Day Care has been developed as a program for marginalized young women and mothers in alcohol, drug and other substances dependence in May 2016 and is a precursor for the actual dependence treatment and rehabilitation aiming to give in a protected space positive stimulus.
Day Care concentrates on providing services to young women and mothers in dependence through direct self-involvement to minimize the vulnerability and risk factors, to give protection, to highlight women specific concerns, to promote hygiene and health considering HIV and Aids, TB, Hepatitis C, reproductive health and nutrition, to enlighten on family planing and to encourage the practice, to elicit self-responsibility, to initiate personal development and change of attitude, to offer individual adjusted coaching, supervision and therapy in respect of systemic work, to reduce the dosage of the substances abused, to apply homeopathic treatment and if necessary to refer to additional medical care and to ensure meaningful occupation concerning secured livelihood sustainability.
Day Care ensures that the process leading to treatment and rehabilitation is an active and self-responsible involvement and that the necessary space for measures to be taken in the immediate living environment is given are organized and implemented beforehand to reach an effective and sustained recovery.
The participation in Day Care makes the step to amescosa Treatment Centre much more low-threshold. The clients have already engaged themselves intensively with essential topics and the vital basis is formed, on which the proper dependence treatment and rehabilitation builds.
amescosa Treatment Centre
We launched amescosa Treatment Centre in January 2017 as an extension of Day Care. As detoxification preparation, detoxification, aftercare and reintegration are yet done in a non-residential setting, Day Care and detoxification preparation are of arbitrative significance. It is necessary to go along with the client having the right support system of family members, friends or next of kind to hold on. When needed, a new living environment for the client has to be found together which has a positive effect on the treatment and recovery process, not in the heart of Mangwe’s (a kind of bar giving out locally brewed palm wine), bars or pubs, in or near a drug den or in a neighbourhood distinct by substance abuse or heavy substance use located.
If at that moment it is not possible to create a support system, special efforts have to be put into strengthening the client. The clients face frequently family rejection due to their substance dependence also hence the awareness of substance dependence and its components is broadly missing and their "friends" and acquaintances live the same life style. If the client is homeless a respective solution has to be brought about together. If the children of a client are living in the streets, are neglected, engaged in child labor or exposed to other sever dangers and abuse - especially the girls concerning sexual harassment and abuse -, this situation has to be solved together first and protective precautions have to be adopted.
A core principle of amescosa – road to recovery is “give and take”. Our services are not for free. This can though happen symbolically. This is of great importance because otherwise the support will be taken for granted and the necessary efforts and liability is missing. For the detoxification we check together with the client for an appropriate caretaker. The caretaker will stay for 24 hours over the 2 weeks of detoxification and the week after the caretaker with the client at home to give care and support in close team work with amescosa Treatment Centre. If the client cannot mobilize an appropriate caretaker, amescosa has a caretaker on call. The duties of the caretaker are defined clearly, a training takes place and worse case scenarios will be arranged together with the amescosa team. The caretaker is responsible for the care and security of the client, that the client takes the homeopathic remedies as prescribed and the special tailored diet is taken three times a day. The caretaker joins the client to the daily appointments at amescosa Treatment Centre and supports and encourages the client during the detoxification process especially if withdrawal symptoms make the client feel unwell. The caretaker also looks after household. Through her daily feedback about the personal experience and observations the caretaker contributes vital to guarantee the modulation of the treatment at any time.
Ancillary the Social Worker does two daily home visits in the morning and in the evening and supplies the nutrition in portions for 2 days. During the detoxification and the week after the children are not staying at home.
After 1 week, the client’s body is detoxified and the client does not experience any or just slight symptoms. From this moment, the therapeutic work begins applying Dance and Movement Therapy, Gestalt, Drawing Therapy, Breathing Therapy, Imagination, various relaxation methods and Meditation. Simultaneously, also the secured livelihood sustainability will be tackled. Many young women are single mothers and have the sole responsibility for their children. Through a business training the client engages in developing a business idea, a business strategy, a business plan, a saving plan and the business organization. If everything is developed together with the Social Worker, the client receives a single, refundable seed capital in goods. This intervention shall ensure that the client is in a first phase able to cover all the basic needs like living, food, water, cloth, children’s care and the necessary additional trifles. If the children are still of school age the saving lan shows a respective item especially they have no access to education. The main idea is that the client has to take and fulfil all her responsibilities and the Social Worker does an accurate monitoring and controlling. If the criteria are given a child can be referred to other organizations or services which scope concentrates on education entirely. If possible and wished the client can be supported that the child father, even though absent, assumes his liability. In the course of developing a stable financial life foundation we endeavor that the client can find access to programs helping her to improve her means gradually.
Apart from the therapeutic single working and various theme groups we offer also couple and family therapy, dependence group and next of kind group.
amescosa-ambassadors build the bridge between amescosa-road to recovery, potential clients and the community at the gras roots level. This outreach work ensures on one hand side to approach potential clients in public places and to build rapport, to do sensitization work, to inform the community directly on the services of amescosa-road to recovery and on the other hand side to discover also additional need for interventions. The role of amescosa-ambassadors is as well vital to enlighten about alcohol dependence and treatment and rehabilitation. In this effort a cooperative collaboration with the Chiefs of the different Wards in Kilifi, the Village Elders and the Wazee wa nyumba kumi (person responsible for 10 households) is installed.
If a client find herself in the treatment process the respective amescosa-ambassador has the responsibility as a close care giver of the client to regularly reassure on the state and the concrete level of the personal process during the time the client is not involved at amescosa Treatment Centre and to strengthen her in her determination to proceed in the process until the end.