Beruflich Dokumente
Kultur Dokumente
De-addiction centre
at
NRIBM-GLS
GUJARAT UNIVERSITY
Executive Summary
Shree Krishna Hospital is a full facility, multispeciality hospital situated near
Karamsad. The main aim of the hospital is to provide a service to the patient at very low
rate. It has a full facility from surgery to pharmacy.
The legal aspects, financial aspects and different facilities and equipments need
in such center that also includes in this project, which will be helpful to Charutar Arogya
Mandal Trust to open a new de-addiction cum rehabilitation center.
1 INTRODUCTION
1.1 DEFINITION
5.1 Psychotherapy
CHAPTER ~1
INTRODUCTION
ℜ 1.1 ADDICTION
(1) Tolerance, as defined by either of the following: a. A need for markedly increased amounts of the
substance to achieve intoxication or desired effect. b. Markedly diminished effect with continued use
of the same amount of the substance.
(3) The substance is often taken in larger amounts or over a longer period than was intended (loss of
control).
(4) There is a persistent desire or unsuccessful efforts to cut down or control substance use (loss of
control).
(5) A great deal of time is spent in activities necessary to obtain the substance, use the substance, or
recover from its effects (preoccupation).
(6) Important social, occupational, or recreational activities are given up or reduced because of
substance use (continuation despite adverse consequences).
(7) The substance use is continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by the substance (adverse
consequences).
ALCOHOL:
Odor on the breath, Intoxication, Difficulty focusing: glazed appearance of the eyes.
Uncharacteristically passive behavior; or combative and argumentative behavior, Gradual (or sudden in
adolescents) deterioration in personal appearance and hygiene, Gradual development of dysfunction,
especially in job performance or school work, Absenteeism (particularly on Monday), Unexplained
bruises and accidents, Irritability, Flushed skin, Loss of memory (blackouts). Availability and
consumption of alcohol becomes the focus of social or professional activities. Changes in peer-group
Marijuana/pot:
Rapid, loud talking and bursts of laughter in early stages of intoxication. Sleepy or stuporous in the
later stages, forgetfulness in conversation. Inflammation in whites of eyes, pupils unlikely to be dilated,
odor similar to burnt rope on clothing or breath. Tendency to drive slowly-below speed limit, distorted
sense of time passage - tendency to overestimate time intervals. Use or possession of paraphernalia
including roach clip, packs of rolling papers, pipes or bongs. Marijuana users are difficult to recognize
unless they are under the influence of the drug at the time of observation. Casual users may show none
of the general symptoms. Marijuana does have a distinct odor and may be the same color or a bit
greener than tobacco.
COCAINE/CRACK/METHAMPHETAMINES/STIMULANTS:
Extremely dilated pupils, Dry mouth and nose, bad breath, frequent lip licking. Excessive activity,
difficulty sitting still, lack of interest in food or sleep. Irritable, argumentative, nervous. Talkative, but
conversation often lacks continuity; changes subjects rapidly. Runny nose, cold or chronic sinus/nasal
problems, nose bleeds. Use or possession of paraphernalia including small spoons, razor blades, mirror,
little bottles of white powder and plastic, glass or metal straws.
DEPRESSANTS:
Symptoms of alcohol intoxication with no alcohol odor on breath (remember that depressants are
frequently used with alcohol). Lack of facial expression or animation, Flat affect, flaccid appearance,
Slurred speech.
Note: There are few readily apparent symptoms. Abuse may be indicated by activities such as frequent
visits to different physicians for prescriptions to treat "nervousness", "anxiety"," stress", etc.
Lethargy, drowsiness, Constricted pupils fail to respond to light. Redness and raw nostrils from
inhaling heroin in power form. Scars (tracks) on inner arms or other parts of body, from needle
injections. Use or possession of paraphernalia, including syringes, bent spoons, bottle caps, eye
droppers, rubber tubing, cotton and needles, Slurred speech. While there may be no readily apparent
symptoms of analgesic abuse, it may be indicated by frequent visits to different physicians or dentists
for prescriptions to treat pain of non-specific origin. In cases where patient has chronic pain and abuse
of medication is suspected, it may be indicated by amounts and frequency taken.
INHALANTS:
Substance odor on breath and clothes, runny nose, watering eyes, drowsiness or unconsciousness, poor
muscle control, prefers group activity to being alone. Presence of bags or rags containing dry plastic
cement or other solvent at home, in locker at school or at work. Discarded whipped cream, spray paint
or similar chargers (users of nitrous oxide). Small bottles labeled "incense" (users of butyl nitrite).
Nitrous Oxide - laughing gas, whippits, nitrous. Amyl Nitrate - snappers, poppers, pearlers, rushamies.
Butyl Nitrate - locker room, bolt, bullet, rush, climax, red gold. Slurred speech, impaired coordination,
nausea, vomiting, slowed breathing, brain damage, pains in the chest, muscles, joints, heart trouble,
severe depression, fatigue, loss of appetite, bronchial spasm, sores on nose or mouth, nosebleeds,
diarrhea, bizarre or reckless behavior, sudden death, suffocation.
LSD/HALLUCINOGENS:
ECSTASY:
Confusion, depression, headaches, dizziness (from hangover/after effects), muscle tension, panic
attacks, paranoia, possession of pacifiers (used to stop jaw clenching), lollipops, candy necklaces,
mentholated vapor rub, severe anxiety, sore jaw (from clenching teeth after effects), vomiting or nausea
(from hangover/after effects) .
Signs that your teen could be high on Ecstasy: Blurred vision, rapid eye movement, pupil dilation,
chills or sweating, high body temperature, sweating profusely, dehydrated, confusion, faintness,
paranoia or severe anxiety, trance-like state, transfixed on sites and sounds, unconscious clenching of
the jaw, grinding teeth, very affectionate.
Substance abuse disorders (alcohol and drugs) form one of the most significant behavior related
problems the world over. Behavior related problems account for 34% of all disability (World Bank
1993) and include problems such as violence, malnutrition, tuberculosis, diarrheal disease, sexual
transmitted diseases, motor vehicle accidents and other unintentional injuries. Substance abuse can
directly lead to a range of physical, psychological and social problems as well as indirectly contribute
to disability.
Substance related problems are increasing the world over. However, the study of substance abuse and
its treatment is still in a state of evolution in most countries. In most low-income countries, although
the problem of substance abuse is increasingly recognized to be a major social cost and often publicly
acknowledged, treatment facilities are woefully inadequate and there are high rates of recidivism.
There is thus a need for a comprehensive programme and careful planning in the organization of
services for alcohol and drug problems.
Public health approaches have traditionally looked at primary, secondary and tertiary levels of
prevention. With regard to substance abuse treatment, the focus in India has largely been on tertiary
prevention: the individual receives attention only when addiction or serious physical or psychosocial
problems have already occurred – with the emphasis on detoxification and rehabilitation.
The costs of intervention at this stage are high, the result is disappointing, and the poor outcome
intensifies the therapeutic nihilism associated with treatment of substance abuse. There is thus a need
for a logical shift of emphasis to secondary and primary levels of prevention.
This project is an effort in that direction and has attempted to examine the utility of various approaches
in the community in an attempt to evolve a model for early detection and early intervention of alcohol
and drug problems in the community.
Alcohol use is related to a wide range of physical, mental and social harm. It is now clear that
practically no organ in the body is immune from alcohol related harm. Several conditions are by
definition caused by alcohol use such as abuse, dependence, polyneuropathy, cardiomyopathy, gastritis,
cirrhosis, alcoholic psychosis, ethanol toxicity and methanol toxicity. Other conditions have been
identified where the fraction attributable to alcohol has been in excess of 30%, including oesophageal
varicies, chronic pancreatitis, unspecified cirrhosis, road injuries, fall injuries, fire injuries, drowning,
suicide and homicide.
There are also enormous social costs of alcohol which include the direct costs of treating injuries and
diseases as well as that of treatment and rehabilitiation, property losses, law enforcement costs and
losses of productivity due to absenteeism or loss of productive life years (Global Status Report on
Alcohol 1999). The global burden of disease and injury attributable to alcohol use in 199 are
summarized in the accompanying table:
INDIA
IMPACT OF ALCOHOLISM
5.5% of 46 alcohol dependent patients had died in an 18 month. The figure increased to 11.3% in a 5
year follow-up study of 71 patients. Several studies have reported hepatic dysfunction, cognitive
impairment, head injuries, serious psychosocial problems including family disruption, marital discord,
problems in children, financial difficulties, domestic violence, employment problems consequent to
alcoholism.
Other Drugs
The proximity to the golden triangle and golden crescent, disappearing social controls, political and
social instability have resulted in a perceptible increase in illicit drug use in India. A vibrant
pharmaceutical industry, increased prescription of psychotropics and a lack of a prescription
monitoring system has led to greater possibility of psychotropic drug misuse.
ALCOHOL POLICY
Prohibition has been one of the “Directives of State Policy” incorporated in the Indian Constitution
(Section 47). Alcohol policies in different states in the country have swung between total prohibition to
unrestricted sales with no controls. Mass movements have also contributed to policy development in
some states of the country. In Andhra Pradesh, what began as a lesson in an adult literacy book led to a
local agitation by poor rural women grew into a state wide arrack movement. Similar movements have
been intitiated elsewhere. However many of the mass movements have not succeeded in the long run,
largely due to socio-political reasons and a continuing demand.
Nodal points for the drug demand reduction activities have been the Ministry of Health and Family
Welfare and the Ministry of Social Justice and Empowerment, Government of India. The Ministry of
Health lays emphasis on treatment, including community based treatment, health educational activities,
human resource development through training of health personnel in substance abuse management
throughout the country. It established 5 treatment centres in 1988. Seventy two treatment centres were
initiated at medical colleges and district hospitals. Training curricula for resource staff have been
developed by the Ministry of Health and Family Welfare. In the early 1990’s, it was estimated that
1000 medical officers had been trained over 32 courses across 18 institutions. The feedback from such
evaluation however, has been the inadequate clinical exposure, inadequacy of adequate resource
material, inadequate exposure to community based services.
The Ministry of Social Justice and Empowerment funds more than 341 NGOs throughout the country
for counseling, rehabilitation and aftercare. It also supports public awareness campaigns, media
publicity and community based action in the area.
Alcohol and drug abuse has emerged as a serious concern in India. The geographical location of the
country further makes it highly vulnerable to the problem of drug abuse.
In a national survey conducted in 2001-2002, it was estimated that about 73.2 million persons were
users of alcohol and drugs. Of these 8.7, 2.0 and 62.5 million were users of Cannabis, Opium and
Alcohol respectively. About 26%, 22% and 17% of the users of the three types respectively were found
to be dependent on/addicted to them.
Article 47 of the Constitution provides that “The State shall regard the raising of the level of nutrition
and the standard of living of its people and the improvement of public health as among its primary
Whereas “Psychotropic substance” means “any substance, natural or synthetic, or any natural
material or any salt or preparation of such substance or material included in the list of
psychotropic substances specified in the Schedule”.
Section 71 of the Act (Power of Government to establish centres for identification, treatment, etc of
addicts and for supply of narcotic drugs and psychotropic substances) contains provisions for setting up
of rehabilitation and treatment centres for addicts.
The National Institute of Social Defence (NISD) maintains an electronic database hosted on the World
Wide Web called Drug Abuse Management System (DAMS) for collection of data on the addicts
receiving treatment in the TCs supported by the Ministry.
Routinely Asking
Case 1: A dentist in Pandavapura regularly asks each patient about smoking and drinking habits
irrespective of presenting problems and routinely advises them about modifying these practices. He
Early Intervention:
Case 2: A 27 year old man came in following a fall sustained during intoxication. The doctor explored
with the patient his reasons for drinking after attending to the physical problems. The patient attributed
his drinking to an expectation of improvement of sexual performance, as he felt his wife may not be
sexually satisfied with him. The physician called the patient’s wife for follow up, educated both on the
long term consequences of alcohol and counseled them about misconceptions. The patient has been
abstinent for the last six months and reports no problems in the marital area.
Case 3: A young female, married six months ago, came with a lacerated wound on the scalp sustained
when her intoxicated husband beat her with a log of wood. The physician called the husband, explained
to him the legal consequences of his action, and simultaneously offered him detoxification.
Case 4: One physician very effectively used this technique to explain the role of alcohol in producing
gastritis- he would pour some spirit onto a piece of cotton and set it alight. He reported successful
change in patients following such a simple, but dramatic explanation.
Case 6: A female patient came with ulcerated and infected wounds around the nipple region, caused by
the spouse during intoxication. The medical officer called the spouse, evaluated him for drink related
problems, counseled him. The husband has been abstinent for the last year.
John was one of the lucky ones to receive help. There are millions of addicts worldwide that don't get
the adequate support and help they need to overcome their hbo addiction. We tend to associate
addiction with smoking tobacco, and those who do smoke on a regular basis may even claim to be
addicted themselves. Unfortunately, this gives a very poor and frankly incorrect impression of
addiction. Addiction involves an actual physical dependency on a substance, as well as a mental
reliance. Smoking bears more of the characteristics of a habit, which, although firmly engrained, can
be broken with little comparative effort. Of course many who try to give up do feel physical side
effects, and that's all part of your body getting used to the breaking of what may be a lifetime habit.
The problem with addiction is a physical dependency, which is significantly stronger than a mere
craving. In order to function accordingly, the body requires the subject of the addiction, as it requires
oxygen. Without this substance, the body will fight back, which ultimately easily overturns any
personal desire to succeed.
Effective addiction treatment curbs the nature of addiction, whilst nurturing the patient's mentality to
maintain will power. The combination of physical and mental stimulants helps keep the body away
from its overwhelming requirement. Addiction is a difficult process at the best of times, and can be
particularly horrible and demoralizing when it comes to the fight. Support is not only helpful but a
necessity as part of a treatment program. Addictions can be a lonely place, so being with the right
people can mean the difference between complete success and utter failure.
Furthermore, medication and replacement substances can be used to help dampen the side effects and
CHAPTER ~2
NEED FOR THE CURRENT PROJECT
Alcohol and drug related problems represent a significant and growing proportion of the total health
burden of the country. While people with drug and especially alcohol related disorders constitute a
serious health problem in both rural as well as urban centres (Gujarat has an estimated around 0.5
One of the biggest shortcomings of the existing services for alcohol and drug problems is that most of
these services cater to an urban population. Rural places have less access to these services hence the
current model was implemented in the kheda, karamshad, anand and nearby surroundings area of the
Gujarat state.
Substance abuse services in order to reach the unreached, need to have a presence in the communities
they serve. Most community outreach programmes for substance abuse (focusing on rural populations)
have generally relied on the De-addiction center approach. While this approach has significant benefits,
it needs the concerted efforts and commitment of a host community. Sustainability of the programme in
the long run is thus a vital aspect any treatment programme needs to consider. A project that is
designed to provide direct care to the community through a specialized team is unlikely to have a
sustained impact on demand reduction following the withdrawal of services of the team. However, a
programme that envisages training and empowerment of various local resource personnel in tackling
the alcohol and drug problem in their community, is likely to be self reliant and have a more lasting
impact. There is thus a need to develop outreach programmes, which will be resident in the
communities it serves and which draws its resources locally.
PROJECT DETAILS:
The primary objective of the project was to evolve a Model Programme for the Prevention of Alcohol
and Drug Problems in the Community. During the project, it was proposed to test out the ease and
efficacy of various approaches and potential agents of change in the community.
OBJECTIVES:
The objectives of the center for Prevention of Alcoholism and Substance (Drug) Abuse as DE-
ADDICTION CENTRE are:
a) To create awareness and educate people about the ill-effects of alcoholism and substance
abuse on the individual, the family, the workplace and society at large;
b) To provide for the whole range of community based services for the identification,
motivation, counselling, de-addiction, after care and rehabilitation for Whole Person
Recovery (WPR) of addicts;
c) To alleviate the consequences of drug and alcohol dependence amongst the individual, the
family and society at large;
e) To support other activities which are in consonance with the mandate of the Ministry of
Social Justice & Empowerment in this field.
CHAPTER~3
SHREE KRISHNA HOSPITAL
Shree Krishna Hospital was set up in 1981 as a precursor to the setting up of the medical college, the
dream that drove the late Dr. H.M. Patel to establish Charutar Arogya Mandal. A 136-bed hospital
initially, the hospital has today not only grown to accommodate 550 patients, but has armed itself with
facilities and equipment that are not available within a radius of 50 kilometers.
The twenty five years of the hospital's existence have been both tumultuous and exhilarating. From a
130-odd bed hospital with minimal facilities in 1981, the hospital today is one of the largest and most
well-equipped general hospital in Gujarat. Its treatment facilities, such as the ICUs, Operation
Theatres, Trauma Centre, Laboratories, CT-Scan, Colour Dopplers and a host of other state-of-the-art
facilities that would be the envy many urban hospitals, are well-supported by skilled staff.
Facilities
• Operation Theatres
• Trauma and Emergency Centre
• Radiology and Imaging Centre
• Laboratories
• ICUs
• Dialysis Centre
• Blood Bank
• Pharmacy
SPECIALITY CLINICS
The Hospital boasts not only of its exclusive and modern diagnostic facilities and its treatment but
shree Krishna hospital is also proud to have a staff consisting of more than 200 efficient and eminent
specialist doctors in various branches and more than 25 super specialist consultants too.
In this direction to facilitate the patient to consult a super specialist doctor as and when required, and to
DIALYSIS CENTRE
In an effort to provide solace to those chronic renal patients who require regular dialysis, the hospital
has started a Dialysis Centre, which currently has three machines. The Centre, with its affordable
packages, has been of considerable help to patients from the areas surrounding the hospital, who earlier
had to travel some distance to obtain the dialysis services. The Dialysis Centre has a provision to add at
least four more machines in the future.
Hectic work schedules, pressures of modern life-styles, add to it, the increased pollution levels; all
contribute to a set of diseases which the educated and upwardly mobile are prone to. Research all over
the world has proven that it is more economical to invest in preventive healthcare rather than to think
of a hospital only in times of distress.
While the emphasis in the villages is to create awareness, for those who have a certain level of
awareness and are conscious about their health the Shree Krishna hospital offers an array of health
check up programmes.
"Hello Good Health and Good Life", is about celebrating the spirit of wellness - the joy of feeling
hale and hearty and realizing the value of prevention. World-class services are offered at surprisingly
affordable prices. These programmes have been classified under two Categories -regular programmes
and premier programmes.
A premium service that would enable you to meet hospital’s consultants quickly, get your
investigations done promptly, have your reports hand-delivered and receive medicines without waiting
in the queue all while you are seated comfortably in hospital’s specially designed lounge and being
attended to by our trained staff.
-Prompt consultation,
-Quicker investigations,
-Hand-delivered reports,
-Medicines in your hands,
-Comfortable waiting.
Krupa Arogya Suraksha (KAS) is a social security scheme promoted by Shree Krishna Arogya Trust
(SKAT), a charitable organization supported by Charutar Arogya Mandal. The scheme is aimed at
extending the safety net of modern health facilities and services to communities living in the villages
and towns.
Here in this hospital we have seen many services and facilities but there is something is missing
regarding the drug abuse treatment. They have tobacco cessation project which is not that much
effective. To remove this loophole we are suggesting one research proposal for opening of new de-
addiction centre to the Shree Krishna Hospital.
Visit of different hospitals to understand their services and different programme for their customer.
300 bedded super speciality hospital with following located in the heart of Ahmadabad with following
facilities. The 300 beds include 75 ICU beds. We have 4 Theatres for cardiac surgery and 8 theatres for
other specialities. In cardiology 2 flat panel digital Cathlabs.
2) Apollo hospitals
the 400 bed Apollo Hospital, Ahmedabad has an overall success rate of 97%. The hotel was the first to
set up the Oncology Department in private hospital.
Areas of expertise
Cardiology Urology
Orthopaedics Gastroenterology Surgical
Cardiothoracic Surgery Gastroenterology Medical
Paediatric Cardiothoracic Surgery Oncology
Nephrology
-Cancer check
3) Sterling Hospital
Primary Cardiac
Executive Child Care
Comprehensive Well women
Jeevan Saathi Senior citizen
Diabetic
4) Civil Hospital
Civil Hospital, Ahmedabad (CHA) is basically a tertiary hospital with facilities for specialised
diagnostic, therapeutic & rehabilitative patient care. Spread over 110 acres of land, it houses a number
of prestigious institutes and allied hospitals, the Gujarat Medical Council and Gujarat Nursing Council
The new building and infrastructure of CHA came into existing in 1953 with the help of benevolent
donations given by Shri Hutheesing, Shri Premabhai and Surgeon General D Wyllie.
This hospital is one of the oldest, biggest and modern hospitals of India, treating about 6 to 6.5 lac
Outdoor patients, admitting 70,000 patients annually. It performs about 26,000 surgeries and 6500
deliveries per year.
Services Available :
1. Emergency & Casualty- An ultra modern Trauma centre has been constructed at
CHA, which will perform an role in the EMS(Emergency Medical Services) of
Ahmadabad city.
2. Medical- all specialists & super specialists are available with special OPDs for
Diabetes, geriatrics, HIV- AIDS, Tuberculosis etc.
1) Information collection:
2) Analysing Information:
Analyse and comparing different services and programmes with other hospitals
And identify relative service or programme that may be helpful to shree Krishna hospital
to improving their services and programmes.
Like…
And different services for privilege customer which is more valuable in SAL hospital
and not provided in Shree Krishna hospital.
-Direct Interview.
2. Secondary Sources
-Internet,
-Pamphlets of Hospitals.
DATA COLLECTION
• Some main centres from where we collected our data are mentioned below:
We get the following information from these centers. That includes the following
services and information.
ℜ Pre-admission Counselling:
ℜ Community Therapy:
ℜ Family Counselling:
We also get information regarding the time table and working schedule for the addicted
person who are admitted in their centers with the charges for each patient.
Addiction is a progressive and chronic condition which addicts have to struggle against
for a lifetime. The best proven manner to assist these addicts in reclaiming a balanced
life has been found to be the Addiction Center. The Addiction Centre is well equipped to
cope with the challenges of assisting an addict return to normality within their social,
occupational and domestic lifestyle.
The de-addiction Centre administers therapeutic techniques which have been proven
successful in countering overwhelming effects of the deceptive and alluring qualities of
the particular addictive substances; the criminal or corporate economic interests which
have a vested interest in promoting these substances; the confusing variety of mixed
signals which are present in our societal structures when it comes to addictive
substances; and the stigmas and discrimination which are associated with addiction.
The de-addiction Centre is able to implement a coherent and clinically proven sequence
of clinical, biological, pharmacological, psychological and emotional therapeutic
There are many factors which predetermine whether a person will fall into the trap of
addiction or not. Some of these include:
- Family History
- Trauma
- Genetic Predisposition
- Stress
- Occupational Pressures
- Social Disorders
- Medical Disorders
- Psychological Disorders
- Environment
- Abuse
The de-addiction Centre makes clear to the addict that they cannot be faulted for their
addiction. However, it is their immediate and clear responsibility to participate in the
sequence of programs which are directed towards ridding the addict of the malaise of
addiction. An addict cannot be assisted if they resist any form of help.
De-Addiction Centres have been able to assist millions of people around the rural area
and the world in overcoming and breaking through the obstacles which keep them
imprisoned within the bars of addiction.
Many of these addicts are now living coherent, sane, healthy and balanced lives thanks
to the effective therapies administered and managed by the various treatment centers
around the world.
Clinical research continues to enlighten medical and social professionals in the area of
addiction to the underlying sources and the various therapeutic options which are a part
of any Addiction Centres goal.
To successfully minimize or eliminate the desire of the addict for their particular
addictive substance and reintegrate that individual as a constructive and positive member
of their greater society as a whole.
Treatment Centres understand that a chronic and complex condition such as chemical
dependency is very difficult to prevent, however they also understand that it is one that
can be effectively treated and managed on an ongoing long term manner by the
application of a synchronized and harmonized sequence of strategies which take all
aspects of the addict's particular characteristics and personality into prior and careful
consideration.
Most treatment centres are based on the belief that long term recovery is possible for
each and every addict, regardless of their current condition, level of addiction, history of
substance abuse, or psychological characteristics. Addicts require the assistance of
Addiction Centers in order to receive the clinical and psychological interventions that
they desperately require in order to live harmonious and balanced lives.
De-Addiction Centres plan their approach to recovery based on the individual needs of
each and every addict. There is no one size that fits all course of therapy, as each is
It is conventional knowledge that it is important for an addict to "hit the bottom" prior to
being able to begin along a therapeutic path. That is not necessarily true, as treatment
centers around the world have found that recovery can be initiated long before the
addict's desire and indulgence in their own particular addictive substance has devastated
their lives and those of his loved ones, friends, co-workers and his community in
general.
There have been remarkable developments in the field of chemical dependency and
substance abuse therapeutics in the past couple of decades. Certain prerequisites have
been found to apply universally to Addiction Centre’s approach to applying effective
therapies to their patients, regardless of their age, race, gender, culture, sexual
orientation, social class or history of deficient parenting or sexual and physical abuse.
One of the primary steps has been found to be to address the situation of the
addict's problem with their particular addictive substance as early as possible in order to
be able to implement a long term program of effective therapeutic courses before the
addictive behaviour patterns become too firmly engraved in the addict's psyche. Highly
skilled medical, clinical, psychological and social professionals work in harmony with
the Addiction Centers programs to ensure that such care is given in an accessible,
immediate and reassuring manner to the troubled addict.
Society has a responsibility to assist the invaluable work being conducted by the
Addiction Centers around the world. The stigmas, myths, misconceptions and
* By and by the Centre is briskly advancing forward to the success and become one of
the leading Centres of the Nation. The Infrastructure of this 30-bedded Centre has been
fully modernized.
* The Centre is fully air-conditioned for the comfortable stay of the clients during the
course of their treatment.
* Outdoor games like Cricket, Volley Ball, Badminton, etc, are made an important and
compulsory part of the treatment, and Indoor games like Ludo, Chess, Cards etc, as,
reading News Papers/ Magazines, watching Television, etc, is encouraged, in order to
keep the patients busy.
* To ensure provision of 24 hours electricity supply and dealing with the unpredictable
power cuts, a high power Generator has been installed at the Centre.
* Facility of an Indoor Kitchen has also been provided a carefree stay of Indoor clients in
the Centre during their course of Detoxification.
* Hot Coffee / Tea /Soup Vending Machine is also installed at the Centre to provide safe
and fresh material to the patients protecting them from any untoward physical illness and
to help them gain health along with total detoxification.
* The patients are being attended by one of the experienced and leading Medical
Specialist of the day.
* All these facilities presently provided at the Centre have almost doubled the figures in
registration at the Out Patient Department and Indoor admissions, as well.
1) Physical Aspect
Naturopathy, Yoga & Meditation is effectively used in the management of physical and
psycho-social withdrawal symptoms. The main objective is to avoid the side effect of
sedatives and tranquillizers as well as to effectively combat the challenge of substitution
to prescribed medicines (pharmaceutical solvents). Therapeutic value of Earth, Water,
Massage has been well established in the managing withdrawal symptoms
2) Psychosocial Aspect
The psychosocial counseling aims at the Behavior Change of the addicts by providing
them with knowledge pertaining to addiction and developing a positive and constructive
attitude towards society. This enables them to have a new attitude towards life. The
3) Involvement of Family
Drug/Alcohol Addiction is not only a disease that lands the individual in distress but
also it badly affect the family. So the family members are intrinsic part of a successful
treatment. Family interactive sessions and meetings are conducted in regular intervals at
the Centre.
ℜ Pre-admission Counselling:
This will help the addict to identify his problems, accept it and the need to undergo the
treatment. This also prepares the addict mentally for the transition period.
During first few days of detoxification, the patient may undergo the withdrawal period.
The severity of withdrawal symptoms depends on person to person, types of drugs used
and period of abused.
ℜ Psychosocial counseling:
ℜ Community Therapy:
ℜ Family Counselling:
In most of the cases the immediate family members will also be in distress due to the
tremendous social, economical and psychological pressure. The family counseling
sessions enables the family members to better understand the situation, cope up with that
and act appropriately.
ℜ Treatment Period:
As we are concerned about the results and well being of the beneficiaries, we DO NOT
have any Out Patient Treatment facility.
CHAPTER ~5
DE-ADDICTION THERAPY
DE-ADDICTION CENTRE include lot many useful therapy for removing the
addiction of the patient (addicted).
ℜ Psychotherapy,
ℜ Pharmacotherapy,
ℜ Yoga therapy,
ℜ Isolation therapy,
ℜ Sports program,
ℜ 5.1 PSYCHOTHERAPY
It includes many therapy which is going to have one main therapy called as
psychotherapy.
Alternative Treatment International, Inc. is dedicated to providing its clients with the
highest level of psychotherapeutic and clinical care. All clinical staff members possess a
minimum of a Masters Degree and have years of experience in working with addictions
and psycho-emotional disorders. Our clinical staff is also experienced in providing a
wide variety of therapeutic techniques, and tailor the clinical therapy to each client's
specific disorder and needs. Psychiatric evaluations and medications are provided by our
Psychiatrist when indicated, to better understand and meet the needs of each client.
This work uses wisdom derived from ancient practices of energetic movement, breath,
and sound to integrate body, mind, and spirit. Dynamic experience that invites a
collective bond and the formation of community among participants.
Clients receive individual psychotherapy sessions that are designed to uncover and
resolve the causes of the problems that have resulted in their addictions or behavioral
disorders. Clients also receive individual and specialized groups to uncover and resolve
early childhood and adult traumas, as well as building a spiritual understanding and
enlightenment that will assist them in their recovery, throughout the rest of their lives.
Group therapy sessions are designed to assist clients in learning how to overcome their
addiction and behavioral problems and strengthen their foundation for a balanced and
healthy life. Intensive individual psychotherapy sessions specifically address, uncover
and resolve the underlying causes of the problem. Unlike many programs, our focus is
on assisting our clients to transform their thinking. It is the thinking that has been
Mind-Body-Spirit-Environment
Many holistic program philosophies include Mind, Body and Spirit; however we take it
a step further to include an awareness of the environment as part of the healing process.
Mind - this includes small group therapy, individual therapy, lectures, reading and
assignments. Perception Therapy addresses perceptions that patients have been taught
about how they perceive themselves and the world around them. Perceptions may
include intelligence, family, learning, reading, thinking, personality, wit, humor,
addictions, emotional problems, fears, traumas, etc.
Body - this includes physical fitness, education on physical fitness, nutrition and sports.
Perception Therapy uncovers taught perceptions about body type, weight, eating
disorders, diet and dieting, appearance, physical limitations, etc.
Spirit - this includes daily meditation, Yoga, spiritual readings, deep relaxation/guided
imagery, and spiritual philosophies. Perception Therapy examines learned perceptions
about spiritual philosophies and practices, spiritual understanding, self-realization, self-
empowerment, and a sense of oneness.
It must be remembered that traumas are different for everyone and something
that may have been traumatic for one may have had no effect on another.
Traumas do not always have to be devastating events to produce a stamp on the
unconscious mind.
These learned perceptions may not be truth or even your truth, but someone else's
perception of truth. As these false perceptions remain in the sub-conscious mind,
they produce thinking and behaviors of which you have no conscious
understanding. Without a conscious understanding of their origins, it is extremely
difficult for most people to analyze and devise appropriate ways to modify your
thinking and change behaviors. This is one of the reasons we see such high rates
of addiction and emotional relapse.
Patients are exposed to the use of metaphor (stories) which relate to their problem.
Through the use of metaphor, patients are able to form their own conclusion about its
Special group therapy sessions are provided, when indicated for men's and women's
issues, dual diagnosis, trauma/abuse, depression, eating disorders, impaired professionals
and other specialized groups. Relapse prevention techniques are taught to all clients with
the goal of eliminating relapse potentials which hamper success.
Cognitive Behavior Therapy is used for the treatment of such conditions as alcoholism
and drug addiction, depression, mood swings, social anxiety, panic attacks, phobias,
obsessions and compulsions, eating disorders, Post-Traumatic Stress Disorders, insomnia
and other sleep problems, insufficient self-esteem, and relationship issues.
Cognitive Behavior Therapy is effective because it combines two very effective kinds of
psychotherapy — cognitive therapy and behavior therapy. Behavior therapy helps you
weaken the connections between troublesome situations and your habitual reactions to
them, such as fear, depression, and rage. It also teaches you how to relax your mind and
body, so you can feel better, think more clearly, and make better decisions.
Cognitive therapy teaches you how certain thinking patterns are causing your symptoms
— by giving you a distorted picture of what's going on in your life, and making you feel
anxious, depressed or angry for no good reason, or provoking you into ill-chosen actions.
When combined into Cognitive Behavior Therapy, behavior therapy and cognitive
therapy provide you with very powerful tools for stopping your symptoms and getting
your life on a more satisfying track.
The DDRC model is based on the assumption there are several treatment phases patients
go through. These phases are rough guidelines delineating some typical issues patients
deal with and include:
This phase usually takes several weeks, but for some patients it takes longer to become
engaged in recovery and to stabilize from the acute effects of dual disorders.
This phase involves learning to cope with desires to use chemicals, alcohol, cocaine,
meth or other drugs; avoiding or coping with people, places, and things that represent
This phase roughly involves the first 3 months following stabilization. However, some
patients take much longer in this phase because they do not comply with addiction rehab
treatment, continue to abuse drugs, experience exacerbations of psychiatric
symptomology, or experience serious psychosocial problems or crises.
In this phase, patients continue working on issues from the previous phase as needed. In
addition, patients learn to develop or improve coping skills to deal with intrapersonal and
interpersonal issues. Examples of intrapersonal skills include coping with negative affect
(anger, depression, emptiness, anxiety) and coping with maladaptive beliefs or thinking.
Interpersonal issues that may be addressed during this phase include making amends,
improving communication or relationship skills, and further developing social and
recovery support systems. This phase also focuses on helping patients cope with
persistent symptoms of psychiatric illness; drug use lapses, relapses, or setbacks; and
crises related to the psychiatric disorder. It also focuses on helping identify and manage
relapse warning signs and high-risk relapse factors related to either illness.
The middle recovery phase involves months 4 through 12, although some patients never
get much beyond early recovery even after a long time in treatment. Patients who are
treated for an initial acute episode of psychiatric illness with pharmacotherapy in
addition to DDRC and who do not have a recurrent or persistent mental illness may be
tapered off medications during this phase. Patients are usually not tapered off
medications until they have several months or longer of significant improvement in
psychiatric symptomology.
This phase, also referred to as the "maintenance phase" of recovery, involves continued
work on issues addressed in the middle phase of recovery and work on other clinical
issues that emerge. Important intrapersonal or interpersonal issues may be explored in
greater depth during this phase for patients who have continued abstinence and remained
relatively free of major psychiatric symptoms.
This phase continues beyond year 1. Many patients with chronic or persistent forms of
psychiatric illness (e.g., schizophrenia, bipolar disease, recurrent major depression), or
severe personality disorders such as borderline personality disorder, often continue
active involvement in treatment. Treatment during this phase may involve maintenance
pharmacotherapy, supportive DDRC counseling, or some specific form of psychotherapy
(e.g., interpersonal psychotherapy). Involvement in support groups continues during this
phase of recovery as well.
Addiction to drugs and alcohol is a chronic disease that begins in the brain. Powerful
chemical changes occur in the brain, causing cravings and driving each person to use,
often overwhelming even the strongest desire to quit. In addition, because the body also
becomes physically dependent upon the drugs and/or alcohol, abruptly stopping can be
physically dangerous and cause harmful physical trauma.
• Block the Effects of Alcohol and/or Drugs caused within the Brain
• Significantly Decrease Cravings of the Addictive Substance
• Significantly Decrease the Physical Effects of Addiction Withdrawal
• Block the” high" or euphoria from the Substance
Center offers the safest, most effective anti-addiction medications available, including:
SUBOXONE
Suboxone is the first opioid medication approved under DATA 2000 for the treatment of
opioid dependence in an office-based setting. Suboxone also can be dispensed for take-
home use, just as any other medicine for other medical conditions.
Because buprenorphine is a partial opioid agonist, its opioid effects are limited compared
with those produced by full opioid agonists, such as oxycodone or heroin. Suboxone also
contains naloxone, an opioid antagonist.
The naloxone in Suboxone is there to discourage people from dissolving the tablet and
injecting it. When Suboxone is placed under the tongue, as directed, very little naloxone
reaches the bloodstream, so what the patient feels are the effects of the buprenorphine.
However, if naloxone is injected, it can cause a person dependent on a full opioid agonist
to quickly go into withdrawal.
VIVITROL
The FDA approved Vivitrol in June 2005 for the treatment of alcohol dependence.
Vivitrol is an injection that you receive in the gluttial (buttock) muscle once a month.
During that month period, it slowly releases medication called naltrexone into your
bloodstream. The Vivitrol (long-acting naltrexone) basically helps to prevent relapse to
alcohol use by causing three things to occur:
PROMETA
Prometa is used for addiction to cocaine, amphetamine/methamphetamine and
alcohol.
The treatment is designed to "jump-start" the recovery process by addressing one of the
key reasons why people relapse - cravings. If identified as an anti-addiction medication
to supplement a client's recovery process, an Enterhealth medical professional
administers three to five IV therapy sessions, lasting approximately two hours over the
course of a month. Additionally, nightly oral medications are provided over the same
approximate timeframe.
CAMPRAL
Campral (generic name: Acamprosate), a drug that is widely used in Europe since the
late 1980s to reduce alcohol cravings in problem drinkers who have quit, was approved
by the U.S. Food and Drug Administration in 2004 to treat alcohol dependence in the
United States.
The GABA neurotransmitter system in the brain is a very important control system that
is responsible for "calming you down" and helping you to relax. Because it calms you
down, it is referred to as an "inhibitory" system. The Glutamate neurotransmitter system
in the brain is just as important as the GABA system but it has the opposite effect on the
body: it causes you to get energized (referred to as your "excitatory" system).
So, when anyone drinks alcohol (not just an alcoholic, but anyone), it stimulates the
GABA system in your brain and you become sedated and relax. (The brakes slow you
down.) At the same time the Glutamate system is suppressed (so the accelerator is not be
pressed). When the alcohol wears off, your excitatory system "rebounds" and you feel
more irritable, agitated and may find it difficult to sleep (remember: the brakes are now
off and the accelerator is being pushed).
ANTABUSE
Disulfiram (Antabuse), a sensitizing or deterrent agent, was approved by the FDA for
the treatment of alcoholism in 1951. It has been used as an aid in managing chronic
alcoholic patients who want to remain in a state of enforced sobriety so that they can
participate in outpatient treatment and 12-step programs effectively.
Antabuse has a valid place as an integral part of certain recovery programs. However,
because of its toxic reactions, it does have some safety issues, although they are much
less than the safety issues related to continued alcohol use. Therefore, it is not usually
used as a first line treatment for alcoholism any more. Rather, it is a medication to be
When Antabuse is used, it is very important that it is given to you under a monitored
situation. You need to be watched while you are taking it each morning, and your mouth
should be orally inspected after swallowing in order to ensure compliance. If the
compliance is ensured via visual monitoring (observation), Antabuse can be very
effective.
Unlike Campral, however, Antabuse acts only as a deterrent; it does not heal any of the
damage caused by the alcoholism. The dose of Antabuse is 250 mg/day and live function
blood tests should be obtained by your primary care physician on a quarterly basis (four
times/year).
Engaging the youth intensively in any sports programme, every day and throughout the
year, will be one of the most important strategies for preventing youth from getting into
the drug habit. Intensive engagement in sports has the following benefits:
1It will usefully fill up their free time and divert their attention from drugs, T.V and other
self-destructive habits. With daily sports activity, there is something to do every day,
something to look forward to and some clear direction to channelize their energies.
2Involvement in sports will keep their body and mind healthy.
3Involvement in any team game like volleyball, football, basketball etc will deeply
inculcate life skills like discipline, confidence and compassion, which will help them
handle their lives better.
4Team games like volleyball, football, hockey and basketball deeply inculcate team
spirit and camaraderie. Villages and localities where youth are active in sports will have
little tension or fighting and will be more harmonious than other localities.
Yoga and Meditation programmes will be a key ingredient, both as preventive and
curative strategies. Yoga and meditation are ancient, Indian, invaluable and most
effective, rather transformative technologies, which are now available in rediscovered
forms for joyful living.
These techniques work on the body, mind and the spirit and bring about a balance, a state
of harmony and pleasantness within oneself, irrespective of the outside circumstances.
Though this is exactly what everyone needs, this is all the more required for those who
have lost control of their body and mind to the drugs.
It has been observed that within few months of practice of Yoga and meditation, there is
a complete transformation in the persons due to its effect on their body and mind.
As both curative and preventive strategies, Yoga and meditation are to be used as
techniques to enable the youth, who have lost control of their body and mind to drugs, to
take control of their body and mind and regain life in most effective way.
1
2The essential features of the Yoga and Meditation programmes will be:
a. Intensive Yoga and meditation practices will be given for the patients admitted in the
center by a trained instructor.
3
b. Free Yoga and meditation programmes will be offered by trained instructors to all
those interested persons above the age of 14. Two such programmes in each of the 5
blocks will be organised every month at the village/locality level for the next two years.
C. Yoga and meditation classes will be extensively imparted in schools and colleges for
the youth above 14 years of age.
• Fitness Activities
• Yoga and Meditation
• Swimming
• Tennis
• Beach Activities
• Walking
• Extensive recreation and fitness amenities at an off-site 50,000 sq. ft. fully
equipped spa-resort
• Beach Activities
A full range of Spa services are available at an extra cost and are scheduled at the Spa.
Scheduling at the Spa has to be approved.
Now that you have received primary care for your addiction and/or emotional disorders,
The goal of Recovery Monitoring Program is to make transitioning back into the
mainstream of society easy and safe. The Recovery Monitoring Program is designed to
help each client maintain their sobriety while slowly adding more activities to their lives.
This Program works well because of the safety net we provide.
If we notice that a client is moving away from their recovery or needs extra attention, it
is easy for us to add more groups to his/her schedule to ensure continued sobriety. We
are here to help everyone in every stage of recovery and we will always do our best to
help each individual person on the road to long-term recovery.
Each participant receives an individualized plan based on their personal history, progress
in treatment, and the prescribed continuing care plan. The plan is flexible, adaptive to the
participant's progress as well as his/her relapse potential.
WHO BENEFITS?
WHY?
We take help from nature's cycles, their effect on mind and the potential of Agnihotra
copper pyramid fire to mould the atoms of the mind and help make it full of love.
Homa Therapy Mind Training Program is taught, giving the addict the ability to practice and
use the Homa Therapy In-residence Drug/Alcohol Deaddiction Program to live a sober/straight
lifestyle.
As part of the Mind Training Program a few simple and easy to do Hatha Yoga exercises are
shown along with breathing exercises, depending on the individual and age group.
-Guidelines of the Homa Therapy In-residence Drug/Alcohol Deaddiction Program are given
as a roadmap to achieve and maintain happiness and freedom from addiction. The Mind
Training Program is a prerequisite for following the Guidelines in that it is the foundation
upon which the Guidelines were established.
The Alcoholics Anonymous Program is studied, discussed and put into practice in a group
setting.
A Cleansing Diet Plan is provided which helps to facilitate the cleansing process necessary to
the addict's recovery.
50 bedded
Administrative
Medical
4 Medical officer(part time) 1
8 Peer educator 1
Total 19
ADDICTION RECOVERY –
Most people have heard of the 12-Step program for dealing with addiction recovery, but
unless you have actually experienced it personally, or when working with a friend or
loved one who is in addiction recovery, you may not know too much about what it is and
how it works. The first 12-step program was a group called Alcoholics Anonymous
founded in 1935. Literally millions of people have been helped through addiction
recovery by Alcoholics Anonymous, Narcotics Anonymous, Overeaters Anonymous and
Gamblers Anonymous, just to name a few of the similar programs which all use the 12-
steps concept.
Although many of the original graduates of the program used only the 12 steps in their
fight to regain sobriety, today it is considered part of a comprehensive multi-part
approach that helps in all the aspects of addiction recovery. It translates well into a
residential drug and alcohol treatment center as a part of the program, although many
other facets are included as well.
Since its founding in 1935, Alcoholics Anonymous (AA) has given assistance to
innumerable people both men and women, to admit that they were alcoholics and that
they are not able to control the drinking. The acknowledgment of powerlessness has
expanded into the areas of drugs, overeating and gambling particularly. Through the
encouragement of Alcoholics Anonymous Fellowship, the individuals are privy to a
healthy, happy way of living that rules out drugs and drinking.
The heart of the program which is suggested for addiction recovery is to make use of the
12 Steps concepts. These have been successfully used by millions in the treatment
program.
Step One
This is considered by outsiders as the most difficult step of all. The individual must
admit that there is an addiction, that they are not able to control their use of the addictive
substance or activity. They must recognize that they are can no longer manage their own
lives.
Step Two
The addict must believe that there is a power outside of themselves which can and will
restore the person's sanity as well as control over the power of the addictive substance.
Step Three
The next step is to make a conscious choice to hand the life and will over to the care and
safekeeping of God however He is understood by the individual.
Step Four
This is usually where the momentum begins to slow down and where a conscious effort
to continue the program must emerge. Step four is to prepare an exhaustive moral
review of one's character.
Step Five
The step which follows also stops many people on their way to addiction recovery. Step
Step Six
The next step consists of being prepared for God to remove all the character defects
previously named and confessed.
Step Seven
Next, the individual should plead with God to get rid of any character defects that are
standing in the way of recovery.
Step Eight
Step eight consists of preparing a list of all those who have been wronged by our actions
and be prepared to make restitution to them.
Step Nine
The next step is to use the list prepared in step eight and make restitution to them if
possible unless that action would further hard the victim or others around them.
Step Ten
Taking personal inventory and making admission of errors committed promptly is an
ongoing process.
Step Eleven
The next to the last step urges individuals to continue to attempt improvement of our
relationship with God through meditation and prayer. Requesting knowledge and
understanding of God's plan for the life and the strength to carry out that plan is key.
Step Twelve
Because the previous steps have helped the person receive an awakening in the spiritual
Newcomers are always invited to join with the peer group in pursuing addiction recover,
but are never pressured to accept or live according to the 12 steps is they are not yet
ready to do so. They are urged to stay in open regarding the information which they are
hearing. They are provided with literature prepared by Alcoholics Anonymous regarding
the 12 steps of the program and invited to continue to participate in meetings during
which they will hear recovered alcoholics relate their individual stories in their effort to
gain sobriety.
The 12 Step program doesn't believe that addiction recovery can be accomplished by any
ordinary means currently available to mankind. AA's principles state that alcoholism can
be halted through a program of total abstinence from any form of alcohol.
Addiction recovery through the 12-step programs is targeted on the goal of helping
members find and implement complete abstinence and sobriety throughout life. Often
residential treatment for addiction recovery is supplemented or succeeded by use of the
12 step program on an outpatient basis.
There are of course similarities between 12 step programs and other addiction recovery
modalities, but they are actually relatively common. The concept of seeking help from
one's peers as well as help from a higher Power can be helpful if the person's spiritual
make up is such that they can utilize the principles. Treatment centers which are
affiliated with religious organizations can use the 12 step program effectively in their
programs without limiting the other program components in any way. This knowledge
helps to provide continuity of treatment bridging the time within the residential center
and the stresses which are part of the immediate return to society.
ℑ 7.2 Daily Time Table For The Addicted Person In The De-
Addiction Center
1:00pm-2:00pm Lunch
o Give admission to only who is self willing or sent from a family or an organization
or a company.
o Treatment period will be minimum for 30 days, in this period, a patient is allowed
to visit his home only in case of emergency, like if he gets ill for other than
alcoholic related problems or if someone from his family has expired.
o If any patient wants to discontinue the treatment and want to leave the camp, the
fees paid by him will not be refunded.
o Once a person gets admitted, for next 20 days he/she is not allowed to make any
kind of contacts for any reason to their home. But the family members of the
patient can contact or visit the hospital.
o Family members or friends are strictly not allowed to give food or alcoholic things.
But they can give fruits.
o First 10 days of the total treatment period is called de-toxication and after that no
medicine will be given to patient until it is necessary.
o The remaining 20 days will be rehabitation treatment, individual &group
counseling, group therapy, yoga, dhyana, pranayama & the works told by hospital
chief will be held.
o Close relatives of patient are only allowed to visit the patient.
o Visitors are allowed to meet the patient according to the date & time given in their
visiting pass which has been given to the family, it should be produced at the time
of visit & only one person is allowed to visit at a time.
o Patient should be kind with other patients & he has to work in a group in the
hospital.
CHAPTER ~8
BUDGET
(SETTING UP OF A 50-BEDDED DE-ADDICTION CENTRE FOR ADDICTS )
a. Administrative:
1. Project Coordinator 1 8,000 96,000 Graduate with experience of
cum- managing such centers for a
Vocational Counsellor minimum period of 3 years
or demonstrable capability
for running such centers and
having working knowledge
of computers.
b. Medical:
1. Medical Officer (Part 1 6,000 72,000 MBBS or equivalent degree
time) recognized by the Department
of Indian Systems of Medicine,
Ministry of Health and Family
Welfare, Government of India.
2. Counsellor/ Social 7* 45,500 5,46,000 Graduate with a minimum
Worker/ Psychologist/ experience of three years in the
Community Worker relevant field or an experiential
Counsellor (recovered addict)
with sobriety of two years.
Preference will be given to
candidates with
degree/diploma in addiction
counselling.
4. Yoga therapist (Part 1 3,300 39,600 Adequate experience in the
time) discipline as recognised by the
Deptt. Of ISM&H, Ministry of
Health and Family Welfare,
Government of India
6. Peer Educator 1 2,000 24,000 Should be literate; Ex-drug user with 1-2
years of sobriety,
Willing to work among drug using population
as well as is possessing qualities like empathy,
communication skills.
Willing to get trained; Agrees to refrain from
using, buying, or selling drugs; Ready to work
for the prevention of harmful drug use and
relapse
TOTAL 19 99,200 11,90,400
The payment of ‘rent’ for the centre would be to the location of the Centre in Type C,
and D cities. The maximum rent would be as under Rs.20000/-p.m.
CHAPTER ~9
LEGAL FORMALITY
1) The quantum of assistance shall not be more than 90% of the approved expenditure
on any or all of the admissible items enumerated under Para 4. In case of the seven
North Eastern States, Sikkim and J & K, the quantum of assistance will be 95% of
the total admissible expenditure for that item.
The balance of the approved expenditure shall have to be borne by the implementing
agency out of its own resources to be clearly indicated in the application form and
thereafter in the accounts of the organization.
2) An aided organization will be provided grants according to the general guidelines of
the Ministry with regard to phasing out of grants to the NGOs after the financial support
for 5 years.
3) The Universities, school of Social Work and such other Institutions of higher learning
will be eligible for 100% reimbursement of approved expenditure.
EXTENT OF ASSISTANCE
S.No Organizations/ Name of Extent of Assistance
Institutions States/UTs
1 Universities/schools of All 100% of the approved
social work/institutions expenditure
of higher learning
2 All other eligible For the Seven Upto 95% of the approved
organizations under the North-East States, expenditure
scheme Sikkim & Jammu
& Kashmir
3 All other eligible Other States/UTs Upto 90% of the approved
organizations under the expenditure
scheme
- Grants for a particular year will be released in one or more instalment as per
instructions issued in this regard by the Ministry.
- For release of full amount of grants in a financial year, the recommendations and
inspection report of the State Government or any other authority/institution designated
by the Government of India shall be mandatory.
- Any request for a new programme/activity should be sent to the Ministry of Social
Justice & Empowerment, Government of India in the prescribed proforma, accompanied
with the relevant documents, along with the recommendation and inspection report of
the State Government. The receipt of such an application would not suo moto entitle an
organisation to the sanction of grants and the Ministry of Social Justice &
4) An aided organization shall maintain separate accounts of the Grants received under
this Scheme. They shall always be open to check by an officer deputed by the
ℵ PERIODIC RETURNS
Every organization/institution receiving grants under this Scheme shall submit half
yearly progress report to the Ministry of Social Justice & Empowerment as per the
following details
S. No Title of Return Due date for receipt in the Form
Ministry
It may be noted that the proforma for the HYPR includes, inter alia, information
regarding progress of utilization of grants during the half-year. Failure to furnish the
information about the utilization of grants during the half year will affect further release
of grants.
ℵ UTILIZATION CERTIFICATES(UCs)
10
CONCLUSION
11
ANNEXURE
5. Additional information, if any, not covered by the above but relevant to the project
may also be submitted.
SIGNATUR
E
(
)
Name of the Secretary/President
Name of the organisation/Institution/Establishment
(with office stamp)
Place:
Date:
Note: - The applicant organisation/institution/establishment is to ensure:-
(a) That each document is serially numbered by them as Annexure-A, Annexure-B,
Annexure-C, etc. and that appropriate entree is also made against the corresponding Sl.
No. in the Application Form.
• nature and incidence of alcohol /drug abuse in the area as provided in any established
study/survey;
• details (with address)of available services in the district;
• need for new programme in addition to available services
• approximate distance of the proposed programme from the available services; and
7. Whether building is :
(please indicate against appropriate box)
1. OWNED
2. DONATED
3. ON LEASE
4. RENTED
12. Details of bank accounts in which grant-in-aid released during previous financial
year:
Progress Report, required for Monitoring by Ministry Enclosed as per form-V Yes
No
Certified that above information is in accordance with the records and accounts audited/to be audited and
is correct to the best of knowledge and belief of the office-bearers of the organisation and after its perusal
and satisfaction, they have authorized the undersigned by a resolution dated ________________ to verify
and submit the statement of information for purposes of monitoring the scheme for which grants-in-aid
was received from the Ministry of Social Justice & Empowerment.
2. I also hereby certify that I have read the rules and regulations of the scheme and I undertake to abide by
them. On behalf of the Management, I further agree to following condition:
a. All assets acquired wholly or substantially out of the central grant shall be encumbered or disposed of or
utilized for purposes other than those for which the grant is given. Should the organisation cease
to exist at any time, such properties shall revert to the Government of India
b. The accounts of the project shall be properly and separately maintained. They shall always to be open to
check by an officer deputed by the Government of India or the State Government. They shall also
be open to a test check by the Comptroller and Auditor General of India at his discretion.
c. If the State or the Central Government have reasons to believe that the grant is not being utilized for
approved purposes; the Governemnt of India may stop payment of further instalments and recover
earlier grant in such manner as they may decide.
d. The institution shall exercise reasonable economy in its working especially in respect of expenditure on
building.
e. In the case of grant of buildings, the construction will be completed within a period of two years from
the date of receipt of the first instalment of grant unless further extension is granted by the
Government of India
f. No change in the plan of buildings, the construction will be made without the prior approval of the
Government of India
h. The orgnisation will bear 10% of the estimated expenditure or the balance of the estimated expenditure
on the project as per the guidelines.
i. The organisation agrees to make reservation for the Scheduled Castes/Scheduled Tribe
Candidate/Disable person for appointment against the posts required for the working of the
organisation in accordance with instructions issued by the Government of India from time to time.
j. It is hereby certified that no grant is being received for the same project form any (Govt. Private or
foreign) source.
Yours faithfully,
( )
Signature of the Authorised Signatory
Name:
Designation:
Address:
Date:
Office Stamp: