Treatment process

Treatment Objectives

The goals of NHCC’s addiction recovery program are to:

  • Immediately interrupt the progression of disease through abstinence from alcohol and mind/mood-altering drugs.
  • Educate both the patient and family about the natural history of the disease and the consequences of not treating the disease.
  • Provide a framework for each patient to apply this addiction recovery education to his or her own personal history of alcohol and/or drug use.
  • Teach new coping skills and the tools necessary to change thinking and behavior, allowing the patient to meet life’s challenges without returning to the use of alcohol and/or drugs.
  • Provide hope and optimism for the patient and family so that the patient can maintain a sober, responsible and productive life as a contributing member of his or her family and community.

Effective and Focused Treatment

NHCC’s Intensive inpatient Program provides patients with rehabilitation treatment, relapse prevention, education and other services toward full addiction recovery. Our methods place patients in a supportive, flexible, and convenient atmosphere.

All treatment options begin with a diagnostic assessment that helps NHCC’s staff determines the appropriate substance abuse services (including detoxification) for each patient.

Once admitted, patients will undergo counseling and education in both individual and group settings to achieve abstinence and develop a self-responsible plan of addiction recovery. Inpatient treatment programs typically last a minimum of 6-8 weeks depending on progress, and involve 3-4 counseling sessions per week in both group and individual sessions.

Participation in 12-Step Recovery-based activities such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) is a required portion of the Intensive Outpatient program and is viewed as a necessary parallel path of recovery to maintain lifelong sobriety. We offer several Family Support and Recoveries   meetings per week.

After the treatment, NHCC continues to support patients with aftercare, relapse preventionadvocacy services, and crisis counseling.

Treatment and Rehabilitation program for Male Drug Addicts

Registration

Registration procedure is simple and depends upon the motivation; consent and agreement of client and family that if the patient will be relapsed Centre can take him back for treatment. Client remains on waiting list and gets admitted on his turn. For registration it is necessary for the client to be regular in attendance on area booth. So that his motivation towards treatment be judged

Diagnostic, Addiction Assessment

Evaluation of each patient begins with a comprehensive diagnostic assessment performed by one of our Clinical Psychologist, addiction counselors, or physicians. NHCC uses a number of methods to determine if an alcohol or drug use problem truly exists. If such a diagnosis is established, we then determine the extent or severity of disease, if there is a need for medical detoxification, and the level of care required to safely and successfully achieve sobriety. Each patient will be provided with an Individual Treatment Plan outlining our recommendations, including referral to other agencies or residential treatment facilities if that is in the patient’s best interests.

Detoxification

This is the first phase in the treatment process, and lasts for 10 to 15 days. During this period the physical withdrawal of the drug takes place. Client receives Primary Health Care according to the Medical Officer who attends the patient and remains on call for 24 hours. Our dispensers also remain alert for any type of medical help for 24 hours. Medical officer refers the client for any type of hospitalization for further evaluation and management. Our patients are referred to the concerned specialties bearing at the cost of center, if the facilities e.g., laboratory tests, dentistry and ophthalmologic or other services are not available at our Centre.

The main features of therapy include:

• Symptomatic medical treatment

• No substitute drugs

• Bath therapy

• Individual counseling

• Peer support

Each month 300 to 500 drug users are detoxified and about 90% of them entering the next phase of treatment i.e. rehabilitation

Rehabilitation

Primary rehabilitation-phase lasts for 8 weeks and includes:

1. Group therapy

2. Individual counseling

3. Religious therapy

4. Seminar on different topics

5. Group meetings

6. Departmental division & TDs

7. Family Counseling

8. Community based awareness program

Individual Counseling

Individual sessions with expert and highly qualified Clinical Psychologists, certified addiction counselors are necessary part of the patient’s treatment. Individual addiction counseling may be recommended for those who have experienced a negative consequence of substance use. Counseling sessions focus on the patient’s progress in the educational process, group participation, drug monitoring, compliance, 12–Step work, and identification of areas for improvement to achieve long-term sobriety. individual counseling sessions are scheduled weekly and counselors create specific programs tailored to each individual’s recovery needs.

Family Education and Counseling

We believe family involvement is an essential component of addiction recovery and we strongly encourage all willing family members to participate in our weekly Family Support Group. This program is run by Sociologist, Family councilor and addiction specialists and is designed to help family members grow in recovery with their loved one through education about the disease and its impact on the family. Family group is offered in a 3-hour sessions per week: Fridays from 4-6pm. Drug and alcohol abuse education, co-dependency, enabling behaviors, anger management, and family dynamics are just a few examples of topics covered. Individual family sessions with an addiction specialist or licensed social worker are also offered as needed to facilitate the counseling process.

These sessions enable patients and families to understand the disease of the brain known as addiction, why drugs/alcohol have such a hold over one’s life, and how families and patients can make small but important changes to break the cycle of addiction. Family education and counseling sessions are an important time for both patients and families to develop a strong, positive family dynamic to carry on through the recovery process. It is an opportunity to speak in a safe environment about the emotions surrounding the recovery process, and can provide a neutral space for both patients and families.

Relapse Prevention and Aftercare

NHCC’s relapse prevention plan is a service designed primarily for those who have completed minimum of 3-months treatment period and are fresh in recovery. One 90-minute evening session is held per week. Patients are expected to strengthen their coping skills and the tools necessary to sustain long-term recovery and avoid relapse.

Why Aftercare?

Aftercare is an important component to preventing relapse since it occurs right after the end of treatment. Relapse prevention is designed to create a supportive and comfortable environment in which someone recovering from drug and/or alcohol abuse is able to speak openly about his or her feelings, struggles, temptations and strengths during the recovery process.

Preventing relapse is one of our goals as part of the overall treatment process, and our attentive, professional staff members are always available to discuss addiction aftercare with you or your family.

To merge in the mainstream society is very difficult for an Ex Drug Addicts who is treated and Rehabilitated. In this case Centre should provide better chances for adjustment. For this purpose different type of interventions are uses. Sometimes we have to work with Community and other times we have to deal with Family and job provider. Treatment can never be successful without After Care Services.

 After Care Services

Here are some of the services providing continuum of care such as

  • Recovery Support Group/ Ex Drug Addict support Groups*(Brothers of Shaheed Naveed Younus)
  • Family Support Group
  • Follow up
  • Counseling
  • Life Skills Training
  • Self-Employment Scheme
  • Job Placement
  • Referrals

And other needed by recovering addict

Follow Up System

Follow up system exist with the combination of recovering, family and community.

Recovering also has to maintain close contact with center and come to consult. Centre form such teams that visits and provide outreach services for recovering. These teams could be the best source to evaluate the true performance of Centre. Family also took part in this crucial phase and keep in close contact with Centre. Community can take active part in the readjustment of recovering by providing them social and employment support at large scale.

  1. There are 4 teams of outreach workers. It includes:
  2. Recovering Counselor
  3. Booth’s Chief, Assistant Chief & Deputy Chief
  4. NHCC Motor Cycle Team
  5. Mobile Team

They are covering 40 areas of Karachi.

  1. Evaluation Procedure takes place after every 3 months.
  2. Whole project Evaluation is done by International Trainers who provide us Evaluation and Guidance free of cost.

 Self-Employment       

Self-Employment cell has been working to provide income resources for those recovering addicts who have no financial means or support to start any business. Centre is helping them to start their own business with the loan or material for small-scale business. Center has also formed close contact with factories, workshops and other recruitment agencies. Willing clients are sent there and their salary is been sent to their families in the initial months.

Vocational training in automotive/electrical repair, welding, carpentry, handicrafts, sewing, food preparation etc. Main features of this phase include:

  • Skills training according to individual needs
  • Micro-enterprise development
  • Job placement & Follow-up on job

  Self Help Groups

Self help is neither about a person helping his own self nor about an individual getting help from a single helper, but about a group with similar problems, helping and supporting each other reaching for a common goal.

BROTHERS OF SHAHEED NAVEED YOUNUS  

The Ex Drug Addicts Support Group is the group of all Recovering Drug Addicts, regular sessions and meetings are held to monitor their sobriety and their mandate to clean living. Fellowship gatherings are held to strengthen kinship. They also provide support and responsible concern to new members and act as role models to the younger ones in the program. They also engage in community outreach activities and do special missions. We have established ex-drug addicts support groups for N.A meeting at their own area booths where they can spend their time and also share views to solve their problems. On every Sunday a grand meeting of Ex Drug Addicts is held at head office where the recovering from different areas of the city come together and joins the meeting.

Every week about 150-200 recovering persons are benefited IN Ex Drug Addicts Support Groups

  1. FAMILY SUPPORT GROUP

Addiction is frequently referred to as a family disease. It affects not only Drug Abuser but also each and every member of the family and threatens the very structure of the family. Since the drug dependent will eventually return to his family, the culture the family should enable him to sustain his recovery. In order for this to happen, family member should likewise undergo change. Regardless of weather dependent get well or not, it is being discovered that by treating families, one can change ineffective family system. And a family system is renewed; the family can once again become a healthy environment for everyone, including the recovering drug dependent.

First time in Pakistan well organized Family Support Groups are functioning, meetings are held on every Friday in different areas of city including NHCC headquarter, which are run by the volunteer facilitators who are codependent themselves.

Every week about 200-250 codependent family members are benefited in Family Support Group meetings.

Community Support Group     

There was a strong need to build a bridge among Recovering, Families and Community and this dream becomes true when we learned from the training workshops that for the solidarity of Treatment & Rehabilitation there are some basic steps to follow.

1 Drug Prevention

2 Pre Treatment Interventions

3 After Care Services

To work on these three step full involvement of every segment of society is essential e.g., Ex Drug Addicts, Families, Community. Therefore, New Horizons Care Center established Community Support Group which help in reintegration of Ex Drug Addicts in the community, support Aftercare services in different areas of city and they also work with NHCC on Drug Prevention. More than 100 volunteers are working in community support Groups of NHCC and they have established an association named “Friends of New Horizons”.

Outreach / Drop in centers

New Horizons Care Center is running 26 outreach / drop in centers in Karachi city for proper follow up and aftercare of recovering Drug addicts.

All the places for Booths / outreach centers are borrowed from Community.

Crisis Counseling

Emergency counseling is essential when a patient becomes emotionally vulnerable to the point where he or she may be on the brink of a relapse. Crisis services support individuals by providing a professional, non-judgmental space for individuals to talk about their feelings. Often, relapse can be triggered by stressful family situations, job loss, a death in the family, a breakup, or any other type or crisis in which a patient seeks comfort.

Intervention

For families needing an intervention to convince a loved one to enter treatment, NHCC works with several exceptional, licensed interventionists and can make a referral.

Drug Prevention and  Education

NHCC offers a separate drug and alcohol prevention, education program to promote strategies, policies, healthy life styles, enhancing positive attitudes, improving life skills and empowering individuals to reduce , drug addiction, crimes, drug-related injuries, underage consumption, and other offenses associated with addiction. For more information visit http://dfpf.org.pk.

New Horizons Care Centre provides trainings to different educational institutions, staff members of NGOs, GOs, CBOs, and recovering addicts in different life skills (i.e. problem solving, stress management, communication etc), drug treatment, rehabilitation and prevention activities.

Under this program NHCC has provided training to the professional staff of various NGOs, GOs, Govt. Hospitals and educational institutes on the subject of Drug treatment and rehabilitation, drug abuse prevention among youth and different life skills. Moreover since 2004 NHCC is also offering internship courses to M.Phil students of University of Karachi and different universities and many students come in attached course.