Friday, August 12, 2016

PROPOSED SMALL-SCALE BUT HIGH-IMPACT PROJECTS FOR DRUG REHABILITATION

For The Bohol Tribune
In This Our Journey
NESTOR MANIEBO PESTELOS

For the past two weeks, I was able to finalize and submit three project proposals to potential donors after a period spent in research and consultations on how best to respond at municipal and barangay or household levels to a desperate situation considered by many as a tragedy waiting to happen.

These proposals are meant to address a messy situation where hundreds of identified and self-confessed drug addicts and pushers have been left unattended while supposedly in the care of households and local communities.

 Let me share these proposals with you in this week’s column. I still nourish this hope that new leaders will arise from local communities to push for these projects while waiting for the big national program to come with ample resources, possibly with the PHP1 billion pesos donated by San Miguel Corp. to the government for the building of drug rehab centers.

These proposed projects, which can be considered small-scale but high-impact projects,  are as follows:

1) A facility with the generic name, Bohol Drug Dependency Rehabilitation Center. it was conceived and designed as thesis requirement for the BS Architecture degree course last schoolyear  at the Bohol Island State University (BISU). The team spent time at the Balay Kahayag site in Laya, Bohol to study features of the project site and see how it could be linked to the current facility which the study was supposed to complement and enhance.

The team was headed by Luigi Rulida with the following as members: Isidro Macabenta, Jayson Rey Sayson, and Ma. Josephine Sarigumba. Their adviser was Arch. Nino Guidaben, former Ayala Foundation scholar, an internationally trained heritage and environment conservation architect. As early as 2014, Bohol Local Development Foundation (BLDF) funded his study trip to Davao City so assess the positive and negative aspects in the design of drug rehab centers.

Like his students, he also visited the Balay Kahayag site in Laya to familiarize himself with the place as location of a drug rehab facility.

The proposed facility would increase the intake capacity of the current FITWBK to another 30 clients. It was designed to integrate nature in the healing and recovery process of the clients. The concept of all buildings is from bahay kubo with its roofing inspired by leaf concept

The project cost is Php 62 million. I asked the permission of the team leader to send the design and costing to a close friend in Australia who volunteered to present it to potential donors, such as the Rotary of Australia. Anybody interested in helping raise funds so we could build the center in Bohol could just email us at npestelos@gmail.com.

2) Outreach and Drop-In Centers (ODICs) . I have written about this vital facility a number of times in my column. Under the present situation, it will serve as a vital facility to link surrenderees and their families to an outreach center where can access diagnostic, counselling and referral services.
We have estimated the budget to establish an ODIC including the maintenance costs for a year as follows:

1.1  Building cost for 17 sq.m. structure
       at Php 18,000 per sq m.                             PHP 306,000*
1.2  Office equipment  (1 Laptop; LCD; 2
       tables; 6 chairs; 1 electric fan)                             62,500
1.3  Staff (1 Psychologist; 1 Social
       Worker)                                                                  387,525
1.4   Utilities (Light and water; office
         supplies; communication and
         transport)                                                               74,400

TOTAL                                                                     PHP 830,425

If there is an existing office space or underutilized building which can be used as outreach center, the e the annual cost to maintain an ODIC will be:  Php 524, 425.
Additional costs will be consultancy fees for trainers who will train the ODIC staff and to include training supplies, food, etc. : Php 100,000. Hence, the total costs to establish and maintain one ODIC for one year will be: Php 624,425. Several municipalities can share a common ODIC to reduce the operations costs and achieve efficiency in operations.

3) Good Samaritan Project.

The first project I came up with more than a month ago. The title is tentative. In our consultation meeting, Fr. Rara said we must change the name because people from other religions may not like the term. No problem with the suggestion. The title is tentative; it can still be revised.
The project concept was based on the familiar Biblical passage on the Good Samaritan which our action group at the Brotherhood of Christian Businessmen and Professionals  (BCBP) reflected on during one of our meetings. I spun it off as a project concept based on the idea that we could be our brother’s keeper during this time that needy persons are, as it were, left dying and helpless by the road.

I believe that this can be done while waiting for the Government to establish a drug rehab center in addition to the one we have now which you have visited.

Basically it is a community participation approach to address the presence of an overwhelming number of drug users without a counselling or treatment program. We can pilot this in the three municipalities which are in the catchment area of the FARM It Works Balay Kahayag (FITWBK) Chemical Dependency Treatment Center.

We can work with either the Church, an NGO or LGU to coordinate the project. We can start with a budget of Php 200,000 to Php 500,000 per municipality, depending on its population size and topography,  which will pay for administrative, training and social preparation costs. The important thing is to reach out to the drug users as early as possible, categorize them as to the severity of addiction, refer serious cases to the drug rehab center and provide counseling and other interventions, e.g. livelihood to drug users in other categories.

Here are the specifics of the project so that we need not think of rehabilitation in terms of a rehabilitation center:

For background and rationale, I note:

Even prior to the ascension to power of the new national Administration, which has pledged to eradicate in six months the pernicious drug abuse problem and drug-related crimes  in the country, there has been a spate of killings of drug pushers and drug lords, and probably a number of ordinary drug users.

The situation has created a climate of fear which has led to the surrender of an overwhelming number of drug pushers and users all over the country. In Bohol, for instance, the number of those who surrendered have increased from an initial 3,000 to than 30,000 in less than a month. Due to lack of drug rehabilitation centers, coupled with the high cost of rehabilitation, it is expected that most of those who surrendered will end up in the custody of their respective families without access to systematic counselling and treatment,

It is common knowledge, however, that drug addiction results in brain damage and psychological aberrations and the families are not equipped to handle such day-to-day problems that may arise on account of these factors.
The situation arising from the mass surrender of drug users requires a systematic pre-treatment, treatment and post-treatment process undertaken under the guidance of a rehabilitation center or drug addiction professionals working in close coordination with the affected families and local communities.
This project represents an effort to address the problems that may arise on account of the mass surrender of drug users and the need to assist the family cope with possible problems that may occur on account of lack of access to adequate rehabilitation services.
For Overall Goal, I put the following:
To ensure that each surrenderee is provided a comprehensive and appropriate package of services from pre-treatment to full recovery.

I listed the following as specific objectives

a.       To establish baseline data on the condition of each surrenderee which will serve as basis for treatment and post-treatment interventions;
b.      To ensure systematic provision of counselling and other services with the full cooperation and assistance of the family and the local community, as well as the local government;
c.       To monitor regularly the progress of each client and adjust inputs accordingly;
d.      To document outstanding cases of full recovery and successful integration with both the family and the community.

To achieve these objectives, I put the following as comprising the implementation strategy of the project:  

a)      Partnership with all key sectors with specific inputs to deliver;
b)      Mobilization of volunteers who will be organized into teams assigned to specific cluster of target clients in specific location and linked to specific focal person in the project management committee;
c)       Organization of families of clients to ensure spiritual and other support to target clients.
d)      Designation of a pilot area where implementation approaches can be tested based on current organizational capability, existence of willing partners, and affordability.

For key activities, I listed the following:

-Link up with drug rehab centers in nearby regions and consult them if they can help conduct a systematic diagnosis of those arrested and those who surrendered to determine a) who can be treated at home; b) those who must be treated in a drug rehab facility; and (c) those whose mental conditions has worsened due to long period of drug use and must be committed to a mental hospital instead.

-Recruit and train volunteers who can serve as counsellors for both drug abuse victims and their respective families;

-Train nursing, psychology and/or social work or social science students and their teachers on the use of diagnostic tools so that the diagnosis could be done on a massive scale simultaneously to cover most of the 30,000 surrenderees;

-Formulate and implement a short-term orientation or basic skills training course for all the volunteers who are willing to do this work;

-Liaise with partner drug rehab centers and institutions and seek their advice on how to fast-tract treatment at substantially lower costs;

-Organize an interim core team who will assist in mobilizing support from all sectors (Government, Church and faith-based organizations; private sector; civil society organizations, academic institutions, etc.

-Get an updated list of surrenderees and all relevant data about them for planning purposes.

For Organization and Management, I listed the following:

--Decide on the initial coverage area of the project which will serve as learning site for approaches, methodologies and detailed organization work of building local area teams linked to central management

-Get a list of identified surrendeeres per area (barangay; purok)

-Organize them into 5-member Units; let them elect a leader among themselves; designate a place where they can meet regularly. A Project Officer (PO), who will come from the coordinating organization, will handle initially one Unit  assisted by a volunteer to come from partner institution such as Holy Name University (HNU) or other academic institutions, Church group, etc.

The Assistant Project Officer (APO) , who can either be a Volunteer or a member of the coordinating agency,  will be trained to assume the tasks of the PO someday so there is a system for recruiting more volunteers to do this vital task.

-All POs will be trained on how to perform their various tasks; they can be organized as a group, too.
-Likewise all APOs will be organized as a group, too, so systematic training inputs can be provided  and the sharing of experiences facilitated. All Unit Leaders may also be organized as a group for the purpose of imparting training skills.

-A Project Management Committee (PMC) will be organized at a higher level to supervise two teams 

– a Project Support Team to take care of logistics and funding and admin support; and a Training and Advocacy Team to handle training and  information support to project operations.

I also proposed that Families of GSN Members will be organized  into a GSN Family Association and can elect their own officers and a PO assigned to it, too. It can be linked to the PMO.For comments, email: npestelos@gmail.com  ### NMP/13 Aug 2016/5.13 a.m. 

No comments:

Post a Comment