1. Field visit Report

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1 Richmond Fellowship Nepal(RFN)

Introduction:

An assignment was given to us for the group field visit at Rehabilitation site and to write report. The main purpose of the visit was to learn about the organization Richmond Fellowship Nepal (RFN), its goals and objectives, its main actives and also to find out the need of counseling in the field of rehabilitation.

Objectives:

  • To get an understanding of the theoretical knowledge in practice
  • To gain firsthand experience in building counseling skill
  • To develop our report writing skills

Overview of the trip:

Post Graduate Diploma in counseling Psychology (PGDCP) Program, Department of Psychology and Philosophy, Tri-Chandra Multiple Campus, had organized a field visit on December 09, 2018 to RFN, located in Chobhar Gate.

The visit was organized with prior permission and guidance of Program Coordinator Dr. Govinda S. Upadhyaya and faculty member Dr. Bharati Adhikari.

We reached RFN premises at Chobhar Gate at around 11:30 AM. At the very beginning we met Mr. Bhim Kunwar, counselor, who has been working for RFN since its inception in 1997. We sat in the induction class there, observed the activities program and asked different questions.

  • About RFN
  • Goals
  • Objectives
  • Treatment Mission
  • Mental Health Program
  • Level of care and Treatment Model
  • Area of intervention

About RFN:

Richmond Fellowship is leading charity and voluntary sector provider of mental health services in England. Established in 1959, Richmond Fellowship today helps make mental health recovery a reality for over 9,000 people in England every year. It is present in 42 countries. Approximately 21 years ago in 1997 AD. Richmond Fellowship Nepal (RFN) was registered under Company Register Act 2034 BS. in Nepal and started its mission. RFN is non-profit making organization. It has branches in pokhara, Dhangadi, Chitwan and Biratnagar. It has been promoting comprehensive service to substance users, people with mental disorder, community, and people living with HIV and AIDS. Different projects of RFN aim to increase access to prevention, care, treatment and other basic health benefits to people using drugs, alcohol dependent people living with HIV and AIDS, vulnerable population and affected community through drug treatment center harm reduction services (needle syringe exchange program), post-rehabilitation care, community sensitization, media sensitization, testing and counseling services, advocacy campaign and referral mechanism, and follows an “open door” policy for subjects needing help.

Organization Goals:

RFN has set up its goals to strengthen the national framework with strategies for substance abuse control, risk reduction, rehabilitation and counseling services for people using substance those who considered to be ‘at risk’ of contracting HIV/ AIDS, children and adolescents and part of a coordinated national systems of health systems of health, education and poverty reduction.

Organization Objectives:

  • To increase knowledge on substance abuse, substance led HIV and other harms among the substance users, their families, communities and society at large.
  • Services to substance users those need support to be rehabilitated and reintegrated with their families and society.
  • To provide residential treatment, care and support to substance users those that are HIV infected mentally ill and psychosocial problem.
  • To minimize HIV transmission among youth, substance users through Risk Reduction and Harm Reduction services like OST and NSEP.
  • To provide trainings to enhance the technical capacity among the service providers in similar   field of work.

Sub Objectives:

  • To ensure enabling environment for substance users to access the services available for them.
  • To collaborate and complement with Governmental and Non-Governmental bodies on establishing strong networking relation.
  • To provide necessary services of Mental Health in respond to the spouse, children family and other support systems.
  • To enhance capacity of staff members through various training program
  • To provide counselling, health and education services program for incarcerated people in need.
  • To promote community base poverty alleviation program.

 

RFN Treatment Mission:

To provide quality, comprehensive, compassionate and innovative care to adults struggling with alcohol and or drug conditions and mental/ behavioral health issues. Through research-based and empathetic care, long-term recovery is possible. Its passion and purpose are to empower the individual, his/ her family, and the community through the promotion of optimal wellness of the mind body and spirit.

RFN Mental Health Program:

Since 1997, RFN has been working issues of Mental health through drug and alcohol treatment services and as per the strategic decision made in 2014, RFN successfully, started special care approach of mental health program of patients diagnosed with dual problem (addiction and mental health) through comprehensive/ holistic drug treatment and rehabilitation. A multidisciplinary team in conjunction with Therapeutic community (TC) Approach has been proven to be effective in comparison to other standalone Therapeutic Community Approach.

  • The patient is clinically assessed,
  • Medical care,
  • Referred to governmental hospitals,
  • Community care/follow-up and
  • Out-patient program

Level of care and Treatment Model:

RFN offer a full spectrum of treatment services to each patient, based on his/ her individual needs as assessed through comprehensive evaluations at admission and throughout his/her participation in the program.

Treatment Model

  • Bio-psycho-social Model
  • Based on peer recovery Guidance Modality
  • Adopted concept of Therapeutic Community Concept (TC)

RFN is focusing on comprehensive services for substance users in a holistic approach. Residential program at the residential center is Peer Recovery Guidance Modality-based on Therapeutic Community Concept (TC), especially, focusing on behavior/attitude change through sharing and sessions based on stories with positive information. The 12 steps of Narcotics Anonymous (NA) are also disseminated and worked out. Basically, RFN has adapted and localized its treatment model from different treatment concepts practiced in the world. RFN has developed a treatment model “Bio- Psycho-Social Approach” suitable to the local setting and so far, it has proven to be very effective. The treatment model is divided into four different phases. The residential program is for six months.

However, the time period is extended according to the client’s progress in recovery. Once a client completes the six months program at the center, he is discharged and is enrolled in daycare service for three months, where he will regular visit the center. In this phase, a structured program is practiced from early morning to bed time. Finally, the client is enrolled in the aftercare service.

Area of Intervention and main activities of RFN:

Area of interventions of RFN consists;

  • Education Support Program (ESP)
  • Health Support Program (HSP)
  • Gender support Program (GSP)
  • Children Support Program (CSP)
  • Poverty Alleviation Program (PAP)

Whereas, main activities cover such as;

  • Mental Health Care
  • Treatment Rehabilitation,
  • Aftercare Services
  • Harm Reduction,
  • Drop in Centers,
  • Trainings,
  • HIV Testing,
  • Livelihood Services,
  • Primary Health Care Service,
  • Income Generation Activities,
  • Referral Services,
  • Networking and Coordination,
  • Self-help Group,
  • Opioid Substitution Therapy (OST),
  • Advocacy
  • Education Support and,
  • Drug and HIV Awareness Program

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Lok Raj Pathak
Lok Raj Pathak Administrator

Lok Raj Pathak is a Professional Computer Engineer and Technology enthusiast. He has completed Master in Science in Information Technology (M. Sc. IT) and Master in technology in Computer Science and Engineering (M. Tech. Eng). He usually writes in science and technology, life style and religion.

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