Friday, April 17, 2015

5th Draft, Project to Establish NDRC Bohol


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;
2.     A 30-client facility for the drug rehabilitation center, fully staffed with trained professionals and 
     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;
4.     A total of 20 clients undergoing treatment as initial target for clients from family and fully paying
      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.

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.

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, 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.



NMP/BLDF 13 Apr/3.59 p.m.

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