Wednesday, November 04, 2015

Outreach Services for Drug Addiction Cases

For The Bohol Tribune
In This Our Journey
NESTOR MANIEBO PESTELOS

The recently-concluded consultation meetings with barangay councils in the immediate catchment area of the emerging drug rehabilitation center, to be known as the FARM It Works Balay Kahayag (FITWBK) Chemical Dependency Treatment Center, has shown that we need to establish a network of outreach services units in support of this facility. The consultative activity undertaken just recently in the barangays of  Laya, where the FITWBK will be located, and the adjoining barangays, Cambanac and Montana, in the municipality of Baclayon has validated the need for such outreach services. Otherwise, Bohol’s first drug rehabilitation center will not be able to cope with the number of drug addiction cases that will have to be attended to which will require comprehensive assessment, referral and treatment.

I listened intently and took notes as Alain Alino, center director, engaged the barangay council members on a) the gravity of the drug addiction problem to be addressed in each barangay;  b) what must be done immediately in preparation for the full operations of the center.
For the first key concern, I brought along our compilation of newspaper clippings on the drug abuse issue, now in five thick “Columnar Books,” and passed them around. No expression of shock nor surprise at all from those who attended the meetings.

Perhaps they were by this time used to seeing pictures of people shot dead in broad daylight or that they were able to adjust to the grim reality brought about by drug-related crimes. In one barangay, they matter-of-factly mentioned during the meeting about a male drug addict who committed suicide by electrocuting himself! A cruel and brutal way to die, but I did not hear any strong response to it by way of comment. I had the uneasy feeling that they were thinking the person deserved to die this way because it was his fault he became a drug addict.

In all their accounts of the drug addiction situation in their neighborhood, there seemed to be a general acceptance about it, a laid-back, matter-of-fact attitude about a personal or family problem. Since it was not discussed as a problem in any of their previous meetings, I concluded that the leaders of the barangays and their constituents were treating this as purely family business and not the concern of local governance at all.

As the discussion progressed in each of the three meetings, I came to realize that this seemingly passive attitude about the problem could be due to: a) lack of full knowledge about drug addiction as a brain disease and that it needs systematic treatment and post-treatment interventions; and b) a self-imposed denial of the problem due to perceived high cost of treatment which the family could not possibly afford.

For both key concerns, each of three barangay councils were able to identify something in common. Everybody agreed that an outreach facility is urgently needed to serve as initial contact point for advice, initial testing or assessment and  referral to an institution which can provide the appropriate treatment for family members with a drug addiction problem.
The latter may include home-based or non-residential treatment which is less costly than institutionalized treatment and care.

In previous columns, I have referred to this support outreach facility as ODIC or Outreach Drop-In Center as used by the UN agency which piloted this concept in several countries, including the Philippines. I learned from colleagues of the two drug rehab centers helping us that this is similar to what was piloted in Ozamiz City with the acronym SAFE or Substance Abuse Family Enhancement facility.

Whether named ODIC or SAFE, it can serve the purpose of providing vital information to affected families about the nature of drug addiction affecting any of their members, their relative severity of the affliction and the appropriate treatment required.

The result will then be a sound basis for determining the costs, which may be affordable after all. Our colleagues from both the FARM Recovery Center and the It Works Chemical Dependency Treatment Center that they will be flexible in their costing, that the costs can be negotiable, based on the ability to pay of families deserving of financial assistance.

The costing can be realistically estimated at the ODIC-type facility which can be established to take the load off the drug rehab center during the diagnostic or pre-treatment phase.  The next question is: how do we establish the ODIC-type facility? In previous proposals that we prepared prior to this recent arrangement regarding the FITWBK, we gave details about the physical infrastructure and staffing required and the costing, and we proposed that the facility be initially under the management of the Church or any faith-based organization.

This proposed strategy was based on our thinking that during critical times, families burdened with problems could relate more to religious institutions rather than to secular ones. I think this is an area where partnership with the religious sector will be quite effective in addressing the key concerns I have cited. Our advocacy for this outreach facility will necessarily include getting faith-based organizations to get interested in taking up responsibility for this missing link in the current strategy.

We cannot burden the pioneering entity with most of the activities that belong to the pre-treatment phase so that its technical staff can focus on the treatment aspect of the rehabilitation process.
The discussions during the barangay consultation meetings further strengthened the resolve of both the Center staff and our NGO to devise effective strategies to organize families burdened with the drug addiction problem more effectively. It is only through an organization that these families can mutually learn to mobilize resources together, share learnings in dealing with a common problem and, on the whole, be a significant social force to address the current drug menace in our midst which remains unattended by sound policies and programs.

Finally, we would like to say, we are energized by the enthusiasm that everyone exuded during the barangay meetings. Everyone would like to be part of the emerging movement for a drug-free Bohol. We hope our readers will join us in providing support to the pioneering drug rehabilitation facility and help us prevent future social problems due to untreated drug addiction among our people, mostly the youth.

For the provision of much-needed outreach services to families burdened by the drug addiction problem, we hope and pray the Church and faith-based organizations will join us in this crusade to save souls and win the hearts and minds of more people to our cause. As pointed out during the discussions, drug addiction causes more damage than the strongest typhoon or earthquake. It destroys both our present and future.

For comments, email us at: npestelos@gmail.com.
NMP/31 Oct 2015/3.12 a.m.



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