Asia Ashraf Director Rehabilitation, Sunny Trust Hubert H. Humphrey Fellow, VCU, USA

Transcription

1 A House of Peace & Tranquility Female Substance Abuse Treatment & Rehabilitation Center A Project of Sunny Trust, Pakistan 6 th World Forum Against Drugs May 14-15, Gothenburg, Sweden Asia Ashraf Director Rehabilitation, Sunny Trust Hubert H. Humphrey Fellow, VCU, USA

2 Non judgmental More then a shelter Focus on whole person recovery (WPR) Female friendly environment Sakoongah Self empowerment 2

3 Demographic of Pakistan Current Population: Over 200 Million 50.8% 49.2% 3

4 Pakistan: Illicit Drug Use & Trafficking 4 UNODC, 2013

5 Project Background & Rationale Female Drug Problem in Pakistan 22% 6.7 Million Drug Users 78% Male Drug Users Female Drug Users 5 UNODC, 2013

6 Prevalence of Drug Use By Gender 6 UNODC, 2013

7 Why Female Use Drugs? 7

8 Psychological Factors Responsible For Drug Addiction 35% 30% 25% 29% 20% 21% 15% 15% 10% 5% 0% 9% 8% 7% 5% 5% 1% 8 PJSS Vol. 34, No. 1 (2014)

9 Economic Factors Responsible For Drug Addiction 6% 10% 26% 48% 10% Unemployment Lack of Resources Affluence Poverty Others 9 PJSS Vol. 34, No. 1 (2014)

10 Social Factors Responsible For Drug Addiction Matrimonial Stress 1% Broken Family 3% Peer Pressure 8% Lack of Recreational Activities 5% Fashion 18% Envrionment 28% Failure in Love 9% Unresolved Conflicts 15% Social Isolation 5% Social Injustice 8% 0% 5% 10% 15% 20% 25% 30% 10 PJSS Vol. 34, No. 1 (2014)

11 11

12 Other Factors 12

13 Overall Treatment Capacity Around 96 Drug Treatment & Rehabilitation Centres 30,000 Annual Treatment Capacity Male Oriented No Female Specific Centre 13 UNODC, 2013

14 Why not? Drug addiction is considered typically a male problem Females are reluctance to seek help: Social stigma Family reputation Marital risks Cultural constraints Exploitation by quacks, faith-healers, non-professionals Lack of expertise in female drug treatment 14 UNODC, 2013

15 Sunny Trust ST INTERVENTION TREATMENT REHABILITATION REINTIGRATION PREVENTION FAMILY DETOXIFICATION PHYSICAL SELF YOUTH PEER GROUP PSYCHOLOGICAL FAMILY HIGH RISK GP CLINICAL SOCIAL COMMUNITY FAITH HEALERS SOCIAL GROUP SPIRITUAL TEACHERS CRISIS VOCATIONAL MEDIA WOMEN PARENTS SOCIETY 15

16 Need for Separate Female Facility: Sakoongah Sunny Trust 16

17 17

18 Sakoongah Services: Continuum of Care The whole range of services a client may receive directly from Skoongah or coordinated by the Skoongah. Not In Care Fully Engaged 18

19 Four Parts of Continuum of Care Pretreatment Primary Treatment Case Management Ongoing Recovery Management Outreach Screening & Brief Intervention Assessment & Treatment Planning Detoxification Individual/Group Counseling Family Counseling Couple Counseling Relapse Prevention Training Life Skills Training Assessment Service Planning Linkage & Referral Monitoring Advocacy Follow up AA / NA Group Employment Skills Treatment of Cooccurring Disorders Educational & Career Planning Orientation to Mutual Help Group Participation in Self/Mutual Help Group Training Manual of The Colombo Plan, Sri Lanka 19

20 Evidence-based Approaches Motivational Approaches Cognitive Behavioral Therapy Therapeutic Community Family Approaches Training Manual of The Colombo Plan, Sri Lanka 20

21 Case Management Coordination of professional, social, and medical services to assist females with complex needs. Child Care Housing / Financial Assistance Legal Aid HIV/AIDS and other medical testing & care Vocational Training Community Support Training Manual of The Colombo Plan, Sri Lanka 21

22 Sakoongah Goals & Objectives Short Term Targeting vulnerable female groups, e.g. students, youth, slum dwellers Enhancing female accessibility to treatment by breaking social, cultural and other barriers Providing female-friendly treatment & rehabilitation services 22

23 Sakoongah Goals & Objectives Long Term Mainstreaming of female drug problem & promoting drug free Pakistan 23

24 Where We are Standing Now Physical Infrastructure Development Human Resource Development 24

25 Humphrey Experience Internship Experience- Women Services Richmond Behavioral Health Authority, Virginia, USA Focus Group discussion with women in recovery affiliated with AA program Developed Project Sakoongah under supervision of my coordinators 25

26 Keynote speech at UNGASS, February10,

27 27

28 28

29 ISAM BUSAN 2018

30 Hiring and Training of more Female Staff Female Staff Female Clients Consulted

31 Outpatient Counseling Others 14% Depression 18% SUD 27% Substance use & Co-morbidity 41% 31

32 Increase in Number of Female Clients % 13% 50% 27% 32

33 Targets Launching powerful awareness campaigns entitled; She for Her I for You We will target; Female educational institutes, Shelter homes, Institutions working on Women Empowerment Creating a Free Help Line Introducing Recovery Role Models 33

34 34

35 Facebook page 35

36 The Reward For Good Work Is the opportunity to do more (Jonas Salk) 15 years old girl with history of cannabis and alcohol Created one patient female ward (third time) Underwent physical, psycho-social, and spiritual rehabilitation k She regularly attends follow up, From 1 year in recovery 36

37 It Takes Someone Strong To Make Someone Strong THANK YOU VERY MUCH Asia Ashraf Mobile: