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

IMA DEADDICTION PROJECT PLAN OF ACTION IMA DEADDICTION PROJECT PLAN OF ACTION

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

/ 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.

Resource slides

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.

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

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.

/ 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

Effects on Liver

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

/ 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

/ 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

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

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

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

 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

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

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