1. IMA MENTAL HEALTH INITIATIVE DEADDICTION PROJECT Dr. DINESH NARAYANAN CO-CHAIRMAN,IMA MENTAL HEALTH NATIONAL CO-ORDINATOR,IMA DE-ADDICTION PROJECT Dr. DINESH NARAYANAN CO-CHAIRMAN,IMA MENTAL HEALTH NATIONAL CO-ORDINATOR,IMA DE-ADDICTION PROJECT

2. IMA DEADDICTION PROJECT PLAN OF ACTION IMA DEADDICTION PROJECT PLAN OF ACTION

3. Action plan for curbing the alcohol consumption rate in India / Preparation of information leaflets in local language. / Awareness campaign against alcoholic addiction and drug dependence in high risk areas. / Awareness campaign by each IMA local branch in at least 2 high schools and 1 college. / Opening helpline at each IMA local branch. / Community level family oriented interventions for relapse prevention / Support NGO’s for promoting positive mental health programmes in alcoholism in different regions / Preparation of information leaflets in local language. / Awareness campaign against alcoholic addiction and drug dependence in high risk areas. / Awareness campaign by each IMA local branch in at least 2 high schools and 1 college. / Opening helpline at each IMA local branch. / Community level family oriented interventions for relapse prevention / Support NGO’s for promoting positive mental health programmes in alcoholism in different regions

4. / Providing feasible advice to advocacy groups and government, for involving and supporting de-addiction centres. / A community based project study to evaluate the effectiveness of de- addiction programme by state / local branches of IMA. / Providing feasible advice to advocacy groups and government, for involving and supporting de-addiction centres. / A community based project study to evaluate the effectiveness of de- addiction programme by state / local branches of IMA.

5. Resource slides

6. ALCOHOLISM DEADDICTION - NEED OF THE HOUR / Alcoholism - major socio economic and health problem in India. / 3.3 million people die every year due to use of alcohol, accounting for 5.9 % of all deaths. / 3.5% of the global burden of disease is attributable to alcohol. / Alcoholism - major socio economic and health problem in India. / 3.3 million people die every year due to use of alcohol, accounting for 5.9 % of all deaths. / 3.5% of the global burden of disease is attributable to alcohol.

7.  W orldwide alcohol consumption - 6.13L /year of pure alcohol per person (aged 15 years and older).  Out of this, nearly,30%unrecorded consumption.  W orldwide alcohol consumption - 6.13L /year of pure alcohol per person (aged 15 years and older).  Out of this, nearly,30%unrecorded consumption.

8. Indian scenario / India tops all other developing countries in alcohol consumption - estimated usage-62.5 million. / Age of initiation of consumption has declined from 30 to 19 years and more women have started consuming. / Kerala accounts the highest per-capita consumption followed by Maharashtra and Punjab / 8.3 litres (15 pints) of alcohol is consumed per person per year, according to a 2008 report. / Alcohol-related problems account for over a fifth of hospital admissions in our country. / India tops all other developing countries in alcohol consumption - estimated usage-62.5 million. / Age of initiation of consumption has declined from 30 to 19 years and more women have started consuming. / Kerala accounts the highest per-capita consumption followed by Maharashtra and Punjab / 8.3 litres (15 pints) of alcohol is consumed per person per year, according to a 2008 report. / Alcohol-related problems account for over a fifth of hospital admissions in our country.

9. / Acute intoxication-hypoglycemia- sudden death if unrecognized. / Alcoholic Liver disease, Hepatic encephalopathy and duodenal ulcer, / Accident proneness resulting in brain injuries / Dyslipidemia / Cardiomyopathy / Acute intoxication-hypoglycemia- sudden death if unrecognized. / Alcoholic Liver disease, Hepatic encephalopathy and duodenal ulcer, / Accident proneness resulting in brain injuries / Dyslipidemia / Cardiomyopathy MEDICAL DISORDERS DUE TO ALCOHOLISM

10. Effects on Liver

11. Effects on Kidneys and Brain Photo courtesy of Sterling Clarren, MD No exposure to alcohol Heavy prenatal exposure to alcohol

12. / Deliberate self-harm (10-15%) / High-risk sexual behaviour / HIV infection / Tuberculosis / Oesophageal cancer / Increased hypertension / Deliberate self-harm (10-15%) / High-risk sexual behaviour / HIV infection / Tuberculosis / Oesophageal cancer / Increased hypertension MEDICAL DISORDERS DUE TO ALCOHOLISM

13. / Deliberate self-harm (10-15%) / High-risk sexual behaviour / HIV infection / Tuberculosis / Oesophageal cancer / Increased hypertension / Deliberate self-harm (10-15%) / High-risk sexual behaviour / HIV infection / Tuberculosis / Oesophageal cancer / Increased hypertension MEDICAL DISORDERS DUE TO ALCOHOLISM

16. PSYCHIATRIC DISORDERS DUE TO ALCOHOLISM / Mood disorders- Depression(40%) / Bulimia nervosa, / Phobia, / Generalized anxiety disorder (GAD) / Panic disorder / Antisocial personality disorder / Alcoholic Dementia / Alcoholic Amnestic disorder / Alcohol induced sleep disorder / Personal and Social Dysfunction / Mood disorders- Depression(40%) / Bulimia nervosa, / Phobia, / Generalized anxiety disorder (GAD) / Panic disorder / Antisocial personality disorder / Alcoholic Dementia / Alcoholic Amnestic disorder / Alcohol induced sleep disorder / Personal and Social Dysfunction

17. Management Goals / Approach  Pharmacological, Psychosocial, Rehabilitation / Pharmacological  Detoxification and De-addiction  Nutritional supplements  Treatment of withdrawal symptoms / Approach  Pharmacological, Psychosocial, Rehabilitation / Pharmacological  Detoxification and De-addiction  Nutritional supplements  Treatment of withdrawal symptoms

18. Management Goals / Psychosocial  Psychotherapy (Motivation Enhancement therapy, Relapse prevention therapy)  Family therapy  Alcoholic Anonymous  Cognitive Behavioral Therapy (CBT)  Behavioral therapy / Rehabilitation / Psychosocial  Psychotherapy (Motivation Enhancement therapy, Relapse prevention therapy)  Family therapy  Alcoholic Anonymous  Cognitive Behavioral Therapy (CBT)  Behavioral therapy / Rehabilitation

19.  Health professionals  At community level Psychiatry social workers & Psychologists would help these patients in improving their overall functioning and quality of life.  Health professionals  At community level Psychiatry social workers & Psychologists would help these patients in improving their overall functioning and quality of life. Multidisciplinary approach

20. IMA targets for a brighter future generation and alcohol free healthy India. IMA targets for a brighter future generation and alcohol free healthy India.

21. THANK YOU