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What is Community Based

Rehabilitation Program for


Persons Who Used Drugs?
Drug use disorders are health conditions that can
affect any individual, family and community.

Yet people tend to keep away from the necessary


services due to misperceptions, fears of social
and legal consequences and discriminations.

On the other hand, if they get help, people


suffering from drug use disorders can and
do manage their condition, recover, and
lead happy, productive and full lives...
Rationale of the Program:
• CBRP for PWUDs is a multi-sectoral approach
involving:

LAW ENFORCEMENT
HEALTH SECTORS
SOCIAL SECTORS

that will produce the most effective response in


terms of reducing drug use and providing
needed services to persons affected by drug use
in the community.
• Comprehensive Dangerous Drugs Act of 2002 “
declared that the state shall provide effective
mechanisms or measures to re-integrate into
society individuals who have fallen victims to
drug abuse”

• About 30,000 plus all over the region voluntarily


surrendered
Philosophy of the community-based
approach
• The core goal of the community-based treatment
model is to ensure a holistic approach to the
treatment and care of drug users; the intensity of
essential care varies according to the nature and
complexity of the problems experienced by the
individual. As such, the approach is broadly
based on the World Health Organization’s
pyramid of mental health services
The key principles of community-based
treatment are:
• delivery of services in the community – as close as
possible to where drug users live;
• minimal disruption of social links and employment;
• integrated into existing health and social services;
• involve and build on community resources, including
families;
• participation of people who are affected by drug use and
dependence, families and the wider community in
service planning and delivery;
• comprehensive approach, taking into account different
needs (health, family, education, employment and
housing);
• close collaboration between civil society, law
enforcement, and the health sector
• informed and voluntary participation in treatment;
Three major components of
community-based treatment model
• Community organizations, including NGOs, help
identify drug users and conduct basic screenings of
drug problems and refer users to primary health
services when required. Community organizations
also focus on preventive education, health
promotion and the delivery of basic support,
reintegration and rehabilitation services.
• Primary health services are provided in health
centers and specialist health services are provided in
hospitals.
• Social welfare agencies and NGOs offer education,
vocational and skills training, income generation
opportunities, micro-credits, etc.
Matrix Intensive Outpatient
Approach
• The Matrix IOP approach provides a structured
treatment experience for clients with stimulant
use disorders. Clients receive information,
assistance in structuring a substance-free
lifestyle, and support to achieve and maintain
abstinence from drugs and alcohol. The program
specifically addresses the issues relevant to
clients who are dependent on stimulant drugs,
particularly methamphetamine and cocaine, and
their families.
• For 16 weeks, clients attend several intensive
outpatient treatment sessions per week. This
intensive phase of treatment incorporates various
counseling and support sessions:

■ Individual/Conjoint family sessions (3 sessions)


■ Early Recovery Skills group sessions (8 sessions)
■ Relapse Prevention group sessions (32 sessions)
■ Family Education group sessions (12 sessions)
■ Social Support group sessions (36 sessions)

• The Matrix IOP method also familiarizes clients


with 12-Step programs and other support groups,
teaches clients time management and scheduling
skills, and entails conducting regular drug and
breath-alcohol testing.
Intensive Treatment Continuing care

Week 1-4 Week 5-6 Week 13 - 48

Monday 6:00 – 6:50pm Early Recovery 7:00 – 8:30pm Relapse


skills prevention
7:15 – 8:45 pm relapse
prevention
Tuesday 12 steps mutual help group meetings

Wednesday 7:00 – 8:30pm Family 7:00 – 8:30pm Family


Education Education 7:00 – 8:30pm
Or social support
7:00 – 8:30pm social
support
Thursday 12 steps mutual help group
meeting
Friday 6:00 – 6:50pm Early recovery
skills 7:00 – 8:30 pm relapse
7:15 – 8:45 pm Relapse prevention
prevention
NON COMMUNICABLE
Saturday & 12 stepsDISEASE
mutualCLUSTER
help group meetings & other recovery activities
Thank You!!

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