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

IMA MENTAL HEALTH INITIATIVE

DEADDICTION PROJECT

IMA MENTAL HEALTH INITIATIVE

DEADDICTION 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

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 slidesResource slides

ALCOHOLISM DEADDICTION - NEED OF THE HOUR

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.

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

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

Indian scenarioIndian 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 BrainEffects 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

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 GoalsManagement Goals

ApproachPharmacological, Psychosocial,

RehabilitationPharmacological

Detoxification and De-addiction Nutritional supplementsTreatment of withdrawal symptoms

ApproachPharmacological, Psychosocial,

RehabilitationPharmacological

Detoxification and De-addiction Nutritional supplementsTreatment of withdrawal symptoms

Management GoalsManagement Goals

PsychosocialPsychotherapy (Motivation

Enhancement therapy, Relapse prevention therapy)

Family therapyAlcoholic AnonymousCognitive Behavioral Therapy (CBT)Behavioral therapy

Rehabilitation

PsychosocialPsychotherapy (Motivation

Enhancement therapy, Relapse prevention therapy)

Family therapyAlcoholic AnonymousCognitive 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.

THANK YOU