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
4Humanity is Our Value
UNODC, 2013
Pakistan: Illicit Drug Use & Trafficking
5Humanity is Our Value
Female Drug Problem in Pakistan
78%
22%
Male Drug Users
Female Drug Users
6.7 Million
Drug Users
UNODC, 2013
Project Background & Rationale
6Humanity is Our Value
UNODC, 2013
Prevalence of Drug Use By Gender
7Humanity is Our Value
Why Female Use Drugs?
8Humanity is Our Value
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
9Humanity is Our Value
Economic Factors Responsible For Drug Addiction
10%
26%
10%
48%
6%
Unemployment Lack of Resources Affluence Poverty Others
PJSS Vol. 34, No. 1 (2014)
10Humanity is Our Value
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)
11Humanity is Our Value
12Humanity is Our Value
Other Factors
13Humanity is Our Value
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
Humanity is Our Value
15Humanity is Our Value
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
16Humanity is Our Value
Need for Separate Female Facility: Sakoongah
Sunny Trust
17Humanity is Our Value
18Humanity is Our Value
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
19Humanity is Our Value
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
20Humanity is Our Value
Evidence-based Approaches
Motivational Approaches
Cognitive Behavioral Therapy
Therapeutic Community
Family Approaches
Training Manual of The Colombo Plan, Sri Lanka
21Humanity is Our Value
Coordination of professional, social, and medical services to assistfemales with complex needs.
Training Manual of The Colombo Plan, Sri Lanka
Child Care Legal Aid
Vocational TrainingHIV/AIDS and other medical testing & care
Housing / FinancialAssistance
Community Support
Case Management
22Humanity is Our Value
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
23Humanity is Our Value
Long Term
Mainstreaming of female drug problem & promoting drug free Pakistan
Sakoongah Goals & Objectives
24Humanity is Our Value
Physical Infrastructure Development Human Resource Development
Where We are Standing Now
25Humanity is Our Value
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
26Humanity is Our Value
Keynote speech at UNGASS, February10, 2016
27
28Humanity is Our Value
ISAM BUSAN 2018
Humanity is Our Value
30Humanity is Our Value
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%
Humanity is Our Value
Outpatient Counseling
32
Increase in Number of Female Clients
10%
13%
27%
50%
2011-2012 2013-2014 2015-2016 2017-2018
Humanity is Our Value
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
33Humanity is Our Value
Targets
34Humanity is Our Value
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…
Humanity is Our Value
37
It Takes Someone Strong
To Make Someone Strong
THANK YOU VERY MUCH
Asia AshrafEmail: [email protected]
Mobile: +92-3018666434www.sunnytrust.org
Humanity is Our Value