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Abstract
This article describes the experience of transforming a residential substance dependence treatment program from an extended non-structured program to a structured, differentiated short-term residential treatment which allows for treatment personalization. Carried at the National Rehabilitation Centre, Abu Dhabi, United Arab Emirates, and commissioned by its management, the transformation aimed to address extended length of stay, long waiting lists, service expansion requirement, and diversity in demand for treatment. Transforming the residential program would optimize efficiency as it is the most common and resourceful phase of substance dependence treatment regionally, hence the significance of this effort. The transformation process extended from April 2009 to April 20l3 over two phases: (a) program development and (b) implementation. Gaps in human resource capacity, and the absence of monitoring and evaluation systems were identified as major challenges in transformation. Six recommendations were generated including further differentiation of the residential program, one of the components of the continuum of care, to phases with measurable outcomes. Adoption of evidence-based interventions should ensure not only selection but extend to cover quality of delivery and integration of interventions. Engagement of staff delivering these programs through adequate capacity building and regular program assessments becomes indispensable. In order to achieve proper program transformation, efficient leadership dedicated to the process is imperative.