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Mohammed Ali Bait Ali Sulaiman - One of the best experts on this subject based on the ideXlab platform.
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an exploration of iq eq spiritual quotient sq elements in the human reengineering program hrp practices a study on the Drug Rehabilitation centre in malaysia
2020Co-Authors: Mohd Fadzil Arshad, Muhammad Salman Shabbir, Arshad Mahmood, Shahid Khan, Mohammed Ali Bait Ali SulaimanAbstract:This study is entitled An Exploration of IQ, EQ and Spiritual Quotient (SQ) Elements in the Human Re-Engineering Program (HRP) Practices: A Study on the Drug Rehabilitation Centre in Malaysia. This study involved four Drug Rehabilitation centres in Northern Malaysia which are Perak, Penang, Kedah and Perlis. However, the Rehabilitation centres involved in this study came from three different states only which are Cure and Care Rehabilitation centre (CCRC) Kampung Selamat, Penang, Klinik Cure & Care 1 Malaysia, Bukit Mertajam, Penang, Cure & Care Rehabilitation centre (CCRC) Batu Kurau, Perak and Cure & Care Rehabilitation Centre (CCRC) Bukit Chabang, Perlis. This study using Qualitative Method and Exploratory Research. Therefore, to explore the phenomenon an in-depth interview has been conducted with one officer of the CCRC and at least 3 patients of the CCRC. In total, 17 respondents had been interviewed for this research. All the respondents are male. Results of the study showed that approximately only 30% of the patients recover. However, this figure is still doubtful due to no exact statistic revealed. The reasons why they are failed to sustain themselves after being freed from the CCRC due to peer’s factor (40%), low of self-confidence (30%) and weak of religious practice (30%). Family support is one of the main factors contributed to their recovering process as 90% of the respondents admitted that. Majority of the patients admitted that peers’ factor is the main reason they involved with the Drug abuse (50%) besides self-exploration (30%) and other factors (20%). In order to rebuild the self-confidence, Rehabilitation centre used multi programs such as religious activity, peer’s guidance or group maker (Pembimbing Rakan Sebaya (PRS), and therapy community. This study also revealed that 3 out of 4 Rehabilitation centres used more than 50% of SQ program in their healing process, 20-25% on EQ activities and IQ activities. Amongst favourite SQ activities are Iqra’ class, which is learning how to read the Quran, and Halaqah is where they will discuss about religion and do some self-reflection. Family support and religious commitment and practices are the main contributor to patient’s recovery survival after they are freed. As a conclusion, healing process in the Rehabilitation centre highly influenced with Spiritual Quotient programs besides others. This shows that internal strength gained via religious commitment and attachment besides continuous practices will be a significant factor of the recovering.
Carl A Latkin - One of the best experts on this subject based on the ideXlab platform.
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behavioral and quality of life outcomes in different service models for methadone maintenance treatment in vietnam
2016Co-Authors: Bach Xuan Tran, Long Hoang Nguyen, Vuong Minh Nong, Cuong Tat Nguyen, Huong Thu Thi Phan, Carl A LatkinAbstract:Integrating HIV/AIDS and methadone maintenance treatment (MMT) services with existing health care delivery system is critical in sustaining efforts to fight HIV/AIDS in large injection-driven epidemics. However, efficiency of different integrative service models is unknown. This study assessed behavioral and health-related quality-of-life (HRQOL) outcomes of MMT in four service delivery models and explored factors associated with these outcomes of interest. A cross-sectional survey was conducted in two HIV epicenters in Vietnam: Hanoi and Nam Dinh Province. All patients in five selected MMT clinics were invited to participate, and 1016 were interviewed (80–90 % response rate). Respondents had a mean age of 35.8, taken MMT for average 16.5 months and 3.3 % on MMT for 36–60 months. The MMT integrated with rural district health center (DHC) has the highest prevalence of concurrent Drug use (11.3 %). The percentage of condom use (last sexual intercourse) with primary and casual partners was lowest in the MMT at urban DHCs. Patients at the rural DHC reported very high proportions of pain/discomfort (37.8 %), anxiety/depression (43.1 %), and mobility (13.3 %). In regression models, poorer HRQOL outcomes were found in MMT models in the rural areas or without general health care, and among those patients who were HIV positive, reported concurrent Drug use, and had higher numbers of previous Drug Rehabilitation episodes. Mobility and anxiety/depression are factors that increased the likelihood of concurrent Drug use among MMT patients. Outcomes of MMT were diverse across different integrative service models. Policies on rapid expansion of the MMT program in Vietnam should also emphasize on the integration with comprehensive health care services including psychological supports for patients.
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Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in vietnam
2016Co-Authors: Bach Xuan Tran, Long Hoang Nguyen, Cuong Tat Nguyen, Huong Thu Thi Phan, Sophia Knowlton Latkin, Carl A LatkinAbstract:The rapid expansion of methadone maintenance treatment (MMT) services has significantly improved health status and quality of life of patients. However, little is known about its impacts on addiction-related stigma and associated factors. A cross-sectional survey was conducted in 2013 in Vietnam’s capital, Hanoi, and Nam Dinh province among 1016 methadone maintenance patients; 26.6 % at provincial AIDS centers (PAC) and 73.4 % at district health centers (DHC), respectively. Drug addiction history and related stigma, health status, MMT-related covariates, and sociodemographic characteristics were interviewed. More than one-sixth of the sample reported experiencing felt or enacted stigma, including Blame or Judgement (17.2 %), Shame (19.9 %), or Others’ fear of HIV transmission (17.1 %). These proportions were higher in PACs than in DHCs, which are integrated with other HIV or general health care services. Very few patients reported being discriminated at the workplace (2.5 %) or at health care services (1.7 %); however, 15.6 % of patients at PACs and 10.6 % of patients at DHCs reported discrimination in their communities. Drug users taking MMT for longer periods were less likely to report felt stigma. Other factors associated with stigma against MMT patients included the lack of comprehensive services, higher education, presence of pain/discomfort, and anxiety/depression, self-reported HIV positive, and number of previous Drug Rehabilitation episodes. The study shows a high level of stigma against MMT patients and emphasizes the necessity to integrate MMT with comprehensive health and support services. Mass communication campaigns to reduce stigma against people with Drug addiction and HIV/AIDS, as well as vocational trainings and jobs referrals for MMT patients, are needed to maximize the benefits of MMT programs in Vietnam.
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willingness to pay for Drug Rehabilitation implications for cost recovery
2008Co-Authors: David M Bishai, Jody L Sindelar, E P Ricketts, S Huettner, L Cornelius, J J Lloyd, Jennifer R Havens, Carl A Latkin, Steffanie A. StrathdeeAbstract:Objectives This study estimates the value that clients place on methadone maintenance and how this value varies with the effectiveness of treatment and availability of case management. We provide the first estimate of the price elasticity of the demand for Drug treatment.Methods We interviewed 241 heroin users who had been referred to, but had not yet entered, methadone maintenance treatment in Baltimore, Maryland. We asked each subject to state a preference among three hypothetical treatment programs that varied across three domains: weekly fee paid by the client out-of-pocket ($5-$100), presence/absence of case management, and time spent heroin-free (3-24 months). Each subject was asked to complete 18 orthogonal comparisons. Subsequently each subject was asked if they likely would enroll in their preferred choice among the set of three. We computed the expected willingness to pay (WTP) as the probability of enrollment times the fee considered in each choice considered from a multivariate logistic model that controlled for product attributes. We also estimated the price elasticity of demand.Results The median expected fee subjects were willing to pay for a program that offered 3 months of heroin-free time was $7.30 per week, rising to $17.11 per week for programs that offered 24 months of heroin-free time. The availability of case management increased median WTP by $5.64 per week. The price elasticity was -0.39 (S.E. 0.042).Conclusions Clients will pay more for higher rates of treatment success and for the presence of case management. Clients are willing to pay for Drug treatment but the median willingness to pay falls short of the estimated program costs of $82 per week. Thus a combined approach of user fees and subsidization may be the optimal financing strategy for the Drug treatment system.
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willingness to pay for Drug Rehabilitation implications for cost recovery
2008Co-Authors: David Bishai, Jody L Sindelar, E P Ricketts, S Huettner, L Cornelius, J J Lloyd, Jennifer R Havens, Carl A Latkin, Steffanie A. StrathdeeAbstract:Objectives This study estimates the value that clients place on methadone maintenance and how this value varies with the effectiveness of treatment and availability of case management. We provide the first estimate of the price elasticity of the demand for Drug treatment.
Douglas B James - One of the best experts on this subject based on the ideXlab platform.
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understanding the client characteristics of aboriginal residential alcohol and other Drug Rehabilitation services in new south wales australia
2020Co-Authors: Douglas B James, K Kylie S Lee, Tania Patrao, Ryan J Courtney, Katherine M Conigrave, Anthony ShakeshaftAbstract:Aboriginal alcohol and other Drug residential Rehabilitation (residential Rehabilitation) services have been providing treatment in Australia of over 50 years. However, there are no studies in Australia or internationally that document characteristics of clients attending Indigenous residential Rehabilitation services worldwide. This is the first multi-site paper to describe key client characteristics of six Indigenous (hereafter Aboriginal Australians as the term recommended by the Aboriginal Health and Medical Research Council of New South Wales) residential Rehabilitation services in Australia. All recorded client admissions between 1 January 2011 to 31 December 2016 were considered from six operating services in the Australian state of New South Wales. Data collected were classified into categories based on demographics, treatment utilisation, substance use, mental health and quality of life characteristics. Means, median and percentages were calculated (where appropriate). There were 2645 admissions across the six services in the study period, with an average of 440 admissions per year across all services. Participants were aged between 26 to 35 years, with fewest participants aged 46 +. Program length ranged from 12 to 52 weeks (mean of 12 weeks). The completion rates and length of stay for each service ranged from less than two to more than 12 weeks. The principal Drug of choice was alcohol and amphetamines in half of the services. Not all services used them, but a range of tools were used to measure treatment, substance use and mental health or quality of life outcomes. This study is the first internationally to describe the key features of multiple Aboriginal residential Rehabilitation services. The variation in tools used to collect client data made it difficult to compare client characteristics across services. Future research could explore predictors of treatment completion, identify opportunities for standardisation in client assessments and validate cultural approaches of care. These efforts would need to be guided by Aboriginal leadership in each service.
Mohd Fadzil Arshad - One of the best experts on this subject based on the ideXlab platform.
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an exploration of iq eq spiritual quotient sq elements in the human reengineering program hrp practices a study on the Drug Rehabilitation centre in malaysia
2020Co-Authors: Mohd Fadzil Arshad, Muhammad Salman Shabbir, Arshad Mahmood, Shahid Khan, Mohammed Ali Bait Ali SulaimanAbstract:This study is entitled An Exploration of IQ, EQ and Spiritual Quotient (SQ) Elements in the Human Re-Engineering Program (HRP) Practices: A Study on the Drug Rehabilitation Centre in Malaysia. This study involved four Drug Rehabilitation centres in Northern Malaysia which are Perak, Penang, Kedah and Perlis. However, the Rehabilitation centres involved in this study came from three different states only which are Cure and Care Rehabilitation centre (CCRC) Kampung Selamat, Penang, Klinik Cure & Care 1 Malaysia, Bukit Mertajam, Penang, Cure & Care Rehabilitation centre (CCRC) Batu Kurau, Perak and Cure & Care Rehabilitation Centre (CCRC) Bukit Chabang, Perlis. This study using Qualitative Method and Exploratory Research. Therefore, to explore the phenomenon an in-depth interview has been conducted with one officer of the CCRC and at least 3 patients of the CCRC. In total, 17 respondents had been interviewed for this research. All the respondents are male. Results of the study showed that approximately only 30% of the patients recover. However, this figure is still doubtful due to no exact statistic revealed. The reasons why they are failed to sustain themselves after being freed from the CCRC due to peer’s factor (40%), low of self-confidence (30%) and weak of religious practice (30%). Family support is one of the main factors contributed to their recovering process as 90% of the respondents admitted that. Majority of the patients admitted that peers’ factor is the main reason they involved with the Drug abuse (50%) besides self-exploration (30%) and other factors (20%). In order to rebuild the self-confidence, Rehabilitation centre used multi programs such as religious activity, peer’s guidance or group maker (Pembimbing Rakan Sebaya (PRS), and therapy community. This study also revealed that 3 out of 4 Rehabilitation centres used more than 50% of SQ program in their healing process, 20-25% on EQ activities and IQ activities. Amongst favourite SQ activities are Iqra’ class, which is learning how to read the Quran, and Halaqah is where they will discuss about religion and do some self-reflection. Family support and religious commitment and practices are the main contributor to patient’s recovery survival after they are freed. As a conclusion, healing process in the Rehabilitation centre highly influenced with Spiritual Quotient programs besides others. This shows that internal strength gained via religious commitment and attachment besides continuous practices will be a significant factor of the recovering.
Steffanie A. Strathdee - One of the best experts on this subject based on the ideXlab platform.
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the effect of public health oriented Drug law reform on hiv incidence in people who inject Drugs in tijuana mexico an epidemic modelling study
2018Co-Authors: Annick Borquez, Steffanie A. Strathdee, Leo Beletsky, Bohdan Nosyk, Alejandro Madrazo, Daniela Abramovitz, Claudia Rafful, Mario MoralesAbstract:Summary Background As countries embark on public health-oriented Drug law reform, health impact evaluations are needed. In 2012, Mexico mandated the narcomenudeo reform, which depenalised the possession of small amounts of Drugs and instituted Drug treatment instead of incarceration. We investigated the past and future effect of this Drug law reform on HIV incidence in people who inject Drugs in Tijuana, Mexico. Methods In this epidemic modelling study, we used data from the El Cuete IV cohort study to develop a deterministic model of injecting and sexual HIV transmission in people who inject Drugs in Tijuana between 2012 and 2030. The population was stratified by sex, incarceration status, syringe confiscation by the police, HIV stage, and exposure to Drug treatment or Rehabilitation (either opioid agonist treatment or compulsory Drug abstinence programmes). We modelled the effect of these exposures on HIV risk in people who inject Drugs, estimating the effect of observed and potential future reform enforcement levels. Findings In 2011, prior to the narcomenudeo reform, 547 (75%) of 733 people who inject Drugs in the El Cuete cohort reported having ever been incarcerated, on average five times since starting injecting. Modelling estimated the limited reform implementation averted 2% (95% CI 0·2–3·0) of new HIV infections in people who inject Drugs between 2012 and 2017. If implementation reduced incarceration in people who inject Drugs by 80% from 2018 onward, 9% (95% CI 4–16) of new HIV infections between 2018 and 2030 could be averted, with 21% (10–33) averted if people who inject Drugs were referred to opioid agonist treatment instead of being incarcerated. Referral to compulsory Drug abstinence programmes instead of prison could have a lower or potentially negative impact with −2% (95% CI −23 to 9) infections averted. Interpretation Mexican Drug law reform has had a negligible effect on the HIV epidemic among people who inject Drugs in Tijuana. However, appropriate implementation could markedly reduce HIV incidence if linked to opioid agonist treatment. Unfortunately, compulsory Drug abstinence programmes are the main type of Drug Rehabilitation available and their expansion could potentially increase HIV transmission. Funding National Institute on Drug Abuse, UC San Diego Center for AIDS Research.
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Risk of violence in Drug Rehabilitation centers: perceptions of people who inject Drugs in Tijuana, Mexico
2016Co-Authors: Alicia Harvey-vera, Patricia Gonzalez-zuniga, Adriana Carolina Vargas-ojeda, María Elena Medina-mora, Carlos Magis-rodriguez, Karla D. Wagner, Steffanie A. Strathdee, Dan WerbAbstract:Background In 2009, Mexico reformed its health law to partially decriminalize Drug possession considered for personal use and to increase mandatory referrals to certified Drug Rehabilitation centers in lieu of incarceration. Concurrently, news media reported violent attacks perpetrated by Drug cartels against Mexican Drug Rehabilitation centers and instances of human rights violations by staff against people who inject Drugs (PWID) in treatment. In many cases, these violent situations took place at “Peer Support” (Ayuda Mutua) Drug Rehabilitation centers that house a large number of Drug-dependent PWID. In an effort to understand barriers to treatment uptake, we examined prevalence and correlates of perceived risk of violence at Drug Rehabilitation centers among PWID in Tijuana, Mexico.
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willingness to pay for Drug Rehabilitation implications for cost recovery
2008Co-Authors: David M Bishai, Jody L Sindelar, E P Ricketts, S Huettner, L Cornelius, J J Lloyd, Jennifer R Havens, Carl A Latkin, Steffanie A. StrathdeeAbstract:Objectives This study estimates the value that clients place on methadone maintenance and how this value varies with the effectiveness of treatment and availability of case management. We provide the first estimate of the price elasticity of the demand for Drug treatment.Methods We interviewed 241 heroin users who had been referred to, but had not yet entered, methadone maintenance treatment in Baltimore, Maryland. We asked each subject to state a preference among three hypothetical treatment programs that varied across three domains: weekly fee paid by the client out-of-pocket ($5-$100), presence/absence of case management, and time spent heroin-free (3-24 months). Each subject was asked to complete 18 orthogonal comparisons. Subsequently each subject was asked if they likely would enroll in their preferred choice among the set of three. We computed the expected willingness to pay (WTP) as the probability of enrollment times the fee considered in each choice considered from a multivariate logistic model that controlled for product attributes. We also estimated the price elasticity of demand.Results The median expected fee subjects were willing to pay for a program that offered 3 months of heroin-free time was $7.30 per week, rising to $17.11 per week for programs that offered 24 months of heroin-free time. The availability of case management increased median WTP by $5.64 per week. The price elasticity was -0.39 (S.E. 0.042).Conclusions Clients will pay more for higher rates of treatment success and for the presence of case management. Clients are willing to pay for Drug treatment but the median willingness to pay falls short of the estimated program costs of $82 per week. Thus a combined approach of user fees and subsidization may be the optimal financing strategy for the Drug treatment system.
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willingness to pay for Drug Rehabilitation implications for cost recovery
2008Co-Authors: David Bishai, Jody L Sindelar, E P Ricketts, S Huettner, L Cornelius, J J Lloyd, Jennifer R Havens, Carl A Latkin, Steffanie A. StrathdeeAbstract:Objectives This study estimates the value that clients place on methadone maintenance and how this value varies with the effectiveness of treatment and availability of case management. We provide the first estimate of the price elasticity of the demand for Drug treatment.
