TREATING FACULTY :
- Dr. Praveen Khairkar MD (Prof & HOD)
- Dr. K. Srinivas MD (Assoc. Prof)
- Dr. Srikanth Reddy MD (Asst. Prof)
- Dr. Anupama MD (Asst. Prof)
- Dr. Vishwak Reddy MD (Asst. Prof) & 8 PG students
- Dr. Rajkumar Ph.D (Psychology)
3 counsellors, 2 nursing staff, 3 supporting staff & 2 security personnel
Shift of working hours
|Counsellors||Nursing staff||Supporting staff||Security personnel|
|9:00 am to 6:00 pm||
1st : 8:00 am to 4:00 pm
2nd : 8:00 pm to 8:00 am
Below are the activities of Drug De-addiction Centre for inpatients:
- Assess & screen the client.
- Motivational Interviewing.
- Family Counseling
- Medical Investigations
Psychiatry Medical Intervention (Daily)
- Detoxification (Initial few days of admission)
- Helping the patient overcome withdrawal symptoms when he gives up alcohol/drugs.
- Anti-craving drugs
- Treatment of associated physical problems & co-morbidities [Medical or psychiatric]
- Providing appropriate medications to help the patient get back to normal eating and sleeping pattern.
- Rational Emotive Behavior Therapy.
- Behavior Modification
- Assertive Training Skills.
- Cognitive Behavior Therapy.
- Motivational Enhancement Therapy
- Systematic Life-style Changes.
- Problem Solving Skills (Stress Tolerance training)
- Communication Skills.
- Interpersonal Skills Training
Special emphasis on psycho-educational modules include
a) Group Therapy
b) Family Therapy for explaining
- Effect of drugs on patient
- Disease concept
- Denial mechanism
- Conflicts in family
- Personality development
- Stress management
- Time management
- Value sharing & enhancing the respect for themselves
Therapy sessions aimed to
- Install optimism in the patient and provide a realistic feedback of the harmful effects of drug.It simultaneously emphasize the potential reversibility of the conditions and talks regarding need to abstain and treatment planning
- Impart the coping skills for tackling provocative situations leading to intake of drug for an individual
- Change reinforcement contingencies, from substance use related rewards to sobriety related rewards
- Help patient improve interpersonal functioning and enhancing social support
- Help the patient solidify the gains following achievement ofabstinence.
AA Program (Alcoholics Anonymous)
- 12 step work
- Therapy sessions
- Relapse Prevention Plan (RPP)
- Drink and Drug refusing skills
Maintaining change (Self-help Groups):
At community level AA Convention / Meetings As a part of post discharge plan of De-Addiction program, clients need to attend the AA meetings. Alcoholic anonymous is a worldwide fellowship, where the recovering alcoholics come and share their experience, strength and hope with new comers, thus helping them to come out their addiction problem. These meetings enable an alcoholic to be sober and also help others to achieve sobriety.
Extended care: (Follow-up 1 years)
To ensure that recovery takes place smoothly and any problems that arise are handled in a timely manner, a follow up of minimum 12 months is methodically planned.
Community Awareness Programs:
Promoting community awareness being one of the objectives, the center imparts knowledge about addiction and recovery through various community level activities
Additional Teaching & Training Programs:
- All undergraduate Medical students are posted in Drug De-Addiction Center as part of their Psychiatry postings. They are provided with information related to Substance abuse, recovery aspects and rehabilitative services provided by the center in their training period
- Interns are trained in medical treatment of patients in the center & involved in basic psychotherapy modules in their Psychiatry postings
- Nursing students of both College and School are given clinical teachings at the center in the field of Psychiatry [as a part of their clinical posting], Psychology and Sociology
- 1 Ward with 20 beds & apparels
- 5 Toilet/bathroom
- 1 (Activity room/TV room/Dinning) with 5 tables, 30 chairs
- 1 Nursing station
- 1 Isolation room with 2 beds
- 1 Treatment room
- 1 Pantry room
- 1 Room for Family therapy & counselling/Patient-family weekly meets
- 1 Room for Psychometric Analysis
- 3 Rooms for Consultant/Psychologist/Counsellor
- 1 Room for Male Resident
- 1 Room for Nursing staff
- 1 Store room
Basic nursing station apparatus
1 LED TV with speakers
Few Psychological tools for assessments
( 4 carrom boards, 4 chess boards, 1 tambola, 1 snakes & ladder, 1 ludo game, 2 Rubik’s cubes )
( 20 alcohol anonymous books, 20 other books )
Daily 4 newspapers
Indices of Quality and Efficiency
- Patient to Consultant ratio: 4:1
- Patient to Resident ratio: 3:1
- Patient to Counsellor ratio: 7:1
- Patient to supporting staff: 7:1
- Patient to Nursing staff: 10:1
- Monthly bed to patient ratio (bed occupancy): 70 to 90% average
- Follow-up percentage of treated cases: 60% in past 6 months
DRUG DE-ADDICTION CENTRE
1. MONDAY – FRIDAY :
* 05 : 30 AM – Wakeup
* 05 : 30 – 06 : 30 AM – Meditation & Yoga / Exercise
* 06 : 30 – 06 : 45 AM – Tea
* 06 : 45 – 08 : 00 AM – Bath & Fresh-up
* 08 : 00 – 09 : 00 AM – Breakfast & Medication
* 09 : 00 – 09 : 45 AM – AA & Motivational Books Reading
* 09 : 45 – 10 : 00 AM – Tea
* 10 : 00 – 11 : 00AM – Rounds by Faculty
* 11 : 00 – 11 : 30 AM – Audio Visual Educational Programs
* 11 : 30 – 11 : 45 AM – Break
* 11 : 45 – 01 : 00 PM – Group Therapy
* 01 : 00 – 02 : 00 PM – Lunch & Medication
* 02 : 00 – 03 : 00 PM – Rest
* 03 : 00 – 04 : 00 PM – Thoughts & feelings class
* 04 : 00 – 05 : 30 PM – Recreation (Games, TV, Newspaper etc)
* 05 : 30 – 06 : 30 PM – Yoga / Exercise
* 06 : 30 – 07 : 00 PM – Bathing
* 07 : 00 – 08 : 00 PM – Sharing class
* 08 :00 –08: 30 PM – Dinner
* 08 : 30 – 09 : 00 PM – Medication and Night prayer
* 09 : 00 PM – Lights off for Sleep
* 05:30 – 11:30 AM – (Same schedule as from Monday to Friday)
* 11: 30 – 01 : 00 PM – Feed Backs
* 02 : 00 – 04: 00 PM – Haircutting & Shaving
* 04 : 00 – 09: 00 PM – (Same schedule as from Monday to Sunday)
* 05:30 – 09:00 AM – (Same schedule as from Monday to Friday)
* 09:00 – 01:00 PM – Family session
* 01:00 -03:00PM – Lunch and Rest
* 03:00 -04:00PM – Group Therapy and Educational activity
* 04:00 – 9:00 PM – (Same schedule as from Monday to Sunday)
* 05:30 – 11:30 AM – (Same schedule as from Monday to Saturday)
* 11:30 – 01 : 00 PM – Rest
* 01:00 – 02 : 00 PM – Lunch
* 02:00 – 05 : 30 PM – Recreation (Games, TV, Newspaper etc)
* 05:30 – 9:00 PM – (Same schedule as from Monday to Saturday)
WEEKLY ONCE: General meeting to discuss common problems & appreciation for individuals with
FORTNIGHT ONCE: Group Family Sessions
MONTHLY ONCE: Video-Assisted Motivational Enhancement Sessions
INDEPENDENCE DAY & REPUBLIC DAY: Games Competitions
What to Bring with You while joining the Drug De-addiction Centre:
We recommend bringing the following items for your time at De-addiction centre:
At least a week’s worth of casual clothing. Visiting family or friends may bring you more clothes if needed. Laundry facilities are available on-site.
Toiletries (toothbrush, hairbrush, deodorant, etc.). All toiletries must be non-alcoholic. For example, no alcohol-containing mouthwash will be allowed into the facility.
FAQ for more detailed information for general public
What Are the Causes of Drug Addiction?
There is no single cause of addiction; people begin using substances for many reasons and one person’s path to addiction may look drastically different from that of another.
Apart from the case of beginning drug use via a prescription from a doctor, there are 4 main reasons people may try substances, according to NIDA:
- To feel good.Drugs may lure people with the appeal of:
– A euphoric high
– Feelings of power
– Increased confidence
- To feel better.Someone with anxiety, high stress, or depression might turn to drugs to try and manage distressing symptoms.
- To do better. Some drugs have the reputation of improving athletic or academic performance, so people may see them as a way of getting ahead or even just keeping up.
- To fit in or experiment.People, adolescents especially, may use out of sheer curiosity or to try and impress their peers.
People who have an intensely good experience their first time using begin to learn that drugs can make them feel great, and the foundations of addiction are set. Not everyone responds the same way to drugs and alcohol, however.
For years, experts have debated if it was nature (biology/ genes) or nurture (upbringing/ environment) that determined whether someone will become addicted. Now, the prevailing view is that there is no one thing we can look at to predict someone’s risk of developing an Substance Use Disorder—rather, the interaction of the person’s unique biology and environment BOTH influence how the drug will impact a person’s susceptibility to becoming addicted.
Biological factors impacting addiction account for between 40% and 60% of someone’s risk for addiction. Possible biological factors include:
– Genes and epigenetics (the way environment impacts gene expression)
– Stage of development
The person’s developmental stage is particularly important, since teens who use drugs are much more likely to become addicted and remain addicted into adulthood.
Environmental factors include all situations and experiences a person lives through. The most significant environmental influences include:
– Home environment
– Family dynamics
Each person will have a number of biological and environmental risk and protective factors. A risk factor is something that puts the individual in more danger of becoming addicted, while a protective factor is something that minimizes that danger.
Possible biological and environmental risk factors include:
– Family history of addiction
– Family history of mental illness
– Chaotic home life
– Adverse childhood experiences like neglect or physical, mental, or sexual abuse
– Negative attitudes of parents and friends
– Unsupportive community
– Poor school achievement
– Easy access to drugs and alcohol
Possible biological and environmental protective factors are:
– No family history of addiction or mental illness
– Good physical health
– Supportive, involved family
– Healthy relationships at home and in the community
– Access to positive resources in the neighborhood like community groups, safe playgrounds, recreation centers
– Academic success
– Strong impulse control
Finally, the risk of addiction may be strongly impacted by the route of administration of the abused substance. Certain routes will produce stronger highs. For example, injecting opioids will produce a rapid intense euphoria that snorting or swallowing opioids can’t match.
Intense highs that come on rapidly also tend to dissipate quickly, and the quicker comedown may further encourage drug abuse.
Symptoms of Addiction
According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), symptoms of a substance use disorder/addiction include:
- Hazardous Use:You have used the substance in ways that are dangerous to yourself and/or others, i.e., overdosed, driven while under the influence, or blacked out.
- Social or Interpersonal problems related to use:Your substance use has caused relationship problems or conflicts with others.
- Neglected Major roles to use:You have failed to meet your responsibilities at work, school, or home because of your substance use.
- Withdrawal:When you have stopped using the substance you have experienced withdrawal symptoms. (Ex: sleep disturbances, tremors, sweating, palpitations)
- Tolerance:You have built up a tolerance to the substance so that you have to use more to get the same effect.
- Used larger amounts/ longer:You have started to use larger amounts or use the substance for longer amounts of time.
- Repeated attempts to control the use or quit:You have tried to cut back or quit entirely, but haven’t been successful
- Much time using:You spent a lot of time using the substance.
- Physical or Psychological problems related to use:Your substance use has led to physical health problems like liver damage or lung cancer, or psychological issues, such as depression or anxiety.
- Activities given up to use:You have skipped activities or stopped doing activities you once enjoyed in order to use the substance.
- Craving:You have experienced cravings for the substance.
– The disease of addiction can impact an individual not only on a biological level but also on psychological, social, and spiritual levels.
– Addiction may negatively impact an individual’s physical health, mental health, spirituality, interpersonal functioning, occupational functioning, academic functioning, and domestic functioning.
– For instance, an individual may develop hepatitis, become depressed, experience a crisis of faith, become estranged from their spouse, lose their job, fail a class, get evicted from their home, and/or get sent to jail, all due at least in part to their addiction.
– Addiction is a progressive disease and without treatment or participation in recovery work, addiction can result in disability or premature death.
– Even after an individual completes treatment and is working to stay in recovery, relapses can happen. Relapse is not exclusive to addiction, but is also common in many chronic diseases, including high blood pressure and diabetes.
– Relapse may be triggered by exposure to substances, environmental cues, emotional stressors, and physical stressors. For instance, going to a bar, going to a friend’s house where you used to use, sadness, or fatigue could all potentially trigger relapse.
– Relapse does not mean that the individual is a failure or cannot get better, it simply means that they need to reengage with treatment.