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THE MAGALIESBURG HEALTH CENTRE

PRACTICE NUMBER:  047 – 001 - 0453722

WELFARE NUMBER: 4300 – 256 - 015

A DIVISION OF

CRESCENT OF HOPE SOUTH AFRICA

INDEX:

1. Introduction

2. History of the centre

3. Preamble

4. Foreword

5. Contact details

6. Mission statement

7. Period and cost of internment

8. Our objectives are

9. Vision

10. Towards these objectives our treatment process includes

11. Objectives of the centre

12. Location and locality

13. Registration of Magaliesburg as a health centre

14. Organogram

15. Staff

16. Code of conduct

17. Fees and application for Zakaat

18. Medical aid

19. How to have a patient admitted

20. Conditions under which patients are admitted and treated

21. What to expect on arrival

22. What to bring with

23. What is expected of the patient

24. Aims of the treatment

25. Nature of treatment

26. Daily programme

27. Programme

28. Recreation

29. Typical menu

30. Discharge before release date

31. Rules and regulations regarding relapse patients.

32. Visitation

33. Help available to the family

34. What you can do

35. Other services provided by the centre

36. Success rate and influence.

37. Some articles of concern

38. Conclusion

*** Please note that MHC in the document will refer to Magaliesburg Health Centre.

1. INTRODUCTION

It is only by the grace of the Almighty ALLAAH that we have been granted the opportunity to offer our services to the Ummah (nation) during these trying times when there is desperate need to uplift and rehabilitate the community. We thank ALLAAH for making it possible, through HIS mercy, to establish this centre under the auspices of CRESCENT OF HOPE and to use this centre as a means of comfort, understanding and consolation towards those who are victims of a harsh and influential society. We have been equipped to assist those who are afflicted by drug dependence, addiction, depression and / or the obsession for other substances. 

The approach we have adopted is similar to the SALUS programme of spiritual awakening, love, understanding and sincerity.  This concept is applied with respect for the individual, creative expression, mental stimulation and a physical exercise programme with a fundamental common constant viz. the recognition and acknowledgement of ALLAAH.  May HE give us the strength and hikmaat (diplomacy) to be continuously successful in our effort to purge this scourge from our communities.

 

  

                                             THE ENTRANCE TO THE CENTRE

 

2. HISTORY OF THE CENTRE

The Magaliesburg Health Centre for drug rehabilitation was acquired by the Crescent of Hope Organisation in 1999 and covers 109, 7421 hectares.

Moosa Nagdee, one of our executive members, was assigned to oversee the development of the land and buildings and to make the place habitable this was done and the place developed into a perfect place for the treatment of those addicted. His tenure terminated on 28 February 2002.

On the 1st April 2002 Khalil Hassim was appointed as administrator / director of the institute as this was his passion and with 30 years experience in the field of counselling those addicted to drugs and other substances we were confident of success. He sacrificed a senior position and a substantial pension scheme from his company, Protea Chemicals, to dedicate his full attention to running MHC.  Never was a man more dedicated to his cause and to pleasing ALLAAH.  Besides running the entire programme at the centre, he would travel all over to give the Jumma talks at various Masaajid on a regular basis, incorporating the topic of substance abuse in our communities.  He will fondly be remembered for his kind and understanding manner, his impassioned teaching, his quick smile and his ability to make a patient feel accepted. Khalil Hassim finally retired and passed away in April 2007.

After Khalil Hassim’s demise, Mohammed Rafiq Mayet took over the reins. Mohammed Rafiq is a progeny of Khalil Hassim. Trained, tutored and guided by him, Mohammed Rafiq has become the administrator / director and counsellor of the centre and is proving his worth and making Khalil a proud mentor of this gifted man who overcame much to become an important figure in the recovery and recouping of our addicted compatriots.  

                     

A PHOTO OF THE ENTIRE CENTRE FROM THE TOP OF THE HILL

3. PREAMBLE

The task of maintaining and improving the institution and facilities available to the patients has been a challenging one as:

*      The centre has been opened to serve the community and not for profit as the organisation governing the centre is a NON-PROFIT ORGANISATION ESTABLISHED ESPECIALLY TO SERVE THE COMMUNITY FOR THE PLEASURE OF ALLAAH.

*      The cost per patient has been kept to a minimum.

*      We endeavour to make this centre affordable to the poor and needy.

We have over the years successfully created a secure and comfortable environment at the centre, where the main focus is the wellbeing and rehabilitation of the client. We make Shukr to ALLAH for guiding us in the right direction and ensuring that we serve HUMANITY for HIS pleasure only.

We also owe eternal gratitude to the members of the community who, over the years, have made countless sacrifices and contributions towards the development of the centre.  ALLAAH has surely blessed our Ummah with great hearts. We pray that they be rewarded abundantly for their selfless charity and should always be remembered in our Duas (prayers).

4. FOREWORD

Magaliesburg Health Centre was established with the goal to serve humanity by offering relief and rehabilitation for those people that have found themselves trapped in the world of drugs and addiction and has a true desire to escape from this addiction. Our objective here is to firstly help a person to discontinue the use of whatever drug they may have become addicted to and supply them with the necessary skills to remain off drugs. We use the international 12–Step programme that most rehabilitation centres utilize worldwide. We have modified it to an Islamic concept. One of the first steps which are covered is to accept that recovery is only possible with the help of ALLAAH (a higher power) thus the majority of our programmes and schedules (Amaals) help bring people closer to Him.

5. CONTACT DETAILS

The contact details at the centre

Telephone                    No land line available.

Fax                              086 6105 190

Cell phone                   083 653 8788

Physical Address        Portion 21 Rietpoort 395JQ

Postal address             P. O. Box 195 Vlakdrift 0342

E-mail                          mrafiqmhc@vodamail.co.za

Website                       www.crescentofhope.co.za

The contact details at the head office

Telephone                    011 854 1809 / 011 852 7370.

Fax                              011 852 1509 / 086 661 3159

Cell phone                   082 268 2020

Physical Address        137 Rose Avenue, extension 2 Lenasia 1827

Postal address             P. O. Box 1635 Lenasia 1820

e-mail                          coh@mweb.co.za

Website                       www.crescentofhope.co.za

6. MISSION STATEMENT

The Magaliesburg Health Centre (MHC) is a substance abuse rehabilitation centre serving the Muslim Community of South Africa as well as the wider South African community. It is a faith-based organisation and Muslim religious practices are followed. Any male person of any faith will be welcome but will have to attend our programme. His religion and practices, however, will be respected. We are not admitting females to the centre but will be accommodate at our centre for females in De Deur INSHA ALLAAH.

Our therapeutic intervention is based on professional values and proven research as well as a firm belief in the client’s right to self-determination. At present our interventions include the following:

*      Multidisciplinary assessment and development of an individual recovery plan.

*      Cognitive behavioural intervention.

*      Person centred therapy both individually and in a small group setting.

*      Factual information and classes about addiction and related topics.

*      Life skill training.

*      Family unification support and counselling.

*      A Minnesota model based twelve step programme.

*      Aftercare services and liaison with rehabilitation centres in other towns to support clients from elsewhere.

*      Follow up calls and research.

7. PERIOD AND COST OF INTERNMENT

The recommended period is six (6) weeks i.e. 42 days. This includes 3 meals a day, counselling, one-on-ones, accommodation, washing of clothes etc. It does not include cigarettes, cold drinks and other luxuries. These can be bought for the tuck shop run at the centre. It does not include medical cost (the doctor prescribing the medication must hand the medicine over to the nurse for administering the required dosage) – if needed, visit to psychiatrist and other medical emergencies.

 It sometimes becomes inevitability to admit a patient for less than the required period. This can only be arranged with the administrator in conjunction with the counsellor if at all possible. The time period and the fees will be adjusted accordingly.

If a patient needs more time than the recommended period, the time period must be arranged with the administrator with the recommendation of the counsellor. The additional fees required will be charged on a pro rata basis.

There is a charge levied on the initial counselling session if the patient is not admitted.

Money paid for the period of internment is not refundable.

The cost of the period will be determined according to the length of stay. Please contact the administrator for more information of costing and payments. See paragraph 17 for more information.

8. OUR OBJECTIVES ARE

*      To offer a holistic programme that will provide clients with the best possible chance of long term recovery from drug addiction and dependence.

*      To cater for clients mental, physical and spiritual needs

*      To prepare the client for successful social integration when he leaves the centre

*      To provide primary and secondary prevention services to the community.

9. VISION

*      To develop and provide the most effective vehicle for long term recovery from substance abuse to the Muslim and other communities of South Africa.

*      To assist, encourage and guide those prone to substance abuse to replace this weakness with positive thoughts and constructive action.

*      To assist, encourage and guide the families to accept this weakness in a family member and to support him in his effort to overcome this failing.

10. TOWARDS THESE OBJECTIVES OUR TREATMENT PROCESS INCLUDES

*      A multi disciplinary therapeutic team including social worker, nursing sister, counsellors and Imaam.

*      Our clients often carry heavy emotional burdens and guilt.  We therefore offer personal counselling on a one on one basis to address emotional, social and psychological problems

*      The multi disciplinary team takes part in the development of an individualised recovery and action plan with each client.

*      Since our clients are often physically deteriorated, we do a full medical examination and monitoring.  This is combined with daily administration of vitamins to improve nerve growth, speed up detoxification, and repair the physical damage drugs have done to the body.

*      Group interaction and counselling is conducted on a daily basis by the nursing sister and the counsellors. This encourages clients to have constant awareness of their emotional and physical status, and to share issues as they arise in stead of isolating the self.

*      Life skills classes are run by the Social worker on various topics including:

Ø  Self acceptance and responsibility

Ø  Anger management

Ø  Realisation of harm and forgiveness

Ø  Communication for a successful marriage

Ø  Self appreciation

Ø  Brainstorming

Ø  Johari’s window assessments

Ø  Planning

Ø  Trigger identification and the relapse cycle

Ø  Relapse avoidance techniques

Ø  Life cycles and life stages

*      For the spiritual wellbeing of clients our Imam runs daily madressa classes including reading and teaching of the Koran and practical Islamic studies.  Clients from any religion are welcome though, and their religious needs will be accommodated.

*      There are aftercare and support groups in Johannesburg, Lenasia, Springs and many other cities and towns. Please contact our representative in your area to find out more about the aftercare programmes in your area.

11. OBJECTIVES OF THE CENTRE

*      To offer a holistic programme that will cater for the addicts mental, spiritual and physical needs.

*      To prepare the addict for eventual social integration.

*      To provide comprehensive primary and secondary prevention services.

*      To redirect the lifestyle of the individual addict and to offer an aftercare support system.

*      Treatment will be provided on a multi – disciplinary basis.

*      The Occupational Therapist and Counsellor will conduct the “Twelve Steps” which is a recognized syllabus for the recovery of addicts.

*      Detoxification and the monitoring of body weights is an ongoing process.

*      The facilities at the Centre are swimming, tennis, soccer, cricket, indoor sports and a gym for exercise.

*      Our daily programme includes one on one counselling, Peer Group Counselling, Spiritual Power Sessions, assignments and gardening.

                                        

THE BOARD ROOM FOR GROUP SESSIONS WITH PATIENTS AND COUNSELLING OF PATIENTS

 

12. LOCATION AND LOCALITY

The centre is located approximately 70 km from Johannesburg and is situated in the serene Magaliesburg area.  The peaceful natural environment compliments the work done here and removes the client from the temptations of the city to start his recovery. Boards will direct you to the centre from the time you leave Magaliesburg, on the Koster - Zeerust road, right up to the centre. Follow our signboards from approximately 3 kilometres after the turn off to Koster.

 

 

GPS CO-ORDINATES:  South   25° 58ٰ 45. 03″       East   27° 28ٰ 25. 65″

 

13. REGISTRATION OF MAGALIESBURG AS A HEALTH CENTRE

The centre is registered with the Department of Health and Department of Welfare. We are also registered with the Medical Aid Board. We now have a registration number and can accommodate medical aid applicants. Please contact the administrator at the centre to find out how this can be done.

14. ORGANOGRAM

*      TRUSTEES AND EXECUTIVE MEMBERS

Ø  Mufti Yacoob Minty

Ø  Moulana Dr Ismail Vally

Ø  Hafez Yusuf Bhamjee

Ø  Hafez Ismail Kholvadia

Ø  Dr Ebrahim Chohan

Ø  Haroon Saley

Ø  Yusuf Lombard

Ø  Yusuf Suliman

Ø  Abdus Samad Kader

*      DIRECTORS OF THE INSTITUTE

Ø  Hafez Ismail Kholvadia

Ø  Abdus Samad Kader.

Ø  Yusuf Lombard.

Ø  Ismail Vally.

Ø  Mohammed Rafiq Mayet.

Ø  Ebrahim Chohan.

Ø  Haroon Saley.

*      MANAGING DIRECTOR

Mohammed Rafiq Mayet

*      PROFESSIONAL DEPARTMENT

Ø  Two Counsellors

Ø  One Social worker

Ø  One Nurse

Ø  Doctor on call

Ø  Psychiatrist on call

*      ADMINISTRATION

Ø  Administrator

Ø  Cook

Ø  Ground staff

Ø  Cleaning staff

Ø  Handy man

Ø  Security

15. STAFF

*      Centre manager and senior counsellor

Mr. Mayet has been with the centre for 10 years and was trained as counsellor by Mr. Khalil Hassem.  He left a lucrative position with KFC to dedicate his full attention to MHC.

Duties: 

Ø    Day to day running of the centre and financial management

Ø    Family counselling

Ø    Personal counselling

Ø    Madressa teaching and support of Imaam

*      Nursing sister:

.           Duties:

Ø    Medical examination and care of each patient

Ø    Psychiatric evaluation of clients when necessary

Ø    Leading group interaction and journal classes

Ø    HIV and AIDS counselling, testing and education

Ø    Health and dietary education including the physical effects of drugs

*      Imam and Madressa Usthad

Duties:

Ø    Learning and teaching Koran

Ø    Madressa classes

Ø    Practical Islamic studies

Ø    Administration for the centre

Ø    Anger management classes.

Ø    Counselling

 

    

THE SALAAH KHANA AND THE WUDHU KHANA

 

*      Social worker

A fully qualified social worker has been employed and will do duty according to her training: 

Duties:

Ø    Individual assessment and personal counselling

Ø    Family counselling

Ø    Life skills classes

Ø    Ethics officer

Ø    Development of therapeutic intervention plan

Ø    Research and follow up

*      Counsellor

Duties:

Ø    Twelve stop programme.

Ø    Group counselling.

Ø    Administration

Ø    One on one counselling

*      We have a Psychiatrist on call.

*      We have a medical doctor on call.

*      We are located near Laratong hospital.

*      University students

University students studying Social Science are applying to do their internship at our centre. We received about 14 applications but could unfortunately accommodate only one. We might increase this number in the future - depending on the situation at the centre. The period of practical studies for the student is 6 months.

16. CODE OF CONDUCT

As in any other organisation or facility, we have a code of conduct and rules and regulations. The rules are created to firstly ensure the safety of all the patients, secondly to ensure religious ethos is adhered to, and lastly that government laws and regulations for a rehabilitation centre are met. When a person comes from a lifestyle of drugs and licentious behaviour, they are very often involved in criminal activities and uncouth conduct. During a patient’s first two weeks, and occasionally later in programme, he will very often test our limits and on occasion break several rules. The patient will then have to face the consequences. We try to instil in the person that for every wrong action there is a reaction or effect. Some examples of these consequences will be lock-ups, no cigarettes, privileges revoked, visitation and phone call denied, etc. For each transgression, we have an equivalent consequence. If a patient attempts to run away, we rely on the local police to apprehend the person. They will then hold the person in custody for two to three days before returning him to the centre. It is an unfortunate reality concerning any rehabilitation centre that there are people out there that will attempt to bring in drugs, run away to get drugs or to simply try to run away to escape their situation. To help prevent these situations we do have full time security personal on the premises (day and night). Restrictions are put in place and no patient is allowed to traverse at any time. 

17. FEES AND APPLICATION FOR ZAKAAT

A fee is charged for six weeks at the centre. This process is discussed elsewhere in this document. The money is payable on the registration of the patient for admission to the centre and before he enters the centre.

The following procedure must be followed if a patient is poor and cannot afford the stipulated fees:

a)      The problem must first be discussed with the administrator of the centre.

b)      If approved, the patient must first pay an amount of at least half the fees on registration. The actual amount that the patient will have to contribute MUST be agreed upon during the discussion with the administrator.

c)      An application for Zakaat assistance can be lodged with any organisation that the patient is familiar with.

d)     If the patient wants to lodge the application with COHSA, he must first complete the form supplied by the administrator.

e)      Attach a letter from the Imam of his local (applicant’s) Masjid stating that he is Zakaatable. This letter must be on the letterhead of the Masjid or Jamaat.

f)       Submit the application to the administrator. The administrator in turn will submit it to COHSA for consideration.

g)      THE PATIENT CAN ONLY BE ADMITTED AFTER THE ZAKAAT APPLICATION HAS BEEN APPROVED.

h)      The patient will be liable for the full amount if he is admitted before the Zakaat has been approved and the application has been turned down.

18. MEDICAL AID

Medical aid patients can now be admitted. Please contact the administrator for detail concerning which medical aid we are registered with and the procedure involved in admitting a medical aid patient.

19. HOW TO HAVE A PATIENT ADMITTED

The following steps will give you a guide on how to have a patient that wants to help himself get off the drug that he is on admitted to the centre.

*      First make sure that the patient wants to be rehabilitated. This will help in his recovery. It will not help him or anybody else if he is forced to be admitted to the institute.

*      Phone the centre and make an appointment to have the initial interview and counselling session. The time stipulated must be adhered to and the patient must be accompanied by family members. Family members will also have to attend the initial interview.

*      This counselling session can take up to two hours and will patient will have to pay the cost of this consultation. This fee will be waived if the patient is admitted or will be admitted at a later date. This session will be conducted at the centre in Magaliesburg.

*      All parties concerned must agree to have the patient admitted.

*      The full fee must be paid on admission. If the patient is Zakaatable, he must al least pay half the fee, and submits an application form to the organisation. Approval must be received from the organisation before admittance.

*      Remember the letter from the imam indicating whether the patient is Zakaatable or not. 

*      The contact details are given above.

*      Follow all other instruction given here.

20. CONDITIONS UNDER WHICH PATIENTS ARE ADMITTED AND TREATED

*      A person may decide for himself that he needs treatment for his dependence.

*      A family member, doctor, teacher, employer or the court may also refer the patient.

When a person comes to the centre, he is initially assessed to see if he is willing, ready and suitable to undergo treatment. He is also assessed to see if he is medically fit to undergo such treatment. This is normally brought by the patient from his medical practitioner. The treatment team also assesses each individual and his problems, and draws up a unique treatment programme to suit the individual’s needs.

We have two types of patients:

  1. Those admitted voluntarily for a period of 6 weeks or as agreed to by the team and the individual. This period is followed by a follow-up period at the aftercare centres.
  2. Those admitted for compulsory treatment (e.g. from the courts, doctor’s order etc.) are not tied down to any specific time period but the recommended 6 weeks still applies.

What must be remembered is that although the duration of the treatment may seem long, the drug dependant person has

*      Over the years acquired a lifestyle centring on their addiction.

*      May have already undergone treatment at some other institution.

*      Has undergone some other type of treatment that has been unsuccessful.

*      Has refused to admit that he has a problem.

*      Or might still be recovering from the physical, mental, spiritual, financial and emotional damage his chosen lifestyle has caused him over the years.

Please remember that the staffs at the institution has a tremendous task as all patients admitted are practiced con-artist and will try everything in his power to achieve his aim. He has out-smarted the people in the outside world and it is the institute’s task to turn him about and place him on the right path. He did not suddenly become an angel when he was admitted. Please keep this in mind when rumours abound about any drug rehabilitation centre.

21. WHAT TO EXPECT ON ARRIVAL

When a new patient arrives, a staff member will conduct a complete search of his belongings, luggage, and clothing and there will be a supervised body search. This has to be done, as we are dealing with some of the most intelligent and experienced people. On the rare occasions, something is brought into the centre without our knowledge. Due to this, urine drug test are given randomly to the patients. Complete searches of the premises are conducted by our security on a regular basis.

For a person to attend a drug rehabilitation centre is sometimes a new and scary experience.  If you decide to come to Magaliesburg Health Centre, you can expect the following:

*      You will be assessed by either the counsellors or the social worker before being admitted.  We accept only willing clients, since an unwilling client only causes disruption and negatively impacts on the recovery of other patients.

*      Before entering the centre itself you and your belongings will be thoroughly searched for drugs and weapons.  Neither is allowed in the centre under any circumstances and we reserve the right to confiscate and deliver to the SAPS any drugs or weapons found.

*      A room will be assigned to you for the duration of your stay at the centre.

*      You will, within the first day or two, be examined by the nursing sister and meet the rest of the patients and therapeutic team.

*      Everybody must attend the daily programme.

*      You will not be allowed to contact your family during the first two weeks of your stay. You will, however, be allowed one phone call a week after the initial period.

*      They will be allowed to call you during the morning period only. 

*      Visiting day is Sundays between 8 and 5.  Only family are allowed to visit. Visitors will be restricted to the visiting area and will be allowed into the inner quarters of the centre. 

*      Duration of stay is 6 WEEKS (42 DAYS).  We do not allow the patient to leave the centre during this period, unless an extreme circumstance warrants a relaxation of this regulation. 

*      Any patient wishing to leave our care against our suggestions will not be held against his will. We will, however, attempt to convince him to stay.

*      A patient, who leaves the centre without the authorization of his therapeutic team, will not be allowed to come back to the centre for a period of 6 months following his abscondment.

      

THE PATIENT’S ROOM AT THE CENTRE

22. WHAT TO BRING WITH

The patient will have to bring the following item with them. They are responsible for their own personal effects and the institute will not accept responsibility for the loss, theft or damage to anything belonging to the patients.

1.      A copy of the patient’s identity document

2.      Bedding for a three-quarter bed: blankets, eiderdowns, pillows and sheets.

3.      A mug.

4.      Toiletries: Shaving kit, toothbrush, deodorant, hairbrush, hand cream, soap, washing powder for their underwear and socks.

5.      2 bath size towels: please mark it.

6.      1 hand towel – please mark it.

7.      1 pair sandals: - please mark it.

8.      1 pair sand shoes – takkies: please mark it.

9.      Warm clothing for winter / casual clothing for summer.

10.  A track suit for gym: exercising.

11.  1 alarm clock.

12.  Qurtas and topees.

13.  All garments including socks must be labelled.

14.  A list of all items brought to the centre must be recorded and a copy handed in at the office on admission.

15.  Any medical check-up, medical prescription etc. should be taken care of before admission. The centre is not responsible for this.

16.  All patients will be required to carry our extra-curricular activities.

23. WHAT IS EXPECTED OF THE PATIENT

*      The most crucial factor to the treatment of the patient is his own will to succeed and his co-operation. If this is lacking, the treatment will not be successful.

*      That he should adhere to the rules and regulations of the centre. 

*      He is expected to co-operate with the treatment team and other staff members and to become actively involved in his own rehabilitation.

24. AIMS OF THE TREATMENT

The main aim of the treatment is to help the patient to

*      Understand both himself and the consequences of his problem.

*      Realise that he can be treated and that he can live a normal life without alcohol and drugs.

*      Get well again – physically, mentally emotionally and spiritually.

*      Find alternatives to drugs and alcohol.

*      Develop a lifestyle free from alcohol and drugs.

*      Gain a renewed sense of his mown worth.

*      Learn the value of a well-ordered life with good family and other relationships.

25. NATURE OF TREATMENT

It must be remembered that there is no easy way, no instant treatment and no miracle cure to rid the unfortunate victim of his dependency on drug or alcohol or any addiction he may be suffering from. Many people are under the impression that the sick patient can be treated like any other patient in the hospital, i.e. with pills and injections. This extremely ill client has to have a far greater treatment, besides the medical one, to rid him of this ailment. The treatment that he has to endure has to bring about an entire change in his life. Have you ever tried to change the seemingly unchangeable? This is difficult and sometimes very nearly impossible to achieve.

The treatment must involve the patient frank discussions, family aid, family understanding, interviews, counselling and an opportunity to think about himself and his future. 

When a patient is admitted to the centre, the priority is to give attention to the way he copes (with assistance and a watchful eye) on his immediate physical needs. This will include his medical treatment, treatment of his withdrawal system and detoxification.

As soon as the patient’s condition permits, the counsellors will have an individual discussion with him to assess his problem. A group discussion with all the patients follows to discuss general problems relating to their addiction. In addition to the above we also form educational groups and discussions are conducted amongst the patients on a regular basis.

A misconception!!! People are quick to judge a situation before ascertaining whether the information (gossip?) they heard is correct – and if correct, why it was done.

The most common information, that spreads exceptionally fast, is that drugs are freely available at the centre. That the patients are getting drugs from the administration at the centre.

Firstly it must be remembered that when the addict comes to the centre, he has generally been on drugs for a number of years. Because of the lengthy time period, he most probably is on more drugs than when he started (e.g. he started using drugs once a day, then it went to twice or more times a day, then – because he does not get the “kick” anymore - he increases the dosage). The drugs he is taking, and the amount of drugs taken, is of such a nature that if it is stopped immediately, permanent physical and mental harm will be done to him. The taking of drugs cannot be stopped immediately. He is then referred to a medical practitioner who prescribes the quantity of drugs to be administered, how and when it should be administered and in what quantity and over what period it should be reduced. The prescribed drug and the instructions are then given to the centre. The nurse at the centre now has to administer the drug as instructed.

All the patient sees is that the person is getting drugs and notice that he is “high”. This information is then given to the visitors on visitor’s day and instead of approaching the administrator at the centre, they would rather spread this “juicy news”. The harm done to the centre and ultimately to the addict is considerable. PLEASE VERIFY INFORMATION COMING TO YOU REGARDING THE CENTRE BY CONTACTING THE HEAD OFFICE OR THE CENTRE ITSELF.

Please also remember that the patient has been on drugs for a long time. During that time he has become a very good conman and has learnt how to get drugs under any circumstance. Also remember that he will try his utmost to get drugs into the centre when he goes into a withdrawal or depression. That is human nature.  Unfortunately we find family members and friends “helping” him by providing these drugs. Although we take all precautions possible, although we have all security in place and although we preach the fact that it is for their own good, it will sometimes slip past us. This then is told to the outside world and the centre is blamed for this state of affairs - NOT their friends, NOR their family, NOR their suppliers – only the centre.

                                        

ENTRANCE TO THE OFFICE

 

26. DAILY PROGRAMME

FROM

TO

ACTIVITIES

Waking up time

Adjusted according to the times for Fajr Prayers

Fajr Time

Fajr Salaah (prayer) is performed

After Fajr

Zikr and Ibadat or Tilaawat of the Quraan or Murahkabah is performed up to Ishraaq

Up to 7h30

Breakfast and vitamins. They now have a choice to either rest or sleep

7h30

8h00

Daily walk or cardio workout

 

8h00

9h00

One hour to rest, clean their rooms, make up the beds, shower and prepare for classes

09h00

09h30

Room check by security

09h30

10h30

Group interaction and journal class - First Session

10h30

10h40

10 minute break

10h40

11h45

Life skills class – Second Session

11h45

11h55

10 minute break and fruit served

11h55

13h00

Minnesota model (12 step programme) class – Third Session

13h00

13h30

Zohr Prayers

13h30

14h00

Lunch

14h00

16h00

Free time up to Asr. Sport programme or gym exercises or resting. The patients are required to participate in sports such as cricket, soccer, volleyball, swimming or gym between fifteen hundred hours and Asr. The type of sport they partake in for the day depends on the weather and their decision. They have a choice of table tennis, pool or snooker if the weather is unfavourable. 

16h00

16h30

Asr prayers

16h30

Magrib

Quraan reading, Individual Zikr etc. Between The patients have a Madressa class followed by a short break

Magrib

Magrib

Magrib prayer

After

Magrib

Read Surah Mulk, Surah Sigdah and Surah wakiyah and the reading of the Quraan.

 

 

Supper

Magrib

Esha

Free time. The patients can now use the free time to complete any assignments given to them and to socialise with the other patients.

Esha

Esha

Esha Salaah

After

Esha

Durood or Madressa classes

After Durood

22h30

Free time. The patients now enjoy more free time during which the patients may play any sport (under supervision) or intermingle with other patients at the centre.

22h30

22h30

Lights out from Sunday to Thursday

22h30

23h00

Lights out Friday and Saturday

*      Individual counselling takes place throughout the week on a roster basis. You will usually see your counsellor 4 to 6 times for personal counselling during your stay.

*      There is a television for evening viewing outside of programme times.

*      Failing to comply with the above will result in appropriate measures being taken.

*      Total dedication and commitment must be given to achieve the full benefit of the above programme.

*      Patients are allowed week-end entertainment

27. PROGRAMME

Our programme can be broken down into four categories:

i.                    12-Steps

ii.                  Life Skills

iii.                One on One counselling and

iv.                Daily Programmes (Amaals).

i. 12 STEPS

The twelve step programme is an internationally used programme designed to help the recovering drug addict find out who they are, come closer to ALLAAH  (a higher power) and start making amends for their past. It is one of the most successful programmes that rehabilitation centres have been using as already mentioned. We have altered the programme to cater for any belief that a person may have, especially for Muslims.

ii. LIFE SKILLS

 Life Skills cover a very large spectrum of daily activities that a person without an addiction problem may take for granted. Some examples of these are time management, dealing with stress, relationships, anger management and so on. There are two methods to convey these skills to the patients:

Ø  The classroom method (work groups)

Ø  Hands-on practical approach.

One of the most commonly found problems with a person suffering from addiction is their inability to deal with everyday events and problems.

iii. ONE ON ONES

One on Ones are the individual sessions that a patient will have with our counsellors. The team consist of Counsellors, Social Worker and a Psychologist. The aim of having these personalized sittings is to help the person with intimate problems they may be experiencing and to guide the patient through the programme. We have customized the programme to cater for the individual. We will be able to determine whether a person has a psychiatric problem that will need more specialised attention during this period. We will evaluate the situation if such a case should arise and, if we cannot accommodate the particular needs of the patient, will refer the patient to the either the psychiatrist or psychologist.

iv. DAILY PROGRAMMES

Our Daily Amaals (Programme) has been put together to help the recovering addict regain several attributes that they will need to survive in the world (good habits, routine, discipline). Although we have based the times around the Islamic Salaah times (catering for majority of patients we help), we do not enforce these times on persons of other beliefs. What we do encourage our non-Muslim patients to do during these times is to practise there own religions. After each Salaah, there is either a kitaab reading, Quraan reading or Zikr.

28. RECREATION:

*      Swimming pool

*      Gym centre.

*      Indoor sport e.g. table tennis.

*      Outdoor sport e.g. Volleyball, soccer, tennis etc.

*      Horse riding.

*      Trail walks.

*      Other activities to help the patient overcome the craving for drugs.

       

                 GAMES ROOM / RECREATION                              TENNIS

 

         

    SWIMMING POOL                                 GYM                              TRAIL WALKS

 

    

               SAUNA WITH SHOWERS                                                RELAXING AREA

     

      TRANQUIL AREA                   VOLLEY BALL                              MEDITATION

 

    

                                        T.V.  ROOM                                                       SICK BAY

 

29. TYPICAL MENU

DAY

BREAKFAST

LUNCH

 

SUPPER

 

MONDAY

TEA / COFFEE

+

EGGS / TOAST

KHARI KHICHRI

+

SIDE DISH

CHICKEN

+

STEAM VEGGIES

TUESDAY

TEA / COFFEE

+

SOJEE PORIDGE

MUTTON CURRY

+

RICE

MUG & ROTI

WEDNESDAY

TEA / COFFEE

+

EGGS / TOAST

DHAL & RICE

+

ALOO – FRY

BURGERS

THURSDAY

TEA / COFFEE

+

JUNGLE OATS

MINCE CURRY

+

RICE

PASTA

FRIDAY

TEA / COFFEE

+

KELLOGS

AKNI – SOUR MILK

+

SALAD

TOASTED CHEESA

+

BAKE BEANS

SATURDAY

TEA / COFFEE

DHAL & RICE

FISH & CHIPS

OR

FISH BURGERS

SUNDAY

TEA / COFFEE

+

MATABELLA

OPEN

HOT DOGS

    

              BRAAI AREA                                                        DINING ROOM

 

    

                                                          THE KITCHEN

30. DISCHARGE BEFORE RELEASE DATE

The centre will not hold itself responsible for any person asking to be released from the centre before his due date (before 6 weeks have lapsed). We always recommend that a patient stay the full course as it has been designed to terminate after six weeks have lapsed. Asking to be released before this period has lapsed, means that the course could not have its desired effect.

The patient who is admitted for a shorter period has either been re-admitted because of a relapse or has made prior arrangement so that the counsellors could adjust the programme to suit their needs. This is only done under certain conditions.

31. RULES AND REGULATIONS REGARDING RELAPSE PATIENTS

Magaliesburg Health Centre will not allow the re-admission of relapse patients for at least 3 to 6 months after being discharged. Reasons for this are:

*      Most patients re-admitted have a negative attitude which exerts a ruinous influence on other patients.

*      They do not attend group therapy classes as they already know what is happening.

*      Those that do attend behave in a disruptive manner.

*      Some are hooked on the lifestyle that drug abuse has brought them and do not want to let go – this creates a massive problem for those wanting to rehabilitate.

Clearly, most of them have not made peace with their addiction as yet – they are extremely reluctant to rehabilitate – and come to the centre because:

*      They are forced to come back by their parents, elders etc.

*      They use the centre as a place of relief.

*      For personal reasons that has nothing to do with rehabilitation.

Most of the rehabilitation centres and also social development have stressed the point of NOT accepting relapse patients at just any time after release from the centre. They are of the view that they need to have a reality check before they are given another chance. They have to be taught the value of a rehabilitation centre and work hard towards achieving recovery.

These regulations are not meant to close any doors for people who are desperate for help. We are only attempting to make sure that only those who are committed and sincerely want to be helped are admitted – for the sake of the institution, the patients at the centre and the patient re-admitted.

Application for re-admittance after 3 months will be evaluated and assessed. They will only be re-admitted if they are successful in their re-evaluation.

32. VISITATION

Concerning visitors, the centre does not allow any visitors inside the precinct. We have provided facilities, a visitor’s section and meeting area, where the patient can enjoy a day with the family. Any packages and baggage brought to the centre will be thoroughly searched for undesirable items that are prohibited by management.

Parents can phone the centre at any time to make an appointment for them to visit their son or to speak to the counsellor. It just is not fair to rock up at the centre and expect the counsellor to leave everything and to attend to you. Please be considerate and phone a few days before time so that appropriate arrangements can be made.

Sunday are normally set aside for family visitation.

                   VISITORS HALL                      WALKS FOR VISITORS AND PATIENTS   

33. HELP AVAILABLE TO THE FAMILY

The patient is not the only person who needs assistance to stop this scourge. The family must be helped too. They will have to know how to deal with problems that may arise once the patients has been discharged. They need to know and need help to cope with the situation. Their expectations may differ from that of the patient himself. The counsellor, who assisted the family when the patient was referred to the centre, will continue to do so for as long as the patient remains at the centre. If the family stays in contact with the centre, they can be assisted when the need arises. As a rule the patient’s family needs to be helped in the spheres:

*      To develop an understanding of the condition of dependence on alcohol or /and drugs.

*      To develop an understanding of the problems that has led to the patient’s dependence on the drug.

*      To acknowledge and understand the problems that resulted from this dependency.

*      To find ways to bridge the gap between family members, overcome the difficulties and solve these problems to the benefit of all concerned.

*      To cope with the practical domestic problems that may arise, e.g. financial, physical, mental strain, emotional turmoil, family relationship and general attitude towards each other.

*      To keep in touch with the centre and advice them of the patient’s progress.

*      To assist the patient in re-adjusting to his drug-free lifestyle.

Relatives are encouraged to join groups, such as the After-Care Group. These groups’s aim is to help the dependent’s family and the protégé themselves.  It would also mean a great deal to them to meet others afflicted with the same “disease”. They now meet people who are suffering with the same affliction and understand their predicament. This in itself is a great help to the family and the ex-addicted person as they now know that there are others who can ease their pain and suffering through understanding and sympathy. Please refer to the section AFTER CARE CENTRES to see which centre is closest to you.

34. WHAT YOU CAN DO

Relatives and friends are the most important people in the life of the patient. They have the greatest influence in his life. Unfortunately the drugs and behaviour has impeded this relationship. Unpleasant things may have been said, or done, or implied by all concerned resulting in everybody becoming desperately unhappy and uncomfortable in each other’s company. This leads to a break in family relationship and friendship. Whatever the state of affairs, the rationale or the feeling, the patient (maybe all parties concerned) feels guilty, insecure and perhaps resentful. The family, on the other hand, may feel hurt, bewildered, angry and disappointed. Here are some hints on what you could do to help:

*      ENCOURAGEMENT

It is trying for the patient to attend our centre and to remain drug-free. He may feel humiliated. He may be scared. It is up to the family to encourage him to do the right thing and attend a centre where he will receive help to overcome his addiction. At this point most of the decent friends have already left him and those that are with him most probably are doing the same things he does under the same conditions. Only his family can be relied on to rally to his aid. They have to convince him, encourage him, plead with him or/and threaten him to be admitted to the centre, co-operate with the treatment team and think positively about the future.

*      UNDERSTANDING

We will help the patient understand himself and his problem(s) at the centre. Relatives and friends, however, also need to learn what dependency on drugs and alcohol means generally. They also need to learn what it means to the patient. Why people take to drugs and how they are introduced to this affliction. What drugs normally does to a person and what the drug that the family member is addicted to is doing to him. This you will find on the internet or in books or, now also available, on CD (DVD). They also show you what can be done to help the patient.

This knowledge will help the family to gain not only a better understanding of the patient, but also to formulate a clearer impression of the possible benefits of the treatment he will receive or have received.  Armed with this information, the family will now be in a position to support the patient to the benefit of all concerned.

35. OTHER SERVICES PROVIDED BY THE CENTRE

*      Family counselling.

*      Alcohol and drug awareness.

*      Gambling addiction.

*      Educational programmes,

*      Information programmes for parents, teachers, pupils, students etc.

*      General drug information to the community.

*      Training for potential counsellors.

*      Lifestyle education i.e. preventative educational programmes.

*      After-care services.

*      Out-patient facilities.

36. SUCCESS RATE AND INFLUENCE

Determining precise statistics for a success rate is extremely complicated, since clients move on with their lives. A recent international survey has revealed that the success rate of recovering addicts is extremely low.

We attribute our success rate to the fact that we are applying a completely Islamic ethos in our effort to help our patients and that ALLAAH is rewarding the effort with these results. It is HIS mercy and compassion that the success can be attributed to – something the other institutions do not have. We are proud to be serving HIM and his UMMAH.  It is a fact that if the patient continues with the Islamic programme of Salaah and Zikr in the outside world (as he has been trained during his stay with us), he will be successful as he has taken ALLAAH with him.

37. SOME ARTICLES OF CONCERN

The following article appeared on the front page of the THE TIMES on Tuesday 03 July 2012.   

 

 

On page 12 of the same addition of THE TIMES the editor gives her opinion of the scourge and how it is affecting the communities.

 

 38. CONCLUSION

We live in this harsh and dangerous world. Many people have succumbed to the traps of drugs, alcohol and crime. It is a sad truth but no programme is perfect. There is no ‘quick fix’ for the people that we help. The international recovery statistic for heroin addicts alone is that 98% will not overcome their addiction. Only 2% of the world’s heroin addicts will one day find peace through recovery. Regrettably, it is impossible to get a completely accurate success rate. It would be a dream comes true if you could give a guarantee that a person will never again use drugs, once they leave here but we cannot. All we can do is supply a person with the skills he will need and to help himself by increasing his faith in the ALMIGHTY. We help them remember what life was like before his addiction and give them the necessary proficiency to lead a normal drug free life. We can do all these things but eventually it will depend on the individual himself to make the treatment a success. Only he will be in a position to determine whether his life will be drugging free or not after the knowledge, he gained at the centre.   

 

AND ALLAH KNOWS BEST

 
 

                                                                                                                                                                                            

 

 Copyright : Crescent of Hope South Africa 2009. All Rights reserved