1. TREATMENT CENTRE

2.  Principles of treatment  treatment goals - abstinence and harm reduction  Types of treatment  medical treatment  psychological therapy and rehabilitation  self-help programmes  Treatment team TREATMENT

3. PRINCIPLES OF EFFECTIVE TREATMENT  Comprehensive programme addressing the multiple needs of the client  Repeated assessment to address the changing problems of the client – medical and psychiatric problems  Exclusive programme to address the issues and problems of family members …….

4.  Individual counseling and group therapy to strengthen motivation  Educational programme to provide insight into the addictive process  Exposure to self-help groups  Long term follow up with emphasis on relapse prevention  Multi - disciplinary team to offer comprehensive care PRINCIPLES OF EFFECTIVE TREATMENT (contd….)

5. TREATMENT INITIATIVES  Identification and intervention  Medical treatment  Treatment and Rehabilitation  Primary care  Extended care programme  Vocational rehabilitation  Community based treatment programme  Therapeutic community

6. Identify addiction at the early stage, intervene effectively and motivate him to take help Settings  Schools, colleges  Workplaces  Voluntary agencies  Health care centres, hospitals  Family counselling centres IDENTIFICATION AND INTERVENTION

7. Methods v Counselling v Involving family and significant others v Making appropriate referrals

8. How they help v Identification, intervention and motivation v Providing information v Involving family and significant others v Counselling client and family v Making appropriate referrals

9. MEDICAL TREATMENT Medical care to deal with withdrawal symptoms, co-existing medical / psychiatric problems

10. Settings General hospitals - different departments  General medicine  Surgery  Gastroentrology  Neurology  Psychiatry Mental health centres and private psychiatrists  Nursing homes MEDICAL TREATMENT

11. Methods  Medical and nursing care  Assessment  Supportive counselling

12. How they help  Detoxification to deal with withdrawal symptoms  Assessment and management of medical and psychiatric problems  Dealing with medical emergencies of alcohol poisoning or drug overdose  Handling acute psychiatric break downs or suicidal attempts due to addiction

13. PSYCHOLOGICAL THERAPY AND REHABILITATION PROGRAMMES Effecting abstinence along with improvement in the quality of life Primary care Settings In-patient / out-patient treatment units Duration 1 – 3 months

14. Methods used  Assessment  Medical and nursing care  Counselling  Group therapy  Re educative lectures  Family therapy  Involvement of other support persons (employer, friends, clergy)

15. Life skills training on  Interpersonal skills  Decision making  Problem solving  Strengthening self esteem  Stress management SUPPORTIVE THERAPIES

16.  Self help programmes  Relapse prevention programme  To recognise high risk situations and emotional triggers that lead to relapse and learn coping methods  Yoga / relaxation techniques

17. How they help  Enhancing motivation  Providing comprehensive care to lead a drug free life  Effecting positive changes in one's lifestyle  Providing insight into the denial system and personality deficits ……..

18.  Providing emotional support to the family  Helping the family to develop healthy interpersonal relationship  Ongoing support to prevent relapses How they help (contd…)

19. EXTENDED TREATMENT PROGRAMMES Intensive programme of a longer duration to provide extended care to relapse prone clients Provide an intermediate step between treatment and independent living Settings  After care centres or half way homes  Residential

20. Duration 3 – 24 months How they help  Strengthening the social support system  Improving life skills to facilitate reintegration into society  Providing opportunities for vocational skills and employment

21. VOCATIONAL REHABILITATION Clients are helped to  acquire marketable vocational skills  develop healthy work ethics  find remunerative jobs Settings  in patient / out patient units

22. COMMUNITY BASED PROGRAMMES Settings  Residential  Community centre / marriage hall / church in villages Duration  One to two weeks Providing treatment in the community where the clients live

23. How they help  Providing cost effective treatment in the village itself without dislocating the person  Helping the community to create an alcohol free environment

24. THERAPEUTIC COMMUNITY Emphasis is on  Personal accountability for recovery  Acquiring socially productive lifestyle  Ex-addicts run the centre - Hierarchy of inmates is of great importance and senior members play a major role Settings  Residential programmes

25. Duration  Six months to two years Methods  Use of self-help group philosophy  Group encounter (confrontation)  Teaching social and vocational skills  Role modeling of senior members

26. How they help  Developing a drug free life style  Changing negative patterns of behaviour, thinking and feeling that predispose drug use

27. SELF-HELP PROGRAMMES Settings  Meetings conducted in churches / school premises on an out-patient basis Peer supported groups - Alcoholics Anonymous, Narcotics Anonymous, Gamblers anonymous and Al- Anon

28. Principles  Spiritual / behavioural framework with 12 steps and 12 traditions  Belief in a higher power  Making a moral inventory of oneself and admitting one's wrong doings  Willingness to make amends to people whom one has harmed  Carrying the message of this fellowship to other suffering persons

29. How they help  Instill hope about recovery and maintain motivation  Help recovering addicts / their families share their experiences and support one another in a drug free lifestyle  Provide long-term support

30. TREATMENT TEAM  Physician  Psychiatrist  Nurses  Psychologists / social workers as counsellors  Recovering addicts as counsellors  Community workers  Vocational therapist