The Autobiographic Art Therapy Protocol (AATP) to Support Clients during Drug Detoxification

Abstract

Context: The AATP protocol was developed at the Methadone Clinic, in the Dept of Psychiatry of Muhimbili University, Tanzania, 
during the years 2019-2021. The Clinic was not residential and the risk of relapse was very high (over 50%). 

Approach: This protocol is based on the concept of narrative therapy, using non-verbal symbolic self-expression and optional 
verbal sharing in the group. The aim is to strengthen the motivation of completing the detoxification process, overcoming feelings 
of shame and increasing personal resources.  

Intervention: The protocol is structured with 10 theme-oriented workshops, followed by some free creative time. It moves through 
three phases: 
1) the time before addiction (3 sessions); 
2) the time during addiction (3 sessions) 
3) the present time (3 sessions).  

Results: The protocol was piloted with a group of 7 men clients, who all completed detoxification without relapsing. They 
acknowledged decrease of shame and increase of motivation. Research would be needed to prove the effectiveness of the intervention.