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Perceptions of on-the-job supervision needs of drug rehabilitation center helpers in Malaysia

Chou CC, Bourgeois P, Tan S

Subst Abus, 2013;34(2):150-4.
PMID: 23577909 DOI: 10.1080/08897077.2012.728992

OBJECTIVE: In this study, 218 national drug rehabilitation center helpers in Malaysia were surveyed regarding perceptions of their on-the-job clinical supervision needs and preferred supervisor roles and emphasis areas in their supervision sessions.
METHODS: Descriptive analyses were conducted.
RESULTS: Findings suggest that drug rehabilitation center helpers in Malaysia expressed high level of on-the-job supervision needs. In addition, professional behavior skills were found to be the most desirable supervisory area followed by process, conceptualization, and personalization skills.
CONCLUSIONS: Implications for providing clinical supervision for drug rehabilitation center helpers in Malaysia were discussed, along with suggestions for future research.

Matched MeSH terms: Substance Abuse Treatment Centers/organization & administration*
Fulltext An exploratory qualitative assessment of self-reported treatment outcomes and satisfaction among patients accessing an innovative voluntary drug treatment centre in Malaysia

Ghani MA, Brown SE, Khan F, Wickersham JA, Lim SH, Dhaliwal SK, et al.

Int J Drug Policy, 2015 Feb;26(2):175-82.
PMID: 25577322 DOI: 10.1016/j.drugpo.2014.10.002

BACKGROUND: In Malaysia, compulsory drug detention centres (CDDCs) hold suspected drug users for two years without adjudication. Acute detoxification without healthcare access has been documented. CDDCs are criticized globally due to ineffectiveness in treating addiction and human rights violations. In response, the Malaysian government began transitioning these facilities into voluntary drug treatment centres known as "Cure and Care" (C&C) centres that embrace a holistic treatment-based approach to drug addiction rehabilitation.
METHODS: An explorative qualitative study was undertaken to explore patient perspectives and satisfaction regarding treatment and services at the new Cure and Care centre in Kota Bharu, Malaysia. A convenience sample of 20 patients was recruited to participate in semi-structured in-depth interviews. Content analysis was used to identify the salient themes.
RESULTS: Patients identified methadone treatment, psychosocial programs, religious instruction, and recreational activities as important factors contributing to treatment success for addressing both health and addiction needs. Though many had previously been in a CDDC, adherence to treatment in the C&C centre was perceived to be facilitated by the degree of social support, the voluntary nature and the array of new programs available for selection.
CONCLUSION: C&Cs represents a dramatic shift in the Malaysian government's approach to drug addiction. Our findings demonstrate positive patient experiences associated with the holistic treatment-based approach of these centres. This exploratory study provides additional evidence to document this ongoing policy transition and may guide continued expansion of new holistic drug treatment programs across the country.

Matched MeSH terms: Substance Abuse Treatment Centers/organization & administration
Complementary treatment of drug addicts in Malaysia

Razali SM

Trop Doct, 2000 Apr;30(2):105-6.
PMID: 10842562 DOI: 10.1177/004947550003000218
Matched MeSH terms: Substance Abuse Treatment Centers/organization & administration*
Tuberculosis screening in a novel substance abuse treatment center in Malaysia: implications for a comprehensive approach for integrated care

Al-Darraji HA, Wong KC, Yeow DG, Fu JJ, Loeliger K, Paiji C, et al.

J Subst Abuse Treat, 2014 Feb;46(2):144-9.
PMID: 24074846 DOI: 10.1016/j.jsat.2013.08.023

People who use drugs (PWUD) represent a key high risk group for tuberculosis (TB). The prevalence of both latent TB infection (LTBI) and active disease in drug treatment centers in Malaysia is unknown. A cross-sectional convenience survey was conducted to assess the prevalence and correlates of LTBI among attendees at a recently created voluntary drug treatment center using a standardized questionnaire and tuberculin skin testing (TST). Participants (N=196) were mostly men (95%), under 40 (median age=36 years) and reported heroin use immediately before treatment entry (75%). Positive TST prevalence was 86.7%. Nine (4.6%) participants were HIV-infected. Previous arrest/incarcerations (AOR=1.1 for every entry, p<0.05) and not being HIV-infected (AOR=6.04, p=0.03) were significantly associated with TST positivity. There is an urgent need to establish TB screening and treatment programs in substance abuse treatment centers and to tailor service delivery to the complex treatment needs of patients with multiple medical and psychiatric co-morbidities.

Matched MeSH terms: Substance Abuse Treatment Centers/organization & administration