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EUROPE

Communities in Albania

LIFE IS WORTH IT

DOCUMENT AUTHOR: ALBANIAN ORGANISATION ORDER OF MALTA

GOOD PRACTICE TITLE: LIFE IS WORTH IT
KIND OF PRACTICE: YOUTH DRUG ADDICTION REHABILITATION CENTRE

PLACE: ALBANIA, SOUTHEASTERN EUROPE, VAU DEJES, (NENSHATE)

CONTEXT, FIELD OF INTERVENTION:
  • This youth drug addiction rehabilitation center was funded by Pope John XXIII Community, which operates also in Croatia, Italy, Brazil etc. It started 15 years ago during Kosovo refugee emergencies. The host station for them, was exactly the place where the rehabilitation center is now located. Many volunteers and many of their missionaries used to help there during that difficult period of time. The rehabilitation center was conceived by a meeting in Tirana, where the association has also a homeless shelter, and its representatives had the possibility to talk to young drug addicts. Given the high concentration of the number of drug addicts, they felt it necessary to establish this center.

PERIOD:
  • This Project started in 2012 and is ongoing.

POPULATION, PARTICIPANTS:
  • The number of participants has increased year by year. For the moment, there are 50 participants on this rehabilitation center.

COORDINATORS:
  • The coordinator of this project is Mr.Samuel Polidori. The therapists are Toni di Loretto and Zhelko Tadic.

METHODOLOGY (HOW THE PRACTICE WORKS):

Therapeutic program is the most important thing, but in the same time, the most difficult one, where every participant can show the will to overcome the ’’death path’’. The program is divided in five phases.

 

The first phase is hospitality: the staff welcomes all the persons with drug problems. They make sure that the program meets their needs. They make them some questions and ask them to undergo some diagnostic tests or screenings to best determine how the program can most optimally tailor its treatment plan to them and their particular needs and stage of addiction and then detoxification them. They are interested in knowing the severity of their addiction, their personal drug use history, family history of addiction. As soon as this phase passes, they start the real work with them. The most important thing to the staff is for them to be conscious about the therapy which we call ’’therapy of truth’’.

 

They continue with therapy of creativity; they stimulate their boys and girls to be as much creative as possible with themselves and with what this center offers to them. The creative therapies can be very helpful in the process of recovery from addiction. They offer the opportunity to get in touch with the inner self and with the higher power and can provide a form of expression for feelings that cannot be easily identified or put into words. Through helping the person with an addiction connect with his/her more authentic self, the expressive therapies can help raise self-esteem and provide an opportunity to create new experiences beyond habitual and painful emotional patterns.

 

The creative arts foster a renewed ability to relax without drugs. The third phase is therapy with parents. They do not want their youngsters to leave their parents or to get distant from them. Family and friends can play critical roles in motivating individuals with drug problems to enter and stay in treatment. Family therapy can also be important, especially for adolescents. Involvement of a family member or significant other in an individual's treatment program can strengthen and extend treatment benefits. Therefore, once a month they have the possibility to meet them, to eat with them, to stay and talk to them.

 

The fourth phase, are individual and group meetings. In individual therapy, a person works with a mental health professional in private sessions to acquire self-knowledge, insight into addiction and a stronger sense of inner strength. A typical therapy session lasts from 50 minutes to an hour. Frequency of therapy depends on the person’s needs. Group therapy gives recovering addicts the opportunity to learn new coping techniques, practice their communication skills and gain hope and strength from their peers. In group therapy they can meet men and women like themselves who are facing the same struggles with substance abuse. Many profound friendships are formed in group therapy where addicts learn how to develop trusting relationships with others.

 

The last phase, which is the main purpose of their mission, is re-entering the society. We support addicts put their newfound skills to practical. It is one of the most important actions any recovering addict can take to increase their odds of successful sobriety. Recovery from drug addiction doesn’t end once rehabilitees leave the doors of the rehabilitation center. Completing a rehabilitation treatment program is just the beginning of a long journey to maintaining sobriety.

 

Drug rehabilitation teaches the skills needed to remain sober, but the real test comes once rehabilitees leave the program and enter the real world.

PARTICIPATORY PROCESS:

The rehab center has some questions for them and asks them to undergo some diagnostic tests or screenings to best determine how the program can most optimally tailor its treatment plan to them and their particular needs and stage of addiction.

 

The center is interested in knowing the severity of their addiction, their personal drug use history, family history of addiction.

 

They make sure the programme meets their needs. If they feel comfortable with the facility they've chosen, they're more likely to stick with the program and see it through to its end — increasing their chances of long-term health and sobriety.

TIME TO BE SUCCESFUL (HOW MANY TIME THE PRACTICE TAKE TO ACHIEVE THEIR OBJECTIVES):
  • Individuals progress through drug addiction treatment at various rates, so there is no predetermined length of treatment. Generally, for residential or outpatient treatment, participation for less than 90 days is of limited effectiveness, and treatment lasting significantly longer is recommended for maintaining positive outcomes.

VALIDITY (IF THE PARTICIPANTS THINK THAT THE PRACTICE RESOLVED THE PROBLEMATIC):
  • ’The therapists were above and beyond my expectations. I am very appreciative. I will walk out of here with much better understanding of myself and tools to use in the future to prevent relapsing.

  • ’The best part of my experience here was that I felt respected and heard. I received the healing I needed to go on with my life. I am completely satisfied.’’

  • ’By far, the best part of treatment is the psychiatric care. The therapists are world class. I feel very confident about going back to my life and being able to implement changes.’’

IMPACT:
  • The goal of treatment is to return people to productive functioning in the family, workplace, and community. Most of youngsters who got into and remained in treatment, stopped using drugs, decreased their criminal activity, and improved their occupational, social, and psychological functioning

INNOVATION:
  • 1.Age-specific programming

  • 2.Treating the whole client, not just his/her addiction

  • 3.Creative Arts therapy

  • 4.Fitness and recovery

RESOURCES OR CONDITIONS NEEDED FOR THE PRACTICE:
  • 1. Employ an adaptive recovery staff.

  • 2. Address specific real-life problems early in treatment

  • 3. Treatment must be available, accessible, attractive, and appropriate for needs

  • 4. Ensuring continuity of care

  • 5. Medications are often an important part of treatment.

  • 6. Treatment plans must be reviewed often and modified to fit the patient’s changing needs. 7. Medically assisted detoxification is needed.

  • 8. Drug use during treatment must be monitored continuously.

LIMITATIONS:
  • Because successful outcomes often depend on a person’s staying in treatment long enough to reap its full benefits, strategies for keeping people in treatment are critical. Whether a patient stays in treatment depends on factors associated with both the individual and the program. Individual factors related to engagement and retention typically include motivation to change drug-using behaviour; degree of support from family and friends etc.

LEARNED LESSONS: :
  • Life can be difficult, bad things can happen. Addiction and alcoholism is a sad, painful, lonely road to walk. When you enter recovery, understand you have been given the chance to live two lives in one lifetime. Learn to enjoy life, have fun, find passion, take risks and create experiences. But above all, don’t take yourself too damned seriously!

SUSTAINABILITY:

Things to do to create a sustainable recovery from substance abuse: Listen to your treatment center or therapist: Typically, your rehab, the staff and counselors at your rehab or your therapist know what’s better for you than you do. Get involved in a recovery fellowship: It means going to meetings, going to regular meetings regularly!

 

Take time to examine your surroundings and make changes if and when necessary: Every aspect needs to be honestly examined, discussed with people in recovery that you trust and then changes made when changes need to be made.

 

Find healthy hobbies or creative outlets: Things like sports, yoga, exercise, writing and music, adventurous trips to different parts of the world, going back to school to pursue interests and education and going to concerts and live shows are just some of the typical things that people get a chance to do once they’ve entered recovery that they weren’t able to do and enjoy during their active addiction.

 

Cultivate a health mind, body and spirit lifestyle: It can include exercise, changing your diet and eating healthier, taking care of medical or physical issues, seeking outside therapeutic help for other mental or traumatic issues, reading and gaining insight

 

Be transparent: Complete honesty and transparency with others is key to sustainable recovery because it is key in personal and spiritual growth. Share all your fears, your insecurities and your self-doubt. Share them with others in recovery, because those people have the same issues or have had them in the past.

REPLICABILITY:
  • The project has been proven to work in our community and it can often be exported to other communities or regions in the same country or abroad. Replicating this project also avoids the need to reinvent the wheel. If an approach has been proven to work in one place, there should be no need for anyone to reinvent it. We’re always happy to hear from other organisations that have thought about this aspect of a project and particularly those that have given some thought as to who might wish to replicate this project.

CONCLUSION:
  • There is hope for them to achieve their dreams, and they are worth the effort it takes to live in  recovery. But that is a message that is easy to forget. Substances of abuse can seem so powerful  and so overwhelming that people might find it difficult to fight back, despite the health  consequences the use can cause. But the addiction can be effectively managed. People can, and  should, fight back. Their physical and mental health depends upon it. They can do it. They did it!

CONTACT (PRACTICES AUTHOR AND ORGANIZATION):

Albania,Lagjia ’’Mark Lula’’,rruga ’’Nene Klelia Merloni’’, Shkoder

Tel.00355 69 208 6327

e-mail:cf.vinvenzo@apg23.org

Samuel Polidori Toni di Loretto Zhelko Tadic.

http://www.marylandaddictionrecovery.com/sustainable-addiction-recovery

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