Pre treatment motivational Counseling:
Before the treatment plan/ programme can be developed, a detailed assessment for each individual drug user is required. For drug-dependent clients in particular a range of pre-treatment services can be offered, for example motivational counseling, drug reduction programmes and harm reduction services.
Ideally there should be a 5-30 day period of motivational counseling before a drug-dependent client is admitted for detoxification and treatment. This can be done in a centre or in the community and preferably should be conducted in small groups (as with Tabish Special Centre’s receiving regular clients from stockholder ). For counseling can be done on a daily, twice weekly or weekly basis depending on circumstances and the duration of the pre-treatment programme. Tabish Staff engaged in motivational counseling for those who referral by other organization since one of Tabish counseling center dedicated for drug users.
Drug reduction programmes:
Depending on the motivational level of the drug user a drug reduction programme should be considered for those entering the detoxification stage. This can also be seen as a slow detoxification, allowing users to gradually reduce their daily consumption of drugs at a realistic and manageable pace.
A detoxification and treatment programme should be developed for each recovering drug user depending on their need. The method of detoxification will depend on the needs of the individual client. Currently symptomatic treatment is usually provided during detoxification using minor painkillers, but a problematic client group such as IDUs or barbiturate users may need to be detoxified using substitute opiates or non-opiate drugs. Barbiturate users are at particular risk and need to be closely monitored and supported during detoxification.
Treatment and rehabilitation:
The treatment and rehabilitation stage of the recovery cycle can take place in either inpatient residential or outpatient community facilities for a period of 1 to 3 months, depending on the needs of the client and whether family support is available. During this period recovering drug users should receive counseling, including relapse prevention be encouraged to make lifestyle changes and engage in recreational activities, sports, life skills enhancement training, work programmes and other healthy activities. All treatment services should have available a basic documented treatment programme for their clients.
A defining feature of harm reduction is the focus on the prevention of drug-related harm for those drug users unable or unwilling to stop using drugs. This includes reducing harm at the individual, family and community levels, and reducing different types of harm such as health, social, financial and legal.
A core package of harm reduction interventions will include the following:
- Sterile needle and syringe access and disposal programmes
- Information on safer injecting practices
- Provision of condoms
- Provision of information, advice and education about HIV, other diseases and good sexual and reproductive health
- Substitute drug therapy
- Counseling services
These interventions may be associated with clients that are unable to satisfy basic needs such as food, shelter and hygiene toward which supporting arrangements need to be considered and coordinated.
This package delivering by Tabish through community based interventions by clinics and outreach team services.