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TRANSFORMATION JOURNEY OF TREATMENT AND REHABILITATION PROGRAMS IN MALAYSIA:

TRANSFORMATION JOURNEY OF TREATMENT AND REHABILITATION PROGRAMS IN MALAYSIA: COMPULSORY OPEN ACCESS SERVICES. CURE & CARE. DR. SANGEETH KAUR NATIONAL ANTI DRUGS AGENCY MINISTRY OF HOME AFFAIRS MALAYSIA. Treatment Scenario in Malaysia. Compulsory Treatment

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TRANSFORMATION JOURNEY OF TREATMENT AND REHABILITATION PROGRAMS IN MALAYSIA:

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  1. TRANSFORMATION JOURNEY OF TREATMENT AND REHABILITATION PROGRAMS IN MALAYSIA: COMPULSORY OPEN ACCESS SERVICES CURE & CARE DR. SANGEETH KAUR NATIONAL ANTI DRUGS AGENCY MINISTRY OF HOME AFFAIRS MALAYSIA

  2. Treatment Scenario in Malaysia Compulsory Treatment • Provided for drug dependants since 1983 • Drug Rehabilitation Centers (DRC) & Supervision in the Community • 22 DRCs – capacity of 7,000 residents • Supervision - 55,000 estimated in the communityHow can N.A.D.A take care of the massive numbers in the community?

  3. Why NADA needs to Transform? Stakeholders Success Rate 75% ? 50% ? 20% ? 10% ? Success Rate 75% ? 50% ? 20% ? 10% ? Compulsory Treatment Reluctant & Resistant Clients Problems in the DRCs Compulsory Treatment Reluctant & Resistant Clients Problems in the DRCs Treatment Services Programs in DRCs and those undergoing Supervision Treatment Services Programs in DRCs and those undergoing Supervision Parents, Families Stigmatized Residents – criminalized (records) Parents, Families Stigmatized Residents – criminalized (records) Changes Impact of New drugs on Clients Need for Clinical Approach Changes Impact of New drugs on Clients Need for Clinical Approach GTP & NKRA Concept of 1Malaysia

  4. ? ? ? ? We ask ourselves….. ? …what do we want to transform ? ..what matters most to the ‘rakyat’/people or clients ? ….how can we touch the hearts & souls of the people or clients with big fast results…

  5. TRANSFORMASI Cure & Care 1 Malaysia Clinic Registration Office– Sg. Besi Psychiatrist/ Medical Officers Treatment Wards

  6. CONCEPTOPEN ACCESS SERVICES • Voluntarism or Walk-in • Support from parents or family • Referral • Outreach / Motivate • No Legal Implications • No Pre-conditions • No stigma • Private and Confidential • Options for clients • Community-based Program • Clients as patients

  7. SCOPE OF SERVICES # # METHADONE MAINTENANCE THERAPY INPATIENT 1, 2 & 3 Months Package Clients Needs and Assessment Opiate Clients OUTPATIENT REFERRAL AND ADVOCACY 4, 5 & 6 Months Package Public, Family dan Clients ( Hospital, Social Welfare. Appontment Based CLINICAL SERVICES TRANS CC Medical Detoxification 1-3 bulan package Temporary transit Psychiatric Interventions Hypnotherapy

  8. FUN, EFFECTIVE & EASY TO IMPLEMENT APPROACH

  9. C&C 1MALAYSIA MODEL • EARLY RECOVERY • RELAPSE PREVENTION C • SOCIAL SUPPORT GROUPS • FAMILY PROGRAM & • COUNSELING & GUIDANCE C C • MEDICAL & HEALTH EDUCATION • RELIGIOUS & SPIRITUAL 1 MSIA 1 M’sia • VOCATIONAL SKILLS TRAINING • OUTING/EXCURSIONS PSYCHOSOCIAL

  10. C&C 1MALAYSIA MODEL® • MEDICAL DETOXIFICATION • METHADONE MAINTENANCE C • PYSYCHIATRIC INTERVENTIONS • HIV/HEP/TB/STI TREATMENT & • INHALAN C C • ALCOHOL & NICOTINE • IMMUNIZATION 1 MSIA 1 M’sia • INFECTIOUS DISEASES SCREENING • DENTAL SERVICES CLINICAL SERVICES

  11. DRC VS. C&C CLINIC

  12. OUTPUT ( NO OF CLIENTS)

  13. OUTCOME STUDY AT C&C CLINIC

  14. OUTCOME STUDY AT C&C CLINIC

  15. Drug use history OUTCOME STUDY AT C&C CLINIC

  16. OUTCOME STUDY AT C&C CLINIC Health status, needs and access • In general, how satisfied are you with the medical attention you receive for your health problems (other than drug addiction) at the Cure and Care Clinic? Satisfied 69.3% Very satisfied 23.9% Not very satisfied 5.6%

  17. Qualitative analysis: Opinions and feedback on C&C program and services. • OUTCOME STUDY AT C&C CLINIC • Overall, happy with the C&C concept • C&C encourages voluntary and ambulatory care and rehabilitation • MMT is seen as a stabilizer giving 2nd chance • Programs offered by C&C were well received • Good support from C&C staff, Counselors and Medical Team

  18. OUTCOME STUDY AT C&C CLINIC METHADONE MAINTENANCE PROGRAMME 2010 2011 2012 936(67.8%) clients employed in 2011 compared to 543 (53%) clients in 2010. Example text

  19. OUTCOME STUDY AT C&C CLINIC

  20. KAJIAN KEBERKESANAN PROGRAM KLINIK C&C OLEH UNIVERSITI MALAYA OUTCOME STUDY AT C&C CLINIC

  21. CRIME HISTORY OUTCOME STUDY AT C&C CLINIC KAJIAN KEBERKESANAN PROGRAM KLINIK C&C KOTA BHARU Average number of times inpatients and outpatients have been sent to prison, lock up, or PUSPEN

  22. OUTCOME STUDY AT C&C CLINIC Mental Health KAJIAN KEBERKESANAN PROGRAM KLINIK C&C KOTA BHARU

  23. AFTERCARE Outpatient CCSC Options for Aftercare Services after discharge from C&C Clinic : • as outpatient with the same C&C Clinic or other facility; or • CCSC (Cure & Care Service Centres); or • CCH (Community Caring House) • CCVC (Cure & Care Vocational Centre) – vocational skills training • TransCC – Transitional Cure&Care facility CCH CCVC AFTERCARE SERVICES TransCC NADA District Offices

  24. THANK YOU TERIMA KASIH We Care, We Serve

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