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» DRUG ABUSE PREVENTION PROGRAMME (DRUG DE-ADDICTION CENTRE AT GANJAM)

VISION

This is the broad and extensive re-education system to re-ascend the existing support structure of human being.

MISSION

To create awareness about the problems associated with addiction among the public and transforming the community into an enabling force to combat addiction.

GOAL

» Prevention of HIV infection and AIDS. 

» To strengthen family supports as well as societal support towards a recovering person to   lead a drug free living. 

» To help a recovering person for total abstaining from Alcohol/Drugs.

IN ORDER TO FULFILL ITS MISSION, JEEVAN JYOTI IS MANDATED TO- 

» Make the public aware ensure about the Alcohol / Drugs and its ill effects.

» Provide HIV / AIDS education to large section of the population, participatory to the dis-advantaged segments of society.

» Develop a networking and converge to different departments and agencies.

» Establish complementary support structure at the community level with the existing structure.

» Initiate community support and put over at social pressure on families of chemical dependants to take professional help for smooth recovery.

» Special emphasize to HIV/AIDS infected persons and attitude of community towards them.

» Identify children of addicts/ child labour and ensure their schooling.

» Re- educate women for better participation in area of development

» Promote SHGs for women.

A FEW WORDS ABOUT  JEEVAN JYOTI

“JEEVAN JYOTI” A 15 (Fifteen) bedded Drug De-Addiction Cum Rehabilitation Centre,is one of the Project mandated by BHAIRABI CLUB, offered the various services to vulnerable and deprived mass of the community. The approach and objective changed its course in the mean time as required in the project period.

Gradually, after seeking strong co-operation & involvement of the community, the attitude and behaviour changes with relation to Universalisation, if complete abstinence from substance use is a success indicator of the programme. So we hope that the attempt to make some part of Ganjam district a drug free zone.

Strong persuasion pressure on the women & youth mass through both direct & indirect ways would change the condition up to a large extent. We have not only strengthened the existing support structure of community but tried to stabilize some of new committees of women groups, traditional cultural groups at different level up to Gram Panchayat and Block levels. The community at different level takes part in appropriation selecting and decision making process for fixing the strategies of co-operation and policy level change. So our main focus is to provide awareness about impact of Alcohol/ Drugs to all community along with addressing the parameters like nutrition & refreshment, health, child care, preservation of their social culture and heritage etc.

OUR STRENGTH 

v      Community has a commitment for prohibition of drugs. 

v      A strong network of volunteers, social activists, village leaders & women groups. 

v      Self Help Groups in some villages, who are strongly understood the approach & future perspective of the JEEVAN JYOTI. 

v      Community volunteers are given sufficient & continuous back up support through regular orientation meeting exposures. 

v      Anganwadi workers/ ICDS workers/Health workers extend their hands at the time of need. 

v      Sarapanch, Ward Members & Village leaders were oriented on the programme.

DETAILS OF THE CORE PART OF ACTIVITIES OF JEEVAN JYOTI

MEDICAL MANAGEMENT

PHASE-II [1^st to 12^th day]

Ø      Advice and Medical check-up by the Medical Officer.

Ø      Ingesting of free medicines as per withdrawals occur.

Ø     Half an hour treatment facilities/ emergencies care provide in case of alcoholic Hallucinations, DT(delirium Tremens) and Fits/Convulsion.

Ø           Refer to cases beyond the treatment facility of the centre like – TB, Sever Liver disorder, Hepatitis A&B, HIV +ve, Psychiatric etc.

PHASE-III [No Time Bound]

v      Handling problems associated with overdose of drugs

Handling problems associated with Disulfiram – Alcohol reaction.

PSYCHO-SOCIAL MANAGEMENT

PHASE-I [On the day of admission]

v        Interaction of the Counsellor with the clients and family members/support persons.

v        Establishment of client’s motivation to detoxify.

v        Information giving about the treatment policies to client and family members.

v        Registration and admission of the client.

v        Collection of detailed information pertaining to In-take and DAMS form.

PHASE-II [2^nd  to 30^th day]

v      Taking of detailed information relating to case history of the client.

v      Providing of  i. Individual Counselling,   ii. Re-educative Lecture session,   iii.Group Therapy

     iv.Family Therapy,   v.Behavioural Therapy,   vi.Relaxation Therapy

v      Conducting Yoga & meditation

v      Discharge of the client after completion of one month treatment.

PHASE-III [1 Month To 2 Year]  FOLLOW-UP & REHABILITATION

i.   Home visit, ii. Letter sending/Telephone contact with the Clients and support person.

iii.Visited by the ex-clients to the centre, iv.Conducting therapeutic community, v.Providing door-step treatment facilities, vi. Involvement of recovering addicts in vocational training as Computer, Tailoring and making Agarbati.

PLANNED INTERVENTION

 JEEVAN JYOTI has taken-up certain major intervention towards achieve its certain and specific goals.

I. Preventive Education & Awareness Generation Programme:-  Community participation in all stages i.e. planning, implementation and monitoring were always emphasized. JEEVAN JYOTI was undertaken group/ public meetings, film shows, poster display, booklet & leaflet distribution in regular interval & re-educated volunteers, women groups, teachers, village leaders and member of the host Organisation in order to develop competency, sense of involvement & sharing of people & handle Drug related issues and socio-economic problems.

II. Identification: - The intervention programmes give the chance to motivate the clients as well as their family members about the problems associated with addiction. The clients identify and motivate for seeking help to go through recovery process.

III. Detoxification / Physical Management:-   Physical Management is the vital part to handle problems associated with alcohol/ drugs abuse. It is a process used to remove the toxicity from the body. Detoxification is done within a period of 10 to 12 days. In a case, if a client develops delirium tremens (DT), detoxification may extend up to a period of 12 to 15 days & emergency care has to be provided.

IV. Psycho-social Management:- Psychosocial Management is comprising of -

v      Individual Counseling

v      Group Therapy

v      Re-educative Session

v      Relaxation Therapy 

Individual Counseling - Individual Counseling is being provided on a long-term basis.  During the staying period of 30 days of a client, there are 8 to 12 sessions are provided and each session last for 45 minutes to 1 hour. The counseling process aims at enabling the individual to learn and pursue more realistic and satisfying solutions to his difficulties.

Group Therapy - It is the technique of treating clients in-group. This technique emphasizes the fact that the client’s problems are not unique. They also learn to change his life style, improving interpersonal relationship and recognize the existence of other problems related to alcohol/ drugs abuse. There are five group therapy sessions conduct in a week and each session lasts for one hour. Some of the group therapy topics are as follows.

i.  Damages- Social, Financial, Educational and Physical    ii.  Identifying stress prone areas in recovery and how to cope with them.  iii.  How anger affected me and people around me.  iv. Unsuccessful attempts.  v.  Negative traits that I want to change.  vi.  My worst drug taking episode. vii.  Effect on children. viii.  Family damages made. ix.  High risk situation encountered and how to deal with such situations in future. x.  How did we deny the damage caused by addiction,xi.My first and last drink,xii.Financial damage,xiii. Positive qualities of others like family members,spouse,siblings xiv.Inappropriate aspect of behaviour xv.Past and present action Re-educative Session - Re-educative lecture session focuses on the different aspect of addiction and it gives a broad knowledge about, how addiction destroys the life style of an individual, family as well as society. There are several topics discussed and 5 sessions conduct in a week and each session lasts for 1 hour. Details of the topics mentioned as-

i. Drugs and their effects, ii.Stress management, iii. Anger, iv. Addiction a disease, v. Personality traits, v. Methods to remain sober, vi.Children of addicts, vii. Building relationships, viii. Asserativeness, ix. Denial, x. What works in treatment, xi. Financial Management, xii. Self esteem, xiii. Relapse prevention planning, xiv. Behavioural Pattern, xv. Life skill education, xvi. HIV infection and AIDS. 

Relaxation Therapy - Relaxation therapy is a technique wherein clients are taught to keep their body and mind calm, as a result of which they will be able to handle situation more effectively. When the clients feel stress and tension, the relaxation skills can be used so that they will eliminate tension from his body and feel a deep sense of relaxation.

V. Family Assistance Programme:-  When addiction has existed in the family over a long time, It is most likely that all the members of the family are affected. In this situation we help them in restoring themselves to a state of healthy and happiness. During the staying period of the client, there are three individual counseling sessions and four re-educative sessions are provided to the family members / support persons. The topics of the re-educative session for family members as –

i. Addiction and its impact on the family, ii. Family in recovery, iii. Addiction a disease, iv. Relapse prevention planning, v. Addiction the role of parents, vi. HIV infection and AIDS, vii. Improving the quality of life, viii. Recovery.

VI. Follow-up and After Care:-  This includes the package of services provided to the client after being successfully discharged from the centre. After care services can be viewed as the first line of defense against return to drug use. The activities include attending self-help programmes like N.A./ A.A., regular follow-up at the treatment centre, staying at the halfway home etc.

ACTIVITIES ACCOMPLISHED DURING THE YEAR 2007-2008 

I. The activities relating to prevention, education and awareness programmes were undertaken.

   i.      Number of public meeting were conducted – 14

  ii.      Number of group discussion programmes were conducted – 12

 iii.      Number of Video show programmes were organized – 22

iv.      Pcs. of Pamphlets were distributed – 675

v.      Pcs. of Posters were displayed – 310

II. The activities relating to Counselling and Therapy provided to In-Patient and their family members/support persons.

i.   Number of Individual counseling session provided – 1829

ii.  Number of Re-educative session conducted for clients – 236

iii. Number of Group Therapy session conducted – 236

iv. Number of Re-educative session conducted for family members/support persons – 48

vi.      Number of Individual counseling session provided to family members/support persons –149

III. The activities relating to Counselling Services provided to Out-Patient and their family members/support persons.

i.   Number of counseling session provided – 363

IV. The activities relating to the follow-up and after care.

i.  Number of home visit made - 83

ii.  Number of letter sent to ex-client & their support persons – 318

iii. Number of therapeutic community formatted & organized at the village – 18

iv. Number of door-step treatment facilities provided - 27 

v. Number of counseling session provided to the ex-client at the centre - 417

vi. Number of  contacts made with the clients over telephone - 21

V. The activities relating to the HIV/AIDS Prevention programmes were initiated as  follows.

i.   Number of public meetings were conducted – 82

ii.  Number of group meetings were conducted – 24

iii. Pcs. of leaflet were distributed – 1450

iv. Pcs. of poster displayed at the strategic point at the village - 685

v.  Number of condoms demonstrated – 37

vi.  Number of distributed free - 28 

ACHIEVEMENT FOR THE YEAR 2007-2008

I. Number of clients registered as IPD at the centre - 167

     i.   Alcohol – 102                    ii.  Opium – 40             iii.  Brown Sugar - 14

     iv. IDUS – 05                         v.  Cannabis – 01                vi.  Codeine - 03

    vii. Sedative Hypnotics – 01     viii.  Multiple Drugs - 01

II. Number of clients registered as OPD at the centre - 363

      i.   Alcohol – 170                    ii.  Opium – 83             iii.  Brown Sugar - 21

     iv. IDUS – 34                         v.  Cannabis – 14                vi.  Codeine - 08

    vii. Sedative Hypnotics – 32     viii.  Multiple Drugs - 01

III. Number of clients detoxified at the centre – 135

IV. Number of clients Dropped-Out from services - 22

V. Number of clients Referred for various treatment services – 11

VI. Number of  new clients identified – 224

VII. Number of ex-clients visited the centre for follow-up – 434

VIII. Number of clients living sober – 116

IX.    Number of clients relapsed – 121

X.    Number of clients expired – 01

XI. Number of clients rehabilitated – 256

XII. Number of cases detected as-

      i. HIV Positive – 57                ii. Full Blown AIDS – 13                    iii. TB - 19

XIII.  Number Of Cases Referred to –

       i.  VCCTC , MKCG. Medical College, Berhampur – 47

      ii.  VCCTC , City Hospital, Berhampur – 02

  iii.  Basant Manjari TB. Hospital, Chand Pur – 34

     iv.  ART Centre, MKCG. Medical College, Berhampur – 03

Number Of Cases Followed-Up - 14

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