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Description of SAMBA program: SAMBA (Sigara, Alkol ve Madde Ba?ymlyly?y Tedavi Programy / Tobacco, Alcohol, and Drug Addiction Treatment Program) is a treatment program which is designed to treat tobacco, alcohol, and drug addiction problems.
Development of SAMBA: Before developing this program, a comprehensive literature review was done. Addiction treatment programs that are still applied in addiction centers in Turkey were reviewed. Necessary meetings with the specialists working in the addiction field were conducted. The weaknesses and strengths of the programs were discussed with the specialists and expectations from an addiction program were reviewed. SAMBA was developed according to the findings of the literature review and suggestions made in the meetings with professionals.
The Content of SAMBA: SAMBA is a program that is based on Cognitive Behavioral Theory. In some sessions, some interventions that are based on Mindfulness and Acceptance Therapy are used. In addition, in some sessions, some techniques of Dialectical Behavior Therapy and Emotion Regulation are applied.
The Structure of SAMBA: SAMBA is composed of 7 modules and 13 sessions. The modules of SAMBA are:
1. The Effects of Drugs, Alcohol, and Tobacco
2. Motivation
3. Mindfulness
4. Anger and Stress Management
5. Relapse Prevention
6. Communication Skills
7. Thinking Errors
Each session lasts around one and half to two hours. All sessions are designed in an interactive mode. It contains activities and didactic lectures. SAMBA should be applied in group format and by professionals such as psychologists, social workers and psychiatrists. Pilot Study: The pilot Study of SAMBA was carried out at Ümraniye T-Type Prison. The first pilot scheme was applied with a group that consisted of members who are alcohol and drug addicts. After all the modules were applied, feedback from the group members was collected. According to the feedback, necessary changes were made. Afterwards, the second pilot scheme was done with other members who were again alcohol and drug addicts from the same prison. Based on the feedbacks, SAMBA was reviewed and reached its final form. The results showed that there was a significant difference between the pre-test and post-test of the dimensions of Anger and Stress Management (Z= -1.919, p<0.5), Relapse Prevention (Z= -2.557, p<0.5), and Craving (Z= -2.874, p<0.5). The results of the dimension of "Information about Drugs, Alcohol, and Tobacco" were not found to be significant. However, there was a difference between mean scores of pretest and post-test. One possible reason for this result might be the sample size. There was not a significant difference between the results pre-test and post-test of the dimension of Motivation. The results showed that the participants were not well-informed about relapse prevention. Therefore, it is suggested that the focus of the program should be on relapse prevention. According to the results of the feedback form, 66.6% of the participants claimed that they have learned moderate or very much information from the SAMBA program. 91.6% of the participants claimed that the trainers were moderately or very much successful. Lastly, 75% of the participants reported that they had the opportunity to participate and share ideas during the sessions again moderately or very much.