may 14-15, gothenburg, sweden asia ... - amazon web services · a project of sunny trust, pakistan...

Asia AshrafDirector Rehabilitation, Sunny Trust

Hubert H. Humphrey Fellow, VCU, USA

Female Substance Abuse Treatment & Rehabilitation Center

A House of Peace & Tranquility

A Project of Sunny Trust, Pakistan

6th World Forum Against DrugsMay 14-15, Gothenburg, Sweden

2Humanity is Our Value

Sakoongah

Non judgmental

More then a shelter

Focus on whole

person recovery

(WPR)

Self empowerment

Female friendly

environment

3

Demographic of Pakistan

Current Population: Over 200 Million

50.8% 49.2%

http://countrymeters.info/en/Pakistan

Humanity is Our Value


UNODC, 2013

Pakistan: Illicit Drug Use & Trafficking


Female Drug Problem in Pakistan

78%

22%

Male Drug Users

Female Drug Users

6.7 Million

Drug Users

UNODC, 2013

Project Background & Rationale


UNODC, 2013

Prevalence of Drug Use By Gender


Why Female Use Drugs?


29%

21%

15%

9%8%

7%5% 5%

1%0%

5%

10%

15%

20%

25%

30%

35%

PJSS Vol. 34, No. 1 (2014)

Psychological Factors Responsible For Drug Addiction


Economic Factors Responsible For Drug Addiction

10%

26%

10%

48%

6%

Unemployment Lack of Resources Affluence Poverty Others

PJSS Vol. 34, No. 1 (2014)


Social Factors Responsible For Drug Addiction

8%

5%

15%

9%

28%

18%

5%

8%

3%

1%

0% 5% 10% 15% 20% 25% 30%

Social Injustice

Social Isolation

Unresolved Conflicts

Failure in Love

Envrionment

Fashion

Lack of Recreational Activities

Peer Pressure

Broken Family

Matrimonial Stress

PJSS Vol. 34, No. 1 (2014)


Other Factors


Overall Treatment Capacity

30,000 Annual

Treatment Capacity

Male Oriented

No Female Specific Centre

Around 96 Drug Treatment

& Rehabilitation Centres

UNODC, 2013

14

Why not?

Drug addiction is considered typically a male problem

Females are reluctance to seek help:

Social stigma

Family reputation

Marital risks

Cultural constraints

Exploitation by quacks, faith-healers, non-professionals

Lack of expertise in female drug treatment

UNODC, 2013



Sunny Trust

SPIRITUAL

PSYCHOLOGICAL

SOCIAL

FAMILY PHYSICALDETOXIFICATION

PEER GROUP

CLINICAL

SOCIAL GROUP

CRISIS

SELF

FAMILY

COMMUNITY

YOUTH

HIGH RISK GP

FAITH HEALERS

TEACHERS

MEDIA

WOMEN

PARENTS

SOCIETY

VOCATIONAL

INTERVENTION TREATMENT REHABILITATION REINTIGRATION PREVENTION

ST


Need for Separate Female Facility: Sakoongah

Sunny Trust


Sakoongah Services: Continuum of Care

The whole range of services a client may receive directly fromSkoongah or coordinated by the Skoongah.

Not In Care Fully Engaged


Four Parts of Continuum of Care

Follow up

AA / NA Group

Employment Skills

Treatment of Co-occurring Disorders

Educational & Career Planning

Participation in Self/Mutual Help Group

Ongoing Recovery Management

Assessment

Service Planning

Linkage & Referral

Monitoring

Advocacy

Case Management

Individual/Group Counseling

Family Counseling

Couple Counseling

Relapse Prevention Training

Life Skills Training

Orientation to Mutual Help Group

Primary Treatment

Outreach

Screening & Brief Intervention

Assessment & Treatment Planning

Detoxification

Pretreatment

Training Manual of The Colombo Plan, Sri Lanka


Evidence-based Approaches

Motivational Approaches

Cognitive Behavioral Therapy

Therapeutic Community

Family Approaches



Coordination of professional, social, and medical services to assistfemales with complex needs.


Child Care Legal Aid

Vocational TrainingHIV/AIDS and other medical testing & care

Housing / FinancialAssistance

Community Support

Case Management


Short Term

Targeting vulnerable female groups, e.g. students, youth, slum

dwellers

Enhancing female accessibility to treatment by breaking social,

cultural and other barriers

Providing female-friendly treatment & rehabilitation services

Sakoongah Goals & Objectives


Long Term

Mainstreaming of female drug problem & promoting drug free Pakistan

Sakoongah Goals & Objectives


Physical Infrastructure Development Human Resource Development

Where We are Standing Now


Internship Experience- Women Services

Richmond Behavioral Health Authority,

Virginia, USA

Focus Group discussion with women in

recovery affiliated with AA program

Developed Project Sakoongah under

supervision of my coordinators

Humphrey Experience


Keynote speech at UNGASS, February10, 2016

ISAM BUSAN 2018



0

10

20

30

40

50

60

2011-2012 2013-2014 2015-2016 2017-2018

Female ClientsConsulted

FemaleStaff

Hiring and Training of more Female Staff

31

Depression18%

Substance use & Co-morbidity

41%

SUD27%

Others14%


Outpatient Counseling

32

Increase in Number of Female Clients

10%

13%

27%

50%

2011-2012 2013-2014 2015-2016 2017-2018


Launching powerful awareness campaigns entitled;

She for Her

I for You

We will target;

Female educational institutes,

Shelter homes,

Institutions working on Women Empowerment

Creating a Free Help Line

Introducing Recovery Role Models


Targets

Facebook page

35

36

Is the opportunity to do more (Jonas Salk)

15 years old girl with history of cannabis and alcohol

Created one patient female ward (third time)

Underwent physical, psycho-social, and spiritual rehabilitation

k

She regularly attends follow up,

From 1 year in recovery

The Reward For Good Work…


37

It Takes Someone Strong

To Make Someone Strong

THANK YOU VERY MUCH

Asia AshrafEmail: [email protected]

Mobile: +92-3018666434www.sunnytrust.org


mailto:[email protected]

http://www.sunnytrust.org/

may 14-15, gothenburg, sweden asia ... - amazon web services · a project of sunny trust, pakistan...

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