1. 7th EUROPEAN ALCOHOL POLICY CONFERENCES O C I R U X
7th EUROPEAN ALCOHOL POLICY CONFERENCE
LJUBLJANA, SLOVENIA

2. ASSOCIACIÓ RAUXA
NGO founded in 1989 in Barcelona (Spain) with the aim of alleviating the extreme situation of the homeless population, offering a more than two years integral treatment of alcohol and other drugs dependence
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

3. Alcoholism: a bio-psyco-social illness. Natural evolution endings :
Cirrhosis
Cancer Pancreatitis
PSYCO
Depressive syndrome
Suicide
Psychosis
Dementia
SOCIAL-LABOUR
Separation-Divorce
Spouse abuse
Gender violence
Absenteeism
Loss of wok
Labour accidents
Traffic accidents
Loss of housing
LEGAL
Asocial behaviour
Delinquency
Gender violence
Homicide
CEMETERY
INSANE ASYLUM OR HOSPITAL
STREET
PRISON
HOMELESSNESS
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

4. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

5. Integral treatment of alcohol dependence for alcoholic homeless
Phases
RAUXA VAN : Street outreach resource. Detection and motivation
URBAN THERAPEUTIC COMMUNITY: Detox, Reduction of addictive habits & Rehabilitation
RAUXA FLATS: Social rehabilitation
LABOUR INTEGRATION: “La Terrasseta” restaurant & Newspaper and stationery shop “Bambi”
DISCHARGE: Total abstinence of alcohol and other drugs, addictive behaviour and change of life style
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

6. 1. RAUXA VAN: Street outreach resource Detection and motivation
Berths and blankets to spend the night
Contact and interpersonal relationship
Ameliorate personal hygiene (shower and clean clothes twice a week)
Papers in order (ID, Health card, etc.)
Medical check-up: (anamnesis, physical exploration, analysis, X-rays, PPD, Alcohol and other drugs history , diagnosis DSMIV-TR , DSMV criteria)
Motivation to start treatment
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

7. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

8. 2. Urban Therapeutic Community
Health resource (14 beds)
Treatment free of drugs and addictive behaviours
Detoxication, Reduction of addictive habits & Rehabilitation through cognitive, behavioral and motivational techniques. Individual and Group Therapy
Aims : - Raise awareness of illness
- Relapses Prevention
- Ameliorate hygiene
- Develop everyday habits
- Prepare for labour market
(Rauxa workshops or others)
- Personalized training
- Be able to handle their personal budget
- Stimulate leisure activities and personal
hobbies
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

9. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

10. 3. RAUXA FLATS: Social rehabilitation
Rented flats (shared between 3-4) 1 of 9 beds and 5 of 3 beds
The patient must have capacity to detect and report relapse symptoms of their own and of their flatmates
Economical advantages
Integration in the neighbourhood
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

11. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

12. 4. Labour Reintegration Phase
Labour integration in an alcohol free environment
Face everyday problems without alcohol
Multiplier effect: health, social and solidarity with other homeless
Motivate and gain new patients
PATHWAYS:
Occupational workshop: drawing & wood work
Vocational training
Job search (CV, job interview)
Stay in the job (relation with others, explaining illness or not, to who & how, manage stress, say no)
LA TERRASSETA Cafeteria and Restaurant
Daily menu (for the general public) /Soup Kitchen 18-21h, 152 suppers
BAMBI Newspaper and stationery shop
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

13. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

14. a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

15. RAUXA IS MEMBER of FCVS Catalonian Federation of Volunteering
FDC Catalonian Federation against Drug addiction
XAPSLL Network attention to homeless Barcelona
STREET MEDICINE INSTITUTE
EUROCARE European Alcohol Policy Alliance
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

16. FUNDING a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016
MEMBERSHIP FEES
PRIVATE DONATIONS
People
Entities
Donations in kind
Prizes
SUBSIDIES. PUBLIC GRANTS
Local authorities (City Hall of Barcelona)
Regional Authorities (Generalitat) Health Department
-Welfare and Family Department
-Employment Department
State authorities (Ministry of Healh, Madrid)
TOTAL BUDGET: euros per annum
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

17. RAUXA TEAM 1 Medical Doctor 1 Nurse
5 Coaches specialised in substance abuse issues (former patients rehabilitated)
3 Social Workers
3 Administrative assistants
1 Accountant
2 Cooks
+ 41 Volunteers
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

18. Awards Award Ciudadanía Asociación de Vecinos Dr. Robert (1991)
Declared of “Utilidad Pública” by the Central Government (1997)
Award “Rafael Piñol” (1998)
Award “Memorial Lluís Companys”(1998)
Award “Nacional de Drogodependencias Reina Sofía” (2000)
Award de la “Promoción de la Salud” de Agrupació Mutua (2000)
Selected by Voluntariado Internacional at the UNESCO meeting (2001)
Selected as “Good Practice” Award Dubai of United Nations (2002)
Award for the Human Values, Fundación Social Universal (2002)
Award ”Voluntariat i Diversitat Cultural”. Agrupació Mutua (2004)
Selected as “Best Practice” Award Dubai of United Nations (2004&2006)
Award VII Labour Health Barcelona City Hall (2007)
Award Defensa de los Derechos Civiles, Vila de Gràcia, Barcelona (2006)
Award “Memorial Francesc Candel’’ (2009)
One of the most voted projects in ZerosetBCN in 2009 and 2010
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

19. A S O C I R U X
SAMPLE
AND
RESULTS

20. Alcoholic homeless men
RAUXA’S SAMPLE
N=587
Alcoholic homeless men
AVERAGE AGE STARTING TREATMENT 46 YEARS
SINGLE OR SEPARATED
AVERAGE TIME LIVING ON THE STREET > TWO YEARS
MOST PATIENTS WITHOUT INCOME (70%)
MOST WITHOUT PRIMARY STUDIES
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

21. RAUXA’S MORBIDITY & MORTALITY
DEPENDENCES (DSM IVTR, DSM V CRITERIA)
ALCOHOL 100%
TOBACCO 98%
COCAINE 34%
CANNABIS 31%
BZD 14%
FAMILIAR ALCOHOLISM
PARENTS 58%
BROTHERS 30%
GRANDFATHERS 21%
PREVIOUS SUICIDE ATTEMPTS
GLOBAL SAMPLE 35 %
SUBGROUP ALCOHOL + TOBACCO 27%
SUBGROUP ALCOHOL+TOBAC+COCAINE 48%
SUBGROUP ALCOHOL+TOBAC+OTHER DRUGS 35%
WITHDRAWAL SYNDROME (77%) AND DT (15%)
INFECTIOUS DISEASES TUBERCULOSIS (12%) HEPATHITIS C (18%)
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

22. RAUXA’S MORBIDITY & MORTALITY
MENTAL DISORDERS
PERSONALITY DISORDERS 10%
DEPRESSIVE SYNDROME %
ANXIETY SYNDROME 11%
PSYCHOSIS 6%
BIPOLAR DISORDER 2%
WERNICKE-KORSAKOFF 2%
DEATH (N=56)
AVERAGE AGE OF DEATH 54,21 YEARS
FIRST CAUSE OF DEATH LUNG CANCER (30%)
OTHER CANCERS (22%)
SUICIDE (5%)
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

23. RAUXA’S HIGHLIGHT RESULTS
3 PATIENTS OUT OF 10 FINISH TREATMENT
Alcohol dependence is the cause of homelessness in 100 % of patients.
Before treatment in Rauxa, 35 % attempted suicide. In alcoholics-cocaine dependents , up to 48 %.
After treatment , 0,5% commited suicide.
Most psychiatric symptomps disappear after 6 months of total abstinence
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

24. QUESTIONS AND COMMENTSR U X
QUESTIONS
AND
COMMENTS

25. WHAT IS THE RELATIONSHIP BETWEEN ALCOHOL AND HOMELESSNESS ?
WHY SOME ALCOHOLICS ARRIVED INTO HOMELESSNESS?
WHY ALCOHOLICS RELAPSE SO FREQUENTLY?
WHAT ARE THE MAIN PROBLEMS OR COMPLICATIONS?
ARE THERE ANY SOLUTIONS?
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

26. ARE THERE ANY SOLUTIONS?
INCREASE KNOWLEDGE ON ALCOHOL CONSSUMPTION EFFECTS IN GENERAL POPULATION AND TARGET groups (MDs, nurses, social workers, teachers ) IN ORDER TO CHANGE OUR ALCOHOL CULTURE AND USER’S MIND.
TRAINING IN ALCOHOL AND OTHER DRUGS DEPENDENCE AS A CURRICULAR SUBJECT IN MEDICAL SCHOOLS TO ENNABLE MDs TO DO EARLY DIAGNOSIS and TREATMENT
a s s o c i a c i ó r a u x a Ljubljana– Slovenia 2016

27. HVALA THANK YOU A S O C I R U X Dra. Mª Luisa Marín asrauxa@rauxa.org