DIC (Drop in Center) are the specialized center dealing with harm reduction and controlling of drug addiction related damages. The center provides free services for drug addicts with high risk behaviors/drug injecting who are at developing risk of infectious diseases such as AIDS and hepatitis.
With collaboration of the District 21 municipality, Tehransar DIC was established in 2012 after being certified by the welfare organization of Iran.
The services of DIC are as follows:
– Health services;
– Increased awareness of drug users and their families;
– Relating the addicts to the self-help groups such as Narcotics Anonymous;
– Training of proper and healthy injection procedure;
– Providing sterile needles and syringes and condoms;
– Referring to Treatment centers;
– Providing welfare services;
– Personal cleaning services;
– Motivational interviewing;
– Providing appropriate meals and cloths;
– Referring to counseling centers and Triangular clinics for hepatitis and HIV testing;
– Training and education for prevention;
– Harm reduction.
DIC centers present harm reduction services such as free sterile needles, syringes, condoms and educational pamphlets to individuals with high risk behaviors, drug injecting and homeless users. Furthermore, outreach teams provide these services to individuals with high risk behaviors which don’t refer the centers.
Our institute hired a person with master degree in sociology as the technical agent to perform supervision, reception, filing and receiving personal information as well as the individual counseling with clients
Methadone Maintenance treatment (MMT):
Under supervision of the health care professionals (physicians, nurses and psychologists), MMT units provide Methadone treatment to drug users specially injecting addicts willing to cease their illegal drug using
Distribution of syringes, sterile needles and condoms:
Since sharing injection equipment and unprotected sex (without correct continuous using of condom) are the main ways of HIV transmission, clients are provided with free access to sterile needles, syringes and condoms during DIC working hours. If needed, they are trained on how to correctly use needles and syringes through paramedics, distribution responsible and relevant pamphlets
Medical services such as outpatient treatments and wound dressing are among the significant needs of homeless drug users. These services are provided by outreach team as well as nurses under physicians’ observation. Medical services including injections, wound washing to prevent infection and wound dressings are offered to patients in the center. In severe conditions, the patient is immediately transferred to the medical center near the institute.
Distributing of food and tea:
Food meals and tea are of the main priorities of drug users but and they don’t tend to cost for them. Thus, DIC is equipped with a kitchen, offering daily meals, tea and healthy dishes.
Training courses held in the center are aimed in promotion of clients’ awareness to reduce drug abuse induced harms. Issues such as HIV/ AIDS prevention, life skills and mental health are addressed during the courses. The courses are held three days a week on a regular basis
Training courses of safe sex:
In order to reduce the incidence of HIV transmission among injecting drug users, training courses of safe sex are held every week.
The training courses of healthy low-risk injection are weekly held by the trained personnel of the center for injecting drug users not willing to or unable of stop drug using.
As an outreach two person team, people recovered from addiction use their ability to communicate with vulnerable street drug users having high risk behaviors.
Services provided by the team:
– Identifying of high risk and contaminated sites such as hangout places of drug users;
– Identifying the homeless drug users of a certain region and communicate to them;
– Identifying and guiding the regional trustees and key people;
– Training the injecting drug users on correct safe injection, shared injected risks, transmission ways of HIV and hepatitis infections;
– Distributing of injection equipment including sterile needles and syringes, cotton and alcohol, ladle, spoon, filters and distilled water;
– Distributing of condoms, teaching on its using way and healthy sexual behaviors;
– Distributing of safe boxes to collect syringes and needles to drug users, encouraging them to collect syringes and needles and deliver them to the team;
– Distributing of educational materials such as pamphlets and brochures;
– Referring drug users to service provider centers (Drop-in centers, behavioral counseling centers, health centers);
Recording of daily refers to outreach teams.
Address: Tehransar DIC – Laleh park- South Shahid Rajaei St- Sadaf Cross-Tehransar. Tehran-Iran