Note: As requested by some of my friends, here is a copy of the 5th draft of the proposal that we establish a drug rehab center in Bohol. This is a scaled-down version of the previous drafts based on the suggestion not to include yet the other support facilities and the components (livelihood center, community theater, wellness facility, volunteers resource center) for the longer term. We will go on an advocacy and fund campaign if no funds can be expected from donors, key partners and/or investors.
We need your comments before we do the next steps.
13
April 2015
Dear All,
This is to submit to you the 5th
draft of our proposal that we establish in Bohol an entity similar to the New
Day Recovery Center (NDRC) in Davao City. This 5th draft is based on feedbacks
to the 3rd and 4th drafts sent to you during the past few
days. Based on these feedbacks, the Project will focus on the following:
1.
One
operational Outreach and Drop-In Center, fully staffed and able to function at
community
level;
level;
2.
A
30-client facility for the drug rehabilitation center, fully staffed with
trained professionals and
administrative staff;
administrative staff;
3.
An
Advocacy and Fund Campaign launched to raise PHP 5 million to enable an initial
10 clients
from indigent to access quality treatment at the NDRC Bohol;
from indigent to access quality treatment at the NDRC Bohol;
4.
A
total of 20 clients undergoing treatment as initial target for clients from
family and fully paying
for the services;
for the services;
5.
Trainers,
community organizers and facilitators recruited and trained and deployed for
social
preparation activities in support of both the Drop-In Center and the Drug Rehabilitation Center.
preparation activities in support of both the Drop-In Center and the Drug Rehabilitation Center.
Once the funding for this initial
program has been assured, we will request that a planning meeting be convened to
prepare the detailed work plan.
Thanks.
NESTOR M. PESTELOS
President
PROJECT TITLE:
Establishing the New Day Recovery
Center (NDRC) Bohol
PROPONENT:
Diocese of Tagbilaran
CONVENOR/COORDINATOR:
Bohol Local Development Foundation,
Inc.
PARTNER AGENCIES:
NDRC Davao
Holy Name University
Kasing-Sining Association
Provincial Government of Bohol
1.0 BACKGROUND/
RATIONALE
The New Day Recovery Center (NDRC)
patterned after a similar facility in Davao City has been proposed to be built
in Bohol to ensure that a multi-pronged approach be adopted to cope with social
problems created by the alarming increase in illegal use of drugs mostly among
young people.
NDRC Bohol will combine community-based
approaches with cost-effective clinical methods and a humanitarian and eclectic
strategy, including the provision of livelihood opportunities and the use of
culture and the arts, to deal with drug abuse which threatens social stability
in many local communities.
Bohol, with a 1.2 million population, has no drug
rehabilitation center and mental health facility. Family members affected with drug and alcohol addiction, as
well as those with mental health problems, have to be brought to Cebu, Davao,
Manila and Tagaytay City in Cavite province for their treatment. Indigent
families in the province have difficulty seeking treatment for their affected
members on account of the high costs involved.
Likewise, Psychology students in Bohol
have to spend more money to go to these institutions for their practicum and
case management studies
Initial steps have been taken by a
non-profit, SEC-registered NGO, the Bohol Local Development Foundation (BLDF),
to consult with various sectors on how best to cope with problems brought about
by the fact that more than 50% of crimes committed in the province are
drug-related.
The Diocese of Tagbilaran and its key
partners agree that multi-sectoral efforts have to be exerted to cope with social
problems caused by increasing cases of drug abuse and the rise in the number of
people who need counselling and psycho-social services.
Moreover, it has been recognized that
without community involvement, without local communities and families accepting
their role in the prevention, pre-treatment and treatment phases of drug demand
reduction/elimination, it will be difficult to ensure early diagnosis and full
family and community reintegration after treatment and rehabilitation.
The key partners of NDRC Bohol have
also seen the need to provide livelihood opportunities to households affected
by the problems related to drug abuse to further ensure project sustainability.
Engagement of NDRC clients in livelihood activities can also be part of
treatment and rehabilitation to further ensure reintegration into normal
community and family life after the rehabilitation phase.
1.1 Guiding
Principles
As a drug rehabilitation center, NDRC
Bohol will be guided by the following principles advocated by the United Nations
Office for Drugs and Crimes (UNDC) and the World Health Organization (WHO):
1.1.1
Drug dependence
is a complex and multifactorial disorder involving individual, cultural,
biological, social and environmental factors.
1.1.2
Drug dependence
is as much a disorder of the brain as any other neurological or psychiatric
illness.
1.1.3
One of the main
barriers to treatment and care is the stigma and discrimination associated with
this treatable health disorder.
1.1.4
Drug dependence
treatment needs a comprehensive, multidisciplinary approach including both
pharmacological and psychosocial interventions.
1.1.5
Drug dependence
can be treated effectively with low-cost medications and standardized
psychological therapies.
The proposed drug rehabilitation and
mental health facility will adhere to the Manual of Operations of the DOH
Manual of Operations of the Philippine Government as well as guidelines
prescribed by the United Nations, through its mandated bodies, such as the UN
Office for Drugs and Crimes (UNDC) and WHO, the Colombo Plan Secretariat, among
other agencies.
2.0 OBJECTIVES
2.1 To
provide diversified, effective and quality drug dependence treatment and rehabilitation
services, including care and treatment of those with mental health problems.
services, including care and treatment of those with mental health problems.
2.2 To identify and remove barriers to low-cost, effective
and evidence-based drug
treatment
services in ways that also ensure the financial viability and sustainability of program and
administrative operations in the provision of services.
services in ways that also ensure the financial viability and sustainability of program and
administrative operations in the provision of services.
3.0 STRATEGY
To achieve these objectives, the Project will
implement the following multi-pronged strategy:
3.1 Program Development
3.1.1 Advocacy
The Project will promote a sound
understanding of drug dependence treatment and care (including matters related
to mental health) and the recognition of both as a health disorder that
requires a multidisciplinary and comprehensive approach.
3.1.2 Capacity Building
The
Project will impart or enhance the technical skills and capacity of drug
dependence treatment and care service providers at provincial and
sub-provincial levels through a "train the trainers" approach.
It
will mobilize and train a mobile team of trainers at provincial or diocese
level and ensure that a Drug Dependence Treatment Training Package is in place
as support to the operations of the Outreach and Drop-in Center ODIC), which
will be known as the New Day Community Centers (NDCCs) as first contact point
between the family and the NDRC Bohol.
NDRC
Davao staff, their Master Trainers and counterparts
at national and international levels, all experts on drug dependence treatment, will
lead the training of trainers at provincial level, who in turn train the
service providers at the NDRC Bohol and its satellite NDCCs.
3.1.3 Service Improvement
The
Project will support the development and improvement or maintenance of evidence-based
treatment and care services to ensure high-quality services at the NDRC and the
local NDCC level.
It
will mobilize a network of relevant government agencies, primary health care
services, universities and NGOs that will disseminate evidence-based good
practice in drug dependence and mental health services and ensure accessibility
to treatment, as well as post-treatment social integration and rehabilitation.
The
Project will help develop client-specific quality standards.
3.2 Financial Sustainability
3.2.1 NDRC Davao will manage NDRC Bohol as business
enterprise to ensure
the financial sustainability of the
project. NDRC clients will be charged
fees as is the practice in the
counterpart facility in Davao City. The
management will exercise functions
as befit a commercial entity as
NDRC Bohol to ensure financial
viability for the enterprise.
3.2.2 BLDF, the Provincial Government of Bohol and
other key partners will
raise funds or engage in livelihood
or social enterprises to be able to refer
and support clients from indigent
families to avail of services at NDRC
Bohol.
3.3 Infrastructure Development
This will consist of several
components:
3.3.1
A Residential Treatment and
Rehabilitation Center (In-patient Center)
with an initial capacity of 30
persons/beds that provides comprehensive
rehabilitation services utilizing, among
others, any of the accepted
modalities: Multi-disciplinary Team
Approach, Therapeutic Community
Approach, and/or Spiritual Services
towards the rehabilitation of the
dependent.
Note: For this
facility,the Pestelos Family has offered the use of its 6,000 sq.m. property
owned by the Family in Laya adjacent to the Balay Kahayag Retreat House and
Training Center. Specific terms and conditions will be discussed in more detail
later among the parties involved.
3.3.2 At least one Outreach and Drop-in Center
will be established initially in
a Barangay
Chapel or Parish and later in Barangay Health Centers,
Hospitals
or Clinics, government or private.
This
Drop-In center will serve as initial contact with local
communities and households if
they want to access information and
services related to drug dependence and other addictions.
The
Drop-In centers to be established under the Project will be
developed
to be able to implement the following activities:
·
Consultation,
counselling and evaluation
·
Screening and
assessment
·
Case management
·
Enhancing community
awareness about drug addiction
Staffing: At least, one
paid staff at each Drop-In Center accountable to the supervising or senior
officer, e.g. the Parish Priest; head of the host government agency or NGO.
If budget will allow, a trained
assistant; trained volunteers and community facilitators will be needed if
potential clients will increase.
The paid staff and volunteers will
be trained on: how to use the Assessment and Screening Tools; knowledge and
skills in presenting the nature of addiction.
Preferably, the paid staff should be
a Psychology graduate or Social Worker.
4.0 SUGGESTED ROLES OF THE INITIAL KEY PARTNERS
4.1 DIOCESE
OF TAGBILARAN
The
Diocese, which oversees 50% of the parishes in the province, will take a lead
role in providing the needed infrastructure or space for the Outreach and
Drop-In Centers. Through these Centers, the Diocese can take the lead role in
providing moral guidance for those needing psycho-social services and care. It
will oversee the administration and management of the Drop-In Centers within
the premises of the Church which will be organized with the technical advice and
support by NDRC Davao and the other key partners.
It
will make available lay persons and church volunteers who will be trained on
providing initial consultation and referral services to family members seeking
help on their problems regarding drug and alcohol addiction.
The
Diocese will encourage parishioners and donors to raise funds to ensure that NDRC
clients coming from poor families get adequate counselling and treatment
services as required.
It is suggested that the Diocese help provide funding for infrastructure
development and the provision of funds for the initial two years of operations
by NDRC Bohol and/or a network of Drop-In Centers that will be established within
its premises.
4.2 NDRC DAVAO
NDRC
Davao will serve as manager of NDRC Bohol with other stakeholders and/or
sponsors serving as members of a Board or a Management Committee.
NDRC
Davao is a noted rehabilitation and psychological services facility with a pool
of medical experts in the field. It is part of an international network of
similar institutions
NDRC
Davao will run the new facility as a private sector or commercial undertaking
to ensure financial sustainability. Its use of the land and other resources
made available through donations from other stakeholders will be subject to
terms and conditions that to be discussed later with the parties involved.
4.3 HOLY NAME UNIVERSITY
HNU
will assign interns and volunteers from among its faculty and students
in
Psychology, Social Sciences and Human Resources Management. It will participate
in the activities of NDRC Bohol through its membership in appropriate committees
to be created under NDRC Bohol.
Through
these committees, HNU can mutually enrich its instruction, research and
extension programs as it contributes to implementing the mission of NDRC Bohol
to broaden the outreach of its prevention and treatment services to affected
families among the relatively disadvantaged sections of the population.
4.4 KASING SINING
This
Association of cultural workers in various fields will ensure that cultural
presentations and creative methodologies will be used effectively to convey
pertinent developmental messages to achieve behavioral change objectives among
families and communities as part of the healing process.
Through
its cultural shows , workshops, interactive fora and other advocacy
presentations, KS will exert efforts to reinforce awareness, further enhance and
facilitate cooperation of families and communities in the overall healing
process for drug dependents and those with mental illnesses.
4.5 PROVINCIAL GOVERNMENT OF BOHOL
The
Provincial Government of Bohol will provide support to ensure that the various
LGUs and national agencies with programs and services in Bohol provide the needed
support for the smooth operations of the NDRC Bohol and the various NDDCs. It
will ensure that livelihood and other services are provided as part of the
healing process within the Center.
It
will mobilize funding and technical support as it sees fit for both the
infrastructure and program requirements of NDRC Bohol and its Drop In Centers.
It
will ensure that LGUs allocate funds to support the objective of opening access
to NDRC services to the relatively more disadvantaged families, groups and communities in the province.
4.6 BOHOL
LOCAL DEVELOPMENT FOUNDATION, INC. (BLDF)
Bohol
Local Development Foundation, Inc. (BLDF) and its predecessor organization, the
UNICEF-assisted Ilaw International Center (IIC), have a combined experience of
more than thirty years in efforts to address poverty in Bohol.
Over
the years, BLDF has conceptualized, field-tested and replicated methodologies,
systems and tools to enhance partnership with local communities and various
types of institutions and organizations in poverty reduction projects. Some of
these innovative processes and pro-poor planning tools (Poverty Database and Monitoring
System; Ilaw ng Buhay or Light of Life philosophy and approach to development
adopted globally by UNICEF in the 1980s; integrated area-based methodology)
have been replicated in diverse cultural and socio-economic context both in the
Philippines and abroad.
It
agrees with the other stakeholders that a comprehensive approach is needed to
address the social problems posed by the increasing use of illegal drugs
particularly among the youth. This drug
abuse problem, if unchecked, will negate the gains made over several decades in
development efforts by the Government, its partners and the international
donors.
BLDF
has sought to be part of the evolving plans and programs to address the social
problems posed by the growing drug menace in Bohol. Otherwise, the achievements
in combatting poverty in the province will be for naught. Hence it initiated
dialogues with key sectors in formulating a response to this major concern.
In
addition, it has offered the use of the following properties for the project:
a) 6,000 sq. m. property in Laya,
Baclayon for the infrastructure
of the proposed NDRC Bohol; and
b) 1.2 ha. property in sitio Mangool,
San Isidro, Baclayon for the livelihood
center and other required facilities (gymnasium, community theater,
wellness facility, volunteers resource center in support of the proposed
NDRC Bohol.
Specific terms and conditions will be prepared with
NDRC Davao for the use of these two properties.
It is proposed that BLDF, on account of its track
record in development and the key initiatives it has taken with respect to this
Project, perform the role of Project Coordinator on behalf of the proponent
agency, the Diocese of Tagbilaran.
5.0 Organization and Management/Institutional
Arrangements
5.1
Project Oversight Committee (POC)
Key task: To provide overall policy direction and
liaise with other stakeholders and donors/supporters of the project.
Composition:
Representatives of key partners, namely:
-Diocese
of Tagbilaran City
-Provincial
Government of Bohol
-NDRC
Davao
-Holy
Name University
-Kasing
Sining
-Bohol
Local Development Foundation, Inc. (BLDF)
Note: Other organizations may have a representative to the Project
Oversight Committee depending on the consensus of the initial key members.
2.0
Project Management Committee (PMC)
Key Task: To
provide day-to-day management to the implementation of the Overall Work Plan as
approved by the POC.
Composition:
2.1Project Coordinator
2.2Deputy Project Coordinator/Head of Project
Secretariat
2.3Head, Advocacy and Fud Raising Group
(AFRG)
2.4Head, Technical Working Group (TWG)
2.5Head, Infrastructure Advisory
Group (IAG)
Note: It is recommended
that the partner agencies be represented in the PMC and its working groups.
3.0 Project Secretariat (PS)
Key Task: To provide staff support to the PMC in
the performance of day-to-
day tasks
Composition:
3.1
Coordinator
3.2 1 IT Specialist/Researcher/Documentor
1 Secretary/Receptionist
3.4 1 Bookkeeper
3.5 1 Driver/Utility
Note: These
are all paid staff.
4.0 Advocacy and Fund Raising Group
Key
Task: To prepare and implement an Advocacy
and Fund Raising Plan
in support of NDRC Bohol
and its satellite Drop-In Centers
Composition: The
PMC will appoint the Head of this group, composed of
the
various entities, agencies/organizations in soliciting
funds or donations primarily to create a Social
Fund/Trust Fund to enable access to quality services
from
NDRC by clients from indigent families.
Note: The
Project Management Committee (PMC) will
provide
guidelines on the
conduct of the Advocacy and Fund Raising
Campaign taking into
account transparency and accountability in
all financial transactions.
Consultants may be
requested as needed from National and Regional
agencies, as well as international organizations such as the Colombo Plan,
World Health Organization, United Nations on
Drugs and Crimes and
International NGOs to provide technical
advice on NDRC Bohol operations.
5th Draft, NDRC Bohol
Project
Prepared by:
Nestor M. Pestelos, President, BLDF
13 April 2015/8.31 a.m.
ANNEX
ESTIMATED
BUDGET FOR YEAR 1
ITEM
|
ESTIMATED COSTS
(PhP)
|
REMARKS
|
10 Mobilization fund for project
preparation:
1.1 Seed money to get organized (to
establish office; hire support staff;
solicit
contributions; prepare
advocacy
materials; conduct
activities related to fund campaign
1.2 Initial
training program for project
staff
and volunteers
|
2,000,000
1,370,000
3,370,000
|
Note: Important to have seed money for the Advocacy and Fund Campaign and
to train the Core Staff and the Community Facilitators to be assigned by key
partners
Based on
costing available at NDRC Davao, per client spends Php 70,000 for a minimum
of 7 months stay at the Center.
The initial
Fund campaign will target raising Php 4,900,000 to pay for an initial target
of 10 clients from indigent families.
|
2.0 Establishment of 1 Drop-In Center
2.1 Building
cost for 17 sq.m. structure
at Php
18,000 per sq m.
2.2 Office
equipment (1 Laptop; LCD; 2
tables;
6 chairs; 1 electric fan)
2.3 Staff (1
Psychologist; 1 Social
Worker)
2.4
Utilities (Light and water; office
supplies; communication and
transport)
|
306,000
62,500
387,525
74,400
830, 425
|
Note: The cost
for 1 Drop-In Center can be reduced if the use of a building will be donated
by the host Parish or a Key Partner
Operating 1 Drop-In Center will be on pilot basis
for one year or less to enable the newly-trained staff to gain experience and
|
3.0 Establishment of the Drug
Rehabilitation Center (400 sq.
m.)
for 30
clients at Php 18,000 per sq.
m.
3.1 Equipment
(beds, cabinet, locker,
etc.)
|
7,200,000
275,000
7,475,000
|
Note: Subject to review by the Architect
|
5.0 Staffing
5.1 Center Program
Director/Administrator at Php
35,000
per month
5.2 1 On-Call
DOH Accredited Physician
at Php
1,500 per visit (52 visits per
year)
5.3 1 On-call
Licensed Dentist at Php
1,500
per visit (6 visits per year)
5.4 1
Licensed nurse/midwife at Php
18,000
per month
5.5 1
Licensed Social Worker at Php
20,000
per month
5.6 1 Psychologist/Psychiatrist at Php
20,000
per month
5.6.2 1 Clerk at Php 11,000 per month
5.7 1 Non-professional
staff at Php
9,000
per month
5.8 3
Utility/Security aides at Php 9,000
per
person a month
5.9 Fringe benefits (SSS, PhilHealth,
Pag-ibig)
at Php 30,000 per year
|
455,000
78,000
9,000
234,000
260,000
260,000
143,000
117,000
351,000
1,957,000
3,604,000
|
Note: It is
expected that volunteers from the Church, HNU and other institutions will
render service at NDRC Bohol.
|
6.0
Incidental Expenses for Operations
6.1 Light and Water at Php 5,000 per
month
6.2 Gasoline
at Php 3,000 per month
6.3 Office
supplies at Php 2,000 per
month
6.4
Communication at Php 2,000 per
month
6.5 Transport
fares at Php 1,000 per
month
6.6 Multicab
6.7 2
Desktops and 1 printer
|
60,000
36,000
24,000
24,000
12,000
235,000
110,000
501,000
|
|
TOTAL
|
PHP 15,780,425
or USD 358,
646
at the current exchange rate of PHP 44 to USD 1.
|