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reaching out and reaching up - developing a low cost drug treatment system in cambodia接触,达到药物治疗u2014u2014开发一种低成本系统在柬埔寨
Klein et al. Harm Reduction Journal 2012, 9:11
/content/9/1/11
CASE STUDY Open Access
Reaching out and reaching up - developing a low
cost drug treatment system in Cambodia
1 2 3*
Axel Klein , Vonthanak Saphonn and Savanna Reid
Abstract
Cambodia, confronted by the spread of drug misuse among young people, requested support from international
agencies to develop a drug treatment programme in 2000. The initial plan developed by the United Nations Office
on Drugs and Crime was to set up a number of conventional drug treatment centres in urban areas. During the
planning phase, however, the project was redesigned as a community based outreach programme. Ten
Community Counselling Teams have been formed and trained in pilot areas, and within the first year of operation
462 drug and alcohol users contacted. Comprising former drug users, family members affected by drug use and
health care staff, they have drug scene credibility, local knowledge and connectivity, and a rudimentary level of
medical competence. Crucially, they enjoy the support of village elders, who are involved in the planning and
reporting stages. While the Community Counselling Teams with their basic training in addiction counselling are in
no position as yet to either provide or refer clients to treatment, they can provide brief interventions, organise self
help groups, and most importantly provide an alternative to law enforcement. By taking a development centred
approach, with emphasis on community, empowerment and inclusion, it provides a constructive and inclusive
alternative to medical approaches and the compulsory drug treatment centres. The paper is based on an
evaluation involving interviews with a range of stakeholders and a review of project documents.
Introduction
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