Part A- SKALA PEMAHAMAN ISLAM (SPI)
SPI scoring
• 0-9 ~ poor (Brief Religion Intervention)
• 10-15~ moderate ( brief Islamic spiritual counseling)
• >15- 24 good (advice to join Islamic mosque activities)
•
BRIEF RELIGION INTERVENTION (BRI)
Brief Religion Intervention under religious teachers supervision
Flow chart for the methadone maintenance program in the AR-RAHMAN mosque.
Opiate
Dependents
Appendix 1 Treatment agreement N and consent
Discharge from programme
Y
Appendix 2 Triage N (Inclusion Criteria)
Discharge from programme
Y Appendix 3 Register
Appendix 4 Initial Assessment - Questionnaire
- Physical examination
- Blood/urine
A
Substance & Consultancy Unit Ministry of Health
A
1/ 52
Appendix 5 DST
2 / 52
Appendix 6 Counseling Appendix 7 Evaluations and Assessment at 12 &24/52
Y Maintainance
N
Detox
Appendix 8
-Summary of Visit
-Manual OTI
Drug Free
A Counseling Sessions Schedule
No Objectives Weeks 1 Individual Counseling 2, 3 & 4 2 Individual & Family Counseling 5
3 Group Counseling 7, 9, 11, 13 & 15
4 Individual Counseling 18
5 Group Counseling (Final) 21
6 Individual Counseling (Final) 24
B.Counceling Sessions Monitoring Record Please tick (/) where applicable.
Client’s Name : _______________________ IC No : _______________________
Weeks / AttendanceNo Target 2 3 4 5 7 9 11 13 15 18 21 24
1 Individual Counceling 2
Individual & Family Counceling
3 Group Counceling
4 Individual Counceling
5 Group Counceling (End)
6 Individual Counceling (End)
Counceling Date Councellor's / Medical Officer's Sign
Councellor’s/Medical Officer’s Name : _______________________ Stamp : _______________________