The evaluation of treatment services for drug addiction

Human Well-being Psychological Association

The evaluation of treatment services for drug addiction

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By Iram Sharif

Why the use of drug and alcohol addiction is increasing day by day?

Why large no of users are entering in rehabilitation centers & never get relief?

Why preventive measures are not working at all?

Why service providers (rehab centers, hospitals, outpatient, on-line, private NGO’s and government level institutes) are failing in providing relevant and beneficial services?

The following article will helpful in the identification of drawbacks of our services and polices and also in improving this system for better quality management of drug addiction.

First of all, there is need to know the disparities in service delivery and receiving. As in Pakistan, drug addiction has become a national level issue. No doubt paper work has been done to an extent but not in an effective and systematic way. To deal with this issue only paper work is not enough but there is also a need to establish the operative procedures, principles, polices, and guidelines at national level. To implement proper law in such a way that no person can dare to use or sell the drugs openly & freely.

To prevent addiction at all, need to review the systematic procedure from government level to local community level so as to fill the gaps in the system. As the policy makers, program planners, managers and key decision makers have not been developed any effective policy, treatment modality and provider setting services in this regard to date so, all polices, principles and guidelines need to be developed as well as implementation in an effective way. Effective means “beneficial and positive health related reforms” that should give positive outcome. How can we know about positive and negative outcome of any treatment planning, implementation, service delivery setting or policy guidelines? Obviously through the conduction of researches. But there are marked lapses among all of the above mentioned areas that need an effective planning to make and implement drug addiction program.

 At national level (Govt. role & responsibilities) there is need for;

1.   The development of law and order
2.    The development of rational policies
3.  Establishment of principles, rules and guidelines
4.  Expert program  planners, managers and key decision makers
5. Effective and well organized social care systems
6. Availability of scarcity of resources
7. Scientific studies (well controlled) for policy/program evaluation
8.   Schematic and arranged service provision
9.  cost effective analysis systems
10.  Health reforms
11.  Expert health provider
12.  Well-equipped treatment settings
13.   Systematic monitoring and evaluation systems

Secondly (health provider role and responsibilities) to familiar with;

1.        The difference between treatment and management
2.             The difference between rehabilitation and habilitation
3.              The difference between inpatient and outpatient door
4.             Treatment setting
5.             Treatment modalities
6.             Areas to investigate and to cure/manage
7.            Stages of treatment

Third thing that is a very critical component in making good or worse a treatment program is the role of

1.          Expertise in development of policy, principles, guidelines and programs
2.         Expertise (health providers) in handling the patients  

They must be certified, professional, and experiential who never work for their own benefits and not to prefer individual opinion.

Forth evaluation area is patient related

•          Who is patient/client?
•           Life areas (personal, social, physical, psychological, religious/spiritual)
•           Process of undergoing a treatment
•           Health providers?

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•           Service setting?
•            Duration of treatment/management?
•              Treatment modalities?
•           During and after treatment what plans will            go through?

These are very important things to get a positive outcome in any prevention program.

Your feedback will be important for me and others to make more reforms in this area. So please write your feedbacks.

Note.

A workshop on “patient-clinician variables of drug addiction” final part of “Drug Addiction Community Awareness Program” is going to be conduct in the month of August. This workshop is offered for those candidates who have attended the first workshop held at 29-4-2018.  Please contact at the following number to confirm your presence and also to get a form.

Objectives of “patient-clinician variables of drug addiction” workshop

This will discuss only process of treatment and strategies to handle the patients during and after treatment.