The role of dost welfare foundation in rehabilitation By Muhammad Junaid

1. THE ROLE OF DOST WELFARE FOUNDATION
IN REHABILITATION OF DRUG ADDICTS
MUHAMMAD
JUNAID
MPhilSociology(1st
semester)
16-Arid-5630
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2. 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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3. TYPES OF DRUGS – COMMONLY USED:
COCAINE:
HEROIN:
CANNABIS:
HASHISH:
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4. 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. 21/01/2017Muhammad junaid 4

5. 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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6. 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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7. 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 21/01/2017Muhammad junaid 7

8. 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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9. 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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10. 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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11. 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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12. 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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13. 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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14. 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 21/01/2017Muhammad junaid 14

15. 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.
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16. 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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17. THE TREATMENT PLAN IN DOST
WELFARE FOUNDATION IS DIVIDED
INTO THREE PHASES;
• PRE-TREATMENT PHASE
• TREATMENT PHASE
• POST-TREATMENT PHASE
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18. 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. 21/01/2017Muhammad junaid 18

19. 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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20. 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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21. 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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22. 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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23. 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 am
02 Breakfast/ Therapeutic duties 6:00 to 7:00 am
03 Assembly 7:00 to 8:00 am
05 Day Planning 9:00 to 9:15 am
06 Morning Meeting 9:30 to 10:30 am
07 Tea break/ Therapeutic Duties 10:30 to 11:15 am
08 Group session 11:15 to 12:00 am
09 Lecturers 12:15 to 1:00 pm
10 Lunch Break/ Prayers 1:00 to 2:00 pm
11 Individual counseling group 2:00 to 3:00 pm
12 Religious Education 3:00 to 4:00 pm
13 Games 4:45 to 5:15 pm
14 Tea Break/ Prayer 5:15 to 6:00 pm
15 Seminar 7:00 to 8:00 pm
16 Dinner/ Prayers/ Therapeutic duties 8:00 to 9:00 pm
17 T.V Program 9:00 to 10:00 pm
18 Lights off 10:30 pm
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24. 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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25. 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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26. 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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