A refresher training on Harm Reduction for people

who use meth

A session in training for field team of outreach program,

Karisma Foundation, Jakarta, Indonesia.
10 April 2019

Arif R Iryawan, M.Epid

 Participants
• This training will be attended by 6 people from the field
team Karisma outreach program.
• The participants have run an Meth user outreach program
in the Jakarta area.
• 3 of them have participated in the initial training activities.
 Aim

• Increased understanding of the program situation on

Harm Reduction for Meth user.
 Objectives

• Participants are able to describe the global situation and

local situations related to the Harm Reduction program
among Meth users.
• Participants will be able to analyze the client's program
caracteristics.
• Participants will be able to provide recommendations to
meet the client's program needs.
 Session Content

No Sub-Session Content Duration

1 Opening session.
2 Basic knowledge about global
and local situation on HR.
3 Individual factors related to
Meth users
4 Characteristics of Meth users
and their needs.
5 Reflection and closure.
Introducing, delivering the purpose of the session. 15 minutes
What is the global HR situation and its relation to 30 minutes
the local situation.
Dependency, risk and effect of Meth. 30 minutes
Reflect on client programs and simulations on how 30 minutes
to meet their needs.
Reflections on objectives of this session. 15 minutes
No Sub-Session
1 Opening session.
2 Basic knowledge about
global and local
situation on HR.
3 Individual factors
related to Meth users
4 Characteristics of Meth
users and their needs.
5 Reflection and closure.
Session Methods Methods Equipment and tools
Introducing the purpose of this session: using some pictures and Plano paper and colorful
choose and match. markers.
Brain-storming and short film discussion. Video files with audio.
Brain-storming: the related factors, Who/what I am: Is this a common Paper, marker and other tools.
situation or not.
Group discussions, joint work and presentations. Plano papers, tape and
The participants were divided into 2 groups. Each group must discuss markers.
and agree to make a specific a client's character and a plan for
provide related needs.
Other groups give questions and feeback.
Discussion, measuring objectives fulfillment. Plano paper and marker.
 Implementation: Opening session
• Participants were asked to introduce themselves and convey how long they worked for this
program.
• Then participants are asked to voluntarily stand behind the paper on the floor that reads:
"Not Using Drugs", "Try to use", "Recreational Use", "Controlled Use", and "Problematic
Use".
• Instruction from the trainer is how is your drug use position in the last 3 months? Please
stand behind the papers that show your current situation.
• After the participants chose their position, there was a discussion session and clarification on
why he/she chose to stand in that place. Then the trainer explained that the stantements on
the papers was the phases of drug use. These phases will apply to each individual from the
target group of the outreach program. The concluding message is knowing yourself and
getting to know the target group of the program is important.
 Implementation: Opening session
• Next is the participants were given each one sheet of paper that had read: "Aim",
"Objectives", "Increased understanding of the program on Harm Reduction for Meth users",
"Able to describe the global situation and local situations related to the Harm among Meth
users' Reduction program”, " Able to analyze the client's program characteristics ", and " Able
to provide recommendations to meet the client's program needs ".
• They were asked to be discussed and match the shared papers into something that was
interconnected and relevant.
• They were asked to paste on a flipchart which eventually became the explanation of Aim and
Objectitives from this training session.
 Implementation: Opening session
• The result is as below. With the stages carried out, the
participants became more aware of Aim and Objectives
from this session.
 Implementation: Basic knowledge about
global and local situation on HR
• The trainer uses a short video to explain the
global situation about HR. Participants were
asked to review the contents of the video,
based on their own perspectives.
• Based on each understanding, each
participant was asked to tell something most
interesting about the scene in the video.
• The trainer asks for things that occur in the
global scope obtained from the results of the
video discussion, related to the local situation
by each participant based on their respective
field experiences.
 Implementation: Individual factors related
to Meth users
• After listening to the field situation of each participant, the
trainer invited the participants to identify some unique
characters from the program beneficiaries, namely ATS users
they had reached.
• The trainer asks participants to remember their target groups
behaviour, related to how they use the ATS and its severity.
• The trainer said that from each way of drug use or the
severity of drug use, each individual has different needs.
 Implementation: Characteristics of Meth
users and their needs
• The trainer uses the table below as a tool to show that each person's needs will vary.

Characteristics of Sub-populations The main problem The main services needed

A. (non-dependent drug user) The negative consequences of its use, Early detection and intervention
the risk of becoming dependent.
B. (injecting drug user) Medical complications (for example: Rehabilitation therapy programs, HIV / AIDS services,
abscesses, blood-borne viruses). NSP, medical services, counseling.

C. (dependent drug user)
D. (acutely intoxicated drug users)
E. (drug users in withdrawal)
F. (drug users in recovery)
Disorders of substance use, health Rehabilitation therapy program / drugs dependency
consequences and other adverse risks. treatment.
Acute behavioral disorders and / or Intensive short-term and / or psychiatric medical care.
overdose.
Withdrawal symptoms. Short-term detoxification program.
Risk of relapse. Relapse prevention and rehabilitation program.
 Implementation: Reflection and closure
• After conducting a question and answer session and identifying important conclusions from
this session, the trainer invited the participants to look back at the paper posted on the wall
about Aim and Objectives.
• All participants agreed that Aim and Objectives from this training session had been reached.
• Then as a closing, the trainer asks participants to evaluate the process of implementing this
training.
 Training Evaluation from Participants
• Participants were very interested in the combination of methods used in the training.
• The tools for providing training materials are very helpful to facilitate the understanding of the
training objectives of the participants.
• The use of images and videos is very interesting for participants, so the training sessions
that are carried out are not boring.
• The minimum training time and limited training room need to be improved so that the training
session can run more optimally.
 Training Recflection from Trainer
• In preparation for making training materials, trainers have carried out mapping of needs and the level of
understanding about the issues from the trainees. This is very important for trainer to make training
plans.
• After completing the training plan, the trainer considers the training kits that will be used for training.
Trainer is looking for and can get it after arriving in Jakarta. Keep in mind that trainer live in different
city. This makes there is a time allocation for travel so that preparation time becomes less.
• During implementation, trainer must modify the method because they have to adjust to the
characteristics of the participants, the time available and the small space for the training.
• Upon arrival at the training location, there is a change in the room for training. The trainer must make
quick adjustments in preparing the another training room. Buddy's role is very helpful in this process.
• For further training improvements, in addition to making a good training plan, it is necessary to pay
attention to the time of travel to the training location and there is sufficient time for preparation at the
training site. This needs to be considered so that the mood of trainer can be maintained and adaptation
to the training room situation becomes better.
 Screenshot comunications with buddy
• The screenshot below is my last email to Ferry. He gave verbal feed back before the training.