Scope of Work 50 Bedded Rehabilitation Center

01 Scope & Core Responsibilities

The bidder or, if the bidder is a consortium, is required to fulfill the following responsibilities as per the timelines of the Concession Agreement.

1. To establish and maintain acceptable standards for operation of Drug Treatment and Rehabilitation Center.
2. To keep the facility operational 24 hours a day during the concession term.
3. To improve the health and quality of the life of people with drug use disorders, and to help individuals achieve recovery to the extent possible.
4. To ensure efficient and effective delivery of drug treatment and rehabilitation services to:

• Stop or reduce drug use.
• Improve health, well-being and social functioning of the affected individual.
• Prevent future harms by decreasing the risk of complications and relapse.

02 Underlying Scope of Work

03 A. Installation Phase

04 Staffing & Human Resources

05 Facility Standards & Development

The bidder must ensure compliance with applicable standards in order to create a conducive environment for recovery. This includes accessibility, safety measures and resources supporting holistic healing and rehabilitation.

• Accessibility for residents and visitors.
• Comprehensive safety measures.
• Resources supporting holistic healing and rehabilitation.
• Privacy, dignity, respect and personal independence.

06 Operating & Maintenance Phase

07 HR Management, Records, Reporting & Audits

The Operator shall be responsible for maintaining detailed records of staff, professional credentials, licensing requirements and operational compliance throughout the concession period.

• Maintain records of professional and non-professional staff with relevant credentials.
• Maintain written rules and regulations according to applicable HR management standards.
• Upload and regularly update required records and reports on the SOURCE Platform.
• Maintain written responsibilities of staff including psychiatrists, psychologists, psychotherapists, social workers, occupational therapists, counsellors, physicians, dietitians, nurses and support staff.
• Maintain medicine and medical equipment stock registers.
• Facilitate statutory and other audit processes.
• Ensure biometric attendance monitoring of staff.
• Ensure utility bills are paid and utilities are efficiently utilized.

08 Patient Records & Data Management

• Volunteer patient listings and family details.
• Patients found on street / involved in crime.
• Vulnerable group information.
• Preparation of patient case histories.
• Follow-up, relapse and recovery records.
• Essential Treatment / Services Plan.
• Patient Care Policy.
• Patient Treatment Plan.
• Patient records and data collection systems aligned with relevant indicators while respecting confidentiality.

09 Placement After Recovery & Follow-Up Services

• Identify skill-based employment opportunities on a best-effort basis.
• Provide vocational training in at least six different skills for adults.
• Enrol children in local schools or non-formal education.
• Coordinate with NGOs and government departments for suitable opportunities.
• Develop self-help groups and mentor programmes.
• Provide individual, family and group counselling.
• Create an Alumni Programme.
• Liaise with nearby law enforcement and medical facilities where required.
• Provide follow-up services to reduce chances of relapse.
• Develop work plans for motivation and inspiration of DRC employees.

10 Prevention, Awareness & Research

• Conduct surveys to identify hotspots, affected age groups and potential drivers of drug addiction in Karachi.
• Develop a comprehensive awareness strategy at least once every quarter.
• Use print, social and electronic media for awareness.
• Provide basic information about drug use and abuse.
• Conduct awareness sessions in communities, schools and colleges.
• Conduct field visits to identify and motivate adults, children and parents for treatment.
• Provide counselling and guidance for recovery goals.
• Organize recreational, religious, sports and community activities.
• Provide information regarding availability and accessibility of essential treatment services.

11 Patient Treatment

Treatment services and interventions must be based on scientific evidence and matched to the specific needs of individual patients at the relevant phase or severity of their disorder.

The Operator shall maintain and implement an approved Detailed Plan of Essential Treatment / Services, Patient Care Policy and Patient Treatment Plan.

12 Staff Responsibilities During Treatment

• Punitive, humiliating or degrading interventions must never be used.
• Properly trained peers may assist in treatment services where appropriate.
• Staff must receive proper training in treatment delivery, ethical standards and human rights principles.
• Staff should maintain respectful, non-stigmatizing and non-discriminatory attitudes.
• Specialized staff should receive continuing evidence-based training and clinical supervision.
• Patients must be adequately informed about treatment processes and their rights.
• Primary healthcare professionals should receive appropriate training for identification and management of drug use disorders.
• Research involving patients should undergo appropriate ethical review and require voluntary informed consent.

13 Detailed Plan of Essential Treatment / Services

• Community-based outreach services.
• Services in non-specialized settings.
• Inpatient and outpatient treatment.
• Medical and psychosocial treatment.
• Treatment of psychiatric and physical comorbidities.
• Long-term residential or community-based rehabilitation.
• Recovery-support services.
• Screening and brief psychosocial interventions.
• Diagnostic assessment.
• Management of drug-induced acute clinical conditions.
• Inpatient services for severe withdrawal and drug-induced psychoses.
• Recovery management services delivered by trained clinicians.

14 Patient Care Policy

The Patient Care Policy shall describe personnel tasks during medical emergencies, specific responsibilities, drugs and biological materials maintained on the premises, storage procedures, access controls and periodic review procedures.

• Description of services furnished by the facility.
• Rules and personnel responsibilities for medical emergencies.
• Rules for storage, handling and administration of drugs.
• Criteria for patient admission, continuing care and discharge.
• Procedure for explaining services to the patient's family.
• Procedure for locating another level of care after discharge.
• Requirement that accepted patients be under physician care.
• Requirement for a physician-established plan of care.
• Facility timing for patients, visitors and relatives.
• Review and action on recommendations concerning patient care policies.

15 Patient Treatment Plan

• Define anticipated goals and type, amount, frequency and duration of services.
• Evaluate and revise the plan when the patient's condition changes.
• Develop the plan in consultation with appropriate professional personnel.
• Review the plan at least every 60 days where applicable.
• Document changes in treatment with dated records.
• Record necessary admission tests and investigations.
• Maintain actual length of patient stay.
• Record patient sources, age and gender.
• Maintain patient profile, IDs and data in the integrated management information system.
• Record average number of days required for recovery.
• Record results of Assessment, Detoxification and Rehabilitation phases.
• Obtain informed consent before treatment where applicable.
• Provide detailed therapies or other necessary treatment techniques to inpatient and outpatient patients.

The bidder must develop a comprehensive treatment protocol for individuals undergoing various stages of drug dependency, including assessment, detoxification and rehabilitation. The plan should contain detailed strategies tailored to each stage of treatment and emphasize holistic, evidence-based care and sustained recovery.

The bidder must be prepared to undertake any supplementary tasks necessary to achieve the Key Performance Indicators (KPIs) effectively, if any.