Running of 15-Bedded Integrated Rehabilitation Center-IRCA “JEEVAN KIRAN” for Drug addicts under NATIONAL ACTION PLAN FOR DRUG DEMAND REDUCTION:

 

This centre -“Jeevan Kiran”  setup at Gajapati District headquarter Ramswamipur( Damodar Vihar), Paralakhemundi, Odisha aiming at providing necessary counseling, Yoga & Meditation, Medical aid, Nutrition, care, rehabilitation and curative services with the support of Ministry of Social Justice & Empowerment, Govt. of India. The vocational educator, the counselor and the peer educator have rendered viable vocational education, counseling and educating on different topics on non addiction to alcohol and substance use to the inmate victims.

 

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 KIRAN 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 KIRAN

“JEEVAN KIRAN” A 15 (Fifteen) bedded Drug De-Addiction Cum Rehabilitation Centre, is one of the Project mandated by SOPUTRA, 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 behavior 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 Gajapati 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.

 

DETAILS OF THE CORE PART OF ACTIVITIES OF JEEVAN KIRAN

MEDICAL MANAGEMENT

PHASE-I [On the day of admission]

• Medical case history taking
• Recording BP, Pulse, Temperature etc.
• Pathological Investigation. (Blood test, TB test, LFT, Sugar test, HIV test, etc. )

 

PHASE-II [1st to 12th day]

 

• Advice and Medical check-up by the Medical Officer.
• Ingesting of free medicines as per withdrawals occur.
• Half an hour treatment facilities/ emergencies care provide in case of alcoholic Hallucinations, DT(delirium Tremens) and Fits/Convulsion.
• 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]

Handling problems associated with overdose of drugs

Handling problems associated with Disulfiram – Alcohol reaction.

 

PSYCHO-SOCIAL  MANAGEMENT

 

• PHASE-I [On the day of admission]
• Interaction of the Counselor with the clients and family members/support persons.
• Establishment of client’s motivation to detoxify.
• Information giving about the treatment policies to client and family members.
• Registration and admission of the client.
• Collection of detailed information pertaining to In-take and DAMS form.

 

PHASE-II [2nd to 30th day]

• Taking of detailed information relating to case history of the client.
• Providing of Individual Counseling,   ii. Re-educative Lecture session,   iii. Group Therapy
• Family Therapy,
• Behavioral Therapy,
• Relaxation Therapy
• Conducting Yoga & meditation
• 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,

1. Conducting therapeutic community,
2. Providing door-step treatment facilities,

PLANNED INTERVENTION:

 

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

1. Preventive Education & Awareness Generation Programme:- Community participation in all stages i.e. planning, implementation and monitoring were always emphasized. JEEVAN KIRAN 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 Organization in order to develop competency, sense of involvement & sharing of people & handle Drug related issues and socio-economic problems.
2. 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.

3. 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.

Psycho-social Management: – Psychosocial Management comprises of –

Individual Counseling

Group Therapy

Re-educative Session

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 client’s 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.

• Damages- Social, Financial, Educational and Physical
• Identifying stress prone areas in recovery and how to cope with them.
• How anger affected me and people around me.
• Unsuccessful attempts.
• Negative traits that I want to change.
• My worst drug taking episode.
• Effect on children.
• Family damages made.
• High risk situation encountered and how to deal with such situations in future.
• How did we deny the damage caused by addiction,
• My first and last drink, xii. Financial damage,
• Positive qualities of others like family members, spouse, siblings
• Inappropriate aspect of behavior
• 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-

1. 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. Assertiveness, ix. Denial, x. What works in treatment, xi. Financial Management xii. Self esteem, xiii. Relapse prevention planning, xiv. Behavioral 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.

 

1. 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 –
2. Addiction and its impact on the family,
3. Family in recovery,

iii. Addiction a disease,

1. Relapse prevention planning,
2. Addiction the role of parents,
3. HIV infection and AIDS,

vii. Improving the quality of life,

viii. Recovery.

1. 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.

 

 

1. Community based Peer led Intervention (CPLI) for early Drug Use Prevention among ADOLESCENTS:-

 

Community based Peer led Intervention programmes was organized in Gajapati district specially for Adolescents. This programme provides referral and linkage to counselling, treatment and rehabilitation services for drug dependents identified in the community. Various Outreach activities conducted within the community among young vulnerable population of the community.

 

III. Outreach and Drop In Centres (ODIC):- The organisation established in district Hqrs. to conduct outreach activities in the community for prevention of drug abuse with a special focus on youth who are dependent on drugs. The ODICs would provide safe and secure drop-in space for drug users in the community.

 

1. Holding of Awareness cum De-Addiction CAMP:

 

Before commencement of the programme a survey team of the organisation has conducted a base line survey in surrounding villages on continuous addiction to alcohol which is comprehensive in the tribal belt. The survey had shown that more than 50 patients are figured in five villages that have no alternative to get free from alcoholism. In consideration of this, the Organisation has been holding the awareness cum de-addiction camps in respect of addicted victims since 2017. This Programmee proved successful, in view of tribal’s addicted in country liquor every day. Before holding the meetings, required publicity programmes were done with cooperation of PRI members, Youth club members and SHG members.