Cross-Regional Study of PrEP Utilization and Dispensation Among Healthcare Providers Working with People Who Use Drugs (PWUDs)

📢 Dear Colleagues, I would greatly appreciate your support by participating in this anonymous international survey exploring PrEP utilization and dispensation among healthcare providers working with people who use drugs (PWUDs). This study forms an important part of my PhD research and aims to generate evidence that can help improve HIV prevention services, inform healthcare policies, and strengthen clinical practice worldwide. 🕒 The survey takes only 12–15 minutes...

Jl. Transyogi Cileungsi-Cibubur. 3-4 RT 002/003, Cileungsi, Kec. Cileungsi, Kabupaten Bogor, DKI Jakarta 16820

• *Types of Service providers in Addiction Field.* 
   *1:Foreigner* . 
  A person who does not belong to Addiction treatment Community,not a Doctor,Psychologist or Psychiatrist...But he treats Addicts .in urdu he is called خارجی۔
   *2 Stranger* 
  A person who has credentials but no knowledge of addiction counselling.psychotherapy,family counselling,Relapse prevention ,etc.
  He is also called Qualifier.In urdu ,he is called اجنبی۔.
   *3:Professional* 
  A person who has credentials,knowledge,skills and Experience of Addiction Treatment is called Addiction Treatment Professional.He covers all...

• *D* ...
  Decide for yourself.
   *I* 
  Improve vision .
   *S* 
  Stay firm
   *T* 
  Total neglect.
   *A* 
  Attain your worth
   *N* 
  Nice departure.
   *C* 
  Clean your mind
   *E* 
  Ensure positivity

• *RECOVERY* 
  Realization 
  Empowerment
  Continuity
  Obligations
  Volunteer
  Evaluation
  Remedies
  Yes to welfare

R.E.C.O.V.E.R.Y
R – Realization
Awareness of thoughts, emotions, behaviors, and root causes.
E – Empowerment
Strengthening self-belief, resilience, and decision-making capacity.
C – Continuity
Maintaining consistency in therapeutic practices and positive habits.
O – Obligations
Accepting personal and social responsibility with ethical commitment.
V – Volunteer
Promoting healing through service, peer support, and community engagement.
E – Evaluation
Monitoring progress through...

• *12 Recovery Vitamins* 
   *1 Vitamin A* .
•     Admission. 
•  *2 Vitamin B* . 
      Belief 
   *3 Vitamin D* 
      Decision
   *4 Vitamin B1* 
       Bravery 
   *5 Vitamin E* 
      Exactness
   *6 Vitamin A1* 
       Agreement 
   *7 Vitamin R* 
        Request
   *8 Vitamin R1* 
       Remedies 
   *9 Vitamin E* 
          Effort
   *10 Vitamin C 1* 
        Continuity
   *11 Vitamin C 2* 
        Connectedness.
   *12.Vitamin C 3* .
        Committment.
  *Deficiency can cause harm to Recovery.
  *Overdose may cause toxicity in Responsibilities and social functioning.

Addiction is a complex struggle that affects the mind, body, and relationships. It is not a moral failing, but a challenge that can be overcome with understanding, support, and the right guidance. Recovery begins the moment you reach out for help, and every small step toward change is a victory. Remember, seeking help is a sign of courage, not weakness.
Mudassar Abbas, Clinical Psychologist & Drug Addiction Counselor

• Tt Test 
  Thinking and Tendencies Test developed by Psychologist Rafi khawar is an assessment tool . It has four Domains . It measures thinking patterns,Tendencies and few personal Traits .
  This test indicates  present patterns and after assessment recommends improvements if needed..
  Its scoring is based on Rating scale of Each item. only trained professional Expert in CBT is eligible for its administration . 
  We can apply this test in mach making, Relationships, in educational institutes, organisations for staff trainings and  Addiction Rehabilitation Centers too.

• *Watch Inventory for Stimulant Addiction ( *WISA* )* 
  (Urdu version) 
  BY Psychologist 
  Rafi Khawar.Pakistan
  rafikhawar960 [at] gmail [dot] com
  November 19_2025
  مندرجہ ذیل سوالوں کے جوابات دیں۔ گھر کا ایک فرد کلائینٹ کے ساتھ بیٹھتا ہے اور وہ بھی اپنے مشاھدہ کے مطابق کلائینٹ کے بارے میں جواب دیتا ہے۔سکورنگ کے لئے اور شدت کو جانچنے کے لئے مینوئل دیکھیں۔
  وقت۔۔10 منٹ۔
  مندرجہ ذیل سوالوں کے جوابات( ہاں) یا (ناں )میں دیں۔
  1آئس کی شدید طلب کا ہونا۔
  2آئس کے استعمال میں بے بسی۔
  3اپنی صفائی کا خیال نہ رکھنا۔
  4گھر میں ذیادہ وقت تنہائی میں گزارنا۔
  5 آئس کے لئےگھر سے چیزیں اٹھا کر بیچنا
  6ائس خریدنے کے...

The National Dangerous Drugs Control Board (NDDCB), Preventive Education and Training Division, as the ISSUP-accredited education provider and credential holder in Universal Treatment Curriculum (UTC), Universal Prevention Curriculum (UPC), and Universal Recovery Curriculum (URC), is proud to announce a Physical Echo Training Programme.

This programme will be conducted under the UTC 8 and UTC 1 curricula beginning on 24th November 2025 at the NDDCB Auditorium, Sri Lanka.

Key Facilitators

• Pradeep Kumara Koholanegedara – Deputy Director, Preventive Education and Training Division

• Pri...

• CLOUD Planning
   *C* 
  Craving management strategies. 
   *L*
  Logical planning. 
  (Realistic goals)
   *O*
  Orderly 
  From short term Goals to long term Goals. 
   *U* 
  Useful 
  Planning should be beneficial for Recovery .
   *D* 
  Daily Rules.
  5 daily rules which can protect Recovery .
  1.....
  2.....
  3....
  4....
  5....

• *CHANGE* . 
  Commitment
  Honesty
  Ability
  Natural
  Guidance 
  Effort

• *Stopping or Change* 
  By Rafi khawar
  (Pakistan).
  Lets talk about modern trends in Addiction Treatment vs Old fashioned methods of treatment to Fix the Drug taker.
  We as a society ,family focus on institutionalized Memories which means drug taking must be stopped and  its good for the Family,Society and for the person  himself .With this institutional mind ,we focus on just to STOP the Behaviour .
   *Stopping is Relapsing*  
  At the other hand, Modern approach like Motivational Interviewing focuses on CHANGE.
   Behavioural change brings positive results because its matter of choice  with...

• *Family Toxic Care (FTC)* 
  by Rafi Khawar highlights the unintended harm that families of addicts can cause due to lack of professional guidance. Here's a breakdown:
   *Toxic Care**: 
  Care that produces negative emotions like anger, disappointment, pity, and insecurity, ultimately limiting the addict's recovery options- *Examples of Toxic Care*

• 
   *1 Nagging*

• Constantly reminding the addict of their addiction, creating guilt and shame.

• 
   *2 Enabling*

• Doing things for the addict that they should do themselves, perpetuating dependence.

• *3 Criticizing*:

• Focusi...

• *Mom Dad Suitcase Approach* 
  Psychologist Rafi khawar (Pakistan)
  rafi khawar960 @gmail.com
  In Addiction , Family of an addict , due to unwanted environment at home , learns and adopt Anti Recovery Communication Patterns (ARCP).anger , disappointments,detachments plays their role to snatch all the soft tones and smiles .They bring their suitcase with them full of these family patterns and handed over to the professional or Self labeled professionals
  Untrained and inexperienced Health Care Professionals use this Suitcase ( the traditional family methods to convince or force client to quit...

• *The Thought Recognition Technique (TRT)* by Psychologist Rafi Khawar emphasizes the importance of recognizing and managing thoughts to promote psychological well-being. The technique highlights the gap between thinking and acting, referred to as "Thinstion," which can be leveraged to make better decisions and improve mental health.

  Key Components:
  1. *Awareness of Thoughts*: Recognizing the role of thoughts in shaping behavior and emotions.
  2. *Thinstion*: The gap between thinking and acting, which can be utilized to make more informed decisions.
  3. *Increasing the Gap*: By enhancing...

*WRIST*

Wise Rules In Substance Treatment.

By Psychologist Rafi Khawar (Pakistan)

1 Working allience

2 Recovery oriented

3 Integrated approaches

4 Signified environment

5 Transparent documentation.

The Trigger Zip Closing Technique by Rafi Khawar is a helpful tool for managing environmental triggers during recovery. Here's how it works: - Imagine having a "Recovery" bag with you whenever you go out. - When faced with triggers like old friends, bars, or other challenging situations, visualize closing the zip on your imaginary "Recovery" bag. - This simple act can help reduce the intensity of the trigger, making your recovery journey safer. By using this technique, you can better cope with unexpected triggers and stay on track with your recovery goals. Give it a try whenever you need it!

We’d love to hear from you! What do ISSUP National Chapters mean to you? Share your reflections in the comments, and your thoughts may be featured on the National Chapters webpage.

⚠️ Executive Summary 7-hydroxymitragynine (7-OH), the most potent alkaloid in kratom, binds to the same opioid receptors as heroin and prescription opioids. According to the FDA, CDC, and SAMHSA, 7-OH carries a high risk of dependence, withdrawal, and relapse for people with OUD. Reported dangers include seizures, liver toxicity, and overdose — often when mixed with other substances. Kratom may be legal in parts of the U.S., but enhanced or synthetic 7-OH products are now a clear public health threat. Families and professionals should treat 7-OH kratom as an opioid risk factor, not a safe alternative. 👉 Recovery support is available at Intervention NY, Every1 Center, and Hudson Valley Addiction Treatment Center.