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THE ROLE OF DOST WELFARE FOUNDATION IN REHABILITATION OF DRUG ADDICTS MUHAMMAD JUNAID MPhil Sociology ( 1st semester) 24/02/2022 Muhammad junaid 1

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Page 1: The role of dost welfare foundation in rehabilitation

02/05/2023Muhammad junaid 1

THE ROLE OF DOST WELFARE FOUNDATION IN REHABILITATION OF DRUG ADDICTS

MUHAMMAD JUNAIDMPhil Sociology (1st semester)16-Arid-5630

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Definitions of Drug:Any Chemical agent that affects the living protoplasm is called drug.Drug addiction: The dictionary meaning of addiction is “give oneself up to a habit.”“It is a disease which is characterized by gradual loss of control over mood altering chemicals which makes the person dysfunctional socially, psychologically, physiologically, and spiritually.”

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TYPES OF DRUGS – COMMONLY USED:

COCAINE:

HEROIN:

CANNABIS:

HASHISH:

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Types Of Addiction:There are two types of drug addiction. Intoxicated Addiction Medicated Addiction • Intoxicated addiction: is the abuse of the illegal drugs. For example the

person using chars, heroin, marijuana (Bhang) or chillum in Pakistan is intoxicating them in his body. The use and trade of such drugs is not allowed in our country. The misuse of hallucinogens is also included in intoxicated addiction.

• Medicated addiction: is started due to misuse of the legal drugs. For example, people

often use painkillers or sleeping pills, which are prescribed by the physician. But whenever they use them for the long time without prescription, this leads to the abuse. They become dependent on them. They feel that they can‘t function normally without the use of painkiller, or can‘t sleep without having sleeping pills.

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Causes of drug addiction:The Main causes of drug addiction are following: Abuse Of leisure Company of addicts Failure in aims Loss of Religious beliefs/control Mental depression Easy availability Lack of Family control Adventure Unemployment Failure in Love Death of loved one Fun & satisfaction Release of Tension Family conflicts Relief & Lust

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Impacts of drug addiction on individual & society:

The effects of drugs are categorized in four or five different ways, i.e. 1. Physiological 2. Social 3. Psychological 4. Spiritual 5. Family 6. Community

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CONT’D.

These are detailed in the following lines:1. Physiological • Lake of apatite –bhook ka na lagna • Sleep disorder –bey khabee • Lethargy - sustee • Muscle twitching • Skin disorder • Vomiting - ulti • Body pane • Weight loss • Runny Nose • Watering and Redness of the eyes• Hepatitis • HIV/AIDS • Diarrhea • Increase risk of cancer • Mild Fever

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CONT’D.

2. Social • Isolation - tanhai • No interaction with community • Imbalance in relations • Dependency upon others • Theft---crimes • Disturbed nexus with family • Anti Social Personality

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CONT’D.

3. Psychological • Guilt • Shame • Anger • Irritation –chirh chirha pun • Mood swings- kabi khoshi khabi ghum- but don‘t

know why• Mind-Body coordination lost • Intolerance-the major side effect • Difficulty in concentration • Anxiety • Depression • Low self esteem

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CONT’D.

4. Spiritual • Loss of belief • Loss of confidence • Fear of every thing • Distrustful • No Nimaz and Roza • Ingratitude • Disorientation • Memory Loss • Dishonesty • Blaming God and people • Does not care for respect

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CONT’D.

5. Financial • Although it can be included in social but we take it

separaely/ • Job loss • Decrease in income • Unemployment • Crime increases • Burden on family • Business loss

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CONT’D

6. Effects on Family • Dysfunctional • Disruption of family life • Co-dependency • Spousal abuse • Child abuse • Assaults • Physical and psychological trauma

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7. Community Crime (assault, rape, murder, theft) Accidents Spread of disease Broken homes Low productivity Addicts –street / jail drug subculture

CONT’D

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DOST WELFARE FOUNDATION, PESHAWAR

• Dr.Parveen Azam Khan is the founder and President of the Dost Welfare Foundation Peshawar

• (DOST) is a not-for-profit NGO established in July 1992• DOST Welfare Foundation providing services to the most

marginalized and vulnerable groups in society, including drug users, persons at-risk of or infected and affected by HIV/AIDS, prison inmates, juvenile prisoners, children with female prisoners, street children, women and children in crisis, refugees, victims of war and disasters

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Services provided by the Dost Welfare Foundation Peshawar• Free treatment to drug addicts patient• Free food to drug addicts patient• Provide residential treatment and

rehabilitation services to drug users.• Provide vocational skills training to ensure

alternate means of income and employment for clients and family members.

• Reach out to drug users and their families with motivational and counseling services.

• Establish community based aftercare, follow-up and job placement services for recovering clients.

• Prevent drug abuse especially among school and madrassa going children.

• Train youth as community volunteers in self-help initiatives.

• Prevent the transmission of HIV and other blood borne diseases through primary prevention program.

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Addresses of residential treatment and rehabilitation centers are:

Sakoon Kore 1 (50 beds capacity):                                   In DOST Complex Hayatabad:  for men and women drug addicts. Sakoon Kore 2 (200 beds capacity):                                  In DOST Community Complex  Shahi Bala: for adult men drug addicts. Sakoon Kore 3 (50 beds capacity):                                In DOST Complex Hayatabad: for children drug addicts. Sakoon Kore 4 (80 beds capacity):                                For prisoners in the narcotics barracks of Peshawar Central Prison. Sakoon Kore 5 (70 beds capacity):                                For prisoners in the narcotics barracks of Haripur  Central Prison.

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THE TREATMENT PLAN IN DOST WELFARE FOUNDATION IS DIVIDED

INTO THREE PHASES;

• PRE-TREATMENT PHASE • TREATMENT PHASE • POST-TREATMENT PHASE

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PRE-TREATMENT PHASE

• This phase starts before the treatment and before the patient enters the TC• It includes various steps which are awareness

lectures, harm reduction, individual motivational counseling sessions, family contacts, client registration, and enquiry session.

• The objectives of this session are the awareness, motivation and make the client ready for treatment.

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TREATMENT PHASE

In treatment phase there are future three steps of rehabilitation which are detoxification, primary rehabilitation and secondary rehabilitation. Intake Interviews Medical Checkup is before detoxification.

A) DETOXIFICATION PERIOD: This is the first phase in the treatment process, and lasts for 10 to 15 days. During this period the physical withdrawal of the drug takes place. The main features of therapy include: • Symptomatic medical treatment • No substitute drugs • Bath therapy • Open door policy • Individual counseling • Peer support • Handing over of client to Supervisor/psychologist/ counselor • Data Sessions • Brief History of the Client

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B) PRIMARY REHABILITATION: This period last for up to 45 days i.e. 8 weeks and it is a 30 days period after detoxification. It includes the following features;

1. Life story in written form 2. Client profile 3. Lectures 4. Groups of the clients 5. Dars 6. Individual Counseling Sessions (ICS) 7. Different Therapeutic Techniques are started 8. Behavior Shaping Tools are applied 9. Assigning of Therapeutic Duties 10.Family Therapeutic Sessions 11.Need Based Assessment for Vocational Skills

CONT’D

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C) SECONDARY REHABILITATION/ VOCATIONAL SKILL DEVELOPMENT:

This phase may be residential or out-patient and includes vocational training in automotive/electrical repair, welding, carpentry, handicrafts, sewing, food preparation etc. Main features of this phase include:

1. Some duties and responsibilities are assigned to the client and he is held responsible for it.

2. Social reintegration 3. Vocational Rehabilitation 4. Internship 5. Job Placement (if available)

CONT’D

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POST TREATMENT PHASE – Follow-Up and Aftercare

• This phase of treatment last up to 90 days i.e. 45 days period after the first 2 phases.

• These phases include follow up and After Care, Narcotic Anonymous Meetings, RPP-Relapse Prevention Programs, Letters and Telephone Calls, Home Visits of Ex-Clients and Social Gathering for drug addict patients.

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Daily activity Schedule in the treatment center Sakoon-kor 2 Shahi Bala Peshawar

S.No Activity Time

01 Wake up call/ prayers 5:00 to 6:00 am02 Breakfast/ Therapeutic duties 6:00 to 7:00 am03 Assembly 7:00 to 8:00 am05 Day Planning 9:00 to 9:15 am06 Morning Meeting 9:30 to 10:30 am07 Tea break/ Therapeutic Duties 10:30 to 11:15 am08 Group session 11:15 to 12:00 am09 Lecturers 12:15 to 1:00 pm10 Lunch Break/ Prayers 1:00 to 2:00 pm11 Individual counseling group 2:00 to 3:00 pm12 Religious Education 3:00 to 4:00 pm13 Games 4:45 to 5:15 pm14 Tea Break/ Prayer 5:15 to 6:00 pm15 Seminar 7:00 to 8:00 pm16 Dinner/ Prayers/ Therapeutic duties 8:00 to 9:00 pm17 T.V Program 9:00 to 10:00 pm18 Lights off 10:30

pm

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CONCLUSIONS:

• Most of the drug addicts were aged below 30 years• All were male• Mostly were unmarried• Structure of the family of the drug addicts patients

were joint family• Some of them were unemployed and other were

blue-collar workers• The main reason for using drug were failure in love

and Influence of friends or peer pressure.

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SUGGESTIONS TO GOVERNMENT:

• Government should establish suck kinds of institutions that can treat the addicted people free of cost.

• Medicine should not be given to patient without the prescription of doctors.

• Create employment opportunities especially for young generation.• Parent should change their behavior and keep eye on activities of

their children.• Informational programs about losses of drugs should be managed

at colleges and universities level.• Every kind of union or student organization in colleges and

universities should be banned.• Control the rapidly growing of population.• Some government based institutions should be established

especially in affected areas.

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Suggestions to local community

• Promote community-based collaborative efforts to assess community gun, gang, and drug problems; develop appropriate suppression, intervention, and prevention strategies; and mobilize community resources.

• Establish juvenile drug courts or sessions as a community resource to address youth substance abuse.

• Establish, support, and enforce drug-free and gun-free zones.

• Teach youth about the dangers of drug and alcohol abuse and help youth develop positive social skills.

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