TTK’s experience in community care Designated by the UNODC as a Learning Centre for Low Cost...
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Transcript of TTK’s experience in community care Designated by the UNODC as a Learning Centre for Low Cost...
TTK’s experience in community careTTK’s experience in community care
Designated by the UNODC as a Learning Centre Designated by the UNODC as a Learning Centre for Low Cost Community Carefor Low Cost Community Care
Have been conducting alcoholism treatment Have been conducting alcoholism treatment camps for the past 19 yearscamps for the past 19 years
Six camps each year, treating 25-30 Six camps each year, treating 25-30 alcoholics in each campalcoholics in each camp
Developed a manual on this approach Developed a manual on this approach
Trained South Asian functionaries on Community Trained South Asian functionaries on Community Approach Approach
Camp
Manual
Community Care - Primary FocusCommunity Care - Primary Focus
Shift the intervention from costly specialized Shift the intervention from costly specialized institutions to the homes and communities of the institutions to the homes and communities of the clients. clients.
Community based rehabilitationCommunity based rehabilitation
Making effective use of local resources Making effective use of local resources
Facilitate integration into families and Facilitate integration into families and communities through attitudinal changecommunities through attitudinal change
Enriching the community involvesEnriching the community involves
Creating awarenessCreating awarenessChanging attitudes Changing attitudes Building constructive Building constructive approachesapproaches
Objectives of conducting treatment camps Objectives of conducting treatment camps
To help clients to give up drugs completely To help clients to give up drugs completely
To work towards improving their life functioning To work towards improving their life functioning
To reduce HIV risk taking behaviour To reduce HIV risk taking behaviour
To empower the family and community to support To empower the family and community to support the client in recovery the client in recovery
To familiarize clients with services available in the To familiarize clients with services available in the community community
Low cost community care –three phasesLow cost community care –three phases
Phase 1- Preparatory phasePhase 1- Preparatory phase
Phase 2 - Camp programmePhase 2 - Camp programme
Phase 3 - Follow-upPhase 3 - Follow-up
Preparatory Phase – Step IPreparatory Phase – Step I
Create awareness in the community:Create awareness in the community:To let large number of clients know To let large number of clients know about campabout campMake the community aware that addiction Make the community aware that addiction is treatable is treatable Mobilize resources for campMobilize resources for camp
Preparatory Phase – Step IIPreparatory Phase – Step II
Identify drug users through Identify drug users through multiple sources multiple sourcesMotivate clients and family into Motivate clients and family into treatmenttreatmentScreen for medical problems and Screen for medical problems and start detoxstart detox
Preparatory Phase – Step IIIPreparatory Phase – Step III
Home detox with tapered dosagesHome detox with tapered dosages
Selection CriteriaSelection Criteria
Clients living within a 10 to 20 kms radius Clients living within a 10 to 20 kms radius Regularity in attending outreach programme Regularity in attending outreach programme prior to the camp prior to the camp Availability of family support Availability of family support Absence of serious medical or psychiatric Absence of serious medical or psychiatric problems problems HIV positive clients with HIV positive clients with stable health status stable health status
Phase II : Conducting the campPhase II : Conducting the camp
A few principlesA few principles
Structured treatment programme, shorter Structured treatment programme, shorter duration and in-patient care duration and in-patient care Treatment team skilled in addiction Management Treatment team skilled in addiction Management Recovering drug users as part of the treatment Recovering drug users as part of the treatment teamteamDealing with abuse of other drugs – alcohol, Dealing with abuse of other drugs – alcohol, marijuana marijuana
Treatment processTreatment process
Group therapyGroup therapy
Counselling Counselling
Sharing by NA members Sharing by NA members
Input sessions on Addictive process, Input sessions on Addictive process, HIV-AIDS and recovery from addiction HIV-AIDS and recovery from addiction
Physical exercisePhysical exercise
Opportunities to have fun through games Opportunities to have fun through games
Phase III : Follow upPhase III : Follow up
Offered in the community Offered in the community
For one yearFor one year
Self-help group net workSelf-help group net work
Relapse management Relapse management
DocumentationDocumentation
BenefitsBenefits
Some clients give up completely and get Some clients give up completely and get into NA programme into NA programme
Realise the need to quit alcohol and other drugs of Realise the need to quit alcohol and other drugs of abuseabuse
Become aware they have to improve their life Become aware they have to improve their life functioningfunctioning
Family and community understand the recovery Family and community understand the recovery process, hence more tolerant process, hence more tolerant
Relationship with treatment professionals Relationship with treatment professionals strengthened, hence help seeking behaviour strengthened, hence help seeking behaviour developeddeveloped
To ensure effectiveness of a campTo ensure effectiveness of a camp
Establish ground work in the communityEstablish ground work in the community
Select appropriate clientsSelect appropriate clients
Prepare them wellPrepare them well
Get the family involvedGet the family involved
Train and equip treatment team Train and equip treatment team
Run camp as plannedRun camp as planned
Ensure regular follow upEnsure regular follow up
Document proceedingsDocument proceedings