ICATT: Indonesian Consortium of Addiction Technology Transfer, SEA-HATTC’s Expansion of New Learning Community, Building Capacity, and Solving the Shortage of Mental Health and Addiction Workforce
Author: Eduardo Renaldo & Eva Suryani
Mental health is a global problem. Mental health personnel faces critical challenges in delivery of care particularly in remote areas. Given the uneven knowledge/skill development and geographic spread of regional providers, The Substance Abuse and Mental Health Services Administration (SAMHSA) as one of the agencies within the U.S. Department of Health and Human Services aim to effectively target substance abuse and mental health services to the people most in need and to translate research in these areas more successfully and more rapidly into the general health care system.
Over the years, SAMHSA has extended their international activities and placing staff members regionally in the Southeast Asia (SEA) since January 2016. SAMHSA SEA’s work is to assist the PEPFAR missions in the region and the governments of the countries in SEA with developing and implementing evidence based, client centered and rights based policies, programming and services to address the issue of HIV with a focus on addiction as all of the countries in the SEA region have a concentrated HIV epidemic. This program covers 8 countries which are divided into 3 tiers (Tier 1: Cambodia, Laos, Thailand and Myanmar; Tier 2: Indonesia and PNG; Tier 3: China and India).
Many countries worldwide have been dealing with the health burden due to substances use and addiction. Comorbidities of substance use disorders (SUDs), such as mental problems and HIV infection, accounted for an even higher burden of disease. In Indonesia, people who inject drug (PWID) were most likely to access HIV testing and treatment when they accessed addiction treatment. Therefore, such treatment is essential to reduce both substance use and HIV related problems. However, it has been shown that the HIV care cascade of PWID in Indonesia was lower than the global commitment, especially the retention in the HIV treatment (55%) and viral suppression (20%). Moreover, mental problems related to substance use, especially methamphetamine, have been increasingly recognized in Indonesia. Unfortunately, studies on mental problems and substance use in the country are inadequate. Additionally, many health professionals in Indonesia only received a short training in addiction medicine and do not perceive addiction as a disease.
SAMHSA SEA Program started reaching out to Indonesia in 2018. This program proposed a recommendation to develop the HATTC Indonesia to improve HIV and substance use treatment that in line with the need to strengthen the treatment facilities in Indonesia. It has been planned to develop this center through a consortium of universities and government institutions which work in the issues of HIV and substance use treatment. The “Stakeholders Consolidation Meeting for the HIV-Addiction Technology Transfer Center (HATTC) Indonesia” was organized by the Atma Jaya Catholic University of Indonesia in collaboration with support from the Southeast Asia – HIV and Addiction Technology Transfer Center (SEA-HATTC) on 26th August 2018 at the Auditorium, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. The objectives of the meeting are (1) to understand the current situation of substance use and HIV in Indonesia; (2) to identify the Consortium Chair and Vice Chair; and (3) to prepare for the Consortium plan in coming time.
From the year of 2018 to 2020, few trainings and meetings were held to create ongoing learning communities where health care academia, professionals, service providers, policy makers, and others who are interested in this field could receive support and develop skills needed to deal with addiction, HIV, and mental health issues. In 2020 HATTC Indonesia made a name change to Indonesian Consortium of Addiction Technology Transfer (ICATT) so that it is easier to remember but still includes the name of TTC to show that we are still part of ATTC loop. Our success is inseparable from those who support us from institutions such as universities, government agency, professional association, research center, service provider, community-based organization of drugs and HIV, and beneficiaries. ICATT activities were based on plans that have been made before, this includes:
Our workplan is a bit hampered due to the COVID-19 pandemic, but with good cooperation and communication between our team members we can find other options to overcome this problem. We work together with HIV Prevention Trial Network (HPTN) to organize Online Seminar titled "Global Access on ART: HPTN074 Recommendations and Challenges". We invited several speakers who are experts in their fields from The United States of America, Ukraine, Vietnam and Indonesia with intention to make greater insight about HIV condition and interventions designed in preventing the transmission of HIV in many countries. This seminar will certainly be an interesting topic for all of us whether it is a health professional participant, human resource manager, student, or someone who just wants to learn more.
Moreover, during this time of the pandemic we decided to conduct an online seminar which was held in collaboration between ICATT and Psychiatric Departement of Padjadjaran University and Hasan Sadikin General Hospital. This Online Seminar was held to answer the restlessness for HIV and addiction patients, who apparently have to struggle more in this COVID–19 era. To answer this questions, ICATT, chaired by dr. Eva Suryani, Sp.KJ held this online seminar and invited some experts in HIV and addiction from the members of ICATT. The member of committee in this seminar was Psychiatry Department Resident of Padjajaran University with the Chairman of the Committee was dr. Shelly Iskandar, Sp.Akp., Sp.KJ., M.Si., Ph.D. This online seminar was held via Zoom Meeting and Youtube Live platform. This event was held for 4 days (18, 19, 21, and 22 August 2020). There were around 400–600 participants who join the online seminar each day either in Zoom Meeting or Youtube Online. There were some problems during the Online Seminar, but the committee was able to overcome them, so that the Online Seminar could run smoothly and participants could play an active role during the discussion session.
The technology transfer center is one piece of moving on the system forward. Although there were some obstacles in implementation, these can be resolved with good cooperation from our team. Besides the many satisfying results of the events held we need to remember it is not just simplified training or technical assistance but there is about indirect benefits to the network such as having collaboration across the network to solve the problem of addiction, HIV, and mental health issues especially in outreach area. Despite these achievements, we still want to focus on several needs to expand our hub such as provide accessible information, basic competence, and integrate different policies concerning addiction, HIV, and mental health issues.
Indonesian Consortium of Addiction Technology Transfer (ICATT)
Pluit Raya 2, Jakarta 14440, Indonesia.
consortiumhattc [dot] id [at] gmail [dot] com
World Drug Report Survey 2020
UNODC has launched a new survey to collect feedback on the World Drug Report.
The objective of this survey is to maintain the relevance of the World Drug Report by understanding how it is used and the extent to which it fulfils the needs and expectations of its readers.
The deadline for submission is the 21st of September.
UNODC Indonesia, Ministry of Social Affairs and National Narcotics Board Jointly launched the Official Guideline for Drug Treatment during COVID-19 in Indonesia
On 10th July 2020 in Jakarta, the National Guideline for Drug Dependence Treatment during COVID-19 pandemic was officially launched together with His Excellency Mr. Juliari P. Batubara, Minister of Social Affairs, His Excellency Mr. Heru Winarko, Chief of National Narcotics Board, and Mr. Collie Brown, UNODC Country Manager for Indonesia. At the beginning of launch event, the guideline was introduced through a web seminar with attendance of over 260 participants from various agencies. Then, continued with the official launch ceremony, the guideline was signed by the Minister of Social Affairs, Head of National Narcotics Board and UNODC Country Manager for Indonesia.
UNODC actively assisted establishment of the National Technical Working Group (TWG) to develop this technical document, calling for participations from the Ministry of Health, Ministry of Social Affairs and National Narcotics Board, Civil Society Organisations, Association of Addiction Counsellors, and International Communities. The TWG has been gaining high level political support from the Minister of Social Affairs, Chief of National Narcotics Board, and other heads of agencies, due to the paramount importance of the topic in the country, in particular community-based drug treatment as a resource to mitigate transmission of the novel coronavirus and to ensure clients’ and staffs’ safety in the amidst of COVID-19 pandemic.
The Government of Indonesia will be further disseminating this guideline through a series of webinars until health care providers working with over 300 drug treatment centres across the country can learn this useful information in a concise and practical way.
UNODC Webinar: Drug Treatment, Care & Recovery for People, Families & Communities in the COVID-19 Crisis in Southeast Asia
UNODC Prevention, Treatment, and Rehabilitation Section (PTRS), in collaboration with the WHO, International Experts from Australia and Italy, the Colombo Plan, UNODC Regional Office for Southeast Asia and the Pacific (ROSEAP) and field offices in Southeast Asia (Cambodia, Lao PDR, Indonesia, Myanmar, Philippines, Vietnam), organized UNODC web seminar entitled “Drug Dependence Treatment, Care and Rehabilitation Support for People, Families, and Communities affected by Drug Use Disorders in the COVID19 Crisis in Southeast Asia” on 12 June 2020. The webinar was organized building on UNODC’s technical guidance document “UNODC Suggestions about Treatment, Care and Rehabilitation of People with Drug Use Disorders in the Context of the COVID-19 Pandemic”. Its major objectives included: 1) share useful guidance, information, materials in provision of drug treatment and rehabilitation services in the COVID19 crisis; 2) Discuss challenges on the ground among regional and national experts with support from international experts; and 3) Share good practices in adapting to COVID19 situation and preparedness. Overall, 72 policymakers and drug treatment experts from 8 Southeast Asian countries, such as Cambodia, Lao PDR, Indonesia, Malaysia, Myanmar, Philippines, Thailand, Vietnam, presented in this webinar.
The webinar was opened together by Ms. Giovanna Campello, Chief of PTRS UNODC Vienna, Ms. Karen Peters, Programme Officer UNODC ROSEAP, Dr. Carrina Ferreira-Borges, Programme Manager, WHO Regional Office for Europe, Ms. Nathalie Panabokke, Deputy Director, Drug Advisory Programme of the Colombo Plan. As Keynote presentations, Ms. Anja Busse, Programme Officer PTRS, provided an overview of the UNODC’s suggestions for treatment, Care and Rehabilitation; Dr. Carina Ferreira-Borges, WHO European Office, briefed the WHO interim guidance document “Preparedness, Prevention and Control of COVID-19 in prisons and other places of detention”; Dr. Nicolas Clark (Australia), Director of Victoria medically supervised injecting center and Dr. Giuseppe Carra (Italy), Associate Professor of Psychiatry, University of Milano Bicocca shared their practices and lessons learned in their clinical service provision from their frontline drug treatment experiences in the COVID-19 context. After these presentations, the participants exchanged ideas and discussed challenges to ensure the provision of drug treatment and rehabilitation services in this challenging time. The webinar concluded with the commitment to further collaboration and mutual support among participants.
Echo Online Training for Child Intervention for Living Drug-Free (CHILD) Curriculum
The Drug Advisory Programme (DAP) of the Colombo Plan in collaboration with the National Narcotics Board of the Republic of Indonesia (BNN) has successfully conducted the first online echo training for the CHILD curriculum on Course 1: Interventions for Children with Substance Use Disorders in Indonesia. This initiative is carried out to ensure that international treatment capacity building continued uninterrupted during the COVID-19 pandemic situation.
The first course of the CHILD curriculum addresses the need for treatment professionals to alter intervention techniques to accommodate the individual child’s level of cognitive and emotional development. It introduces the major topics which are expanded on in the later courses, and presents components of a unique evidence-based intervention for working directly with children – “The Suitcase for Life”
The training was held from April 21 to May 21, 2020 using Indonesian as the language of instruction. The implementation was divided into 10 sessions where each session was conducted for 2 hours every Tuesday and Thursday from 10-12 am Western Indonesia time. The training was attended by 34 participants from BNN's substance use disorder (SUD) treatment offices in 6 Provinces and 3 directorates from the BNN headquarters. All the Treatment Officers attended the entire series of training sessions enthusiastically and attentively.
The training was facilitated by the DAP Program Officer, Mr. Erry Wijoyo, and SUD Counselor for children and adolescents of BNN, Ms. Rosita Dewi Renel, two of the CHILD Curriculum Master Trainers. The Deputy Director of DAP, Dr. Nathalie Panabokke, and the Programme Officer for the CHILD project, Mr. Franklin Mwirichia, attended the training. They were joined by officials from BNN, Dr. Yuli Astuti, M.Sc, and Dr. Nugroho, M.Sc., for the opening ceremony to welcome and address the participants
All elements of this training are completed online, such as for topic presentations, pre-post tests and training evaluations. Some sessions are adjusted so that they can still be effectively facilitated through the distance learning method. Methods of adjustment included organizing discussions in smaller groups through the "breakout classes" feature, assigning homework to a number of topics - participants made posters to provide summaries of specific topics and / or made video recordings of how they practice the skills taught in session. This is done to ensure that the training hours required in this course were fulfilled.
UNODC Mendukung Pengembangan Pelatihan Jarak Jauh pada Universal Treatment Curriculum di Indonesia
Sejak awal Juni 2020, United Nations Office on Drugs and Crime (UNODC) bersama-sama dengan Ikatan Konselor Adiksi Indonesia (IKAI) telah melakukan diskusi dan pertemuan jarak jauh membahas pelatihan jarak jauh mengenai materi Universal Treatment Curriculum (UTC). Inisiatif ini didasari atas tingginya permintaan dari banyak praktisi untuk mendapatkan pelatihan meskipun di masa pandemic COVID-19 untuk tujuan mengikuti sertifikasi nasional profesi konselor adiksi.
Bermula dari bulan Maret 2020, seluruh pelatihan tatap muka diharuskan untuk ditunda hingga waktu yang tidak ditentukan akibat dari pandemi COVID-19 dimana hal ini juga memengaruhi kelanjutan proses sertifikasi secara nasional untuk konselor adiksi. Sebagai akibatnya, tidak ada pelatihan dan uji kompetensi yang dilakukan sejak saat itu.
Di awal Juni 2020, pemerintah Indonesia mengumumkan bermulanya fasa transisi untuk secara bertahap melonggarkan pembatasan sosial yang juga dapat disebut sebagai menuju ke kebijakan tatanan normal baru[1]. Pelonggaran pembatasan ini membawa semangat baru bagi para praktisi Rehabilitasi NAPZA di Indonesia dan mereka mulai untuk mencari apapun kesempatan untuk menguatkan dan menyegarkan kembali pengetahuan dan keterampilan mereka sebagai persiapan untuk uji kompetensi yang diasumsikan akan dibuka kembali.
IKAI telah menerima banyak permintaan dari para anggotanya yang kurang lebih berjumlah 400 konselor di seluruh Indonesia begitu juga dari para konselor lain yang belum menjadi anggota. Sejak tahun 2019, UNODC dan IKAI sudah memiliki kesepakatan khususnya pada pelaksanaan pelatihan dengan menggunakan materi yang berbasis bukti seperti UTC, pendekatan rawatan berbasis Masyarakat, dan lainnya, untuk menguatkan kapasitas tenaga pelaksana Rehabilitasi NAPZA khususnya bagi mereka yang telah terdaftar sebagai anggota IKAI.
Proses pengembangan pelatihan UTC jarak jauh telah dimulai, tetapi masih dalam tahap membuat konsep dari mekanisme pelaksanaannya, hal ini dikarenakan tantangan yang dihadapi dalam proses mengubah pola permainan peran, diskusi kelompok dan permainan tatap muka lainnya menjadi pelaksanaan jarak jauh.
Dengan upaya ini, kapasitas praktisi Rehabilitasi NAPZA akan dapat ditingkatkan walaupun di masa krisis seperti ini, juga keberhasilan dalam uji nasional kompetensi dan secara resmi menerima sertifikasi profesi konselor adiksi menjadi suatu keniscayaan.
[1] https://www.thejakartapost.com/news/2020/06/06/indonesia-records-unprecedented-daily-spike-in-covid-19-cases-as-new-normal-commences.html
UNODC Supports the Development of Remote Training on Universal Treatment Curriculum in Indonesia
Since the beginning of June 2020, the United Nations Office on Drugs and Crime (UNODC) together with the Indonesian Association of Addiction Counsellors (Ikatan Konselor Adiksi Indonesia - IKAI) has been remotely discussing the development of remote training on Universal Treatment Curriculum (UTC). This initiative is based on the high demand from practitioners to continue with capacity building initiatives to receive an official national certification for addiction counsellors, even amidst the COVID-19 pandemic.
Since March 2020, all conventional/face to face trainings have been suspended due to COVID-19 pandemic which also affected the continuation of national certification for addiction counsellors. As a consequence, no trainings and competency test have been conducted since then.
In early June 2020, the government of Indonesia declared the initiation of a transitional phase to gradually ease social restriction under the so called “new normal” policy[1]. This easing of restrictions brought about a new spirit amongst practitioners in drug treatment centres in Indonesia and they started to look for whatever opportunities to refresh and strengthen their capacities as a preparation to the coming competencies test.
IKAI has been receiving many requests from its members, including form approximately 400 counsellors across the country as well as non-member’s counsellors. Since 2019, UNODC and IKAI have already an agreement on the training implementation using evidence-based materials, such as UTC, community based treatment training tools and others, to strengthen the capacities of drug treatment workforces, especially for those who already registered as IKAI’s member.
The development process of UTC remote training has already started but is still at the level of conceptualising the training mechanism as its was a challenge to transform the role-play, small group discussions and other games into remote implementation.
With this effort, the capacity of drug treatment practitioners in Indonesia will be strengthened even amidst this crisis and hopefully with this initiative practitioners may be able to pass the government competency test and receive national acknowledgement as a certified addiction counsellor professional.
[1] https://www.thejakartapost.com/news/2020/06/06/indonesia-records-unprecedented-daily-spike-in-covid-19-cases-as-new-normal-commences.html
Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes
We invite you to register for this free webinar-based training course on Motivational Interviewing (MI). The three week long series is presented by Igor Koutsenok, MD, MS, Professor of Psychiatry at the University of California San Diego, Department of Psychiatry.
Motivational Interviewing is an essential, client-centered, counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. We are absolutely thrilled to bring you this skills-building opportunity presented by a recognized expert in the field of MI.
The course consists of four sessions to be held during June 2020 (see course descriptions and session dates below).
We highly encourage registration for all sessions.
Course Description
This is a training in evidence-based clinical methods of motivational interviewing (MI). After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building therapeutic relationships in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Course Objectives
The goal is to provide knowledge and practical skill training for various practitioners on effective ways to enhance motivation of patients with substance use disorders that require significant behavioral changes to initiate and sustain positive and healthy behavioral choices. Skill building, and experiential training will be emphasized throughout the course by exercises to develop a therapeutic alliance with patients, assess patient needs, level of engagement in treatment process, structure treatment sessions, select appropriate interventions, and assist patient in maintaining motivation for a sustainable behavioral change.
Participants will learn the basic and advanced skills in motivational interviewing and strategies for engaging patients in collaborative relationship in treatment process and assist them in achieving sustainable positive behavioral changes. The course will:
- Help participants to acquire a systemic perspective of motivational interviewing and other motivational enhancement strategies;
- Build necessary clinical skills and attitudes to implement new strategies in working with ambivalent patients.
Learning Outcomes
Upon completion of the course, every participant will be able to:
- Describe all the aspects of the spirit of MI
- Explain the differences between MI and other counselling strategies
- Demonstrate the ability to respond to clients with reflective listening statements
- Identify change talk within client speech
- Generate open questions designed to elicit change talk
- Generate MI-consistent responses to client resistant statements
- Differentiate commitment language from other forms of change talk
- Provide and empathetic summary statements collecting change talk
Course Content, Dates & Registration
Session 1: Thursday June 4th 2020
Motivational Interviewing: Basic Understanding
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
- Introduction: Motivation and behavioral change in addiction medicine
- Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
- Spirit of MI
- Expressing empathy
- Roadblocks to communication
- Four Processes in MI
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
Session 2: Thursday June 11th 2020
Fundamental Skills in MI - OARS
This session will focus on Fundamental Skills in MI (OARS), providing practical exercises to help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Participants will learn strategies for engaging patients in a collaborative relationship in the treatment process and assist them in achieving sustainable positive behavioral changes. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
- Open and closed ended questions
- Affirmations
- Summaries
- Rowing with OARS
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
Session 3: Thursday June 18th 2020
Fundamental Skills in MI Continued
This third session will continue to focus on MI fundamentals, with a focus on more advanced skills and the integration of MI with other strategies and treatment modalities. Research evidence will be reviewed for the efficacy of MI and for the importance of building therapeutic relationship in clients’ outcomes.
Learning outcomes:
- Recognition and responding to change talk and sustain talk
- Forming reflections
- Levels of reflections
- Recognizing readiness
- Initial and intermediate planning
- Integration with other skills and strategies
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
Session 4: Friday June 19th 2020
The fourth and final session will continue to build on MI Fundamentals covered in Session 3, increasing your knowledge of advanced MI skills.
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
We look forward to you joining us for these virtual sessions! Please contact info [at] issup [dot] net if you have any questions.
About Professor Koutsenok
Dr. Igor Koutsenok is а Professor of Psychiatry at the University of California San Diego, Director of the Center for Addiction Research, Training and Application, Director of the SAMHSA PEPFAR International Addiction Technology Transfer Center-Ukraine, and a co-director of the SAMHSA PEPFAR South East Asia Addiction Technology Transfer Center. He is also a Vice-President of the International Consortium of Universities on Drug Demand Reduction.
In 1983 he graduated as a medical doctor from the National Medical University in Kiev, (Ukraine). In 1986, he completed his psychiatry residency training and received degree as psychiatrist from the Medical University in Sofia (Bulgaria). In 1993-1996 he received a degree in addiction psychiatry at the University of London, Department of Addictive Behavior and Psychological Medicine at St. Georges Hospital Medical School. In 1996, he was recruited by the University of California San Diego, School of Medicine, Department of Psychiatry and since then he serves as faculty member of the Department. In 2013-2016 he served as Chief of Prevention, Treatment, and Rehabilitation at the United Nations Office on Drugs and Crime, United Nations Office in Vienna.
Over the last 25 years Dr. Koutsenok led the design and implementation of multiple training and technical assistance programs for mental health and addiction treatment practitioners, primary health care and social work practitioners, criminal justice professionals in the United States and around the world. He is also directing the UCSD Summer Clinical Institute - the second longest running Summer Institute in the United States (over 40 years). Dr. Koutsenok is also a member of the International Motivational Interviewing Network of Trainers (MINT).
For many years, Dr. Koutsenok taught general and addiction psychiatry to medical students, psychiatry residents, psychology trainees, social workers, criminal justice professionals, and policy makers around the world. He is a recipient of numerous national and international awards. He has authored and co-authored over 50 scientific publications, one monograph, and contributed to 4 book. Dr. Koutsenok has been invited as a presenter and trainer to hundreds of conferences and workshops in the USA and more than 40 countries around the world. He is a proud father of three.
Rehabilitasi NAPZA dan Pandemi COVID-19 di Indonesia
Sejak kasus pertama COVID-19 ditemukan di Indonesia dan secara resmi diumumkan oleh Presiden Republik Indonesia Joko Widodo pada tanggal 2 Maret 2020, kemudian pada tanggal 11 Maret 2020 World Health Organisation (WHO) menyatakan bahwa wabah COVID-19 adalah suatu pandemi, kasus demi kasus muncul dan berkembang hingga di kisaran 250 hingga 350 kasus baru setiap harinya[1] di Indonesia.
Walaupun untuk kebanyakan orang dengan sistem imunitas normal, COVID-19 mungkin tidak membawa dampak yang cukup parah melihat angka kasus mortalitas dunia hanya ada di kisaran 7% dan 8%[2], tetapi untuk mereka yang mengalami gangguan penggunaan NAPZA khususnya bagi mereka yang menggunakan NAPZA suntik, umumnya aktivitas mereka telah membahayakan sistem imunitas mereka dan besar kemungkinan untuk mengalami banyak permasalahan.
Untuk itu, sangatlah penting untuk memastikan kesinambungan akses layanan kesehatan dan sosial yang memadai untuk mereka, dan untuk terus menyediakan rawatan sesuai dengan kebutuhan sebagaimana dijelaskan di dalam Standar Internasional untuk Rawatan Gangguan Penggunaan NAPZA (UNODC/WHO, 2020), dan melaksanakkan yang terbaik dari kemampuan mereka.
Suatu inisiatif dimulai di akhir bulan Maret 2020, disaat Mentor Nasional untuk Drug Treatment and Prevention (Officer), United Nations Office for Drugs and Crime (UNODC) Indonesia sedang mengumpulkan informasi terkait pemetaan sederhana Rehabilitasi NAPZA di berbagai propinsi di Indonesia untuk mendapatkan informasi terkini tentang situasi layanan disaat pandemic COVID-19, ditemukan banyak praktisi yang khususnya bekerja di Rehabilitasi berbasis Masyarakat mengalami kebingungan dan kekhawatiran tentang teknis pelaksanaan Rehabilitasi di masa ini, akibat dari ketiadaan panduan teknis mengenai tata laksana layanan Rehabilitasi NAPZA rawat inap/jalan di masa pandemic seperti COVID-19 saat ini.
Selanjutnya, setelah pembicaraan berkembang, beragam lembaga nasional dan internasional yang menaruh perhatian yang sama dan sepakat untuk melakukan diskusi rutin secara daring dan membentuk suatu Kelompok Kerja (Pokja). Furthermore, many various national and international agencies put the same concern and agreed to have a regular virtual discussion and established a technical working group (TWG). Selain dari UNODC, beragam lembaga nasional dan internasional itu adalah, Kementerian Sosial; Badan Narkotika Nasional; Rumah Sakit Ketergantungan Obat, Kementerian Kesehatan; Ikatan Konselor Adiksi Indonesia; perwakilan dari Colombo Plan Drug Advisory Programme (CPDAP) di Indonesia, juga lembaga lainnya yang bekerja pada rawatan gangguan penggunaan NAPZA.
Dengan dimoderasi oleh Mentor Nasional UNODC Indonesia, pertemuan daring rutin terjadi hingga enam kali per-hari ini (pertemuan ini diadakan sekali hingga dua kali dalam seminggu). Pertemuan daring ini bertujuan untuk saling memberikan dan berbagi infromasi terkini terkait dengan layanan rawatan rehabilitasi NAPZA di masa pandemi COVID-19; dan membentuk Pokja secara daring untuk mengembangkan suatu panduan teknis untuk Layanan Rawatan Rehabilitasi NAPZA di masa pandemi COVID-19. Situasi pandemi COVID-19 ini tidak menyurutkan semangat dan hasrat untuk berkontribusi lebih dan membantu sesama sebagaimana ditunjukkan oleh kolaborasi yang indah dari lembaga-lembaga nasional dan internasional yang ada di Indonesia ini!
[1] https://covid19.go.id/peta-sebaran, diakses pada 5 Mei 2020 jamcov 09:00 AM Jakarta time
[2] ibid
Drug Treatment and COVID-19 Pandemic in Indonesia
Since the first case of COVID-19 was discovered in Indonesia and officially announced by the President of the Republic of Indonesia H.E. Joko Widodo on March 2nd, 2020 and followed by the declaration from the World Health Organisation (WHO) on March 11th, 2020 that the outbreak of COVID-19 is a pandemic, new cases has been growing between approximately 250 to 350 cases daily[1] in Indonesia.
Even though for most people with normal immune systems, COVID-19 may not bring severe impact as the world mortality case is still between 7% to 8%[2], but for people with drug use disorders especially those who inject drugs, commonly have compromised their immune systems and may experience more challenges.
Therefore, it is important to ensure the continuity of adequate access to healthcare and social services for them; and to continue to provide care as required, as described in the International Standards for the Treatment of Drug Use Disorders (UNODC/WHO, 2020), to the best of their abilities.
The initiative was started the last week of March 2020, when a United Nations Office for Drugs and Crime (UNODC) National Mentor (officer) for Drug Treatment and Prevention in Indonesia collected information about mapping drug treatment centres in several Indonesian provinces to have an updated information on the drug treatment’s situation during the COVID-19 pandemic. Many practitioners, especially for those who work in community-based drug treatment centres, felt confused and worried about how to provide the service during this period, as there are not any technical guidelines on providing drug treatment in a in/out-patient setting during pandemics like COVID-19. Some of them closed for any new admissions, some with an out-patient programme still operates but there was a need to expand the services into remote or online services, and some need further information about outreach activity during this situation.
Furthermore, many various national and international agencies put the same concern and agreed to have a regular virtual discussion and established a technical working group (TWG). Those various national and international agencies other than the UNODC Programme Office in Indonesia consists of the representatives from the Ministry of Social Affairs; the National Narcotics Board; Drug Dependence Hospital, Ministry of Health; the Colombo Plan Drug Advisory Programme (CPDAP) in Indonesia, Indonesian Association of Addiction Counsellors also other organisations that work on drug use disorder treatment.
Moderated by the UNODC National Mentor in Indonesia, the regular virtual meetings have been held for six times (once or twice in a week) so far. The virtual meetings aim to provide regular updates and share information related to Drug Treatment Services during the COVID-19 Pandemic; and to establish a remote Technical Working Group to develop a Practical Guideline for Drug Treatment Services during the COVID-19 Pandemic. The COVID-19 situation doesn’t discourage the spirit and passion to contribute more to others as shown by the good collaboration and harmony amongst these national and international organisations in Indonesia!
[1] https://covid19.go.id/peta-sebaran, accessed on May 5th, 2020 at 09:00 AM Jakarta time
[2] ibid
Drug Treatment and COVID-19 Pandemic in Indonesia
Since the first case of COVID-19 was discovered in Indonesia and officially announced by the President of the Republic of Indonesia H.E. Joko Widodo on March 2nd, 2020 and followed by the declaration from the World Health Organisation (WHO) on March 11th, 2020 that the outbreak of COVID-19 is a pandemic, new cases has been growing between approximately 250 to 350 cases daily[1] in Indonesia.
Even though for most people with normal immune systems, COVID-19 may not bring severe impact as the world mortality case is still between 7% to 8%[2], but for people with drug use disorders especially those who inject drugs, commonly have compromised their immune systems and may experience more challenges.
Therefore, it is important to ensure the continuity of adequate access to healthcare and social services for them; and to continue to provide care as required, as described in the International Standards for the Treatment of Drug Use Disorders (UNODC/WHO, 2020), to the best of their abilities.
The initiative was started the last week of March 2020, when a United Nations Office for Drugs and Crime (UNODC) National Mentor (officer) for Drug Treatment and Prevention in Indonesia collected information about mapping drug treatment centres in several Indonesian provinces to have an updated information on the drug treatment’s situation during the COVID-19 pandemic. Many practitioners, especially for those who work in community-based drug treatment centres, felt confused and worried about how to provide the service during this period, as there are not any technical guidelines on providing drug treatment in a in/out-patient setting during pandemics like COVID-19. Some of them closed for any new admissions, some with an out-patient programme still operates but there was a need to expand the services into remote or online services, and some need further information about outreach activity during this situation.
Furthermore, many various national and international agencies put the same concern and agreed to have a regular virtual discussion and established a technical working group (TWG). Those various national and international agencies other than the UNODC Programme Office in Indonesia consists of the representatives from the Ministry of Social Affairs; the National Narcotics Board; Drug Dependence Hospital, Ministry of Health; the Colombo Plan Drug Advisory Programme (CPDAP) in Indonesia, Indonesian Association of Addiction Counsellors also other organisations that work on drug use disorder treatment.
Moderated by the UNODC National Mentor in Indonesia, the regular virtual meetings have been held for six times (once or twice in a week) so far. The virtual meetings aim to provide regular updates and share information related to Drug Treatment Services during the COVID-19 Pandemic; and to establish a remote Technical Working Group to develop a Practical Guideline for Drug Treatment Services during the COVID-19 Pandemic. The COVID-19 situation doesn’t discourage the spirit and passion to contribute more to others as shown by the good collaboration and harmony amongst these national and international organisations in Indonesia!
[1] https://covid19.go.id/peta-sebaran, accessed on May 5th, 2020 at 09:00 AM Jakarta time
[2] ibid
WEBINAR: Cary Hopkins Eyles on Authentic Self-Care for Addiction Professionals
This webinar focuses on the issue of self-care for addiction professionals and was delivered by ICUDDR Deputy Director Cary Hopkins Eyles.
Many of us are drawn to work in the field of substance use disorders due to our history, family, and personal traits, such as compassion and empathy. While these can be great assets, they can also be detrimental to us personally.
In this webinar, Cary explains how to identify healthy and unhealthy traits, how we can care for ourselves, and what authentic self-care looks like.
Cary has worked in the field of substance use disorders for 18 years. She is passionate about helping professionals in this field to take care of themselves so they can thrive and help those in need. Cary has worked in direct care in non-profit in the U.S., has run Residential, Outpatient, and Criminal Justice treatment programs, and has trained and mentored other substance use professionals. She is now the Deputy Director for the International Consortium of Universities for Drug Demand Reduction (ICUDDR) and supports the development of addiction studies programs around the world. She is a global trainer in the Universal Treatment Curriculum (UTC).
Recorded on 13 March 2020
Refresher Training and Examination on Universal Training Curriculum for Addiction Professionals Certification
On January 6–8, 2020, Education Provider Parahita (Kasih Mulia Foundation) held a refresher training on the Universal Treatment Curriculum for Addiction Professionals at Wisma Samadi in Jakarta. The UTC is intended to enhance knowledge, skills, and competencies of addiction professionals, as well as promote evidence-based practice for the enhancement of service delivery and treatment outcomes. The training consisted of presentations, tutorials, group discussions, roleplays and case studies, to prepare 18 participants of addiction practitioners from across Indonesia and 1 participant from Brunei Darussalam in order to update their skills and knowledge on addiction curriculum. This is intended to prepare them to face the examination on Universal Treatment Curriculum for Addiction Professionals Certification. The examination was held the following day at Wisma Samadi, Jakarta on January 9, 2020, and consisted of 30 participants for the ICAP I examination and 1 participant for the ICAP II examination.
