Saturday, July 9, 2016

NEXT STEPS AFTER THE ARREST OR SURRENDER OF DRUG USERS

For The Bohol Tribune
In This Our Journey
NESTOR MANIEBO PESTELOS

In response to the no-nonsense campaign of the Duterte administration to address the country’s serious drug abuse problem, police authorities and local government units have launched a vigorous campaign to apprehend known drug pushers and users and immobilize them either by shooting them down if they resist, making them sign a document so they will refrain from selling or using drugs or to change their evil ways by seeking treatment for their chemical dependency.

This news item appears in one national on-line news service of a major TV network:

“The Philippine National Police in Bohol said the number of drug users and pushers who surrendered this week already reached 3,000, a report on News To Go on Friday said.

“In Tagbilaran, the pews inside a church were all taken as drug users and pushers surrendering to authorities filled the place.

“The surrenderees signed affidavits saying they will change their ways.

“No rehabilitation center, however, is available to take in all those who surrendered, the report said.
Police resorted to asking barangay officials to monitor those [those who surrendered] in the meantime.

“One psychologist said however that it is important to have a rehabilitation center to house [them]since the process of recovery is long, the report said.”

Of course, the reporter was wrong in saying there is no drug rehab center in the province. Well, there is in fact one in Laya, Baclayon run jointly by the Family and Recovery Management (FARM) center in Minglanilla, Cebu and the It Works Chemical Dependency Treatment Center in Ozamis City. Its establishment has been brokered by our NGO, the Bohol Local Development Foundation (BLDF)  so that the family-owned Balay Kahayag retreat house and training center could be converted into a drug rehab facility.

We devoted 35 columns, a good 47% of the total, solely on the need for a drug rehab facility in the province since we started writing for this paper on 11 January 2015. It somehow makes us sad that the reporter is not aware the facility now exists after a rather long and tortuous journey taken to put it in place.

Yes, after a year-long series of activities consisting of visits to rehab centers in the Visayas and Mindanao, consultations with possible stakeholders and partners and lots of research mostly internet-based, we were able to negotiate successfully with two of the centers we visited to use the existing Balay Kahayag facilities (a multi-purpose hall good for 100 participants; an activity center for 25 clients; a dormitory good for 38 in-house guests; a two-story guest house).

This facility was named the FARM It Works Balay Kahayag Chemical Dependency Treatment Center or FITWBK. For those who have difficulty remembering the acronym, it is known simply as Balay Kahayag or BK.

A company whose younger technical officers tested positive on drugs virtually pressured the staff to start admission and treatment operations in November last year. All these early birds had completed by this time the initial six-month treatment and the three-month after-care regimen. Around the time of the proclamation of President Digong Duterte, who promptly announced an iron fist policy against drug addiction, occupancy at the facility soared to almost full capacity of 30 clients.

Despite lack of advertisements and promotions, families with one or two members having a drug addiction problem, swarmed the facility with requests for treatment and accommodation. In our column of 22 May 2016, we noted:

“The existing 30-client drug rehab center in our province, put up by two private entities from Ozamis City and Minglanilla, Cebu, even if fully operational, will not make a dent on the current drug addiction problem in Bohol. We need more than one center or an expanded one to cope with the problems created by the illegal drug trade which has taken seemingly secure root in the province during recent years.”

Meanwhile, as a vital milestone in the history of Bohol’s first and only drug rehab center, Fr. Val Pinlac who heads the Vatican-funded Bohol Rehabilitation and Rebuilding Project (BRRP) has been elected Chair of the newly-registered Board of Trustees of the non-stock and non-profit Foundation for FITWBK. This marks a new milestone in the history of this vital facility.

On the prodding of Fr. Val, we prepared with BRRP staff a proposal to an international NGO, the For a Better Tomorrow (FBT) that when approved, will enable FITWBK to expand its intake capacity from the current 30 to 50 clients.

It will also ensure that the FITWBK can admit more clients from families who cannot afford the PHP 25,000 per month fee.

 I think many people agree that putting drug users in their respective homes after signing agreement with police authorities that they will no longer use shabu or other illegal drugs is not a viable solution to the drug addiction problem in our province or, for that matter, anywhere in the Philippines where police authorities, eager to please the new national leadership, are eager to arrest and even kill many drug addicts.

It is common knowledge that drug addiction is a brain disease and time is needed to repair what has been damaged by repeated drug use. Hence, in most cases, residential or in-house treatment for drug addiction is needed.

Some drug abuse cases may not require confinement in a drug rehab facility, but diagnosis is still needed and a mode of treatment is required rather than mere physical confinement. The other risk is that it will be quite impossible to monitor individually the movement of thousands of drug abusers while they are supposed to be technically in restricted movement in their homes or local communities.

Since we cannot fast-track the construction of drug rehab centers in relation to the current demand, it is best to take simple and doable steps to meet the need for diagnosis of each client to determine whether or not it is best for the client to get home-based counselling/treatment or be confined in a drug rehab facility.

This will require the recruitment, training and deployment of an inter-agency team given full administrative support to be able to carry its day-to-day tasks. Membership in this team can be systematically planned by provincial authorities with each municipality represented in its team to ensure immediate replication of approaches and strategies for dealing with drug dependents and their immediate families who, in most cases, are themselves co-dependents rather than facilitators of the treatment and healing process.

It is highly recommended that the provincial government designate a core team tasked with responsibility to implement a workable strategy in dealing with those who have been arrested and detained in their respective homes.

Potential members of this inter-agency core team need to be of one mind and have the same basic skills and attitude that will enable them to perform their tasks effectively and efficiently. A  ten-day training for the team can be conducted which will include the following:

  • Introduction to Drug Addiction Prevention Science
  • Basic Counselling Skills for Addiction Professionals
  • Community Outreach
  • Ethics for Addiction Professionals
  • Role and Tasks of Recovery Coaches

To ensure a pool of trained service providers, it is important that the initial training involve as many as 30 to 40 participants. The most advanced of them in terms of KAS (Knowledge, Attitude and Skill) may be recruited and deployed and given advance skills training. A mobile provincial core team of trainers and facilitators can then organize and train their counterparts per LGU or a cluster of LGUs.

One of our partner drug rehab centers, the one based in Ozamis City, the It Works Chemical Dependency Treatment Center, has scheduled a hands-on workshop with the DOH as partner on the requirements or guidelines in establishing a drug rehab facility. The venue is right at their center in Ozamis City scheduled on 12 to 14 July. For details, email the Convenor, Rene Franciso, at renefranph@yahoo.com.

It is important at this critical stage for each LGU to establish prototype Outreach and Drop-In Centers (ODICs) to provide systematic counselling, diagnostic and referral services to families burdened with the drug abuse problem. I have written about ODICs several times in this column (02 May 2015; 30 May 2015; 13 June 2015). We have provided several options to establish this facility to complement the services of the drug rehab center. Our NGO has provided estimates on how either the LGU or the Church can establish this facility which can complement efforts to do something about the current phenomenon of having thousands of drug pushers and users coming out from the dark, shedding their anonymity and face either rehabilitation or deterioration in their condition.

May we all be guided, LGUs and non-LGUs alike, to make the wisest course of action against this nightmare brought about by the drug menace in our midst. For comments, email: npestelos@gmail.com. ###

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