Medical
Sociology

Social Service and Central Drug Addiction Treatment Centre

Social Service and Central Drug Addiction Treatment Centre

Preface:

Industrial revolution is an outstanding event for potential change, progress and for excellence of human civilization. No doubt about it that Industrial revolution provides simplicily and complexicity (problems). To solve or cope with the complex psycho-social problem, social work came to the day light. The first initiative in social work was seen in UK in personal level awakened by riligious devotion charity and humaniarianism. A present time social work is an international recognised profession. Field work has got the tecognition alll over the world an integral and significant part and parccel of professional social work education. Historically the profession of social work has considerd field work a primary means of providing students the opportunity to integrate knowledge, value and skills. In field work settings (practicums), students learn by doing. Students are placed in social and human service agencies to gain practice experience working with individuals, groups, families, and communities. They also gain and contribute knowledge related to organizational policy and administration, and to legislation related to populations and funding of social service organizations. Students are expected to apply research knowledge and skill such as reviewing leterature related to the field of practice, data gathering regarding client progress, needs of a population, and program outcomes. Field work opportunities enable students to apply and integrate previous and current learning. Social work is a professional service based on scientific knowledge and skill in Human relations whiche help individual groups of community obtain social or personal satisfaction and independence.

         Social work practice is the use of social work knowledge and social work skills to implement society’s mandate to provide social services in ways that are consistent with social work values. Practice includes recommendation; restoration rehabilitationg those whose social functioning has been impaired; and prevention some of the most important social work practice roles are clinician, administrator, advocate, broker, caregiver, case manager, communicator, consultant, data-manager, evaluator, movilizer, outreacher, planner, proctor, researcher, supervisor, teacher and upholder of equitable social values. Social work practice may occur in micro practice, mezo practice or macro practice.

         To apply social work methods theoritical knowledge, skill and principles in the filed and to perform my compulsory course I was pleced at Central Drug Addiction Treatment Centre really I am benefited to be placed in such an unique agency. I was assigned there for 60 days. The field work practicum report represent of my experience skill and knowledge which I have gathered during my field work practice. I have tried to achive the perfection and success in performing my duties and responsibilites. My faithful request is to evaluate my unintentional mistakes and limitation in field work practicing and reporting in the eye of forgiveness.

 Preamble:

Social work is a helping profession which fundamantally and radically aims to assist the individuals, groups and community to cope with their complex socio-economic psychological problems thruough enabling them. So that they can solve their problem by helping themself. According to one of the great pioneer Walter A Friedlander, social work methods are divided into two part (a) Basic method of social work and (b) Auxiliary. (a) Basic method are divided into 3 parts such as (1) social case work (2) social group work (3) community social work. (b) Auxiliary methods are divided into 3 parts. such as- (1) social action (2) social administration (3) social research.

              Social work in practice is called field work. It relates particularly in care, particularly in group and particularly a student can not get proctical knowledge about the field where he is going to work in near future. Therefore field work is a rare combination of theoretical and practical knowledge and it makes a bridge among the people to solve the psycho-social and other complex problems. In this field new scholar (apprentice social worker) become skilled interviewing, using theories, methods, techniques in practical arena assuring recoding, responding reporting etc. After all social worker diverts problem from complexcily to simplicity (solution).

Concept of social work education:

Social work is a concept of the social science of doing well for each other personally as well as collectively. It refers to a collective approach of reducing suffering and disadvantages and increasingly happiness and advantages of the community members with the active participation and involvment of individuals as well as government and Non-government organisation

Focal point of social work intervention

Current definition is given by Social Scientists Skidmore & Thakery. They said, “Social Work may be defined as an art, a science a profession that helps people to solve personal, group and community problems and to attain satisfying personal, group and community relationship through social work practice including case work and community organization, administration and research.” Scial work provides service for the problematic person just like the following:

Problematic person

Every profession has its knowledge and practice on the basis of which the professionals of that profession engage them in human service, and on the basis of their knowledge and educational activities. In the same way social workers have to practice social work on the basis of social work educational activities.

High lighting the theoretical side W.A. Friedlander said, “Social work is a professional service based upon scientific knowledge and skill in human relations, which assists individual alone or in groups to obtain social and personal satisfactions and independence.

Historical background of social work education:

Though the traditional background of social work was originated in England but it was recognized as a profession in America. Coordinated social work was originated and the question of quality and experience of the related persons was being discussed loudly when the separated and the traditional social welfare activities become unable to solve the problem to fulfill the needs of the people. In 1893 Anna L. Dawes is the first man who gives importance on the training of social work profession in social work practice in International Congress of Charities, Correction and Philanthropy in Chicago. (Friedlander, 1982:484)

Then Marry Eileen Richmond, one of the main founders of social work as a profession proposed for a separate school for professional social work practice in National Charitable and Correctional Conference in Toronto, 1987. (Encyclopedia of Social Work, 1965:665) After his declaration New YorkSchool of philanthropy was founded in 1898 and has at first a six week training session was arranged on social work. Later the duration of this training was extended at first one year and then 2 years. This New York school kept a great contribution for professional social work education and training. New York School of Social Work was founded to extend social work education in 1904. Mainly from that time professional social work practice education and training courses were started in different universities in America. (Rahman.1996)

In terms of time social work has become a subject of higher educational institution, which aims to give up the total human welfare by developing the standard of traditional social services through the light of experienced &knowledge collected from the society. (Samad, 1996; 81)

Chart of upgradation of social work discipline

Upgradation of social work

International and modernized social work:

The concept of internationalism was seldom applied in the field of social welfare until a number of socio-political developments took place throughout the world in the very recent past year. The recent realities of a unipolar world, the introduction of a worldwide free market economy and the concept of a global village have driven social thinkers and scientists to conceptualize the concept of welfare in an integrated manner with the current mental/psychological state of the world people being in a smaller village-like world with many common concerns to share. Thus, today the societies/communities spread throughout the globe do not live and exist far apart from each other. Through revolutionary technological advancement like the use of fax, e-mail, website, mobile phone etc besides radio, television, telephone they have overcome their geographical distance and minimized it almost to a zero distance. Dozens and hundreds of civilizations and corresponding societies/communities are now aware of each other and can share their joys and sorrows easily and, in fact, can not keep their eyes close to the weal and woes of others. That is why the idea of social welfare has today crossed the boundary of a community of nation and assumed within its scope the responsibility to respond to the concerns of other nation/communities/societies.

Journey of social work education in Bangladesh:

  Social Work education has started it’s  journey in Bangladesh during the period of Pakistan through a short time training course by the help of the United Nations in 1953 and social work education and training was extended afterwards. College of Social Welfare and Research was established in 1958 and being included under DhakaUniversity. This college starts its educational programs in the session of 1958-59 with 55 students. Afterwards in 1973 it’s renamed as the institute of Social Welfare and Research (ISWR) under DhakaUniversity. In 1974 social work was included in the curriculum of graduation (pass) and Higher Secondary level as an optional course. Shahjalal University of Science and Technology started this subject as a B.S.S (Hons.) course in the session of 1993-94.At present this University is providing Honors and Masters degree. On the other hand NationalUniversity was established in 1992 and from the starting of its establishment it is teaching this subject by the colleges under it. According to the data of 2001 Masters Courses is being taught by 17 colleges and Honors course by the 32 colleges under NationalUniversity. (Islam 2002:319). RajshahiUniversity is also providing graduation and post graduation degree on this discipline. Pioneer of social work and social workers belief that within a short time social work gets professional recognition. To ensure the proper social services for people government should take necessary steps to professionalize the renowned discipline social work.

Limitations of Social Work Education in Bangladesh

Since social work has historically been regarded as non-professional in character in Bangladesh, it has experienced certain limitations. The limitations currently of note are: i) the Department of Social Service (DSS) under the Ministry of Social Welfare recruited social work graduates its for various social welfare program up to 1973. However, since 1974, the government of Bangladesh has changed its recruitment policies to make these fields of services open for masters degree holders from any dischipline; ii) There is no professional association/organization such as those developed in other parts of the world. This includes an accreditation body for social work education – such as the council on Social Work Education; a professional organization such as the National Association of Social Workers or a licensing board such as a Board of Behavioral and Social Science Examiners. iii) Although some changes and adjustments in the curriculum have been made, the current curriculum  is still not up to an international standard and not in accordance with the changing needs of Bangladesh society; vi) Standard textbooks in mother language-Bangla and indigenous reding materials are not available in accordance with the demands and needs of the students. As a consequence, reading, practicing and teaching of social work is not professionally recognized, There is no aptitude and attutude tests taken like developed coutries in selecting students for admission in social work disciplines and courses; and v) Finally, the financial and other resources constraints is an important limiting factors in regard to development of social work education in Bangladesh.

     It is significant to note that despite above mentioned limitations, social work is quite popular among students bevause they find more employment not only with government development agencies e.g. Bangladesh Rural Development Boar (BRDB), Department of Social Service (DSS), Department of Women Development but also with NGO’s upon completion of social work degrees.

Conceptual analysis of field work:

Field work is an integral part of the social work education. Historically the profesion of social work has considered field work a primay means of providing student opportunity to acquire knowledge value and skills. Simply we can say field work refers the process or approach in which social knowledge, value, principles and other social work related discipline are exercised in the arena of social service welfare and sustainable development.

 According to Prof. Dr. Md. Golam Azam “Field work is a peer supervise of learning process a qualitative study qualitative, quantitative data or information) knowledge synthesize and integrate knowledge what is learn in the class room or in laboratory (human services). Field work emphasizes on the area of following chart to make the social worker skilled. .

1

Free activity area

2

Blank area

3

Facade

4

Area of Unkonwn

Field work means to work in the field work agency. It is considered an integral part of social work education. In this process, we get opportunity to apply theoretical knowledge and techniques in the field work agency to meet the social problems. Social work emphasize on field work to practice or apply it’s knowledge

Process of social work practice

For proper conceptual analysis of field work we should see the definition of Institute of Social Welfare and Research, University of Dhaka.

According to the syllabus of BSS (Hons) – Field work consists of supervised practice in problem – solving activities with the recipients of social work services which enable students to learn to apply and test social work skills necessary for professional practice. Education experience in field work is designed to integrate practice with theoretical knowledge. Students assignments are planned to give content sequence and progression in learning. The minimum required time for field work is 420 hours to be spread over 60 working days. In addition, 10 days will be allotted for final report

writing. Each student is required to write a final report on his/her work which will be examined by the supervisors responsible for field instruction during field work. There will be a viva-voce examination for this course at the end of the session.

Above all, field work is an educationally sponsored attachment of social work students to an institute, agency or a section of community in which they are helped to extend their knowledge and understanding and experience the impact of human need and interest.

Historical background:

ON the view of field work social work is a dynamic and updated discipline than the other discipline of arts and social science faculty. But field work is not a ready made product of present time. It shows a aged history like social work education Initial stages of field work was not systematic and organized. One of the great pioneer of the social work Mary Richmond first introduced social work practice and she wrote a dramatic and historical book named “Social Diagnosis”. Whishworth, P.I.Park and has inaugurated field practice at the Chicago University of America to evaluate and monitor urban poverty by their students. Dr. Emerson has taken initiatives to send the medical student to social agency at the JohnHopkinsUniversity in 1902.

Fieldwork practice is indispensable part of social work education. NationalSocialServiceAcademy of Social Service Department of the Peoples Republic of Bangladesh has organized short training course for its Social Service officers and field worker in 1963. Generally three-type training has organized by the department like internal training, primary training and reefers course.

From the mid 18th century to the end of the 19th century social work has evolved from societies to assist and reform a year of full time academic study. Now all over the world there are many courses on social work education. After the independence from then British, India, Pakistan was facing many socio economic problems and government sought United Nations help. After government request UN sent an expert team. According to their recommendation a short course of three months were introduced in 1953 to produce skilled social worker.

In the meaning V-AID program in 1953 and urban community development program were expanding quickly by the government and voluntary organizations. As a result concerned authority felt the need of starting higher education on social work. And in 1959 DhakaUniversity started MA course on social work and also established social work college and research center which was inaugurated by Lt. Colonel Azam khan on 19th March 1963 for its own building. In 1958-59 SocialwelfareCollege & Researce, in 1965-65. RajshahiUniversity & in 1992-93 ShahajalalUniversity & under NationalUniversity started Hon’s & Masters Degree with compulsary Field work.

Goals and objective of field work:

Field practicum is a dynamic course that challenges apprentice social worker to practice knowledge, skills principles of social work and values within an organization and community contest. It is vital dimension of student’s undergraduate and graduate social work education. Field practicum affords experiential assessment and evaluation of student’s development and progress of becoming a helping profession.

In the field of social work, field work is such a way through which the apprentice social workers get the opportunity to apply their theoretical knowledge acquired in the class. For this, an apprentice social worker has to apply his knowledge and skills of social work in real sphere under a supervisor.Practical training provides the students opportunity to realize how social problems are influencing the individuals, group, family, organization, and community. It also aims to allow the student to test himself/herself to develop sense of professional discipline to gain self-confidence and to feel him or herself a social worker with beginning competence. (University of Dhaka, 1996) On the other hand, According to American Social Work Council, The objectives of practical training are:

  • Making contribution for getting student acquainted comprehensively with all types of social work profession
  •  Creating a due environment to make students self-consciousness.
  • Along with studies the attitude and the skill of the students should have a balanced display in the classroom.
  •  Making opportunities available to the students to apply social work    methods and be experienced.
  • Taking necessary steps so that students can acquire primary experience of social work profession.

Practical training in capacity the trainee of practical training to make use of the opportunities available, will enable them to bring about changes in different circumstances, make them acquired them with the elements that influence the administrative process, decision making and realization of those processes and decision; practical training of social work will make them of capable of collecting interviews, reports and other communication related activities.

Utility of field work in Social Work:

Social Work study is subject with high educative value and practical training is indispensable along with textual and classroom knowledge. And the way to acquire this real knowledge is getting learned about practical training. In performing field work a student/social worker gets the chances of mixing with different sections of people and can observe community directly, their behavior, social value, attitude and their socio-culture and economic conditions and their inherent causes. So, to broaden the knowledge of insight field work is unique. And lastly it is undoubtedly clear that field work in present day is a wonderful combination of theoretical knowledge, practical experience and skill which are emergently necessary for students. The impotents of field work in social work will be clearer through the following discussion:

a)      Field work makes the apprentice social able to understand how to work with the client.

b)      It is important to gather knowledge about different client’s viz, individuals, groups and communities.

c)      It develops social work skills on problem solving process.

d)     Through field work the apprentice social workers learn how to use social work knowledge, methods and techniques for solving the individuals, groups and community problems

e)      It is training before being professional, because social work is a professional help to the clients.

It is more clear that in social work profession, field work or practical training is utmost important. Above all social work is a wonderful combination of theoretical and practical knowledge and skill. That’s why field work is emergently crucial for the professional social work or apprentice social workers.

Inter-relationship between social work education and field work

Mutual relationship between social work education and practice: Modern social work education has two dimensions: theoretical and practical.

A social worker gains knowledge about society, social problems, property, social structure, social values, human behavior, social work process when practical training enable them to use this knowledge acquired knowledge in this field for real life purposes. Thus practical training is required for social worker to solve social problems of human beings/society for modern social work. Taking notice of this requirement higher education has been provided with practical training course in its syllabus about social work, through which students can apply theoretical knowledge for solution of problems. Social and Economic Council of United Nations has recognized social work as a profession in 1951 and formulated the following decisions. Social Work is a profession based on trained male and female and who are obtained theoretical and practical knowledge in social work degree from established and recognized educational institutions is mandatory to fulfill by them.

Social Work is a practical education, which is learned through theoretical study of society and social work. This is because ‘public good’ can be affected only by applying theoretical knowledge in real life in a scientific way. And practical training helps apprentices to be full-hedged social workers by making arrangements of applying theoretical knowledge in practical life. And these together make social work education and practical training inter-dependent upon each other.Therefore we may say social work education and field work are interrelated concept just like two branches of a tree.

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Presence of the agency:

Situationally CentralDrugAddictionTreatmentCenter is an important area because the indicate s risk zone of drug addiction.Central DrugAddictionTreatmentCenter is located at Tejgaon Industrial Area in Dhaka. It’s southern side is Thana Health Complex, in south Dew Tin Company, in the West Residential Hall of Bangladesh Textile (M.A.G. Osmani Hall) and the opposite side Central office of Milk Vita.

 It is situated on 2 acres of land with 3 storied building and 5 storied rehabilitation centre. Rehabilitation centre is yet to open. Ground floor is used to outdoor services and follow-up. Office of social Services is right corner of ground floor. In its backside is pathological room. In the first floor there are room for director, office, doctor, RP, matron, nurse and patient’s ward. In its 2nd floor the front side is paying ward, non-paying ward. And the back side is for the senior nurse, stuff nurse and the room for the occupational therapist.

Historical Background of Central Drug Addiction Treatment Center:

CentralDrugAddictionTreatmentCenter is situated at Tejgoan in the green and ideal place. The authority started its launch taking 10 beds of Tejgaon Health Project on August in 1988. Afterwards Government increased its number of seat. Now it has 40 seats.25 Non-paying beds were under Tejgaon Health Complex and 15 paying beds were under Gulshan Avenue. Afterwards 15 paying beds of Gulshan transferred at Tejgaon Health Complex.

Eminent Psychologist Professor Dr. Nazimuddulah Chowdhury joined this hospital as founding director (honorary). It had come out as a renowned hospital of drug

addiction treatment center in very short time. Professor Dr. Nazimuddulah Chowdhury, Doctor Syada Anwara Huq, Professor Doctor Enayetul Islam, Doctor Syed Kamal Uddin Ahmed, Doctor M.A. Sobhan and Shamim Motin Chowdhury lead this hospital as director.

Established- August 1988 (under Health Department)

It was taken under secretariat of president in 07.02.1990

It was taken under Health Ministry in 01.09.1990

Again it was taken under the secretariat of the president in 25.02.1991

It was taken under Home Ministry in 20.10.1991

Aims and objectives of CentralDrugAddictionTreatmentCenter:

To create consciousness about the negative impact of drug protecting

  • To advice and influence patients through group discussion.
  • Creating technical training opportunities for addicts.
  • Accept consciousness concerning program for patients,
  • Giving recreational treatment.
  • Taking Case history of the patients.
  • Communication with International and non-government organization for collecting resources.
  • to arrange regular follow up session for the patent.
  • Rehabilitation
  • Token Economy

Treatment approaches of the agency:

Basically the treatment of drug addiction is divided into two progressive approaches. Such as –

Capture

Central Drug addiction treatment center provides only detoxification treatment. In the process of detoxification hospital authority is now providing medical treatment, psycho-social treatment, edutherapy and spiritual therapy. To complete this process a patient has to stay 14 days in the hospital with far long follow up treatment.

 Funtions of detoxification:

 For deeper understanding we should have a conception about the detox. Detox refers a process where pshycho-social therapy, spritual therapy, edu-therepy and recreational therapy are given to correct the drug addicted people.

The funtion detoxification of central drug addiction treatment center are-

  1. Medical treatment:  

Basically central drug addiction treatment center provides medical treatment.

In the detoxifition approach, following medicine are given for the treatment.

S.L

Medicine

diseases

01

Micropore

Cannabis dependency

02

Feplus

Heroine dependency

03

duralux

Morphine dependency

04

EGM

Wine, phythedine

05

Siddle

Yaaba dependency

06

Pnerx

Cannabis heroine dependency

 figure: Chart of medicine.

  1. Group Meeting/Group Class

In every working day from 9 am to 11:30am used to arrange group class to learn the patients about oath word reciting peace word reciting papers study, subject based discussion and teaching of rules and regulations.

  1. Family Counseling
  2. Home visit
  3. Follow up
  4. Oath reciting
  5. Peace Word reciting
  6. Newspapers study

The Output of the follow up home visit counseling over all the approach of detoxifition on the basis of month by month are following.

Treatment & rehabilitation of drug addicts:

The drug addicts patients are treated at the following treatment centers: CentralTreatmentCenter, Tejgaon, Dhaka,    Treatment Center Chittagong, Treatment Center Rajshahi, Treatment Center Khulna and Central Jail Treatment Center-Jessore, Rajshahi & Comilla. The statistics are as follows:

Year

 

Number of Patients
IndoorOutdoorTotal PatientsNewOld
MaleFemaleMaleFemale
200237949188142022637192720710
200336353183961422048164720401
20043599289486191313249897498
200522311679225904935575481
200619744077 10 6063 3143 2920 
20072134122732487823952483
20081266625898386919641905
2009 (Up to January)900156024516382

Monthly patient coming in the agency:

In Bangladesh the government organisation are highly corrupted and mis-managing but general people will watch clearly that the service of CDATC a reached than other agency.

So the number of coming patient is good. Now I am mentioning the monthly number of coming patient:

Infrastructure of Central Drug Addiction Treatment center:

Professor Doctor Nazmul Ahsan is the present Director/Chief Consultant of this hospital. There are outdoor and indoor services in this hospital.

Outdoor:

At first the patients have to communicate with the doctor of outdoor dept. The patients are sent to BIRDEM and laboratory of this hospital for some tests. If the result is positive, the patient is admitted into this hospital. After discharging the patients come to the hospital two times per week for follow-up and other treatment.

Indoor:

After admission patients are considered as indoor patient. There are 14 days treatment Indoor treatment are divided into two parts- Paying and non-paying. The patients of paying ward have to give more money than the patients of non-paying ward. For this reason the patients of paying ward get rich food.

Central drug Addiction Treatment center:

Capture

Administrative Structure of Central Drug Addiction Treatment Centre:

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Rogi Kayllan Samiti:

 In every government hospital of Bangladesh there is a registered organization named Rogi Kaylan Samiti for the welfare of the poor and destitute patients. The Samiti is registered by social service department. It is being formed a treasury through collection of zakath and donor assistance for vulnerable destitute patients welfare by this samiti. Every year annual general meeting is held and budget is formulated here. There is a bank account to maintain account of the samity

Funtions of Rogi Kayllan Samiti:

The drug addicts were detached from healthy life, social familial environment for long time use of drug. In this perspective drug addicts Rogi Kayllan Samiti

has taken following initiatives

  1. Arrange pathological test for insolvent people and several financial supports to get admission.
  2. In case of need blood supply, arranging medicine and transferring the vulnerable patients to another hospital for help.
  3. Arrange group therapy, like song, sports, drawing and served all instrument related to functioning.
  4. Arrange television and dish connection for recreation of indoor patients.
  5. To arranging sports and splendid cultural program for indoor patients on special days and give reward.
  6. To arrange games for recreation of indoor patients i.e. providing carom board, chess, card and ludu.
  7.  To publish regular paper, magazine and various educational book.
  8. To provide counseling facilities to cope with family within the social club.
  9. Bearing home visit and related convenience.

                                                                                   ——-Selina Rahman

                                                                                Social Service Officer

Benefited patents and donation:

Many patient are being benefited from the social service department.Also this department takes donation from different sources. The statistic of benefited patients and

donations are given bellow-

Yeargovt. DonationPrivate DonationTotal Benefited Patient

2004

50,0001298302797

2005

84,000852152797

2006

50,000612581654

2007

50,000644812090

2008

70,000377153257

Inter-agency visit:

Igot the great opportunity to visit three renowned agency. The introduction, function and visited experiences of these organizations are given bellow:

(a)DMCH

(b)BIRDEM

(c)Govt. Child home,Tejgaon

(a) Dhaka Medical College & Hospital

The social services department of DMCH:

The Department of Social Services of DMCH,is located in the 1’st floor of three storied building in the north of the main building, was named as dental college bhabon at past. The Department of Social Services in DMCH has started its activities as an experimental basis under the directorate of social services, in 1959, with aim to serve the destitute, helpless and disadvantaged group. All kinds of activities of this department are directed and controlled through the Directorate of social Services, under the Ministry of Social Welfare.

Functions of the Social Service Department

  • Blood Collection.
  • Medicine Support.
  • Glasses and Lance Support.
  • Nutritious Food Supply.
  • Clothing.
  • Transportation Cost Support.
  • Rehabilitation.
  • Family Planning
  • Psychological Counseling and others.

BIRDEM:

BIRDEM Conceptually refers Bangladesh Institute of Research and Research in Diabetic Endocrine and Metabolic disorder .By getting permission from the social service office of Central Drug Addiction Treatment Centre, I made a inter agency visit at BIRDEM. BIRDEM started its journey from 1953.This famous agency is situated near our university and the BSSMU beside the Kazi Nazrul Islam avenue. Now this time BIRDEM play a vital role for the Diabetic patient and other dying patient like casualty. In fact I visited there and took some information about the activities of BIRDEM authority and social service department of BIRDEM. It is Cristal clear that BIRDEM is only one hospital in Bangladesh which provides the world class services for the patients. Now I am mentioning the activities of social services department of BIRDEM.

The functions of BIRDEM:

  • To help the poor patient to get proper care and treatment.
  • To arrange follow up session.
  • By the student it maintains the home visit.
  • To serve proper counseling.
  • To assist patient to admit into the hospital
  • To aware about the silent killer diabetics.
  • Overall they are so much devoted to help the patient so that patient can able to cope with the various diseases like diabetics.

Government child home:

Government: child home is another last resort of rootless children. As a part of social service department. GCH is working for the vulnerable children from the beginning of Bangladesh. In 1984 It was  named by Government child home. This organization divides the children by 6 family. And each family is being supervised by a mother. From the agency 175 children get residential services. Now GCH provides various services such as a) provides training for tailoring, embroidery handicraft etc.b)- runs education program and provides primary secondary and some time higher secondary education   facilities.c) creates rehabilitation facilities for the under privileged children. e)Sometime GCH arranges group marriages for the adult boy and girls.

Although financial constant badly effects their proper journey of social service.

Research

Part-01: Introduction:

Drug addiction, a decaying menace, is not only injurious to an individual but also imperils the health of the entire social fabric with fast cascading impact.Drug abuse and addiction have become an alarming phenomenon in Bangladesh dangerous.Of course, large number of drug addicts in Bangladesh is a serious national concern.

The research named “The Socio-economic condition of drug addicted people coming to the Central Drug Addiction Treatment Centre” is a social research rather than a medical research, which will be easy to understand to everybody. In this research, researcher’s intention is to explore the real picture of socio-economic condition of drug addicted people in Bangladesh. At the same time to arise the parent’s consciousness about the drug addiction and its proper treatment.

Rationale of the research :

“Nothing goes for nothing.” This title is more applicable in social research in the sense of rationality. The rational of the research  are given bellow:

(a)    This research will be helpful to identify the real picture the drug addicts in Bangladesh.

(b)   To improve hospital service for the vulnerable drug addicted people.

(c)    The policy maker and planner of our country can able to get some important information to reduce the drug addiction.

(d)   The further researcher would take the data of this research for their research after all it will be helpful as a relevant literature.

Purpose of the research :

The purpose of the research are as bellow-

      (a)To find out the real problem of drug addiction treatment system

      (b)Seek out the socio-economic causes of the drug addiction.

      (c)Identify the socio-economic condition of drug addicted person.

      (d)The income danger and profession with identify by the research.

      (e)To aware the patient about the drug and it dangerous side.

Research questions :

Every research should have some logical and purposeful questionnaire to collect data and represent the findings. In this research, research question are-

(a)    To find out the common picture of drug addicted persons in Bangladesh.

      > which drugs are available in drug addicts?

      > what will be the future condition of drug addicting?

(b) Seek out the socio-economic causes behind the drug addiction.

      > which social causes are responsible for the drug addiction?

      > what attention should be taken?

(c) To aware the drug addicted patient through providing data

      > How much care the parents take for the addicted person.

      > which aged people are addicted more with defferent drugs?

(d) To find out an overall picture of drug addiction which will be understandable by every one.

     > To prepare an easily understandable report in socio-ecnomic condition of drug addict.

Part-02 ;Background:

Literature review:

It is good to say that, literature about the socio-economic condition of drug addicted person in Bangladesh or overall world are available. Yearly total expenditure of drug in Bangladesh is taka 8000.00 million and for average for drug abuser is taka 4500.00. According to un official estimate there are 2.5 million drug addicts in the country. As a student of DU my cousin belives that more than 5000 student of DhakaUniversity are drug addicted. But actual picture may be more.

Definition of terms:

Drug addiction:

Drug addiction is such a physical and mental reaction that created from inter-relationship of animals and drugs.

Drug Addicted person:

Drug addicted person refers a perform who has the mental and physical addiction on drugs.

Socio-economic Condition:

Socio-economic condition indicates a situation which represents the social and economic indicator like income, education, awareness etc.

Social Service Department:

Social Service Department is a co-organisation of Ministry of social Welfare which provides the services for the citizens.

Central Drug Addiction Treatment Central:

Central Drug AddictionTreatment Central is co-agency of DNC of Bangladesh govt. It provides help for the drug addicted person.

Part-03, Methodology:

     (a)Instrumentation:

The researcher will use sample survey method to collect the primary data from the client, parents and two different questinnaire for the social service officer, doctors, mettron, therapist.

(b)   Research agency:

     The research area is Central Dryg Addiction Treatment Central

(c)    Universe and unite of the analysis:

In this research the all coming patient of the agency will be the universe. And each patient will take as a unite of the analysis.

(d)Sampling:

 For the research, purposively in sampling researcher took 100 patient of CDATC for collecting information about socio-economic condition of drug addicts.

Part-04, Result:

In this research the researcher has found the real picture of the addicted person. A common findings of this research is that the patients of CDATC come from the root level and the addicts have addicted by the influence of  their pair groups and the familal disorganization.

 Education of the drug addicts:

Overall education condition of  Bangladesh represent a poor picture. As same as the drug addicted persons are also poor in the educational status. The picture of education of drug addicts are given bellow-

Eductional status of drug addict

Gender ratio:

Historically and traditionally Bangladeshi women are little interested about drug than other countries in the world. We have found the same scenario at CDATC. It is mentionable that there is no addmission facilities for women in CDATC. But the authority of the agency ensure medical services for the women. It is mentioning…

Gender ratio of drug addict

Socio-economic status:

It needs to say that now our per capita income is about 599(according to UNDP report: 2008) and our country’s status is neither poor nor developing country. We find also the same scenario in the drug addicted people. Research finding about socio-economic status of drug addicts are showed bellow:

StatusIncome (monthly)Percentage (%)Familal tise
upper classaround 300000 and above2%not good
middle classaround 900030%little bit good
lower classaround150068%not identifiable

Aged oriented ratio of drug addicts:

It is clear to all that every corner of the world, young generaion are mostly addicted. Still now young generation is in threat. Although people of aged badly involved with the drug. Now I give the aged oriented ratio of drug addiction-

S.LAgeNumber of drug addicts
110-2020%
220-4065%
340-Avobe all15%

Parcentace of used substance or drug:

In the research there are some result which are more clear for the researcher. The clear view are 1. hospital situated in Dhaka 2. most of the patient of the hospital are lower class 3. most of the patient are addicted by the Heroine. Some finding about this are mentioning

serial numbersubstancepercentage (%)
1.heroine35%
2.injection25%
3.canabis26%
4.others24%

Recommendations

It has been found that many people, especially the youths are teenager to get rid of drugs. But unfortunately they can hardly find any way out. The departments of narcotics control, police, Arms forces etc. either do not work or/and even some how are related to drug smuggling/business. According to the discussion with the concerned people such as drug abusers, guardians, teachers, policemen and related persons in the drug business, it is clear that behavioral modification of the abusers is not enough to check the spread of drug taking and drug trafficking in Bangladesh. The concerned people gave the following suggestions in order to free Bangladesh of drugs:

  1. Concerned administration should be reshuffled. Culprits, those who are hidden in the police, Arms forces and narcotics control department, must be punished. At the same time, rewards may be declared for good performance. It is obvious that, drugs business in Bangladesh would fall rapidly if border-crossing areas can be checked properly.
  2. Leaders of social institutions like schools, colleges, University, clubs etc. should come forward to build resistance against drugs.
  3. The addicts, while talking with the investigators sought treatment to wipe out the negative effects of drugs.
  4. Govt. should be strict to impose the rules and regulations against drug addiction and drug abuse.
  5. The drug addiction treatment orriented agency must be scincere about drug addicts and about the norms and ethics of the organization
  6. Overall people should come forward from all works of life to build a drug free digital bangladesh.

Conclusion:

Drug addiction has grabbed not only the youth but it has grabbed the social leaders also. In the present situation, we need to strengthen family and social values and religious ethics in order to maintain a stable and drug-free society. We believe that there is a lot to do to stop this social malaise now before another dangerous symptom appears which AIDS is. After doing all these we can get our drug-free Bangladesh.