Molecular Pain 2010, 6:73
SUMMARY
• Electroacupuncture upregulates ERK signaling pathways and promotes adult hippocampal neural
progenitors proliferation in a rat model of depression
SPECIALIZED
• Effect of electroacupuncture on the stress-induced changes in brain-derived neurotrophic factor
expression in rat hippocampus.
• [Effects of electroacupuncture on hippocampal nNOS expression in rats of post-traumatic stress disorder model].
• Electroacupuncture Promotes Proliferation of Amplifying Neural Progenitors and Preserves Quiescent Neural Progenitors from
Apoptosis to Alleviate Depressive-Like and Anxiety-Like Behaviours
• Molecular mechanisms underlying the effects of acupuncture on neuropathic pain**
• Acupuncture Clinical Pain Trial in a Military Medical Center: Outcomes
• Acupuncture’s effect isn’t just psychological
• Acupuncture modulates the limbic system and subcortical gray structures of the human brain
• The integrated response of the human cerebro-cerebellar and limbic systems to acupuncture stimulation at ST36 as evidenced
by fMRI
• Electroacupuncture upregulates ERK signaling pathways and promotes adult hippocampal neural progenitors proliferation in a
rat model of depression
• Effect of electroacupuncture on the stress-induced changes in brain-derived neurotrophic factor expression in rat hippocampus.
• [Effects of electroacupuncture on hippocampal nNOS expression in rats of post-traumatic stress
disorder model].
• Electroacupuncture Promotes Proliferation of Amplifying Neural Progenitors and Preserves Quiescent Neural Progenitors from
Apoptosis to Alleviate Depressive-Like and Anxiety-Like Behaviours
• Molecular mechanisms underlying the effects of acupuncture on neuropathic pain**
• Acupuncture Clinical Pain Trial in a Military Medical Center: Outcomes
12
1-888-525-9771 BREAKING THE CHAINS OF ADDICTIONProgram Includes
• 100 day program (1 week Stabilization, 12 weeks NTST, 1 week Reassess) Funded by Insurance
for those who qualify.
• Long term Post Primary Care “Support-Care” in Last Door’s Transitional Living Program, providing
a stable platform to facilitate psychotherapies.
• “Family Program” for patient’s family is included , Partners Group, Co-Parenting Group, Family
Suites, Recreation Activities, Specialized Counselling
• Continuing Care Groups Access every Wednesday and Thursday evenings
LAST DOOR LICENSING AND ACCREDITATION
Last Door is a registered Non-Profit Society supported by donations from alumni, supporters, fund raising
events, foundations and corporate partners. These contributions subsidize our overhead, providing
affordable treatment costs to patients. The efficient under 7% administration costs are a model of
efficiency in health care. Last Door is licensed as Specialized Care under the Community Care and
Assisted Living Act by the Provincial Ministry of Health and the Fraser Health Authority. Fraser Health is
accredited by Health Canada and Accreditation Canada. This form of licensing supersedes requirements
for any other accreditation and is based on Provincial legislation including all licensing standards.
Last Door is subject to additional regular, comprehensive reviews by Fraser Health to ensure that
programming standards, policies and practices are in compliance with those of Accreditation Canada.
Comprehensive monitoring of Last Door is undertaken at regular intervals as noted in the Fraser Health
Agency contract to ascertain that suitable patient outcomes are being achieved, financial requirements
are being met and program / process delivery is staying true to established best practices.
13
BREAKING THE CHAINS OF ADDICTION www.lastdoor.org/ntstNTST Program References and Contacts
NeuroTrophic Stimulation Therapy Program Facilitator
Poppi Sabhaney, Dipl. DTCM (ICTCMV, BC), R.Ac. (BC), NADA Specialist, Traumatology, Addiction Medicine
Biomedical and Scientific Resource, NeuroKinetics Component of
NTST Program
Dr. Philippe A. Souvestre, MD, BPMM, CES, CEA/PhD, (France), RRP (Canada), R.Ac. (BC), ND (Brd Certif.), NGAOM
Traumatology Certif. Board, DMO (USA)
Project Manger
Nick Ringma, BA ICADC ICCDP
Addiction Physician
TREATMENT CONTACTS
Dr. Wardman MD FCRPC MCM
Assessment Psychiatrist
Dr. Guan MD FCRPC (C)
Brain Scans
Dr. Jan Venter MD Quantitative EEG (QEEG) and Evoked Potential
Rapid Intakes
(within 24 hours for those who qualify)
Giuseppe Ganci, Director of Community Development Last Door Recovery Centre
1-888-525-9771
pr@lastdoor.org
Call our helpline today!
1-888-525-9771
14
1-888-525-9771 BREAKING THE CHAINS OF ADDICTIONA unique blend of therapeutic approaches
for treatment of PTSD + Addiction
www.lastdoor.org/ntstYou can also read
