Reaching out and reaching up - developing a low cost drug treatment system in Cambodia

Klein, Axel and Saphonn, Vonthanak and Reid, Savanna (2012) Reaching out and reaching up - developing a low cost drug treatment system in Cambodia. Harm Reduction Journal, 9 (11). ISSN 1477-7517. (Full text available)

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http://dx.doi.org/10.1186/1477-7517-9-11

Abstract

Cambodia, confronted by the spread of drug misuse among young people, requested support from international agencies to develop a drug treatment programme in 2000. The initial plan developed by the United Nations Office on Drugs and Crime was to set up a number of conventional drug treatment centres in urban areas. During the planning phase, however, the project was redesigned as a community based outreach programme. Ten Community Counselling Teams have been formed and trained in pilot areas, and within the first year of operation 462 drug and alcohol users contacted. Comprising former drug users, family members affected by drug use and health care staff, they have drug scene credibility, local knowledge and connectivity, and a rudimentary level of medical competence. Crucially, they enjoy the support of village elders, who are involved in the planning and reporting stages. While the Community Counselling Teams with their basic training in addiction counselling are in no position as yet to either provide or refer clients to treatment, they can provide brief interventions, organise self help groups, and most importantly provide an alternative to law enforcement. By taking a development centred approach, with emphasis on community, empowerment and inclusion, it provides a constructive and inclusive alternative to medical approaches and the compulsory drug treatment centres. The paper is based on an evaluation involving interviews with a range of stakeholders and a review of project documents.

Item Type: Article
Subjects: G Geography. Anthropology. Recreation > G Geography (General)
H Social Sciences > HV Social pathology. Social and public welfare > HV5800 Drug use and miuse
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 16 Mar 2012 15:36
Last Modified: 25 Jun 2014 15:17
Resource URI: http://kar.kent.ac.uk/id/eprint/29163 (The current URI for this page, for reference purposes)
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