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