Detoxification

 


Remar NGO Detox and Physical Recovery

The rehabilitation programme consists of three phases, which are as follows:

 

FIRST PHASE: DETOX AND PHYSICAL RECOVERY

 

This phase lasts, on average, about five months, and takes place in a community centre in the country, set apart from the influences of urban life. The aim is to achieve:

• The physical and psychical detox of the addict.

• Recognition by the individual of his/her particular problems and their causes.

• The establishment of a strategy for the solving of these problems.

• The acquiring of self-discipline concerning good habits of personal hygiene, eating, general behaviour, acceptance of timetables, etc

• The establishment of basic social relationships and of group interaction.

• The re-establishment of moral and ethical values.

 

Those people who decide they want to be admitted to a REMAR centre are first interviewed in the reception office. During this interview, the personal details of the applicant are recorded, and a family relative is also interviewed wherever possible. They are told in which particular centre they will be given a place, and the general house rules are explained, together with an outline of the programme to be followed – all this to help the new applicant to feel more comfortable during this first encounter and better motivated to begin the treatment.

The person is admitted immediately, completely free of charge, into a first phase home, which is usually isolated from the social environment, in the countryside at some distance from the built-up areas. The purpose of this stage is to successfully achieve the psychical and physical detox. During this period there is a very personal dedication to the needs of each patient, day and night, to help them overcome their addiction. This is called "shadow" ministry, through which each new person has someone to take care of them individually, accompanying them and encouraging them, etc., even staying awake at night to watch over them.

Physical detox involves going through the withdrawal syndrome or so-called "mono". This usually lasts six or seven days, depending upon the severity of the individual's addiction. During this period the patients do not take any type of addictive substance or drug substitute. They are offered chamomile or lime blossom tea, given massages, taken for walks… with the aim at all times to keep them feeling motivated, cheerful and stimulated to persevere with the programme.

Psychical detox consists in treating all the psychological or emotional problems that led the person to start using drugs. This is achieved through personal interviews, general community meetings, etc.

In this observation stage we evaluate the physical and psychical ability of each person in order to assign them a work activity, such as farm labour, handicrafts, housework, public relations work, etc., taking into account their individual work skills and talents (and always after all the withdrawal syndrome has been overcome).

Physical detox lasts just a few days and during this period the patients are not administered any kind of drug substitute nor are they allowed to consume alcohol or tobacco or to contact relatives or people living outside the centre.

When they start to manage to sleep for a few hours and feel strong enough, they leave the house during the daytime joining one of the various work teams, and this helps them to not have too much spare time on their hands. They begin with simple tasks, which are not too tiring, that help them pass their days in a more agreeable way. The tasks performed in this stage are mainly domestic labours, cleaning, manual work, etc.

 

Remar NGO Detox and Physical Recovery

Contact with the family resumes fifteen days after admission to the centre.

The patients start to have direct contact with the support group; friendships are forged; they start to carry out small though necessary and important tasks and this stimulates them and helps them to become more integrated into the group.

In this way, they develop their own capabilities, their abilities in the areas of concentration, creativity, self-initiative; they begin to acquire attitudes of responsibility, seeking not only their own training, growth and stability but also endeavouring to encourage a spirit of solidarity amongst all those working in their team. Psychical detox is achieved through a treatment based on regular meetings of group therapy during the five months stay in the first stage home. In order to be successful with the detox it is important to have a positive attitude towards the programme, accepting the house rules, maintaining a good relationship with the monitors and fellow-inmates and showing a real desire for a basic change of life.

After successfully achieving the detox (which is to be assessed by the technical team of the centre), the person is moved on to a second stage home.

 

 

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