Enhancing the drug addiction treatment service by introducing a new residential treatment model in the Philippines: A qualitative study.

Autor: Kanamori S; Department of Global Network and Partnership, Bureau of International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan. kanamori@post.harvard.edu.; Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. kanamori@post.harvard.edu., Shirasaka T; Department of Psychiatry, Teine Keijinkai Medical Center, 1-12 Maeda, Teine-ku, Sapporo, 006-8555, Japan., Iñigo MT; Philippine Institute of Traditional and Alternative Health Care, Matapang St., East Avenue, Barangay Central, Diliman, Quezon City, Philippines., Villaroman A; Drug Abuse Treatment and Rehabilitation Center Bicutan, 5th Road, Camp Bagong Diwa, Bicutan, Taguig City, Philippines., Noguera-Caoile R; Drug Abuse Treatment and Rehabilitation Center Dagupan, Sitio Palatong, Bonuan Binloc, Dagupan City, Philippines., Mizusawa A; Project for Community-Based Crime Prevention, Supervision, Rehabilitation and Reintegration of Children and Young Persons in Conflict with the Law in Kenya, Probation and Aftercare Services Reinsurance Plaza, 11th Fl., Taifa Rd., Nairobi, Kenya., Peralta J; Drug Abuse Treatment and Rehabilitation Center Cebu, Eversley Compound, Cebu North Road, Jagobiao, Mandaue City, Philippines., Harada T; School of Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan.
Jazyk: angličtina
Zdroj: Substance abuse treatment, prevention, and policy [Subst Abuse Treat Prev Policy] 2024 Nov 14; Vol. 19 (1), pp. 46. Date of Electronic Publication: 2024 Nov 14.
DOI: 10.1186/s13011-024-00626-6
Abstrakt: Background: There is an increased demand for quality treatment and rehabilitation services for people who use drugs (PWUDs) in the Philippines. In response, the Philippines Government's Department of Health (DOH) has established a new residential treatment model, Intensive Treatment and Rehabilitation Program for Residential Treatment and Rehabilitation Centers (INTREPRET), and integrated it into the existing treatment service platform of 21 DOH-owned Treatment and Rehabilitation Centers (TRCs). We conducted a qualitative study to identify the changes engendered by the implementation of this treatment model.
Methods: Data were collected through individual face-to-face interviews. We interviewed purposefully selected 29 patients and 35 facilitators of INTREPRET group sessions in seven TRCs. We transcribed the interview records and organized the narrative information into key themes using thematic analysis during the coding process.
Results: The changes perceived by the study participants included the attitude and behavior of patients, attitude and competency of facilitators, relationship between facilitators and patients, treatment planning and review process, efficient and standardized treatment services, and monitoring mechanisms of the patient's recovery process. Participants also noted challenges in INTREPRET implementation, including family participation in therapy sessions, lack of facilitators, securing a conducive place for conducting sessions, and reproducing workbooks.
Conclusions: The results imply that the introduction of INTREPRET could improve treatment service quality and the effectiveness of treatment, which were primarily associated with behavioral changes in patients, improved relationship between patients and facilitators, and INTREPRET's alignment with key international treatment standards. However, despite the positive changes perceived by the participants, certain challenges pertaining to family participation in therapy sessions and the lack of resources were identified. These criticisms must be addressed by DOH, along with an integration of INTREPRET into its policy and strategic framework, to ensure the effectiveness and sustainability of the new treatment model.
Competing Interests: Declarations Ethics approval and consent to participate The authors have obtained ethics approval from the Single Joint Research Ethics Board of the Department of Health, Philippines (Protocol No.: SJREB-2023-46). Written consent was obtained from each participant. Consent for publication Not applicable. Competing interests The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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