1. DRUGS OR YOUR LIFE MAKE THE RIGHT CHOICE Sahyog Clinic

6. Addiction as a disease This popular model of addiction is credited to E.M. Jellinek who presented a comprehensive disease model of alcoholism in 1960

7. Genetic Predisposition Behavioural Factors Environment (host)(agent)

8. Addiction A chronic disorder Compulsive use of a substance resulting in physical, psychological or social harm to the user Continuing the use despite the harm

9. Characteristics of the Disease of Addiction PRIMARY NO FAULT MULTI FACETED PROGRESSIVEINCURABLE

10. Stages of Addiction USE MISUSE ABUSE

11. Types of Dependency  Psychological Dependency  Physiological Dependency

12. Symptoms of Addiction  Tolerance  Withdrawal  Dependence

13. Addictive Chemicals  Tobacco: cigarette, guthka,  Alcohol  Cannabis: Bhang, Charas, Ganja  Opiates: Raw opium, Heroin, morphine, B Sugar  Depressants: Barbiturates, Valium, Alprax etc  Stimulants: Amphetamines, Cocaine  Hallucinogens: LSD, PCP  Solvents: ink whitener, nail polish remover, petroleum derivatives  Miscellaneous: snake bite, iodex

14. Community Environment POVERTY & UNEMPLOYMENT GOAL STRESS & PEER PRESSURE

15. Family Environment

16.  Parents using drugs/alcohol  Parents don’t have time for children  High levels of family stress, including financial strain Family Environment

17.  Aggressiveness / shyness  Decreased social inhibition  Emotional problems  Inability to express feelings appropriately  Hypersensitivity Vulnerability of (You)th

18.  School failure and dropout  Delinquency  Gateway /other drug use  Early risky sex – STI/HIV  Teen pregnancy  Employment issues  Mental health problems (YOU)TH Problems (Risk factors)

19. Negative experiences

20.  Lack of bonding to society (family, school and community)  Rebelliousness and nonconformity  Cultural alienation  Inability to form positive close relationships  Vulnerability to negative peer pressure

21. Tell tale signs  Sudden unexplained Mood Swings  Isolation  Change in friends  Discovering paraphernalia  Watery / droopy eyes, runny nose etc.  Loss of articles or money  Unexplained expenditure  Weight / appetite loss  Irregular sleeping patterns  Too much time spent alone

22. The Sahyog Model  The Sahyog model is holistic in nature with intervention focused on the client and family. We accept the “Disease of Addiction” as a primary disease. At Sahyog Clinic we treat the disease through a residential programme.  The twelve steps of Alcoholics Anonymous, Narcotics Anonymous and other life skill training helps clients recognize and resolve personal barriers.