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A GUIDE FOR PARENTS

MAGALIESBURG HEALTH CENTRE DE DEUR HEALTH CENTRE DIVISIONS OF CRESCENT OF HOPE SOUTH AFRICA Serving humanity for the pleasure of ALLAAH
1. REASONS FOR TAKING DRUGS. The opportunity arose and the youngster just tried it. They try it for the risks involved – it is exciting and daring. To    blot    out    and    provide    an    escape    for    existing    problems    –    these problems can be personal, family, friends, school or even perceived. May   be   response   to   loneliness,   feeling   inadequate,   lack   of   self-esteem and/or lack in confidence. Peer pressure at school and amongst friends. For leisure purposes. Parents arguing upsetting everybody in the family. 3. DRUG EQUIPMENT. Incense sticks or room deodorizers to conceal smell of dagga. Plastic bank packets or unidentified packages wrapped in brown paper. Unusual pipes or broken off bottlenecks. Scorched tinfoil, tinfoil tubes and matchbox covers. Syringes   and   needles   (to   inject   the   drug   into   the   body).   Can   lead   to gangrene,    HIV    and    AIDS,    hepatitis,    abscesses,    thrombosis,    blood poisoning and overdose. Tiny spoons (sometimes ornamental) and small containers.  Small mirror, razor and straws. Scorched spoons marks and citric acid. Cigarette papers and home-made cigarettes. Blood stained cotton wool or other material.
2. SOME COMMON SYMPTOMS OF DRUG-TAKING. Loss of appetite. Being either unusually sleepy and sleeping long hours OR Unable to sleep at night. Bouts of talkative, excitable and overactive behaviour. Being usually irritable, aggressive and even violent. Telling lies or acting secretively. Losing interest in school work and bunking classes. Losing interest in hobbies and sport. Money / valuables / household goods disappearing from home. Unusual spots, sores and / or marks around the mouth and nose. Stains and chemical smells on clothing and about the body. Changing friendship patterns. Coming to the notice of the police for unruly behaviour. Strange tablets, powder or capsules found in his pocket. Red blood shot eyes. Yellowish brown stains on hands and palms. Change in appetite and loss of weight. Neglect of personal hygiene on body and clothes. Lack of motivation and deterioration in scholastic work. Strange unpredictable behaviour and change in moods. Secretive behaviour, deviousness and lying.
4. IF YOU SUSPECT YOUR CHILD IS TAKING DRUGS. Obtain reliable information about drugs and know the facts. Involve   yourself   in   your   child’s   life   –   get   to   know   his   friends,   interest and movements: get talking to each other. Become aware of your child’s problem areas. Be a good listener and respect his views and difference of opinion. Let alcohol and drugs be a normal topic of discussion Ask simple and direct questions about his habits, friends and activities. Get professional aid if needed. Do not make blunt and angry accusations. Do not judge him. Do not let things slide hoping it will go away – it never does. Back down temporarily if your child resists you getting involved. Try   to   find   out   who   he/she   is   getting   the   drugs   from   –   it   will   most probably be a friend or relative – it is very seldom a drug merchant. 
WHAT PARENTS SHOULD KNOW ABOUT DRUGS AND ITS EFFECTS ON FAMILY AND COMMUNITY

A GUIDE FOR PARENTS

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6. THINGS NOT TO DO Do not regard this as a family disgrace. Rather think of it as an ailment. Do   not   nag,   preach   or   lecture.   The   patient   is   already   undergoing   a trauma.  Guard against a “holier than thou” or superior attitude. Do not use the “if you love me” appeal. Avoid   any   threats   before   you   thought   it   through   thoroughly   and   very carefully and definitely intend to carry them out. Do   not   hide   the   drugs   or   alcohol   or   dispose   of   them.   He   can   buy   some more    and    will    most    probably    push    the    person    into    a    state    of depression. Do   not   let   the   person   persuade   you   to   test   /   try   or   use   the   drugs   / alcohol    with    him/her    for    any    reason    what-so-ever.    This    will    only encourage the person to postpone the treatment for drug abuse. Do   not   be   jealous   of   the   method   of   change   the   person   chooses.   Think of   it   as   help   to   cure   an   ailment   that   your   loved   one   has.   Do   not   feel   left out as he will come to you sooner or later. Do   not   expect   an   immediate   100%   change   in   his   behaviour   or   attitude. There   is   a   period   of   “convalescence”.   There   may   be   relapses;   there   may be times of tension and/or times of resentment. Do   not   protect   the   person   from   this   situation.   The   patient   has   to   learn to say no without being guarded against it. Do   not   do   for   the   person   what   he/she   can   do   for   themselves.   Let them/ him/her face the problem directly. DO     OFFER     SUPPORT,     LOVE,     UNDERSTANDING     AND     ASSISTANCE DURING RECOVERY. 9. SOCIAL EFFECTS OF DRUGS Drug    abuse    is    increasing    in    all    communities.    Nobody,    family    or community    is    exempted.    Only    families    that    encounter    an    addict directly know the traumatic experience the family has to undergo. They    resort    to    stealing,    pawning    valuable    items,    fraud,    hijacking, dealing in drugs and much more. The   family   has   to   bail   them   out   of   jail   and   live   with   the   embarrassment and the cost of bailing them out and the trial. The   trauma   of   not   knowing   where   the   person   is   or   what   has   happened. This leads to depression, insomnia and arguments ensues. Addicts become very selfish and go into denial. Family   members   have   to   settle   all   debts   –   be   it   for   the   merchant   or people he conned. Brothers   and   sisters   have   to   face   torments   from   community   members and even pupils at school. Overdose and suicide cannot be ruled out. The strain of living with an addict can lead to divorce. New   drugs   somehow   get   on   to   the   market   regularly   –   and   they   are becoming more and more dangerous. If   your   son/daughter/wife/husband   is   sharing   drugs   on   your   premises, you    could    lawfully    be    committing    an    offence    without    touching    the drug. 12. HELP AVAILABLE TO THE FAMILY The   patient   is   not   the   only   person   who   needs   assistance   to   stop   this scourge.   The   family   must   be   helped   too.   They   will   have   to   know   how   to deal    with    problems    that    may    arise    once    the    patients    has    been discharged.   They   will   need   to   know   and   need   help   to   cope   with   the situation.    Their    expectations    may    differ    from    that    of    the    patient himself.   The   counsellor,   who   assisted   the   family   when   the   patient   was referred   to   the   centre,   will   continue   to   do   so   for   as   long   as   the   patient remains   at   the   centre.   If   the   family   stays   in   contact   with   the   centre, they   can   be   assisted   when   the   need   arises.   As   a   rule   the   patient’s family needs to be helped in the following matters: To    develop    an    understanding    of    the    condition    of    dependence    on alcohol or /and drugs. To    develop    an    understanding    of    the    problems    that    has    led    to    the patient’s dependence on the drug. To   acknowledge   and   understand   the   problems   that   resulted   from   this dependency. To   find   ways   to   bridge   the   gap   between   family   members,   overcome   the difficulties and solve these problems to the benefit of all concerned. To    cope    with    the    practical    domestic    problems    that    may    arise,    e.g. financial,   physical,   mental   strain,   emotional   turmoil,   family   relationship and general attitude towards each other. To   keep   in   touch   with   the   centre   and   advise   them   of   the   patient’s progress. To assist the patient in re-adjusting to his drug-free lifestyle. Relatives   are   encouraged   to   join   groups,   such   as   the   After-Care   Group. These   groups’   aim   is   to   help   the   adherent’s   family   and   the   dependant themselves.      It   would   also   mean   a   great   deal   to   them   to   meet   others afflicted    with    the    same    “disease”.    They    now    meet    people    who    are suffering   with   the   same   affliction   and   understand   their   predicament. This   in   itself   is   a   great   help   to   the   family   and   the   ex-addicted   person   as they   now   know   that   there   are   others   who   can   ease   their   pain   and suffering   through   understanding   and   sympathy.   Please   refer   to   the section AFTER CARE CENTRES to see which centre is closest to you. c. Cocaine (Blow, Coke, Crack, Rocks) White powder Effects: Upper Comment:         More   chemicals   like   drain   cleaner,   poisons,   ratex,   speed and   heroin   can   be   added   to   cocaine   to   make   it   stronger   and   more addictive. Equipment   used:   Glass   pipe   (to   smoke),   mirror,   razor   blades,   rolled   up notes, small pieces of square plastic.   e. Methadone (Physeptone) Liquid or syrup Effects: Downer Comment: Found in cough syrup, pain tablets and flu tablets. Equipment used:  None g. Opiate (Heroin, Morphine, Pethadine) White powder Effects: Downer Comment:      Derived   from   opium.   Can   be   smoked,   sniffed   or   injected. Can   be   mixed   with   dagga   or   in   a   cigarette.   Cause   extreme   euphoria and a sense of well being Equipment used:  Tea spoons, syringes, burnt foil, mirrors. i. Phencyclidine (PCP, Angel dust) White powder and liquid form Effects: Hallucinogen, Upper Comment:    Similar    to    LSD,    cause    hallucination.    Often    mixed    with ecstasy. Can be sniffed or injected. Equipment used: None k. Tranquillisers      and      Sedatives      (Valium,      Ativan,      Librium      benzodiazepines. Effects: Downer Comment:        May    suffer    unpleasant    withdrawal    symptoms.    Found    in most medicine cabinets. Equipment used: None © 2017 Crescent of Hope. All Rights Reserved | Design by Crescent of Hope
7. GUIDELINE        FOR        GREAT        RELATIONSHIPS        AND        BETTER COMMUNICATION Accept your partner / son / daughter as he / she is. Express   appreciation   frequently   and   avoid   continuous   and   frequent criticism. Be honest and tactful at all times – this is a two way street. Communicate   from   integrity   –   when   your   partner,   son   or   daughter   is right then admit it. Allow for differences of opinion and perceptions. Share    and    explore    differences    and    disagreements.    Be    willing    to compromise without pretending to agree while you actually disagree. Support   your   partner’s   goals   with   honesty.   Do   not   surrender   your   own but try to be accommodating.  Give   your   partner   the   right   to   be   wrong.   Learn   from   your   experiences, errors and even what is right. Remind    yourself    that    you    do    not    have    to    get    what    you    want immediately but rather what is good for all. 8. TIPS FOR LEARNING AND USING GUIDELINES Learn    a    little    at    a    time.    Everything    need    not    be    known    or    done immediately. Test your assertions – one at a time Make continuous adjustment and improvements to your opinion. Aim for improvement not perfection. 10. SHORT TERM EFFECTS Increased wakefulness and alertness Increased physical ability Jerky movements and fast reflexes. Rapid speech. Irritability, aggression and argumentativeness. Increased appetite. Dry mouth. Tremors. A false sense of confidence and power. 11. LONG-TERM EFFECTS Compulsive drug-seeking and drug use. Little or no pleasure derived from formerly enjoyable activities. Lung disorder. Weight loss and malnutrition. Sleep    disturbances.    Inflammation    of    heart    lining,    damaged    blood vessels. Intense paranoia, suicidal thoughts and hallucinations. Marked general physical deterioration. 13. ANALYSIS OF THE MOST COMMON DRUGS a. Amphetamines (Tik, Speed, Cat) comes in powder or tablet form. Effects: Upper Comment:   Found   in   most   diet   pills   and   supplements   due   to   its   ability to   increase   metabolism.   Heart   rate   will   increase   with   a   massive   surge of energy Equipment   used:   Mirrors   with   white   residue   on   it.   Razor   blades   for chopping lines. Globes for smoking. Small plastic packets.   b. Benzodiazepines    (Roche,    Rohypnol,    and    Rivitrol)    Tablet    form    often    crushed. Effects: Downer Comment:      used   to   treat   sleep   disorder,   depression,   anxiety   and   mood disorder. Comes under different names. USED IN DATE RAPE. Equipment used: Blank scripts and empty tablet push out cards. d. THC (Marijuana, Weed, Spliff, Dagga, Cannabis) Green herb plant      leave. Effects: Downer Comment:   Heads/tips   of   plant   dried   and   smoked.      Become   red   eyed, mood swings and eat a lot. Equipment used: Rizal (cigarette paper), sieves, pips, eye drops. f. Methylenedioxymethampetamina    or    MDMA    (Ecstasy)    tablet    -d ifferent colours. Effects: Upper Comment:    Extreme    happiness    and    falling    in    love,    excessive    energy, used    for    clubbing,    after    effect    of    drugs    is    extreme    depression,    low energy and inability to sleep. Equipment used:  None h. LSD (Acid) Small squares of paper or liquid form Effects: Hallucinogen / Upper Comment:   Cause   hallucination.   Drops   of   liquid   or   paper   usually   taken under tongue. Equipment used: None j. Solvents    (Aerosol    spray,    Butane    gas,    Solvent    based    glue,    Dry- cleaning fluids, Paint, Paint thinners, Correcting fluid and petrol). Effects: Upper and Downer Comment: Can be found or bought anywhere Equipment used: None. l. Anabolic Steroids Effects: Upper Comment: Used by athletes. May cause liver cancer  Equipment used: None
14. AFTER CARE CENTRES Lenasia: Islamic Help Line Information   regarding   the   after   care   for   all   addicts   and   counselling   for the abused: Person in charge:  Appa Rehana / Sha Manjoo / Ahmed Hassem Situated at: 34 Cuckoo Street Ext 1 Lenasia (near Radio Islam) Telephone: Office hours 011 852 1930 / 011 852 7242 Days of operation: Tuesdays Times of operation: 20h00 to 21h30 Johannesburg: Nana Memorial Hall Information   regarding   the   after   care   for   all   addicts   and   counselling   for the abused: Person in charge:  Ayesha Hurzook / Yunus Bismillah. Situated at: 65 Foyle Street, Mayfair West Johannesburg Telephone: 071 202 2141 Days of operation: Wednesdays Times of operation: 20h00 to 21h30 All    patients    and    their    parents    /    spouse    /    family    members    need    to attend    the    support    and    aftercare    group    for    2    to    3    weeks    before applying for admission. Patients    /    parents    /    spouse    /    family    members    MUST    attend    group meetings   before   (to   prepare   the   patient   for   admission   and   to   find   out if   he   is   ready   to   be   admitted)   during   his   incarceration   (to   help   the family   prepare   for   his   release   letting   them   know   what   to   expect)   and after   the   patients   release   (to   help   the   patient   and   family   members cope with the situation as it develops in the future).  17. IBOGAINE TREATMENT THE PROCESS This   process   combats   opiate   withdrawals   and   comes   from   the   root   of the   plant   called   Tabernanthe   Iboga.   It   combats   addiction   of   substances which     includes     heroin,     methadone,     methamphetamine,     cocaine, alcohol and nicotine. EFFECT ON PATIENT Helps   the   patient   on   an   emotional   level.   It   merges   the   conscious   and unconscious     minds.     This     is     known     as     “awakened     dream     state”. Memories   and   other   hidden   happenings   come   to   the   fore.   The   patient suddenly   gains   clarity   or   understanding   of   all   the   events   that   has   taken place.     What     must     be     remembered     is     that     each     patient     reacts differently   to   the   administering   of   this   process.   Patients   feel   much   less discomfort    as    well    as    fewer    symptoms    of    withdrawal.    It    combats depression   and   prevents   the   negative   thought   pattern   associated   with depression. HOW IT WORKS This   can   become   a   very   helpful   part   of   the   entire   treatment   at   the rehabilitation   centre.   It   resets   the   mind   and   body   of   the   patient   that would    otherwise    have    taken    days    to    achieve.    It    removes    additive substances   restoring   the   balance   to   the   patient’s   neurochemistry.   The memory   of   addiction,   dependency   and   craving   is   erased   from   the   body and   mind.   This   process   cannot   be   done   repeatedly   and   is   effective   on the first treatment. It is not addictive. This    is    affected    by    Ibogaine    and    its    metabolite    Noribogaine,    which works   over   the   course   of   a   few   days   to   clean   up   the   body,   restore neurochemistry     and     even     rebalances     such     brain     chemicals     as dopamine,    serotonin,    endorphins    and    adrenaline    in    their    condition prior    to    the    onset    of    addiction.    It    will    help    to    quickly    erase    the dependency   and   craving   -   especially   if   combined   with   the   beginning   of a   new,   healthier   way   of   living.   Ibogaine   travels   to   the   liver   and   then converts   into   norigaine.   It   then   travels   into   the   fat   cells   and   reduces both the craving and addictive thought pattern. COSTS OF THE IBOGAINE PROGRAMME. The   cost   of   this   programme   is   not   part   of   the   initial   programme   itself. The   patient   or   family   members   must   phone   the   centre   to   find   out   what the    additional    cost    entails    and    whether    this    time    spent    in    this programme   is   in   addition   to   the   6   (six)   week   programme   offered.   It must   be   remembered   that   a   programme   needs   a   qualified   nurse   and   a separate   facility   to   house   the   patient   during   this   period.   This   is   due   to the   fact   the   patient   must   be   under   constant   watch   because   of   his reaction   to   the   administering   of   the   medications   to   counter   the   effect of the addiction. 
15. WHAT TO DO IN AN EMERGENCY Should you find the person drowsy or unconscious, you must First make sure they get fresh air. Then   turn   them   on   their   side   and   make   sure   their   throat   is   clear   of any substance. If   they   vomit   make   sure   everything   comes   out   –   do   not   leave   vomit   in the throat as the patient may suffocate. Dial   the   emergency   number   for   an   ambulance   or   call   your   doctor immediately. Finally   collect   any   tablet,   powder   or   liquid   and   anything   else   that   may have   been   used   in   taking   the   drug   and   give   it   to   the   ambulance   driver or the person with him. 16.  DETOXIFICATION PROCESS WHAT IS DETOXIFICATION? A   detoxification   programme   is   a   process   where   harmful   substances that   are   lodged   in   the   human   body   are   removed.   These   substances can    be    alcohol,    drugs    or    any    addictive    substance    that    creates    a dependency   on   the   constituent.   Although   the   body   tries   to   reject   the substance,   it   cannot   do   so   as   the   drug   is   lodged   in   the   fatty   tissue   of the   body.   As   the   user   continues   to   use   the   substance,   and   adds   other drugs   to   it,   the   reserve   of   this   harmful   unwanted   substance   builds   up over    the    years.    In    a    drug    addicted    person’s    body,    the    chemical substances in the drug affects them continuously. Even   after   the   patients   leaves   the   centre   “clean”,   he   still   has   these substances    in    the    fatty    tissue    which    can    and    will    surface    in    due course.   This   leads   to   a   craving   for   the   drug   and   ultimately   leads   to   a relapse   of   the   patient   if   he   succumbs   to   it   and   takes   one   more   “just once”.   He   is   hooked   again.   When   the   toxin   is   released   from   the   fatty tissues,     it     enters     the     bloodstream.     At     this     stage     the     person experience a “high” that is produced by the drug. PLEASE NOTE THAT ALL DRUGS ARE FAT SOLUBLE. It   becomes   extremely   difficult   and   timeous   to   remove   the   drug   and its   effects.   It   takes   days   (depending   on   the   severity   of   the   case)   to flush   out   the   harmful   effects   without   the   detoxification   programme. Now   there   is   hope   that   the   chemicals   deposited   by   the   drug   can   be removed   in   a   much   shorter   period   of   time   and   more   effectively.   It thus allows the addict to recover faster and more efficiently. MHC DETOXIFICATION PROGRAMME. MHC   has   now   in   2016   introduced   the   detoxification   programme.   This is    in    addition    to    the    programme    we    are    currently    running.    This purification   process   uses   various   vitamins   and   the   patient   has   to   do intensive     exercises     and     a     sauna     programme     that     induces     the chemical   substances   to   leave   the   body   through   the   sweat   pores   in the   skin.   The   process   takes   a   number   of   days   but   is   much   shorter than    the    number    of    days    the    body    takes    to    remove    the    harmful substance    on    its    own.    The    vitamins    used    are    safe    and    helps    to convert   the   fatty   tissue   into   food   for   the   body.   In   this   manner   the chemicals    are    flushed    out    of    the    body.    This    method    has    proven extremely   effective.   Recovery   with   this   method   is   more   effective.   We have   been   doing   the   detoxification   programme   during   2015   to   study the   impact   of   it   on   the   patient.   We   are   extremely   happy   with   the results. COSTS OF THE DETOXIFICATION PROGRAMME. The   cost   of   this   programme   is   not   part   of   the   initial   programme   itself. The   patient   or   family   members   must   phone   the   centre   to   find   out what   the   additional   cost   entails   and   whether   this   time   spent   in   this programme   is   in   addition   to   the   6   (six)   week   programme   offered.   It must   be   remembered   that   a   programme   needs   a   qualified   nurse   and a   separate   facility   to   house   the   patient   during   this   period.   This   is   due to   the   fact   the   patient   must   be   under   constant   watch   because   of   his reaction   to   the   administering   of   the   medications   to   counter   the   effect of the addiction.  18. LONG TERM ADMITTANCE After   the   patient   has   completed   his/her   6   (six)   week   programme   and he   feels   that   he   would   like   to   stay   for   another   shorter   period,   he should   discuss   this   with   the   counsellor,   director   and   Social   Worker   to get   the   feasibility   of   the   extra   time   he   feels   he   requires   to   recoup. Alternatively   if   the   Social   Worker,   Counsellor   or   director   feels   that   the patient   would   benefit   from   spending   more   time   at   the   rehabilitation centre,   he/she   should   discuss   this   with   the   patient   and   family.   He should    also    discuss    this    with    his    family    or    responsible    person    to determine   whether   it   will   be   affordable.   Staying   a   longer   period   will entail   that   charges   be   levied   on   the   extra   time   spent   at   the   centre. The    director    will    determine    the    costs    involved    as    this    will    be determined    by    the    length    of    the    stay    and    the    required    terms    of incarceration.   Magaliesburg   has   built   extra   rooms   for   this   purpose. This   section   will   also   be   used   for   patients   having   relapsed   and   want to    come    to    the    centre    for    a    booster    and    time    away    from    the community.   The   period   and   cost   will   be   determined   by   the   request   of the patient, his sponsor and the director at the centre.
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5. THINGS TO DO Take    a    balance    view    and    do    not    over    react    or    make    tearful recriminations. It   parents   are   taking   drugs   for   a   specific   reason   –   explain   to   the   child why they are taking drugs and what the effects are. Obtain   as   much   information   as   possible   from   your   child   about   the circumstances, extent and duration of the drug abuse. Find   out   if   your   child   wants   help   to   handle   the   drug   problem.   If   so, offer    all    the    support    you    can    arrange    to    see    your    doctor    or    a counsellor or social worker you know for professional intervention. Take    a    clear    and    strong    position    that    drug    abuse    is    just    not acceptable. Sketch      your      child’s      adverse      behaviour,      mood      swings      and deterioration in mind and body as a result of drug abuse. Insist    on    a    discussion    with    an    expert    to    clarify    knowledge    and attitudes. Show   your   children   that   both   parents   love   them   and   that   whatever happens this will not change.