Community-Based Services for People Who Use Drugs in Southeast Asia
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Community-based services for people who use drugs in Southeast Asia Trainer’s manual Introduction Published by United Nations Office on Drugs and Crime Regional Office for Southeast Asia and the Pacific. Suggested citation: UNODC. (2015). Trainers’ Manual: Community-Based Services for People Who Use Drugs in Southeast Asia. Bangkok: United Nations Office on Drugs and Crime Regional Office for Southeast Asia and the Pacific. Electronic access An electronic copy of this publication can be downloaded from (whatever the webpage address will be) Disclaimer The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of UNODC. The designations employed and the presentation of material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. Contents Acknowledgments ........................................................................................................................................... 1 1 OVERVIEW OF THE TRAINING COURSE ....................................................................... 2 2 GENERAL GUIDANCE ON TRAINING IMPLEMENTATION .............................................. 3 Structure of the training manual ........................................................................................................................ 4 Training format................................................................................................................................................... 4 Presenting the training ....................................................................................................................................... 4 Short cuts ...................................................................................................................................................... 5 Five principles of adult learning ......................................................................................................................... 5 References and further reading on adult learning .................................................................................... 7 3 PRE-MODULE: EVIDENCE-BASED PRACTICE ................................................................ 8 Let’s take a closer look at levels of scientific evidence ................................................................................. 8 Brief discussion activity – Evidence for participants’ current practices ..................................................... 9 4 GLOSSARY OF TERMS AND ABBREVIATIONS ............................................................. 10 Acknowledgments This training manual is based on the UNODC Guidance for Community-Based Treatment and Care Services for People Affected by Drug Use and Dependence in Southeast Asia. UNODC would also like to acknowledge the projects “Treatnet II” and the “UNODC-WHO Joint Programme on Drug Dependence Treatment and Care” in Southeast Asia, funded by the Government of Sweden and the United States of America. In addition we wish to acknowledge the Governments of the Mekong Memorandum of Understanding on Drug Control in supporting the development of this training manual. We wish to thank Michael Cole, for compiling this Trainers’ Manual. We would like to acknowledge the contributions made by Olivier Lermet, Sasiporn Petchroongratana, Karen Peters, Mark Jenmana and Akara Umapornsakula of the UNODC Regional Office for Southeast Asia and the Pacific; as well as Soulivanh Phengxay and Payong Phimphanh of the UNODC Laos Country Office. We would especially like to acknowledge the contributions to this manual by the participants of the "Community-Based Treatment and Care Services Toolkit for People Affected by Drug Use and Dependence in Southeast Asia" workshop held in Vientiane, Laos 23-24 April 2015: Mr Edo Agustian (Persaudaraan Korban Napza Indonesia/Indonesian Drug Users Network), Mr Samuel Nugraha (Rumah Singgah PEKA/PEKA Halfway House), Ms Minh Pham (Vietnam Network for People who Use Drugs), Ms Nguyen Minh Trang (Vietnam Network for People who Use Drugs), Mr Veeraphan Ngammee (PSI, Thailand), Ms Lawan Sarowat (12D network), Pol Col Krisanaphong Poothakool (Royal Police Cadet Academy), General Theresa Ann Cid (Philippine National Police), Undersecretary Edgar Galvante (Philippines Dangerous Drugs Board), Mr Taing Phoeuk (KORSANG Cambodia), Mr Kong Samnang (Cambodian Social, Environment, Agricultural Development), Dr Chhit Sophal (Mental Health and Substance Abuse Department, Cambodian Ministry of Health), Ms Florence Chatot (Friends International Cambodia), Ms MAP Somaya (Mith Samlanh, Cambodia), Dr Gyaw Htet Doe (Substance Abuse Research Association, Myanmar), Police Major General Zaw Win (Secretary CCDAC, Myanmar Ministry of Home Affairs), Dr Hla Htay (National Drug Abuse Prevention and Control Programme, Mental Health Hospital Myanmar), Ms Manohara Subramaniam (Malaysian Aids Council), Ms Shamala Chandrasekaran (Malaysian Aids Council), Mr Mohamad Firdaus Zakaria (WARDU Malaysia), Mr Nok Boutnouanchareun (Lao National Commission on Drug Control and Supervision), Dr Theun Thavone (Laos Ministry of Health), Mr Thanongsack Vongkaisone (Provincial Drug Control Committee, Laos), Buddhist Clergy Athipatay (Laos Buddhist Association), Dr Noy Souliyaseng (Sisattanak District Hospital, Laos), Dr Phonsavanh Chansy (NCA, Laos). 1 1 Overview of the training course Welcome to the course on community-based services for drug users in Southeast Asia. This course was developed by the United Nations Office on Drugs and Crime (UNODC) Regional Office for Southeast Asia and the Pacific to provide an introduction to community-based treatment and care services for staff of community-level services and drug treatment clinics. Such staff may not have qualifications in psychology, nursing, medicine or social work but nonetheless play a vital role in delivering essential services to people who use drugs (PWUD), and their families. Students of this course include, but are not limited to, welfare workers, community care workers, community-based case managers, outreach workers, peer educators, residential care workers, and others in ‘frontline’ positions in the field of drug and alcohol treatment. The course materials have been produced as a complete training package to enable trainers to deliver a cohesive course with a minimum preparation time required. This manual is your main workbook and is a complete source of all that you will require to deliver this course. It includes all the content, instructions, references, resource materials and learning activities that you need to work through. It also contains additional information, links and identifies other resources you can use for planning and improving your learning. In this package you will find a comprehensive set of presentation notes with tips and recommendations. Additional information, references and other sources are also provided should you or the participants want more details on specific areas of the course content or related topics. As no two groups of participants or training sessions are exactly the same, you are encouraged to adapt the materials to best meet the training needs of the participants. 2 2 General guidance on training implementation The UNODC Community-Based Services Training Package for Southeast Asia is comprised of this introductory chapter and nine modules: Introduction Module 5: Counselling Module 1: Drug and alcohol use Module 6: The stages of change and relapse prevention Module 2: The community-based drug treatment Module 7: Medical approaches to drug treatment and care approach Module 3: Screening and assessment Module 8: Dual diagnosis (substance use and psychiatric comorbidity) Module 4: Continuum of Care Module 9: Sustained recovery management In addition there is a community-based treatment and care reference package which contains materials from which the information in the training course has been developed, as well as additional resources that participants can use to expand their knowledge further if they chose. The primary text for the course is: UNODC Regional Office for Southeast Asia and the Pacific. (2014). Guidance for Community- Based Treatment and Care Services for People Affected by Drug Use and Dependence in Southeast Asia. Bangkok: United Nations Office on Drugs and Crime. It is a requirement that all course participants have access to either a paper or electronic copy of this text and it is recommended that students read and refer to the text during the course. The publication is available for download at: http://www.unodc.org/documents/southeastasiaandpacific/cbtx/cbtx_guidance_EN.pdf At the beginning of each module or topic of the course, required readings will be cited from the relevant sections of (United Nations Office on Drugs and Crime, 2014a). 3 Structure of the training manual The manual is written to provide you – the trainer – with enough information to facilitate learning within each topic area. The information written under each topic provides more information than is presented on each corresponding slide. This is so the presenter has enough background information or examples to be able to explain the concepts that are being highlighted or summarised in each slide. Furthermore, throughout the manual there are the following icons: key points highlighted