Building Access To Rehabilitation Services For Substance Use Disorders In Indonesia Through Community-Based Intervention (Ibm)

This presentation will be featured at Indonesia 2025, on the 18.09.2025.

Author: Dr. Erniawati Lestari - Directorate of Strengthening Rehabilitation Institutions for Community Components, Deputy of Rehabilitation National Narcotics Board of Indonesia

Abstract:

Background

Nearly 90 percent of people who use substance/drugs do not experience as substance used disorders, thus not requiring inpatient treatment. Informal services (self-care and community treatment) are the most needed and also the cheapest to set up and provide. However, many countries often establish the most expensive and intensive types of services, which focus on institutions (Community-Based Drug Services for People Who Use Drugs in Southeast Asia, 2018).

Voluntary community-based treatment services present an effective alternative from a public health perspective because they are less stigmatizing and discriminatory. They lead to more prosocial behavior and a reduction in the spread of infectious diseases (VIEWPOINT Moving toward Voluntary Community-Based Treatment for Drug Use and Dependence - Health and Human Rights Journal, 2022).

Purpose

This presentation explain the Community-Based Intervention (IBM) program, Initiated by National Narcotics Board (BNN) since 2021, targeting low-risk substance use disorders. Currently, 1,416 IBM units have been established across Indonesia under the guidance of 34 Province of National Narcotics Board (BNNP) and 173 City of National Narcotics Board (BNNK), as well as the involvement of Village/Sub-district Governments and community members appointed as Recovery Agents (AP) implementing the IBM program. Total number of clients who have received rehabilitation services from IBM team to date is 9,954 through intervention and aftercare services over four months.

Methodology/Approach

This presentation will explain the concept of IBM program, a rehabilitation intervention for low-risk substance use disorders. Designed by the community, for the community, and by the community through Recovery Agents (AP), utilizing community facilities and potential. IBM services are easily accessible through a low-threshold rehabilitation approach, requiring no prerequisites for participation.

Main Content/Key Points

The discussion will cover the role of the community as implemented of IBM, an overview of IBM activities and services, good practices, and measuring program achievement.

Benefits

This concept can provide a foundation for others to design policies and implement community-based rehabilitation services as an effort to increase access to services for low-risk substance use disorders.