07 April 2015
Dear All,
This is to submit to you as
promised the 3rd draft of our proposal that we establish in Bohol an
entity similar to the New Day Recovery Center (NDRC) in Davao City.
This 3rd draft
has been the result of our consultations with colleagues in Davao City, with some
of you in various informal and formal meetings and the research we have
conducted during the past six months on the operations of drug rehabilitation
centers and mental health facilities in the Philippines and several countries.
I hope you will continue to
find the time and motivation to read this third draft as I now submit it to the
Diocese of Tagbilaran which has requested us to expand an earlier proposal given
to them. This initiative is consistent with current pronouncements of our
beloved Pope Francis that we walk with the poor, rather than only cite the
Scriptures, in showing our love for them.
We hope to receive your
feedbacks and comments soonest to improve the draft and then proceed to present
a revised draft to you and the other stakeholders so that we can move on from
advocacy to real action to address social problems brought about by this new
scourge affecting our beloved province and most places in our country. Once we
have the 4th draft based on your comments, we will request the
Diocese to convene a formal consultative meeting so that we can be guided on the
next steps ahead.
Always yours for a better
world,
NESTOR
M. PESTELOS
President
PROECT
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.
A mental health facility is
envisioned to be part of the proposed institution. 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. Alcoholism is getting to be rampant. Mental health
cases have also been noted to be on the rise.
All these are due mainly to stresses brought about by rapid urbanization
and the influx of foreign tourists in recent years.
The proponent 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 and mental health 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.
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.
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 and its 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.
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.
3.3.2 A Psychiatric Care Facility (initial
capacity: 30 persons/beds) for patients
exhibiting
psychosis as a result or consequence of dangerous drug use.
3.3.3 Support Facilities to consist of the
following:
·
Dormitory
for parents of clients
·
Canteen
or mess hall for patients and guests
·
Staff
quarters
·
Pharmacy
·
Gymnasium
·
Multi-purpose
activity center (to include facilities for cultural
shows,
games, etc.
Note: For these facilities, NDRC Davao and
the Pestelos Family have agreed to use 9,000 sq.m. property owned by the
Pestelos 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.
3.3.4 A network of Drop-in centers, to be
known as satellite New Day Drop-In
Centers
(NDCCs) will be established in Barangay Chapels or Parishes and
later
in Barangay Health Centers, Hospitals or Clinics, government or
private.
These
local NDCCs will fill an urgent need for a community-based facility
with
trained and committed staff to serve as initial contact with local
communities and households if they want to access information and
services related to drug dependence and other addictions, as well as
behavior arising from mental health problems. encounter problems
related to drug abuse
The
NDCCs will be responsible at barangay or local level for the following
activities:
·
Consultation
and evaluation
·
Screening
and assessment
·
Case
management
·
Enhancing
awareness such as conducting symposium, seminars
and
workshops in the community
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.
3.4 Creation/Development
of a New Day Village to consist of the
Following Sub-components:
3.4.1 A
Livelihood Center (to be developed as the New Day Community
College in the future) and an organic farm to
engage NDRC clients in
productive
activities as part of their therapy or as half-way resource
center
prior to their full integration to their communities and families so
they
will be equipped with employable or
entrepreneurship skills.
3.4.2 The New
Day Community Theatre (NDCT) will complement on-site
presentations
by Kasing Sining. It will serve as its
regular venue for
cultural shows , workshops,
interactive fora and other advocacy
presentations. At various stages of
the healing process, NDCT will also
feature presentations of clients whenever
it is appropriate or feasible to
do so.
NDCT will offer regular shows
designed to raise awareness about issues
relevant to advocacy themes and
treatment and post-treatment issues
and help raise awareness about the
respective roles of stakeholders in
the healing process.
3.4.3 The
New Day Volunteers Resource Center
(NDVRC)
The Project will implement a systematic
recruitment and deployment of
volunteers to serve in NDRC Bohol and
the various NDDCs that will be
organized at local level.
Universities and Colleges in Bohol
will be encouraged to establish a
Volunteers Resource Center to ensure a
common pool of information
officers with skills to recruit and
train youth volunteers.
An Inter-Faith Youth Council will be
organized to support the NDVRC.
Note: The New Day
Village and its components will be created on a 1.2-ha. property in Manggool,
San Isidro, Baclayon, the use of which will be donated free by the Gilay Family
through BLDF.
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 guidance through the New Day Drop-In Centers (NDCCs) for
those needing psycho-social services and care. It will oversee the
administration and management of the NDCCs which will be organized with the technical
advice by NDRC Davao and support provided by 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 and mental health
problems.
It
will make available priests and lay leaders to serve as resource persons in
planning and implementing the faith-based components of psycho-social services.
The
Diocese will encourage parishioners and donors to raise funds to ensure that
potential NDRC clients coming from poor families get adequate counselling and
treatment services as required. It will help provide funding for infrastructure
development and the provision of funds for the initial two years of operations
by NDRC Bohol.
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 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.
In the
wake of the magnitude 7.2 earthquake which hit Bohol on 15 October 2013, BLDF implemented
a community-based shelter assistance project to enable families to build
transitional core houses and move their vulnerable members (the elderly,
children and women, the disabled and sick) from the tents and makeshift
structures to relatively safer and more secure dwellings.
With
funds raised from concerned individuals and private institutions, BLDF was able
to help build 150 core houses in several remote villages of Calape, Antequera,
Maribojoc and Baclayon. With the announcement in August, 2014 that the
Government and Habitat for Humanity have available funding to build 6,000
permanent homes for the homeless, BLDF shifted its program focus the promotion
of informal employment and sustainable livelihood among the youth, particularly
those who are out of school or those in Alternative Learning Systems (ALS).
In
less than a year of implementing projects for the out-of-school youth, BLDF has
become convinced 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, along
with alcoholism and mental illnesses, if unchecked, will negate in the process,
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.
BLDF
will make available for the use of the proposed NDRC Bohol the following:
a) 9,000 sq. m. property in Laya, Baclayon for
infrastructure
development of
the proposed NDRC Bohol; and
b) 1.2 ha. property in sitio Mangool, San Isidro, Baclayon
for the livelihood
component
of the proposed NDRC Bohol
Specific terms and conditions will be prepared with
NDRC Davao in 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 Manager 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:
-Bohol
Local Development Foundation, Inc. (BLDF)
-NDRC
Davao
-Diocese
of Tagbilaran City
-Holy
Name University
-Kasing
Sining
-Provincial
Government of Bohol
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:
2.1
Project Manager
2.2
Deputy Project Manager/Head
of Project Secretariat
2.3
Head, Advocacy and Fund
Raising Group (AFRG)
2.4
Head, Technical Working
Group (TWG)
2.5
Head, Infrastructure
Advisory Group (IAG)
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.
5.0 Technical Working Group (TWG)
Key Task: To coordinate closely with NDRC Davao regarding training
activities,
methodologies, tools used in the provision of psycho-
social services, treatment
and non-treatment services,
consultations and
diagnosis, referral activities undertaken at
NDRC Bohol and its
satellite Drop-In Centers
Composition:
Representatives from academic and other
institutions with psycho-social
services, Psychology courses, or
institutions involved in counselling.
Consultants may be 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.
3rd Draft, NDRC Bohol Project
Prepared by:
Nestor M. Pestelos, President, BLDF
07 April 2015/8.31 a.m.
Note:
ANNEXES STILL BEING PREPARED:
1.0 Budgetary requirements for the Initial 3
Years of the Project to cover:
1.1 Mobilization
fund to establish office, project support staff, solicitation of
investments
and/or donations, start advocacy and fund campaign;
orientation
and training of initial core teams of trainers and community
facilitators/mobilizers
1.2 Infrastructure
requirements
1.3
Establishment of Drop-In Centers, initially one for each of the 10
rapidly-
urbanizing
municipalities
1.4 Preparation,
printing and distribution of NDRC Briefing Kits
1.5 Start-up
campaigns using both established and social media
2.0 Designs and
costing of:
2.1 initial 5
Drop-In Centers within Year 1 to fast-track the
systematic
access to information and services related to drug dependence,
alcoholism
and to identify those needing more advanced treatment after
initial
consultation and diagnosis
2.2 Drug Rehabilitation
Center facility and Mental Health Facility to compose
the
proposed NDRC Bohol
2.3 Establishment
of a 1.2 ha. Livelihood and Volunteers Resource Center to
complement
the programs of NDRC Bohol
3.0 Guidelines
of DOH on the establishment of drug rehab centers
4.0 Organizational
chart for NDRC Bohol and the Drop-In Centers for each
selected
Parish, government office or partner NGO hosting the facility
5.0 Memorandum
of Support from the Provincial Government and the other
LGUs, other
Government agencies, academic institutions, private sector or
commercial/business
firms, Mass Media, civic organizations and faith-based
groups
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