Drug Abuse Prevention Last Updated Date : 31 Jul 2015 SUBSTANCE ABUSE PREVENTION Substance abuse has emerged as a serious concern, adversely affecting the physical and socio- economic well being of the country. The stress and strain of the modern day life has rendered the individual more vulnerable to the problem of substance abuse. Addiction to alcohol-drugs not only affects the individual involved but also the family and society at large. In a national survey conducted in 2001-2002 (Published in 2004) by the United Nations Office on Drugs and Crime (UNODC) and the Ministry of Social Justice and Empowerment, it was estimated that about 73.2 million persons were users of alcohol and substances. Of these 8.7, 2.0 and 62.5 million were users of Cannabis, Opiates and Alcohol respectively. About 26%, 22% and 17% of the users of three types respectively were found to be dependent on/addicted to them. As the sample size was small (40,697 male only) looking to the county’s population, the estimate can at best be taken as indicative only. The survey also indicated that other substance such as sedatives/ hypnotics, volatile substances, hallucinogens, stimulants and pharmaceutical preparations were also abused. Several other studies also indicated that the changing prevalence and incidence of substance abuse shows the increasing use of substances among women and children, and, also the increase of pharmaceutical substance abuse and inhalant use specially with the street children are now of serious concerns. Section 71 of the Narcotic Drugs & Psychotropic Substance Act, 1985, empowers to Government for establishment of identification, treatment and rehabilitation centres for drug addiction. The Ministry of Social Justice & Empowerment as the nodal agency has been supporting Integrated Rehabilitation Centre for Addicts (IRCAs) under the scheme of Prevention of Alcoholism and Substance (Substances) Abuse being run by voluntary organizations. While a considerable number of efforts are being carried out through various interventions for various target groups, there is a need for human resource enhancement and professional training for effective service delivery in the changing scenario of substance abuse. Thus, substance abuse prevention is one of the core concerns of the Institute. In view of the growing threat of substance abuse and its impact on the nation, it was decided to give the then Bureau of Substance Abuse Prevention in the Institute a broader role by setting up a National Centre for Substance Abuse prevention (NC-DAP) in September, 1998. The mandate of the unit is to provide technical support to the Government on policies relating to substance abuse prevention and facilitate a wider and improved coverage of services throughout the country for substance demand reduction. Through NC-DAP, the NISD has been able to expand its activities and has worked out strategies for tackling the issues of substance abuse and brings about qualitative improvements in service delivery. It has evolved a strategy for the capacity building of the service providers through a series of training and orientation courses. To formulate effective intervention modules and programmes, impetus has been provided to research and documentation activities to develop deeper insight into the problem and collection of information on extent, trends and patterns of substance abuse through feedback from the field. Aims and Objectives It is the endeavour of the Institute to achieve the following: Raising the competency standards of the functionaries/ personnel working in substance demand reduction and other related sectors. Standardization of care in substance abuse prevention Updating information and creating a database on extent and pattern of substance abuse and interventions developed at local, regional, national and international levels Promoting advocacy and networking in the field of substance abuse prevention Target Groups Through NC-DAP, the NISD primarily caters to the training requirements of functionaries /service providers working in the treatment and rehabilitation centres supported by the Ministry of Social Justice and Empowerment viz. Project Officers, Counsellors, Social Workers, Out-reach Workers, Community Workers, Nurses and Ward Boys/Care Takers. The Centre also organizes need based training programmes for the representatives of concerned Government Departments such as Health, Youth Affairs, Prisons and Correctional Institutions, and NGOs functionaries working in the related sectors including HIV/AIDS. Activities The main activities of NC-DAP in the field of substance abuse prevention are: Capacity building of various levels of functionaries working in the field of substance demand reduction Updation of information and establishment of appropriate database and monitoring systems Development of linkages, facilitating advocacy, and promoting networking arrangements in the field of substance demand reduction at local, regional, national and international levels Developing programmes for preventive education to control the incidence and spread information on ill effects of substance and alcohol abuse Training & Capacity Building: The Institute runs a number of programmes and training courses, tailored for specific target groups by adopting the following three pronged approaches : (i)Three Months Certificate Course on “De-addiction Counselling and Rehabilitation”- The course is designed for Project Officers, Senior Counsellors and NGOs functionaries working in Treatment-cum-Rehabilitation Centers. The training course includes two months of classroom training and one month of field placement in selected treatment centers. The broad content of the course is in form of eight learning units - Basics of Addiction, Counselling Treatment Protocols, Awareness Creation and Preventive Education, Rehabilitation, Relapse Prevention and Aftercare Services, and Record Keeping and Documentation. (ii)Two-Months Vocational Training Course for Recovering Addictes, Spouses & Co-dependents. (iii) One-Month Certificate Course on "Drug Counselling Skill"- The course has been designed to build the knowledge base of service providers including Counsellors, Social Workers, Outreach Workers of treatment centers. The course includes interactive theoretical sessions and one week field placement in reputed treatment centers. The broad contents of the course are - Basics of Addiction, Motivation and Counselling, Community Based interventions, Outreach and Awareness Creation. From the year 2014-15, NISD has started one month program for counselors in the field of drug abuse. (iv)Thematic Skill Building Programmes - Under this category, the following two to five days programmes are undertaken: Substance Addiction Identification, Initial Motivation and Early Intervention: to orient service providers on symptomatic behavior, early identification and early warning signs so as to equip them with requisite techniques for early intervention. Counselling for Addiction – Individual Family and Group: to train counsellors working in the areas of substance demand reduction so as to expand their knowledge base & sharpen their individual, group and family Counselling skills. Preventive Interventions for High Risk Groups: to sensitize the service providers working with high-risk groups such as truckers, commercial sex-workers, etc., on issues pertaining to Behavioral Change Communication (BCC). Research, Rapid Assessment & Monitoring of Substance Abuse:on the relevance, scope and contents of research, rapid assessment and monitoring of substances abuse to obtain evidence for planning strategic interventions. Management of Co-dependency and Family Issues: to enable Counsellors/ Social Workers to deal effectively with significant others including family and co-dependents of addicts. Rehabilitation and Relapse Prevention – Issues & Modalities:for service providers for development and implementation of rehabilitation and relapse prevention programmes. Prevention and Management of Substance Abuse and HIV/AIDS:to orient and expose the service providers to the area of HIV/AIDS prevention among substance users. Alcohol and Substance Abuse Prevention at Workplace:to sensitize Labour Welfare Officers of Corporate houses and Project Officers/Senior Counsellors of Treatment cum Rehabilitation Centres working with the organizations/ enterprises/industries. A Learning Pack for Youth Coordinators:designed for youth coordinators of National Service Scheme (NSS) and Nehru Yuva Kendra (NYK) on alcohol and substance abuse prevention Treatment and Rehabilitation of Substance Addicts in Prisons/ Correctional Settings: to sensitize and empower middle level functionaries working in prisons/correctional settings on alcohol and substance abuse prevention issues. Documentation for Addiction Management-Assessment, Client Profiling, Recording and Documentation:to ensure proper recording and documentation of programme activities. Management Development Programme (MDP):to provide basic skills and understanding of the programme activities being carried out by Treatment – cum – Rehabilitation Centres. Orientation Course based on TNA (Training Needs Assessment): on the selected thematic issues relating to treatment based on needs assessment in operational areas of RRTCs. Strategic Consultations The Institute also organizes strategic consultations with various stakeholders to evolve strategies for convergent action so as to bring synergy in on-going programmes with different partners. The Institute also holds Annual Consultative Meet with the Regional Resource and Training Centres (RRTCs), located in different parts of the country which serve as regional extension centers. This consultative meet is organized every year to plan out the activities of NC-DAP and RRTCs for strategizing key interventions based on emerging trends, evidence and experience gained at the operational level. Drug Abuse Monitoring System (DAMS) Drug Abuse Monitoring System (DAMS) is an online data base, wherein data on the types of substances, method of consumption, clinical and general profile of treatment seekers at de-addiction centres will be collected on a quarterly basis for understanding the trends of the substance abuse in the country. This system is to further strengthen the existing interventions and would be useful for developing appropriate preventive strategies in changing substance consumption behaviors. Outreach/ Promotional Activities through the Regional Resource and Training Centres (RRTCs) Twelve NGOs have been designated as RRTCs to provide training to service providers of Treatment and Counselling Centres for enhancing their capacity, at the regional levels. This is considered desirable and pragmatic in view of the size of the country and regional variations necessitating specific strategies Click for list of Drug RRTCs 15 Kb Besides, RRTCs also provide the following services to the NGOs working in the field of Substance Abuse Prevention: Documentation of all activities of the NGOs including preparation of Information Education Communication (IEC) Material. Undertaking advocacy, research and monitoring of substance abuse programme . Technical support to the NGOs, Community Based Organisation and Enterprises. Observance of "The International Day Against Substance Abuse and Illicit Trafficking" On 26 June, every year NISD in collaboration with the Ministry of Social Justice & Empowerment observes "The International Day Against Substance Abuse and Illicit Trafficking" to sensitize the society and particularly the youth to the menace of the Substance Abuse. A Manual on Minimum Standards of Services for the Programmes under the Scheme for Prevention of Alcoholism & Substance (Substances) Abuse" has been developed for IRCAs/treatment centres run by NGOs funded by the Ministry (click pdf file ).