Table 1 Daily schedule of NGO-run drug detoxification-rehabilitation programme in Dhaka, Bangladesh
Detoxification period: (14 days) | • Before and immediately after admission, the clinic center rules and regulations, service details are informed to the client. | |
• The program schedule is flexible for the client as they struggle with withdrawal symptoms and are not fit enough physically and mentally. | ||
• Close supervision by medical professionals is ensured for the client during this period based on the treatment protocol that covers pharmacological withdrawal control, monitoring and precautions, other symptomatic medications applicable at clinics. | ||
• Motivational sessions are offered to the client after 7 days to learn benefits of drug free lives, risk of drug use, HIV/STI, Tuberculosis. | ||
• After two weeks of detoxification period, the clients are fully involved as shown in the schedule below of the rehabilitation program: | ||
Time | Session/activities | Psychosocial and clinical course content |
6:15–6:45 | Wake up and morning prayer | Prayer (within the group) |
6:45–7:00 | Exercise | Freehand exercise and YOGA |
7:00–7:45 | Housework | Occupational therapy |
7:45–8:30 | Wash/refreshing & group work | |
8:30–9:15 | Breakfast & medicine | |
9:15–9:45 | Quiet time/relaxation & pre meeting | Relaxation and meditation |
9:45–10:30 | Morning meeting/self evaluation | Therapeutic community’s morning meeting for community life/individual weekly evaluation |
10:30–10:45 | Free or personal time/(bathroom, wash) | Personal hygiene and care |
10:45–11:30 | Morning session | Addiction, anger management, post acute withdrawal management, building self-esteem, values, HIV & STI, communication |
11:30–12:00 | Tea break | |
12:00-12-30 | Occupational therapy/crafts work/routine health check-up | Development of habit for daily routine/health check-up |
12:30–1:15 | Wash/bath time | Personal hygiene and care |
1:15–1:45 | Prayer time & Talim (preaching) | Religious practice |
1:45–2:45 | Lunch & medicine, rest | |
2:45–3:30 | Evening session | Planning, relapse prevention, group therapy, psycho therapy, resentment, basics of behavior change |
3:30–3:45 | Routine work/house work | Occupational therapy |
3:45–4:00 | Prayer time | Religious practice |
4:00–4:15 | Tea break | |
4:15–5:15 | Sports & recreation | Outdoor games. summer- football, volleyball. winter- cricket, badminton |
5:15–5:30 | Prayer time | |
5:360–6:15 | Quite time | |
6:15–7:00 | Narcotics anonymous meeting (sharing meeting) | Verbalize and ventilate emotion, feeling, experience , etc. |
7:00–8:00 | Group meeting | Community meeting |
8:00–8:30 | Prayer time | |
8:30–9:00 | Dinner & medicine | |
9:00–9:50 | Free time/recreation/watching TV | |
9:50–10:00 | Bed preparation & self-cleaning | |
10:00–10:45 | Night sharing | Sharing and moral inventory |
10:45 | Bed time and lights off | |