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MEMORANDUM ocrvrdl
D
TO : ALL REGIONAL AND PROVINCTAL DIRECTORS R eceived
,//.
ALL PROVINCAUCTTY, AND MUMCIPAL I'CAL FEB 17 20t7
GOVERNMENT OPERATIONS OFFICERS BY:
RE s ECTION

SUBJECT Reviecd guidclince on volunter)r curtnda of &ug uecrc


end dependentc and aronitoring mcch:nicar of berengey
enti{rug ebuec cenpeigna
,i
DATE

For immediate and strict coutpliance.

For inforrratiqr and guitance please ee attached Joint Memorandum Grcular No. 1
Bsued by Urc Inb-Agency Task Force for tlp Ecablishnent and Support of Drug
Abus Treatment and Rehabilitation Cmterg creaEd under Exec'utive Order No. 04
s. 2016 @ATRC Task Fortc).

Puruant b paragraph ,l o( Section Merrorandum Circular No.


11 of ttre zubt'ct Joint
l, all Regional and Prordncial Oftices arc herety direccd b subanit b llre Office of
the Unrl-ersecretary for OFratioru, on ot befoe Fcbrnery 20, AI1Z the nam e ol at:c /f
(l) nominee to be deignated as tre authorized Dangerous Drugs Board @DB) I t
reprsentative.

Furthet pursuant to Sections 3 and 16 of the subiect Joint Memorandum Cirrular No.
1, all Regional Directors are hereby directed b rcqufu all surrenderers to submit
themselves for imsredi,ab classificatiorf and b submit a status rePort to the Office o(
the Undersecretary for Operatiors, on or bcfore March 20, ZIl7. t/
lnter-Agency Task Force tor the Establlshment and Support
o, Drug Abuse Treatment and Rehabllltatlon Center3 (DATRCa)
(Cieatod under Executiye Order o.04, s, 2O16)

@ffi@v$@&;)@Gr
,oint Memorandum Circular No, I
Series of 2016

Subiect: Guidelines on Voluntarily Surrender of and Introduction ol


Interventions for Dng Users and Dependents and Monitorilg
Mechanism of Barangay Anti - Drug Abuse Campaigns

Rtltrences:

9ctions 57, 54, 56, 58, aad 51 of RA No. 9165


*ctio'I. 56 q E RR of R No. 9165
Dangaous Drugs Bard ficanlatrrm No. l, Sctics of 2M
Dangaous Drugs M Rzylatioa No. j, Scrbs { 2007
Daltgctous Dntts Butt Frgll,lanon ilo. 3, S.rics 82016
L)engcrous Drugs Bord R4ulation No. 4, *ti.s d2016
DILG Manorandum Gndq No. 2012 - 094
DILG Mcmonadym Circulor No.2015 - 063

WHEREAS. the proliferation and use of illegal drugs has caused moral
degradation, disease, crimes, and deaths to numerous Filipinos;

WHEREA$ Section 2 of Republic Act No. 9165 or the CompreherLsi.. e


Dangerous Drugs Act of 2002, as amendd, (the "Act") provides ihat it is a
declared policy of the State to provide effective mcttunisnrs or measures to te -
integrate into society individuals who have fallen victim to drug abuse or drug
dt ;:endence through sustainable programs of treatsnnt and rehabilitation;

WHEREAS, Executive Order No. 4, Series of 2016 ("Executive Order")


issue<r by President Rodrigo Roa Duterte created the lnter - Agency Task Force
ior the Establishment and Support oI Drug Abuse Treatrnent and Rehabilitation
Centers ("Task Force") compoced of the following agencies:

Chairperson Secret ry of Department of lnte.i,or and to(al (;overnment

Vi('e ChairpeEons: Seqet t of DeParbEnt of Health


Ch.irman of Dugerous Dru85 Boatd

Secretrry of Depattment of Social Welfare and DeveloPment


Secret ry of Depattment of BudSet .nd Managentent
Director Gemre lo, Philippine Drug Enforcement Agercy
Reprsentative of Offie of the Prerident

WHEREAS, Section 2 of the Executive Order provides that the Task Force
shall have the responsibility to establish the neerled drug abuse treatment and
rchahilitation center and Provide suPPort to their operations and enioin the
cooperation of local govemment unils ir\ the establishment and suPPort of thes
centels and in the implementation of the community - based treatment and
rehabil itation programs;

WHEREAS, due to the advocacy and strong Pronouncement o{ President


Rotlrigo Roa Duterte to immediateiy address the country's drug problem, there
loinI Mflnorandum Circular No. I
Series oI2016
CuidelirEs on Voluntarily Surrender o, and lntsoduchon o, Interuentions for Drug Usc,rs and
l)ependents and Monitoring Mechanism t f Barangay Anti - Drug Abust Campaigns

is an unprecedented ma$ voluntary surrender of self - conlesscd drug users and


dcpendents nationwide;

WHEREAS, the President has also declared that the campaign against
drugs should be started in the barangays to accelerate the drive against itlegal
drugs and promote the participation of the community in the suppresion of
drug abuse and trafficking

WHEREAS, Section 51 of the Act provides that local government units


shall appropriate a substantial portion of their respechve budgets to assist in or
enhance the enforcement of the law, giving priority to preventive or education
progranrs and rhabilitahon of t!atrnent of drug dependents;

WHEREAS, the RepuHk Act No. 7160 or the l.ocal Govemment Code
mandates that baranSays shall adopt measures towards the prwention and
eradication of drug ahrse;

WHEREAS, Memorandum Circular No. 2015-063 of the Department of


lnterior and Local Government calls for tfte revitalization of their respective
tsarangay Anti - Drug Abuse Councils and for the latter to formulate, plan,
strategirc, implement and evaluate programs and proiects on drug prevention;

NOW THEREFORE be it RESOLVED, as it is hereby RESOLVED, to


provide a comprehensive set of guidelines dealing ivith the processing,
assssment and screening of surrenderers who are drug users and dependents,
admission of drug dependents for treahnent and rehabilitation, and
revitalization of anti - drug abuse councils, irrcluding the introduction of
monitoring mechanism for anti - drug abuse campaigns.

Section 7. Objectioes

This Joint Memorandum Circular aims to establish clear guidelines and


specific procedures to be followed by national Sovemment agencies, law
enforcement agencies, anti - drug abuse councils (ADACs) oI local govemment
units and cause - oriented non - goverrlment organizations in dealing with drug
personalities who voluntarily surrendered to authorities and assessed as drug
users or dePendents.

The ]oint Memorandum Circular also Provides for the revitalization of anti -
drug abuse councils and inttoduction of a mechanism to monitor comPliance
with the Act and other related guidelines issued by the DePartrnent oI Interior
and Local Government (DILG) pertaining to the camPaign against the' use of
illegal &ugs in the barangay level.

Section 2. Dcfinition of Tenns

A. Alcohol, Smoking and Subetence Involvement Screening Test (ASSIST) -


Developed by the World Health Organization (WHO), the rrcening tool is
used to detect and manage substance use and related problcms in primary
hcalth care and general medical care sefting. The tool was translated to
Filipino with consent from the ylFro for use in the Philippine setting.

I'age 2 ol 16
,oint Meoorandum CircuLr No- 1
Series or 2Ol6
Guidelinec qr Voluntadly Surreodr of and Introduction o{ lnlerventioas for Drug U:ers erd
Dependenc end Monitoring Mech.nbm of Bir.ng.y Anti - Drug Ab{se Crmpaign3

B. Erief Intereentions - Evidenced-Based practices designed to motivate


at
individuals risk o{ substance abuse and related health problems to change
their behavior. At risk individuals are made to understand how their
subtance use puts them in dariger with the aim of reducing or totally giving
up their substance use.

C. Community - Baced Treatment and Rehabilitation Program - it is a


consolidated model of treatsnent in the community with services ran8ing
from general interventions to relapse prcvention. The Program involves the
cq)rdination oI non - specialist services which shall cater to me.c,t the client's
needs.

D. Diagnostic Statistical Manual (DSM 5) - An assssment tool used by


clinicians and researchr:s to diagnose and classify mental disorders (which
includes suh;tarrce use) published by the American Psychiatric Asscriation.

E. t)rug dependency - refers to a state of psychologkal and/or Physical


dependence on drugs arising in a person following the administration or use
of the drug on a periodic and continuous basis.

F. Drug dependency cxeminetlon - a procedure conducted by a DOH-


accreditetl physician to evaluate the extent of drug abuse of a person and to
determine whetlrer he/she is a drut dePendent or not, which includes history
takin& intake interview, determination of the criteria for drug dependency,
mental and physical status, and the detection of dangerous drugs in body
specimens through laboratory procedures.

C. Duty Officer (DO) -a caPacitated personnel from the local govemment unit,
Anti - Drug Abuse Council, Philippine National Police, Philippine Drug
Enlorcernent Agency, or other offices who shall conduct the interview of the
individual who voluntarily surrendets.

H. Eclectic Programa - a combination of the components of a Therapeutic


Community, Hazelden/ 12 Steps and Faith-based Programs.

l. Faith-Based Structured Pr.rgr.ms - Programs with implicit and explicit


relil;ious and/or sfritual content which m.ry or may not include traditional
pryittoto.i"l intewention approaches. tmplemented by either of the
ioliowing; a) Secrrlar service provider who make no explicit reference to GorI
no, any irltimate value; b) Religiously affiliated provider who use standard
nonreli-gious techniques and approaches without religious contnt c)
Exclusiiely faith-based Providers who rely on religious content and
technologies to ttre exclusion of traditional nonreligious approaches; d)
-provider who combine religious and non-retigious content and
Holistic
aPP.oaches

I Hazelden-Minnesora Model[2 Stepc Programe - Based on the Hazelden


Foundation Program similar to the P;inciPles of Alcoholic Anonymoirs which
outlines a set of-guiding PrinciPlesll2-StePs) outlining a course of action for
recovery from substance use disorder. Each participant tries to determine

Page 3 of 15
loint Memorandum Cir(uLr No.1
Seris of 2016
Cuidelina on Voluntisily Sudndrof ard Intsoductkm of lnErventions for Drug Users and
Deperdents end Monitoring Mechanirm of Barary.y Anti - Drut Abuse Campaigns

what will work best for their individual needs while providing support,
encouragement and accountability through a sponsorship method.

K. International Classification of Disase6 (ICD) - 10 Classification of Mental


and Behavioral Disorders-An assessment tool that provides clinical
derription and diagnostic guidelines for mental health and substance use
disorderc much similar to DSM 5.

L. Motivational Interviews - a clinical approach that helps people with


suhtance use disordrs and otlEr chronic conditions. The approach upholds
four prirrciples; o(prssing empathy and avoiding argurnents, developing
discrepancy, rolling with resistance and supporting self - efficacy.

M. Outpatient Program (Center - Based) -a program for patients assssed to h


having moderate suhtance ustr disorder conducted by a Department of
Health - accredited center in a per week or per day rhedule.

N. Rehebllitation - is a dynamic process ilirected towards the physical,


emotional / psychological, vocational, social and spiritual clnnge to PrePart'
a drug dependent for the fullest life compatible with his capabilities anrl
potentials and render him able to become a law abiding and Productive
member of th community without abusing drugs

O. Sociat Support Activities includes but not limid to the following activities:

o 'I echnical
Skills Enhancement
r Livelihood training activities
r Educational Programs
o Civic and Environmentai Awareness Activities
o Job Placement / Employrnent

P. Spiritual/Taith-B:sed lnterventions - The use of moral and spiritual


principles, dockines and writings to inlluence the well-being of a substance
user and leverage potential venues for reinforcing healthy bt'haviors.

Q. Subatance Uee Dicorder (SUD) - Term used in the DiaSnostic Statisticill


Manual 5 which combines categories of substance use, abuse and dependence
irrto a single disorder measurerl on a continuum from mild to Eevere. Each
specilic substance is addressed as a seParate disorder (e.g. a.lcohol use
disorder, cocaine use disorder) and is diagnosed based on the samc
overarching eleven (11) behavioral criteria. Clinicians can also add "in early
remission', in "sustained remission', "on maintenance therapy" and "in
controlled environment' in derribing their diagnosis which could either be
the following;

1. Mild SUD - a minimum of two (2) to three (3) criteria has becn met.
Similar to experimental and rxrasional users

2. Moderate SUD - Four (4) to five (5) criteria met which woulc! be
similar to regular and habitual use

Page 4 of 16
,oirrt Memorondurn Circula. No. I
St ries of 201 6
Cuidelines on Voluntarily Surrender of and [nt oduction of lnterventions for Drug Usen and
Dependerts and Monitoring Meclunism of Barengay Anti - Drug Abuse Campaigns

3. Scvere SUD - lf six (6) or more symptoms/criteria has be\en met


which is about the equivalent to an abuser and substance
dependent individual

R. Therapeutic Community Programr - the most common form of long-term


residenhal treatment for substarre use disorder. Following the corrcept of a
"community as a rnethod", the program use active participation in group
living and activides to drive individual change and to achieve therapeutic
Boals. Participants take on responsibility for tlreir per's recovery
emphasizing mutual help and social leamings.

S. Trc.tment -is the medical service rendered to a drug dependent for the
elfective rnanagenrent of his physical and mental conditions arising from
drug abuse

1'. Voluntary Confinement for Treatmnt and Rehabilitation - a treatrnent and


rehabilitation program as provided for in Section of the Act.

ARTICLE I
SCREENINC AND ASSESMENT OF VOLUNTARY SURRENDERERS AND
THE TREATMENT AND REHABILITATION PROGRAMS

Section 3. Guidelines on S$.ening and Asscssrne t of lndioiduals who


Voluntarily Suneadet aad Dctetmination of Apptopiate lntetuention

A. The whole process of voluntary surrender to the authorities shall be properly


documented by the Duty Officer (DO) of the Office where the individual/s
surrenderd (the "Office) and covered by video recordin& if possible. Each
lrral govemment unit consequently should provide the names and offices of
Duty Officers which shall be forwarded to the DDB and DILG for rccords
PurPoss.

B. An interview shall be conducted by the DO who will solicit personal


inlormation from the suncnderer. Names, addresses, contact numbers,
religious affiliation and sex will be recorded for purposes of monitoring
c.rmpliarrce to prescribed program iI necessary and record the inlormation in
the record book.

C. 'l'he Office shall verify with law enforcement agetrcies such as but not limited
to the Philippine National Police, Philippine Drug Enforcement Agency or
National Bureau of Investigation if the surrenderer is included in the Target
List, Wanted List and Wakh List Personalities or if he / she has any other
pending criminal case/s.

If it is verified that the surrerrderer has a pending warrant of arrest ot


criminal case, he / she shall be referred to tlre Office of the Prosecutor or the
Court. Voluntary suander may be considered as a mitigating circumstance.
depending on the facts of the case.

Page 5 of 15
foint Memorandum Circula, No. 1
Series of 2016
Guidelirs on Volunt rily Surnderof and Introduction of lnterventions for DruS Users and
Dependents and Monitoring Mechanism of Baratgay Anti - Drug Abuse Campaigns

If the name of the surrnderer is listed in any of the aforesaid lists but he h.:s
no pending case, he shall be rferred to the law enforcement a8ency who has
included said surrendercr in its list for proper investigation.

Surrenderers who wish to be part of the Witness Protection Program ("WPP')


should be able to provide verifiable information. lnclusion in the WPP is
subiect to the evaluation of the Philippine National Police and WPPs set of
evaluators,

D. The surrenderer shall be made to sign an AFFIDAVIT OF UNDERTAKING


and WAIVER (Annex A) rnandating the conduct of an assessment (drug
dependency examination), physica.l/medical examination and dtug best. lt
shall also pmvide that the surrendercr will fully cooPerate with the
prescribed program and that he sha.ll reform himself / herself and will nc'
longer participate in .rny itlegal drug activity. The Affidavit and Waiver shall
bt' subscribed before and by the Duty Officer. A family member who is of age
of maiority, preferably a Parent or a sPouse, shall also sign sairl Affidavit-
Consent of the parents or guardian shall be obtained for surrenderers who are
minors. Failure to comply with the Undertaking shall subiect the surrenderer
to liability as provided for in Section 17 of this Memorandum Circular.

E. A rreening of the surrenderer shatl be undertaken by capacitated personnel


from ADACs or Municipal or City Health Office personnel in order to
determine whether the surrenderer falls under Sertion 3 (F) or (G) of this
Memorandum Circular.

The rreening shall be undertaken using "The Alcohol, Smoking and


Substance Involvement Screening Test 145515r" through an interview
and/or the provision of th questionnair. Othcr internationally accePted
scree;ing tools may also be used.

F. If found to be of "Low" risk, ilre concemed ADAC may Provide or refer the
surrenderer to. but not limited to, one or more of the following interventions:

1. Motivational lnterviews
2- BricI lnterventions
3. Spiritual/Faith-Based Interventions
4. S<rial Support Activities
a. Technical Skills Enhancement
b. Livelihootl training activities
c. Educational Programs
rl.Civic and Environmental Awareness Activities
e. Job Placement / Employment
5. Other activities deemed necessary

C. lf found to be of "Moderate or High" risk, the surrenderer will be furthcr


assessed for morbidities undqr Sc<tion 3 (H), (l), or (f) of this Memorandum
Circular:

1. For purposes of assessment, the DO shall refer the surrenderer to a


qualified health professional for assessment by a Department of

Page 6 ol 16
loint Memordndum Cincular No. 1
Series of 2016
(;uidelin6 on voluntarily surrender of and lnkoduction ol lnlervt'ntions for lJrug Users anrl
t)ependents and Monitoring Mechanisnr of Earangay Anti - Drug Abuse Canrpaigns

l{ealth (DOH) - Accredited Physician, Trained Rehabilitation


Center Personnel, Qualified Allied Professional, among others;

2. The qualified health professional shall use the Diagnostic and


Statistical Manual of Mental Disorders (D6M V), applying the
eleven (11) - point questionnaire

3. The qualified health proftssional can also use the International


Classification of Diseases 10 0CD.10) classification of mental and
behavioral disorders (whichever is more convenient for the
practitioner)

4. lf the surrenderrer has co-occurring morbidities (other than


substance use disorder), he is referred to a specialty facility for
treatment. Alter whictr, the patient is again re-assessed by the
qualif ied health professional.

It. If assessed to be having "mild substance use disorder'alter the conduct of


asisessment, the surrenderer shall undergo detoxilication when necessary and
shall be referred to a community-based Psychosocial rehabilitation pursuant
to Board Resolution No. 75, Series of 2015 ('Adopting the Guidance for
Community ' Based Assessment, Treatsnent and Care Services for People
Alfected by Drug Use and Dependerce in Southeast Asia for the
Philippines") which may indude but not limid to. any or all of the
following servicec:

l. Motivational Interviews;
2. Brief Interventions;
1 Spirihral/Faith-Based structured interventions (counseling,
provision of add iction modules/services etc);
.1. Social Support Activities such as but not Iimited to:
a. Tc,chnical Skills Enhancement
b. Livelihood Training activities
c. Educatiorral Programs
d. Environmental Awareness activities
e. Other Socio - Civic Oriented activities; and
5. Attendance to Support Groups (Narcotics Anonymous, Faith-based
organizations and othcr NCOs)
6. Othcr activities deemed necessarv
I- Ifassessed to be having "moderate subotance use disorder' the surrendercr
shall undergo detoxification when necessary and shall be referred to an out-
patient program accredited b),the DOH which will incorporate in said
accredited program any or all of the following services:

1. Structured Out-Patient modalitiB (Intensive Out-Patient Matrix


Program, Psychotherapy Interventions, Harm Minimization etc);
2. Motivational lnterviews;
3. Brief nterventions;
I

4. Moral or Spiritual/Faith-Baeed stmctured intervertions


(counseling provision of addiction modules/services etc);

Page 7 of 16
joint Memorandum Circular No. I
Srrri('s of 20I6
cuideline's on Voluntarily surrender o{ and lntroduction of InErventions for Drug users and
l)epndents and Monitoring Me(hanisor of Barangay Anti - Drug Abuse Canrpaigns

5. lndividual or group counselinp


6. Eehavioral modification proBrarrls;
7. Social Support Activities such as but nut lirnited to:
a. Technical Skills Enhancement
b. Livelihood haining activities
c. EducationalPrqgrams
d. Environmental Awareness Activities
e. Othcr socio - civic oriented activitir:s;
8. Attendance to Support Groups (Narcotics Anonymous, Faith-basecl
organizations and other NGOs);
9. Other activities deemed necessary; and
10. CIient is processed for admission to an Out-Patient l{ehabilitation
Program pursuant to Regulation No. l, Series of 2009 of the Board,
whether or not the client is a first or succeeding time offender. The
intervention shall be provided by the nearest DOH - accredited
drug treatment and rehabilitation center or l<xal government health
center (if capable or capacitated).

J. If assessed to be having "severe substance use disorder" the surrenderer shall


undergo detoxification when necessary and shall be referred to an in-patient
program accreditd by the DOH which shall incorporate any or all of the
following programs:

. Therapeutic Corrununity Programs;


o Faith-BasdStructured Programs;
. Hazelden-Minnesota Model/ 12 Steps Programs;
r Eclectic Progratns; and
. Other activities demed necessary

1. Upon issuance of a certification by the DOH - accredited physician that


the surrenderer or the person in whose behalf the application is filed is
a drug dependent and his/her confinement in a treatment and
rehabilitation center is recoflrmendd, the Board or its authorized
representative shall file a petition with the appropriate Court for the
conlinement of the said drug dependent for treatment and
rehabilitation pursuant to Se(tion 54 of the Act.

2. lf the examining physician rccommcnds thc immediate confinement of


the drug dependent, the Board or its authorized representative shall
order his/her temporary confinement in a govemment or private
treatment and rehabilitation center, at the option of the applicant,
pending the issuance of the.ommitrnent order of the Court.

3. Any oppooition to the temporary confinement of a drug dependent


shall be in writing and verified. lt shall state the grounds for the
opposition and shall be filed with the Office of the Executive Dirc'ctor
of the lloanl, copy furnished the authorized represcntativc, as the case
may be. Upon receipt of the opposition, the Executive Director sha.ll act
with all reasonable diligence and lake all measurm necessary to
resolve the opposition. The temporary confinement shall stay, unless
the opposition clearly shows that the continued conlinement of thc

I'agc E of l6
loinl Mt'morandunl Circula. No. I
St'rir::; of 2016
GuidelirEs on Voluntar y Surrcnder of and Introduclion of lEtervcrtions for Drug Usc.s and
Dependents and Monitoring Mechanism of Barangay Anti - Drug Abuse Camp.igns

drug dependent is detrimental to his/ her physical and mental well-


being and that he/she does not pGse a danger to himmlf/herself,
his/her family or the communilr;

4. Upon the petition of the Board or its authorized representative, the


Court shall order that the applicant be examined for drug dependencv
or shall take cqpizancr of the certification of the examining physician
rnentioned in paragraphs (b) and (c) hereof. lf the examination bv a
DOH-acrredited physician results in the issuance of a certification that
the applicant is a drug dependent, he/she shall be ordered by the
Court to undergo treatment and rehabilitation in a Center designated
by the Board for a period of not less than six (6) months.

5. The parentg spouse, guardian, or any relative within the fourth degree
of consanguinity of any person who is conlined under the voluntary
submission program shall be charged a certain prcentage of the cost
of his / het treatlnent and rehabilitatjon, su$ect to the schedule of fees
of the accredited governmeart center and the indigency test to be
conducted by the social welfare officer of the center.

6. Confinement in a Center for treatsnent and rehabilitation shall not


exceed one (1) year, after which time the Court, as well as the Board,
shall be apprised by the head of the Center of the status of said drug
dependent and determine whether further conlinement will be for the
welfare of the drug dependent and his/her family or the community.
The DOH - accredited physician may recommend to the Court the
release of a drug dependent at least forty - Iive (45) days after initial
admission to the Center and shall likewise prescribe a comprehcnsive
after - care and follow - up program which the dependent should
adhere to in order to complete at least eighte+n (18) months,
depending on the assessnent and evaluation of the Physician and
sut{ect to the approval of the Court.

7. A drug dependent who is not rehabilitated after the second


commitment to the Center under the voluntary submission Program,
shall, upon recommendation of the Board, be charged for violation of
Section 15 (Use of Dangerous Drugs) of the Act and prosecuted like
any other offender. If convicted, he / she shall be credited for the
period of conlinement and rehabilitation in the Center in the service of
his / her senterre.

8. For the compulsory confinement of a drug dependent who refuses to


apply under the voluntary submission ptogram, the procedure se't
forth in Section 51 of the Act shall apply.

9. For the compulsory confinement of a drug dependent charged with an


offense to trcatmcnt and rehabilitation, Section 62 of the Art shall
APPIY.

K. Drug Testing may be requirecl by medical / paramedical personnel charged


with the treatment of the client only for therapeutic purposes and to monitor

Page 9 of 16
,oint Memo.andum Circubr No. 1
Series of 2016
Guidelines on Voluntarily Strrrerder o{ and Intsoductior of lntewentions for Drug Users and
Depen&nts and Monibring Mechrniam of Brnntry Anti - Drug Abure Campaigns

patient compliance to the prograrL Such &ug testing activity must bc


recorded in the respective patient records and does not require the official
furms from accredited laboratories.

Section 4. Temporary Relaasc of and Aftcrcare Program lor Drug Depenilents


A. Upon certification of the Center that the drug dependent within the voluntary
submission program may be temporarily released, the Court shall order
his/ her release on condition that said drug dependent shall report to the
DOH for aftercare and follow-up treatrrenL including urine testinp for a
period not exceeding ighteen 118) months under such terms and conditions
that the Court may impose.

B. If, during the period of aftercare and follow-up, the drug dependent i.s
certified to be rhabilitad, he/she may be discharged by the Court, subiect
to the provisions oI Section 55 of R.A. 9165, without prgudice to the outcome
of any pending case filed in court.

C. Upon discharge of the drug dependent certified to be rehabilitated as ordered


by the Court, he/she shall undergo psychosocial interventions to prevent
relapae. The DSWD shall ass(s.s the needs of the rehabilitatd drug
dependents and provide the necessary programs and services to facilitate
his/her reintegtation to his/hc'r family and community, in coordination with
the LGU, the DOH, and other government agencies concerned with the
aftercare, reintegration and bansforrnation support for recovering drug
dependents.

D. However, should the DOH find that during the initial after-care and follow-
up program of ighteen (18) months, the drug dependent requires further
treatment and rehabilitation in the Center, he/she shall be recommitted to th,r
Center for confinement. Thereafter, he/she may again be certified {ot
temporary release and ordered released for another aftercare and follow-up
program pursuant to this Section.

SECIION 5. Probation and Comnuuit4 Sentice.

A drug dependent who is dischargl',l as rehabilitated by the Center, but does not
.lualify for exemption from criminal liabrlity under Sc.ction 55 of R.A. 9165, may
be charged under the provisions of the said Act, but shall be placed on probation
and undergo a community service'in lieu of imprisonment and/or fine in the
dirretion of the Court, without preiudice to the outcome of any pending case
filed in Court.

SECIION 6. Filing of Charyes Against a Drug Depmdent Who is Not


Rehabilit ed after Rccommi tmcnl

A drug dependent, who is not rehabilitad after the second commitment to the
Center, shall, upon rcommendation of the Board, be charged for violation of
Section 15 of R.A. 9165 and prosecuted like any other offender. If convicted
he/she shall be creditetl for the perio{ of conlinement and rehabilitation in the
Centcr in the service oI his/her sentence

I'age 10 of 16
,oint [kmorandum Circulrr No. I
Serk5 of 2016
Cuidlirled on Voluntarily Sunerdet of and lnboduction of lnterventions for Drug Users and
Dependents atrd Monitodng Medunbn of Borangey Anti - Drug Abuse CamPaiS[s

SECTION 7. Escape and Recomflit nent.

A. Should a drug dependent escape from the Center, he/she may submit
himself/lrerself for recommitment within one (1) week therefrom, or his/tr
parent, spous, guatdian or relative within the fourth degree of
corrsanguinity or affinity may, within said period. surrender him/her for
recommiknent, in which case the corresponding order shall be issued by the
Board.

B. Should the erapee fail to submit himself/herself or bc surrendered alter one


apply to the Court for a recommitment order- Uporr
(f ) week, the Board shall
proof of prwious comlnihnent or his/hcr voluntary submission by the Boarr.l,
the Court may issue an order for recommitment lvithin one (1) week.

C. lf, subsequent to a recommitment, the drug dependent once again escapes


[rom confinement, he/she shall be charged for violation of Section 15 of the
Act and / or be subjected under Sc'ction 61 of the said Act, either upon order
of the Board or upon order of the Court, as the cas may b.

SECflON 8. Confidentiality of Rccords.

A. Judicial and medical rcords of drug dependents under the voluntary


submission program shall be confidential and shall not be used against
him/her for any purpoe, except to determine how many times, by
himself/ herself or through his,/her parent spouse, guardian or relative
within the fourth degree of consanguinity or affinity, he/she voluntarily
submitted himself/herself for conlinement, tratment and rehabilitation t'r
has been committed to a Center under this program.

B. However, where the drug dependent is not exemPt from criminal liability
under Section 55 of R.A. 9165, or when he/she is not rehabilitated under the
./oluntary submission pnogram, or when he/she escapes again from
confinement after recommitmer:t the records mentioned in the immediately
preceding provisions, which an rlLrcssary for his/her conviction, may be
utilized as evidence in court aga:nst him/her.

AcrroN AND MoNrro*r*t*Jl"i,tt,ll- DRUc ABUsE couNCILs

SECTION 9. Establishment of Rcfctal Desk for Treatment and Rehabilitetion.

All ADACs and EADACs are requin:d to establish referral desks for treatment
and rehabilitation in their respective city, municipal and barangay halls to
expedite the processing of applicatiors for treatment and rehabilitation of drug
dependenB. ADACs and BADACs shall assist the authorized rpresentahves of
the Board in the processing of such applications.

Page ll of 16
Ioint Memo.andum Circular No. I
Series of 2015
Guidelines on Voluntarily Surrender of dlld lntroduc-tion of lntewenhons for Drug Users and
Dependents and Monitoring Mechanism ol Raranpy Anti - D.ut Abuse Campaigrts

Scctiott 70, Monitoifig Mechanism o/ Attti ' Drug Abuse Campaigns in


Barangeys

A. Policy Content and Guidelines

All City and Municipal Mayors are enioined to ensure the organization of
BADAC, allocation of substantial portion in the barangay budget; and the
lormulation of Barangay Peace and Order and Public Safety Plan and the'
Barangay Anti-Drug Plan of Action of all barangays under their arreas of
iurisdiction such that all Punong Barangays should be directed to:

1. Organize or revitalize their BADACs and its Cornmitt{trj on


Operations and Advocary and the BADAC Auxiliary Team;

2. Appmpriate a substantial portion of their respective annual budget


to assiet in or enhance tlre enlorcement of the law, giving priority to
prwentive or educational programs and the rehabilitation or
treatsneflt of drug dependens; and

3. Formulate barangay Peace and Order and Public Safety Plan and
Barangay Anti-Drug Plan of Action as its component.

B. Report on Compliance

1. All Barangays are required to submit to their rsPective


City/ Municipal Local Goverrunent Operatioru Officer
(C/ MLGOO) within ten (10) days from the approval of their annual
budget of the following calendar year, the following documcnts in
summary form:

a. The BADAC Plan of Action;

b. The composition, including names, of the


members of their BADAC in accordarre with
MC 2()15{3; and

c. '[ hc amouttt of l]udget allocated for their


BADAC.

2. The C/ MLGOO shall document compliarrce by filling-out BADAC


Form 1 (Annex B) and shall report to the National Barangay
Oprations Oflice (NBOO) all barangays who fail to comply with
this directive for proper disposition.

3. As a transitory directive, within seven (7) days from the issuance of


this memorandum circular, all barangays are required to submit
the above druments to their respective C/ MLGOO.

4. Together with the Chief of hrc Philippine National Police (PNP) in


the locality, and local PDtsA representative, the C,l MLGOO shall
determine whether the buclget allocated by the barangay to their

PaBe 12 of l5
Ioint Alemorandum Circular No. I
Scrirx of 2016
Guidclines on Voluntarily Surender of and lntr:rtluction of Interventions for Drug Users and
l.lependcnts and Monitorin8 Mechanism of l'ir. lt:ry Anti - Drug Abuse Campaigns

BADAC is "substantial" e'nt'ugh in accordance' to the degrce of


drug affcction in their barangal .

Section 77. Focal Persoas atd Designation of Dangerous Drugs Board


Au tho ri ze d Rep rese ntatia es,

Each CADAC MADAC Chairpt-'rson shall designate a ftxal person who shall
/
ensure en(orcement of and compllsncs with this Joint Memorandum Circular'
Thr, surrcndr.ror shall bt'unrler tltt' supervision of the CADAC / MADAC, and
shall coordinate with the appropriate service provider to assure compliancc with
the prescribed intervention.

Barangay Anti - Drug Abuse Courrcils shall also assist in the monitoring of
surrenderers and shall report to tht'ir resPective CADACs / MADACs.

'l-he DOH shall havc general technic^rl supervision over the medical interventions
to be introduced to clients and Patit'nts.

'the Exrutive Director o[ the Boar,'l is hereby authorized to act for and in behalf
of the Board to designate Authorizecl RePrescntatives of the Board, and is further
authorizetl to designate all Dutv Officers and any Provincial or City Health
Officer, Provincial or City S<xial Wclfare and Development Officer, any official
of I)ILC, Provincial or Citv Schtrols [)ivision Superintendent of thc Department
of Education, Regional, Provincial trr City Parole and Probation Olficcr of thc
Parole and Probation Administration, and officers of ADACs to perform thc
aforesaid delegated authority. 'lhe Authorized Reprc'sentativcs of thc lJoard
dcsignated by the Executive f)irector shall be assistcd by the DePartment of
Justice, through the Public Attorncv's Cxfice, in the performancc of their
delegaterl authority, unless the applicant rctains the servict's of a private counsel
at his/her expense.

Thc document to be issued by the Exrrutive Director of the Board designating


Authorized Representatives of the Btxrd shall state their specific duties and
responsibilities, as follows:

1. 'l'o rcreive verified applications for voluntarv confinement for


treatmcnt and rehabilitatiou

2. To order the drug depen.lency examination of the aPPlicant or thc'


person in whose behalf thc application is filed by a DOll-accredited
physician;

3. To order thc temporary cotrfincment, not exceeding, fiftc'en (15) days,


oI the drug dependent;

4. To file the petition for volrrnta.ry con inement for treatment and
rehabilitation, for and in behalf of the Board, with the appropriate
Coutt

5. To appear and represent the Brxrd during the hearing of the petition
with authority to make stipulation of facts;

I'aEe 13 of 16
,oint Memorandqm Circular No l
Serier od 2016
Guidelineg on Voluntarity Surretlder of and lnloduction of lnterventions fot Dru8 Urrs and
DeFndentr and Monitoring Mechanism of Bonngry Anti - Dtug Abuse Campaigns

5. To dtsignatc the Center where the drug dependent shall be confined


or the DoH-accredited Physicial itr whost' care the drug dependent
shall be placed under;

7. To receive reports from tho head of the Centcr or DoH-accredited


physician regarding the status of the drug depcndent; and

t'1. I'o furnish the Board with copies of all applications, issucd orders,
pttitions and other plcatlings, rePorts and other tlocuments in
conncrtion with the exercise of their delegated authority.

Section 72. "One - Stop Shop Facilities".

ADACs shalt establish "one - stop shop facitities" in their resPcrtive iurisdictions
where assessment, interview, counseling, referral and / or processing of
applications for petitions for con(inement of drug dependents for treatment and
rehabilitation and other allied processrs may be undertaken.

All govemment - owned treaknent afld rehabilitation centers shall also establish
ote - stop shop facilities to expedite the processing of applicatiorrs for petitions
for confinement.

Sectiox 73, Reporting Sgstcttt

All offices shall maintain a seParate file of drug personalities who voluntarily
surrendered in their resPective offices. AII community - based trcatment and
rehabilitation program service providers and outPatient Program providers and
shall update and apprise the ADACs on the progtss of the Patient treatment.

Number of compliant surrendcters shall be noted in the existing Ltral


Govemment Unit Scorccard.

Reports of ADACs and outPatient and inpatient treatment and rehabilitation


centers shall be submitted quarterly to the Policy Studies, Research and Statistics
Division of the DDB using the following forms: Data on Community - Based
Treatment and Rehabilitation (Annex C) and Data on Drug'Ireatment,
'the DDB shall
Rehatrilitation and Altercare of l)rug Dependents (Annex D).
maintain a centralized database of all surrenderers.

All information on surrendeters shall be conlidential in nature.

Scction 74, Coordinetion fot Lioelihood, Tminbg end Other Cioic Actioity
Prograns,

All local governrnent units shall coordinate with government agencies and non-
government organizations for thc provision of livelihood and training progra:ns
to surrenderer. [ocal government units shall liaise with the Technical Education
anri Skills Authority (TESDA), Department of Agriculture, Department of
Education (Alternative Lcarning System), Commission on Higher Education
(Alternative l,eaming System, Erpanded Tertiary Education Fquivalency and

Page Ia of 16
loint Memorrndum Circular No. I
Serie6 of ml6
Guidelirs on Voluntarily Surreo&r of .nd htsoduction of lnEflentiont for Drug Users end
DeFndenE.nd Monitorint Mechanism of B.r.ngay Anti - Drut Abusc CrmPrigr3

Accteditation Program, Open Distance Learning) DePartment of Trade Industry,


Dephrtment of Environment and Nafural Resources and technical - vocational
rhools for the conduct of such programs.

Section 75. Funding.

Pursuant to Section 51 of the Act and Memorandum Circular No. 201543 of the
DILG local government units shall appropriate a substantial portion of their
respective annual budgets to assist in or enhance the enforcement of the Act
through this Regulation.

Section 16. Liability for Violation of the Rcgulatiott


Section 32 of the Act provides for the impcition of penalty of imprisonme:rt
ranging from six (6) months and one (1) day to four (4) yeani and a fine ranging
from Ten Thousand Pesos (PtO000.00) to Fifty Thousand Pesos (P50,000.0) to
any person found violating any regulation duly issued by the Dangerous Drugs
Board, without preludice to the imposition of any administrative and other
criminal sanctions.

Scction 77. Separability Clause.

In the event that any Section, paragraph, sentence or Phrase of this Regulation is
declared invalid, other provisions thereof shall not be affL"cted thereby.

Section 7 8. Elfectio ity.

This Regulation shall take effect fiftc'en (15) days after its publication in nvo (2)
newspapers of general circulation and r$stration with the Office of National
Administrative Register (ONAR), UP law Center. Quezon City.

Patc t5 of 16
Joint Memorandum Circular No. I
Series of A16
Cuidelines on Voluntarily Surender of and lntsoduction of lntfventions for Drug Use'r snd
Dependents rrd Monitorin8 M$aniem of Barangry Anti - Drug Abuse Campaigns

Approved and adopted


On

DEPARTMENT OF THE INTERIOR


AND LOCAL GOVERNMENT
By,

CASTRICIONES
Under*cretaru

DEPAR.TMENT OF HEALTH DANGEROUS DRUGS BOARD


By, By'

G. PUNZALAN varurpsfinne, CRUZ


Assistant *cretary OIC - DDB Slbretariat

DEPARTMENT OF SOCIAL DEPARTMENT OF BUDGE-T AND


WELFARE AND DEVELOPMENT MANAGEMENT
By, By'

II(
A
.I Il.tr|ll
nt *cretary
.1,\ AG tul; bnt
Ufldcrsecretary
. BAILEN

PHILIPPINE DRUG OFFICE OF THE PRESIDENT


ENFORCEMENT AGENCY By,
By,

DERRICK
<f,---
ARNOLD C. CARREON
l,*,, a. g*-,
,AIJRORAC. IGfiACIO
Direttor lll Assistant Secrelary

A ncxcs:

Anner A - Afrdfivir q Unbrt*iag ad Waiocr


Aanex B - DADAC Fotm 7
Aal,cx C - Dalo oa Community - B{5'.l fi",.t frna cnd k6ilil4tio,t
Anaet D - D.!a ot DrutT,c tnn , xctr[ililotim eold Afa Core {Drug Dcpndatls
Atner E - Clictrt Flclt fur Suktane - Rchbl lsrus
Anttex F - l:low Oat E loinl bk nqaadurn Ctculct No.1, Scrics ol2016

PaBe 16 o, 16
Annex A

Republac of the Philippanes I


l s.s.
x--------------'-------------------x

AFFIDAVIT OF UNOERTAKING AND WAIVER

l, (name of surrenderer), of legal age, Filiplno, single I rfiaftied, of (permanent address), after
bein8 duly sworn to in accordance with law, hreby depose and state that:

1. On (date of surrender), I wnt to (narm of office! at (office addreis) for the purpose of
5ubrecting myself to voluntary surenderas a usr of dangerous drugs.
2. I am authoriting (n.m of office) to take my urine sample and to conduct physical / mental
examination, includirts drug test and drug depcndency examination, for any purpose that it may
5erve.
3 I am authoriu ing (name of offlce) to take my photor, fingerprints and information.
4. I am committint to do the tolloyint:
a. I shall reform myself and rsolve not to entage o, panicipate in the illegal drug trade;
b. I am willing to submlt myslf to a drut treatment end rchabilitation pmgram and I shall
commit to finish said Eotram;
c. I submit to record check ard background investi&tion of (name of office) and other law
enforcement agerEies, whenever ncessary to prove my honsty and inte&ity;
d. I shall ioin all anti - dfi.ts ectivities lnitiated by (name of office) in (name of city /
municipality ohurrendererl; and
e. I shall report to (na.rie of offrce where surrenderer will be relered) once a weel for e
period ol six (61 months, or unle3s required otheruvise, and shall subiect myself to any
random drug testinS.
5. I understand and agrae that my voluntary sunender and this waiver does not in any way absolve
me from any criminal liability nor shall it r$ult in the removal of my name from the list of drug
pe rsonalities;

6. Should I fail to retorm myselt and continue to en8age or participate in the illegal dru8 trade and
/ or use thereot. I shall b mad liabl for the violation of this undcrtakln8, the provitions of RA
No. 9165 and rekvant laws and reSulat.ons.
7. I hereby waive any and all claimt criminal, civil or administtativ a8ainst the (name of office)
and offcers thereof, and further release and discharye them from any and all liability. Lilewise, I
hereby authorir (nam of office) to utilize th result of my urine sample for any legal purpose
that it may serve.

lN WITNESS WHEREOF, I hereby aflix my sitnature this day ot . 2016 at

-
SUBSCRIEEO AND SWORN before me this (dete) by (name of surrenderer) who exhibiteC to me
his (comptent evidence of identity) i3sued on (date of issuance of competent evidence of identity) at
{place of issuance of comptent evidence of identlty}.

NOTARY PUBLIC
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R.pdli: ol lh. Ph*frira!


Offica d Ul6 Prsident
OA'{GER(ruS ORI'GS AOARD
3rF. POA tsdg. }{lA rao.t|rb Rod. tl lirlc Crvq'Illlot C6.rtr
&gy mrn. Ourroll City

OOB IDADIN FORM ffi DDB Control No.


N,!rno ,){ Reh.br atron Cenler Revised Decombe. 2006
Reg6n: _
Data ol Adrnission:

A, BACXGROUND INFORMATION

1 Family Name First Name Middle I'lamo 26. Arsa where drugs ars being abused

2. Pr tanarll Addass: 27. Daily Expenses for Drugs:P


3. Sex: [ ] Male [ | Female 28. Source o, Drug6 (Pls check one only)
4. Age: _ Fri6nd/Pse.
5. Dale ot Bi.thl Pusha
6. Plac, ol Bnh - self
?, Crvi Status tsEE--TJWi6"re' Drugstores
lMa.rad [ ]Separatod - Relatives
lLivein I lOivo(cod Others, pls. Specily
E Nationatly 29. Place ot Onlg Sorce:
9. Relbn: 30. Prirna.y Ressls to. Using Drugs:
,0 Highest Educa(ional Attaanmeot:
l1 Number of Years rn Sch@l 31 Druss Used !9r-![g!99]I!j!!9!!I!ri_or
t 2 Date ol Last Altendance in School: to Reh.bililation lPls Refer lo page 2)
13 Occupatron prior to Rahatimationi
C, TREAMENT/HOSPITALIZATION INFORMATION
't4 Number ol Siblings: _
t5 Ordir!l Pcitiqr rn tfiq Family: 32.l,latxs ol Corifinament lo RelElilitation
16 L,ving ArrarEorrEntr: Cdlts. (Pb. CM( on6 onlyl
I I With Parenls I I With Spouss E Child.eo [ | Votunla.y
I I With Relalivg [ , Wilh Friends I I Vd$t8ry wilh Court frr
I I Boarding House I I Livrng Alono t I Anested
I I OlheB. sp6dly I I Suspenbnd Senlsnce
I I Compr.dso.y Conftrement
'17 Estimated Family A/tonthly hcofltq: P (Undr Soc. 61. RA 9165)
'18 Name ot Father: [ | Comprjbo.y Confinentnl
OcarJfratia)f|: (Utdsr Sc. 62, RA 9165)
19 llame of l,lolher: [ | Relsps'/Readmissir]n
Occupalion: I I OUErs, pts spacify
20 Name of Spousa 33. Numbe( ol tima6 adrniltod to olhgt
Occupallon: R6habalitatbo CenteIs _
Address: (Pb spociry nams ot Csnle./JAddress)

B DRUG USE ltrFORMATrcrN


34. Numbr o, escapas
35. Numbor o' ti.rEE dmittd to Hosgitds due
2l Ago at lirst Drug Uss: _ lo drugFrelrtad cases:
22 Oate ol last Orug tJse:
23 Le.Elh of On g Uss (Pls. C,td( sro orr,y) Ng,ne d HGdral Dare Adoilled
ll.than2lB,5
I I =or> uEn2yI3blJl< thaa4yt!
I I = oP thsn a yrs hx < then 6 ),t3
I l=q>l}tEr6yrr 36. Natrrre of AdmG;filPis. Chack one ooly)
24 F,equency ot Dn,g t * (Pb- dreck mo only) _ &ug Overdos
lldaily I I occasioo*y _ Irdoxicatiry'Poisoning
n 2r-5r a Yd( t I rE drty Reaction to Drugs
t I rceldy t I o0ids. Ca. Spedly others, pts. Specify
25 t aane to S(pport dr,g trlbat

NoL: I}16 b a Eorlbanlial rrh6idcr. t !t toal:.d r- rld ttcba,t I !U*,l d ll. hr.
I lElsby cortfy b tto carlattaac ol flc &va i o.mdion.

Cootacl No
PatEiUGuaroiran/Sporrss
(SEnahJf or6i Pr$rtod Nsmo)
(Pbssa |rx,il,e Rolation wi0l Pa0r )
OOOS-Fi,+PRSS-A. Rov 00
DDBS.FM.PRS.O6-B

ORUGS USED FOR IHE LAST TWELYE /,2I f,'OII,I,IS PR,OR ro co,YF,,vEI,ENr IN THE CENTER
Pls. checl
Code no, ORUGS USED Smoking lnhalation/ lnjeclion/

1
tl. tcoIicIA n, C, I h a a I c, r Snitting lntravenous

I
3 Heroan II
4 1e I-
-
6
Co<lerne
Methadone -
7 Demaaol I- -
8 iEt I----
9 Ketamrne
Haltuclnogans
II_
-I-- -
10 Cannabas r!@@E -
12
'Brownies/Cake
'Seeds
I
't3 'Hashrsh
14 Mescaline
15
16
17
EIEETTEEtrEI|{.ir\rirErlE
Datura rrI Er.rr.nfiErl
I--
18 LSD
Salmulants
I--
-
'19
20
Cocaine
-r-
I-- -
21
-----7r- MUMA ligEE? II-
-II
23
24 Pseudo-E ,hedano
-r-
I-- -
China White
---
I
Sedaliyes I H
25 Phonobarb Luminal -I--
26 EE@r@ Ianor) -I-
-
- 2l I ILetolanl
t -I- -T --
- 2A
29 I noraztne
30 EIEEESIEEIirntmlr.:Grtql
IIIEIIEEIil !m
Ttanrene --
I-
--
II
33 Estazolam GET'E
rrE!@i@6nl!r!EE[ --
:]4
35 Fluaaze )almane) -I-
36 ormlcuml
37 Triaaolam
38 I
--
Cough /C o tct P to p.r eli ons
--
39 lsoaminile Cilrat I
40
41 @I I-
42 IlEEilltrUiEailiEltrIsllEligltr T:lrrirlnrnn-I-I -
trrlrelenaslSolve,,tE -
43 Acetone
44 Gasoline
45
46
cement I---
- crlher Drugs I-
47
4A
Artane
Atineton
I-
49 Proaac ----
II
50 Unasom
--
DDBS-F -PR$06.8. Re! 0O
Cornmunity-B6ad Trcalrnent.nd Rdrlhilit.tirn Monitorirts torm

Name ol leporting ADAC:


Ra8lori:

City/M!nid9.li9
O.t. furrc.dc.cd

A. Ptigoxat [l;oRMATlot{
I llame

2 Coo$Lrc tu.rrs3
3 D.ic oa &dn
. s.x l-lM.h
5 nclitk,lr5 Anti.tlm
6 Civil Status l--lsintr. l-lwrao*/.t
lurico f]rprrlco
f]u"r-in f]oivorcco
: HBhelt Edrrcatlofl.l Att.inment
E .tto..nty
9 Montht tanily l rolna
10 l{rnr of rtth.r
1l fa.lnr o{ Modra,
12 l, rrrrrrid, |aama o{ spouse:

13 LMng An.nt.menl
8. ORUG UtE fltfot f,AlrOfl
i Ag ot lirst drugule
2 OruB fir5l trad
3 DruB3 Cu.renrly Ured
a Sourre ot D.ugs
5 [requeocy ol lJse
5 Mode ol DruS Uee

7 A ount spenr pr drug intat

c. o TA tEraTtvE To avrnxtxt * con{jratY.rlsto pt(rct^x


I sff.al*l. 8.rutr (dc....rlo. to ASSlSl,
[ro, nrr
DModa..ta ro S6rrr s.|r.vio.al Condibh
Rchto:
2 f l.i.trl-d -tdGn, pLla rwat th foaorh3
,nndanabaa A9*d

flsoal s,aeo'r
finehnrt fc erqrrn ldarEndsr
Elco.rrt,nity sr".,ice
f ] *ff oe,retop",e',t r rarra
I-Totc*, spccitv
:l O.t. ol Entry h th. Proar-n
4 D.r. finBhad tlE ,.o!r.m
2 I Atlls. Dhdd.i, trb.t
lf s.rb-rtlac. .,r*.r rhr iolloldnt:
LlTre.lmenr ProSr.m av. cd
flcommunity aa*d
f]our-pau.nt grvice
f]noio"nror r.".r-*,t
l, Co.t|mu.{ty -C.rrd:

DDate ot tnrry in thG pro3ram

flserv;ces eroviOca

f]o.ie Finrrhld thc p.o;r.m


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' The Client Flow for Wellness and Recovery in Substance-Related
lssues was designed based on the recognition that substance use and
abuse is a public health issue.
' lt is multifaceted and therefore requires intersectoral collaboration to
address the issue.
NOTES:
G reen - com mu nity-based
Blue - screening and assessments
Orange - health facility-based; light for out-patient; dark for in-patient
Red font - categories
DNADERA/desklop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES

I...COMMUNIry PREPARATI dru:


Actions to be taken are indicated in the boxes
L Advocala/Educato
This should be continuing; advocacy and education about drugs as part of a regular
2. llobillze communly
3. Build capsdty program
4. Or!6niza 8c,oening
Mobiization of community includes BADAC
Organization of screening after operation Tokhang may still be done for certain groups, for
example bus or tricycle drivers; students; government employees; other groups
Necessary to do community preparation especially now in the light of Operation Tokhang
11
qrderto prepare servicq.prpvidsrsrespond to the surge. -
It i$'fmportant to involve the entire community in the effort; a safe community is a drug-
free commtnity
Case Management & REHAB

Prychoeducatlon / Advocacy mhGAP interventions

Early Recovery Skills


Counseling
(lndividual, fdmily or group
Relapse Prevention
Education/employment support
Matrix lntensive Outpatient
Relapse Prevention
OIHERS AVAII,.BLE
OTHERS AVAILABLE

apse rqrent on
EDUCATION/EMPLOYMENT SUPPORT
oNADER /dsrdop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES
MODERATE . SEVERE
Rlsk?

l. A.hrocato/Educat i.Ass63s 3overlly rdrE DSM 5 / ICD l0


1. Accomplirh intsks lom
2. llobillzo communfry LOW 2.As33s olhr monbl halth cotdlbn/s ucing mhGAP lG
2. Clesrlty rlsk using ASSIST.
3. BuiE cspacity 3. Accomplbh oornplcb hbtory, raviBw of s)rrt6ms
3.ldentfy nod to ass6s8 ou}gr
il. OrganEo scresoing motal h6alth co.ldllions wlth SRO 4. Conduct phFlcal cxlmlnalion
5. Rquol for laboratdy/dlagnosdc !6rb
4.Schdul check
6. RfBr appDpriatiy
Sovrlty?
2. SCREENING:
- Actions to be taken are indicated in the boxes SEVERE

- - lntake.form should contain.basis information; uniform


- - There are many screening tools but recommended is ASSIST because it has previously
' 'been
introduced at the primiry caiO level; Filipino version done in Augus! ASSIST also
comes with Bl
- SRQ (version with 20 items) is the easier screening tool if the entry into the service is a
referral because of drug use or legal/law enforcement. Master Chart of the mhGAP may
be used by those trained on mhGAP, Master chart is useful if the entry into the system is
because of symptoms prompting consultation
- Schedule of what next to do should be given
- ln the DILG Convergence pillars, this corresponds to Pillar l.

e apse revcn n
EDUCATION/EMPLOYMENT SUPPORT
oNAOER.A,/desktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ]SSUES
MODERATE. SEVERE
Rl6k?

1. Adrrocalr/Educata l.AccomplEh lntske fofm


l.Arsls8 s.writy uslng OSM 5 / ICO l0
LOW 2.Assarr other m6nbl h8allh condlbdr udng mhGAP lG
2. Mobllhc community 2.Cles6fy d8k u8lng ASSBI.
3.Accomdbh complots history, ravievr of syltoms
3. Build capadty 3.ldentify ned to asso!8 othcr
4. Condu6't phFlcal rxamlnalion
4. Organizg scrgening mofltd ho8 h condidons with SRO
5. Requo3l br hboretoq/r'dbonoslh tastr
4.Schsdulo -
6.R6tsr appropriatoly
Sevority?

MILD
(,l MODERATE t1
SEVERE

-':.j..,IA$ES.SMENT: "', lt:i-,. ' . - - -{:.'..


- Actions tolbetaken are indicated in the boxo" .- -" .t:
- When Risk is screened to be Mod-Severe, assessment fo1 severity (mild, moderate, seVere)
is done using ICD 10 (used in mhGAP module) or DSM 5 (also demonstrated in a
contextualized module)
- Between the assessment and the next step, notice that there is a waiting period
symbolized by the
- ln the DILG Convergence pillars, this corresponds to Pillar 1"

OIHERS AVAIUBLE
OTHERS AVAILABLE

R ( e apse revon on E A
EDUCATICN/EMPLOYMENT SUPPORT
DNAOERA,/d$ktopfF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES
MONERATE . SEVERE
Risk?

'1. Advocata,/Educato
I Aslass lsvsrtty using OSM 5 / ICO 1 0
.
1 .Accomplt8h intako form
LOW z.Asso.s o$r mor al h.aih conditionA urtrg mhGAP lG
2. irotilizo communly 2. Cl83sify ris* usino ASSIST.
rlrlr* d ryltlms
3.Accomplirh compLrL hbtory,
3. Bu[d capadty 3.ldontify ned to assess olher phflcd
4. Conduct examination
4. Organlze scraoning montal hoalth condilions wilh SRO
5. Requssl ior labo.8tory/dlagoostic ta8t8
4. Schdulo
6. Refer sppropriately

Sewrlty?

MILD MODERATE SEVERE


(,
.1 .DRUG ABUSE TREATMf:NT SEiTIINAR/WORKSHOP FOR CLIENTS AND THEIR FAMIL Y

SEMINAIi
IENT SEMINAR
4:,DRUG ABUSE TREATMENT / WORKSHOP FOR CLIENTS AND TI.IIR FAMILY
- During the "waiting period"
all those entering the health system or those Who have
admitted to drug use and submitted themselves to police authorities, church, barangay,
and other groups, will undergo seminar including their farnily members'

(lndividual, family or group Relapse Prevention

Matrix lntensive Outpatient


Relapse Prevention
OIIIERS AVAILJ,.BLE
OIHERS AVAILABLE

e apsq aeven on 6 E
EDUCATION/EMPLOYMENT SUPPORT
ONADER/i'/desktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES

MOOERATE . SEVERE
Risk?

,. AdvocsldEdrrcato l.Accorndbh lrbk6 form 1.4s8.s8 svr,/ty u8h0 DSM 5 / ICO 10


2. lrobl2s communlty 2.@sslfy thk u8ing ASSIST. LOW 2.Asss olh6r mental health condi0on/3 urrng mhGAP lG
3. Sufd capedty 3.ld6r iry nsd to sssoss othor 3.Accomplhh complste hlstory, revigw ol 6!81ms
4. Orgsniza scrBonir 4.Cooducl ph!6hal e)mlnation
mcotsl hoslli coodiuons with SRO
5.
-I
Rqucst to( labontory/diaonosUc ts6t8
4. Schdule
6. Rsrcr appropri8toly

ScYerity?

MILD MODERATE SEVERE


C
4. DRUG ABUSE TREATMENT SEMINAR / WORKSHOP FOR CLIENTS AND THEIR FAMILY

5.GENERALINTERVENTTONS--. ,. ..,. ... f. ....,.: - .r-


- These may be provided to those whose risk are screened to be Low.
-
- Based on the ASSIST Bl, this group would become a "no intervention" group but in Filipino
culture, something has to b done or given (Dapat may gawin)
- Under these are subheadings; each subheading may include a variety of approaches.
- These group of interventions do not require heavy or in-depth or specialized training
- Provided at the barangay level
- Faith-based org"anizations as strong component
- ln the DILG Convergence Pitlars, this corresponds to Pillar 2 "
I
( I apse reven on A
EDUCATION/EMPLOYMENT SUPPORT
ONAOERATd6ktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES

MODERATE . SEVERE
Risk?

l. Advocat/Educato l.Accomplish inlsko lorm l.Astoas s.v.rity uElng DSM 5 / ICO '10
2. Mobllizo comrrunity 2.Cls3ifyftt using ASSIST. LOW 2.Ass6s oth.r monEl hsIh conditbn/s using rdtGAP lG
3. &lld cap8ctty 3.ldentt nocd to easrss othsr 3.Accomplbh cofllplets hbtory, Bvicw d sy3t ms
4. ODsnlzs scrganing 4. Conduci ph)6icrl 6xamina0on
montEl hGalh cooditbns with SRO
5. Rsquosl tor laborstory/diaonostic lo8ta
4.Sch6dule
6. Roter approprlately
Severigft

MILD MODERATE SEVERE


(.
4. DRUG ABUSE TREATMENT SEMINAR / 6, COMMU N ITV-BASE D TREATM ENT AN D REHABI LITATIO N
6, COiIMUNITY.BASED
. May be carried *t.!J
existing services in the commuj{ty
,0:-. ..
TREATMENT & REHAB
.,,..iprirnary care lgvel, social s.eryicqs, TESDA, etc.
Case Management . ln the DILG Cofrvergence Pillars, still part of Pillar 2
Pryctoeducatlon / Advocac,l

Early Recovery Skills

(individual, family or group


Relapse Prevention

Matrix lntensive Outpatlent


Relapse Prevention

OTHERS A|/AIIABLE @ryl14.ss--:-.-.]

( e apse reven on
EDUCATION/EMPLOYMENT SUPPORT
DNADER,/desktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES
TIODERATE . SEVERE
Risk?

1. Advocate/Edut6 f .A$38 36l.'lly uEing DSM 5 / ICD 10


l.Accorndbh htake iorm
2. Mobilizo community 2. Cla6sity .Bk udng ASSIST. LOW 2.As!oss olhor m6ntal ncalh cordltlorv3 urrng mhGAP lG
3. Euild cpacity 3. Accompllsh comdgL hEbry, ,rvi6w o( 8!6tofiE
3.ldsntily nood to assoss oth6r
il. Organiza scrsonlng mentel hesl$ condldons wttrl SRO 4. Condrcl phlaicsl exsmlnelbn
4. Schodule 5. Roquast for leborstory/dlagnGtlc tsts
6. Roter app.opriatoly
Severity?

MILD MOOERATE SEVERE


C-
4" DRUG ABUSE TREATMENT SEMINAR / WORKSHOP FOR CLIENTS AND THEIR FAMILY

7. HEALTH FACILITY-BASED TREATMENT AND REHABILITATION 7. HEALTH FACILITY.BASED

' May be carried,out by existing services ir+ttie community OUTPANENT TREATUENT


& REHAA
including those trained in mhGAP
' More specialized skills are necessary
mhGAP interventlons

' ln the DOH Programming, this is already under the Early RecDvery skills

DDAPTP, for example OPDs in TRCs and accredited


Belapse Prevention
physicians providing care
Matrix lntensive Outpatient
' ln the DILG Convergence Pillars, this is still included in
llr,E*sAv^,t 4BtE_ I

e apse teven on E E
EDUCATION/EMPLOYMENT SUPPORT
DNA,DERA,/dosktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES
MODERATE . SEVERE
. Rlsk?

1. Ad\ocatdEducrlE I . AssoEs Bevcrity using DSM 5 / ICO I 0


l.Accomplish intEtr bm
2. Mobilizo oommunity LOW 2.Asse!8 olhcr mgntsl heatth conditlonls uaing mhGAP lG
2.Classfy rbk uslqg ASSIST.
3. Euild capadty 3.ldrntify naod to asssss othsr
3.Accfiiplhh complota hlstory, raviw of s!tem3
4. Organizo scr6o. ng 4. Conduci phFlcd sraminstion
moalal hoslth cordiuons wtfi SRQ
5. Rsqu6t for hboratory/disgnGtic bsE
4. Sct|dule
6.Refr approp,iataly
Severity?

MILD MODER.ATE SEVERE


(L
4. DRUG ABUSE TREATMENT SEMINAR / WORKSHOP FOR CLIENTS AND THEIR FAMILY

8. rN PAT|EIIT TRTATMENT AND REHABTLIT{TION ',

- Specialiaed freatment settin8s .*- , - ir.


: PhilHeath Case rate for Detoxification has been increased
recently
- There are different models for residential settings
- Halfway care must be explored as a cheaper alternative to
fully residential programs, but need to be tied up to
social services
OTHERS AVATIABLE
OIHERS AVAILABLE

R ( e apse reven on
EDUCATION/EMPLOYMENT SUPPORT
ONAOERA,/dEGktop/TF SUA
CLIENT FLOW FOR WELLNESS AND RECOVERY FROM SUBSTANCE.RELATED ISSUES
MODERATE . SEVERE
Rlsk?

1. AdvpcadEducele l.Acco.nplEh Hake form


l.A$eB8 ssvs.ily u8ln9 DSM 5 / ICO 10
2. Motiliza community LOW 2.Asssra other mentel henh coriditbrvs usim mhGAP lG
2.qassity risk ushg AgSlST.
3. Build cpacily 3.Accoflrdi8h compbto histo.y, rovbw ol s!6tc.rts
3.ldcntily ned to a8s38 othr
tt. Co.rduct ph)6kal 6xaminatlon
4. OBanize rc.Eonlng monlal heslth conditons wllh SRO
5. Requelt for hboEto(y'dlegnoetlc b!t3
4.Schodule
6. RetBr appropdatly

MILD MODERATE SEVERE


(-
4. DRUG ABUSE TREATMENT SEMINAR / WORKSHOP FOR CLIENTS AND THEIR FAMILY

9. AFTERC4TER/COM M MU N rTY REr NTE$ATTON AN D


EDUCLTUCIJ/EMPLOYMTNT SUPPORT " r ; r-'.tr
." *.-'
- Pafttf ;'wiS}irtreat."nt setting; '
- Very important to have interagency collaboration at this
stage particularly education and employment support
- Explore ALS for High School and ETEEAP for college and
F TESDA for voc-tech education
- Employment assistance liobtat.
OIHERS AYITIqATE
OTHERS AVAIIABLE

t -
e apse reven on
EDUCATIONIEMPLOYMENT SUPPORT
0NAOERay'desktop/TF SUA
Activatk n and
Revlta lh.tion ofADACS

Capacity BuildinS of ADAC


Personnel (c/o DOH)

Service and Resource


1l toc.tha / Octc.rIrlr{,f Ssrrcrd.rlrs bf Ao c
Mobilization 2l Coo.dll.tbn bv AIr C wth rDDaotlmrl|.nt
o'3.n&!doi6 wlto mf, p.gvlda inteilwnbn
3) ADAC! pLn io,lnt rv.ntloo

Screnirq, Ass6srent, and


Match Meklng of ScrcGnlnt throulh:
Treatment Protrams 1) U5in8 Alcohol, S.nolin8, and SubiLnce
lnvolvemcnt Screenlng Tcst (ASSIST), if
sur.Lrnd.rer is lound io b low-risl AOAC
may rafer the latte. to intrvcntions.
2) tl found to be moderate or hlSh dsl,
rurrendcrer wIl be furticr 333$ed.

Treat ne[t and


Rehabllitat'ron

Fo|,ld to h.E i d
Underto community-based ilbcbtra ula
ES
treatmeot ard dtro.dct
rehabilitation protram

ADAC shall t-fer


Found to htY!
surrefid6ea to a Dol+ ES
lnodatlt! subcLrE
accreditcd ou$atlcnt uaa dlsorda.
pro8ram

NO

ADAG,/ LGU5 and TRG shall caus. th


File petition ior treatment found to hart
YES desiSn.tion of qu.li8ed pcrsonnel as
and rehrbilitation ta[aa tl,bltarca Repr$rntative ol the Dangerws Drugs
us. dkordca
Board for the purpose of iling of
petition for trcatment and reh3bilitatlon
Scurs tamgorary
under Sec. 54 of RA No, 9165;
ronfinement oader ior the Cqmpulsory Confinemlot under Sec. 61
p.ticnt of RA t o. 9165

Comply with court a

proceg3es

Aftercare program

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