De addiction and rehabilitation

center
CERTIFICATE

THIS IS TO CERTIFY THAT MR. SANTOSH THAKUR HAD CLEARED IN

9TH SEMESTER. IN OCTOBER 2009, AND HE IS A BONAFIED STUDENT
OF DR.D.Y.PATIL COLLEGE OF ARCHITECTURE.

PROFFESOR PRINCIPAL
(SANJEEV DIGARSE) (CHOUDHARY)
We believe that architecture can be
historical and cultural artifact,
yielding an increased awareness of
local identity…………..…DAN HEINFELD,
FAIA
 Drugs study is wake up call for Indian
authorities

NEW DELHI: Sunil Gonsalves and Manoj Mitra (names changed) were
arrested by the narcotics department of Delhi police about 14 days back for
cocaine transaction at South Extension market, a capital
hotspot for shoppers.
Each of the two students, in their early 20s, one of whom belongs to
a prestigious management institute, was trying to sell about 10 gm
of cocaine near a Barista outlet to earn some quick bucks.
The incident highlights how the youth is increasingly
getting into the drug nexus in the country.

According to a recent United Nations report, lapses in the control of

pharmaceutical preparations containing narcotics, drugs and psychotropic
substances in India have led to widespread abuse of such
preparations among all segments of the population.
The report says such pharmaceutical drugs are generally diverted from
domestic distribution channels and are sold without prescription in pharmacies
and other retail outlets in the region.
 "One
Says Kiran Bedi, who heads the Navjyoti Rehabilitation Centre in Delhi,
of the biggest reasons for drug addiction is peer
pressure. Being in the company of people who have lost money
instigates one to adopt a similar lifestyle. Drug peddling and drug
abuse are inter-related. To be able to sustain drug abuse, drug peddling
becomes necessary because that is how the money to buy the costly drugs
comes."

AS Cheema, DCP, narcotics, Delhi Police, agrees. "Drugs have

become a part of urban lifestyles. The youth, especially, feel that
drugs give them the social tag of being 'with it.' In the absence of
strict implementation of laws, sale of drugs over the counter
continues to widen," he says.
"One of the trends that have emerged in the last few years is the consumption
of high grade drugs such as cocaine and ecstasy. The primary reason for
this is the growth of night life in cities and the mushrooming of
 night clubs and discotheques, which are home grounds for drug
transactions," adds Cheema.
A problem in fighting drugs has been the absence of coordination
between different agencies, such as the police, the health ministry
and non-governmental organizations (NGOs) working in the area.
But the ministry of social justice and environment, along with a Delhi-based
NGO GTZ, has charted out a program me to fight drugs. Says Richard Francis,
program me officer, GTZ, "We have launched a round-table plan involving all
agencies working against drug abuse. We have started a mapping exercise to
study the scenario. We have taken Delhi as a pilot model, which would be later
replicated in other places. The plan entails law enforcement, treatment and
prevention."

Implementing the plan may be difficult as rehabilitation in India is weak.

There are only 400 rehab centers in the country.
Explains Bedi, "The ministry should take up the task of spreading awareness
about the rehab centers. But few people can afford rehabilitation as the cost is
around Rs 20,000 per month."
The government, however, maintains it has continuously been taking
initiatives.
"We have come a long way. From five de-addiction centers in 1985, we have
above 400 centers today. Last year we added 36 centers," says an official at
the ministry of social justice and empowerment.
 "Most centers are 90 per cent government-funded. Our annual
budget for the drug abuse program me is Rs25 crore."

Maninder Singh arrested for possessing drugs

NEW DELHI: Former Test cricketer Maninder Singh was arrested on

Tuesday from his residence in East Delhi on the charge of possessing cocaine.
Around 1.5 grams of the contraband was found in his possession at the time of
his arrest by the narcotics department of Delhi Police on Tuesday morning, a
senior police official said.
A suspected drug peddler, identified as Sayam Siddique, who was with 41-year-
old Singh when the police raided his house in Defence Enclave in Preet Vihar
locality, was also arrested.
Rahul Mahajan arrested under Narcotic Act, may

face long
NEW DELHI: After four days of high drama, Rahul Mahajan, son of the late BJP
leader Pramod Mahajan, was arrested by police on Monday evening under the
stringent Narcotic Drugs and Psychotropic Substances Act.
HEALTH: ADDICTION

Difficult to detect
 The main advantage of prescription drugs for addicts is their easy and lawful
availability and low cost. (Calmposes for example, costs Rs 10 for 10 tablets.
Ecstasy costs Rs 1,000 per pill). These are also difficult to detect. Even better,
it can be palmed off as a legitimate tablet when caught-one just needs to feign
a cough or headache convincingly.
In contrast to the pill-poppers, injected drug users (IDU) usually shift to these
drugs from heroin. And several studies by UNDCP and drug rehabilitation
organizations show that use of injected drug show a steep rise in all the
metros. The worst case scenario is in the North-east, where the number of IDUs
is as high as 80 per cent of all drug abusers. IDU shows a disturbing pattern.
The trends here reinforce history. When morphine and opium addiction was
considered a major social problem 104 years ago, a drug was introduced to
wean the addicts off. That drug was heroin, and it did its job only too well.
Almost a century later, a prescription drug called buprenorphine given to
addicts to ease the heroin withdrawal symptoms in drug rehabilitation centers.
The new drug proved extremely addictive, and, with a cocktail of other similar
drugs, extremely potent and dangerous. They're cheaper too, at only Rs 20 per
cocktail ampoule, compared to Rs 80-150 for the same amount of heroin.
Unlike the pills,
injected drug BAD MEDICINE: Addiction can progress
use is common from smoking to injecting prescription
among some drugs
students and
those on the fringes of society. For them, the prescription drug cocktail is a
cheap way out of the many tragedies of life. Says Ajay, a former rickshaw-
puller who was forced to retire due to lack of strength: "I came to Delhi from
my village in Uttar Pradesh. I sent all the money earned back to my family, and
took to drugs so that I could work longer hours and earn more without eating."
Now a physical wreck, he picks rags to gather enough money for his daily fix,
which he gets from the neighborhood pharmacist.

Jim Dorabjee of Sharan, a drug rehabilitation organization with centers across

the country, directly blames the Narcotic Drugs and Psychotropic Substances
Act (NDPS), 1985 for this state. "We have always had a tradition of substances
like ganja and charas which did not do any great harm. NDPS put all of them at
 a par with hardcore drugs like heroin by making all drugs illegal and equally
punishable. This led to a surge in heroin, an increase in IDU, and now the
prescription drug abuse." Apart from the harm the drugs do to the body,
increasing IDU also has severe health implication-sharing of needles has led to
the spread of HIV/AIDS and Hepatitis-C. A Sharan study in the slums of Delhi
show that 86 per cent of the IDUs share needles and syringes, drug solutions,
the water for rinsing and the drug mixing container. HIV figures among IDUs
are 80 per cent in Imphal, 15-19.5 per cent in Chennai, 7.43 per cent in
Mumbai, 2 per cent in Kolkata and an alarming 44.5 per cent in Delhi according
to a Sharan/Johns Hopkins University joint study.
While awareness is crucial, the crux of the problem is easy availability of
prescription drugs. "The law is there, it just has to be enforced more strictly,"
says Jitender Nagpal of vimhans. And that is far from impossible. For example,
methylphenidate is a new stimulant used to treat children with Attention Deficit
Hyperactivity Disorder (ADHD). It has a great potential for abuse. That has not
been the case due to strict rules-it is only available in triple-prescriptions on a
special prescription pad. "I haven't seen any addiction to methylphenidate yet,"
says Mittal. "If we can be strict for one drug, why not for others with abuse
potential?" As new stresses develop in the super-tech society of tomorrow,
India's health depends on the integrity of the neighborhood pharmacist.

MYTH AND FACTS ABOUT DRUG ADDICTION

 Unfortunately there are lots of misinformation and mythology from
friends, media, our own culture and the society in general. We should
be aware and ready to challenge these half-truths, which may harm
us more than we may really think

Myth: Addiction is a bad habit, the result of moral weakness

and over-indulgence.
Fact: Addiction is a chronic, life-threatening condition, like
hypertension, arteriosclerosis, and adult diabetes. Addiction has
roots in genetic susceptibility, social circumstance, and personal
behavior. Certain drugs are highly addictive, rapidly causing
biochemical and structural changes in the brain. Others can be used
for longer periods of time before they begin to cause inescapable
cravings and compulsive use.

Myth: Substance abuse and alcohol addiction are not

treatable
Fact: Substance abuse and addiction are treatable. Treatment is
typically most successful when the abuser him/herself realizes there
is a problem and really wants help.

Myth: An addict can stop alcohol and drugs with willpower.

Fact: Very few people can just stop using them substances they are
addicted to, no matter how strong their inner resolve. Most need to
go through at least one course of structured substance abuse
treatment. Some achieve sobriety through participation in
 community-based support organizations (e.g., Alcoholics
Anonymous), but relapse rates under this condition are very high.
The most effective approach is one that combines structured
treatment and community-based support.

Myth: Addicts often relapse, so treatment obviously does

not work.
Fact: Medical treatment never guarantees lifelong recovery. So it is
with addiction. Relapse is often a part of the recovery process. Even
if a person never achieves perfect abstinence, addiction treatment
can reduce the number and extent of relapses, which in turn lowers
the incidence of related problems such as crime and overall health.
A break in the cycle would improve the individual's ability to
function in daily life and be able to cope better with the next
temptation or craving.

Myth: Once sobriety is achieved, most individuals can

eventually return to social use of alcohol and/or drugs.
Fact: Addiction is a chronic condition that does not disappear, even
after extended periods of sobriety. This is true regardless of the
individual's drug of choice, level of self-control, or length of
abstinence.

Myth: You can't get addicted to marijuana.

Fact: People become addicted to a range of substances and
 involvements. The measure of addiction is the degree to which an
involvement usurps people's life. Research shows that marijuana
use can lead to psychological addiction.

Myth: Treatment to quit is expensive.

Fact: Treatment cost is far less expensive than the consumption
cost.

Myth: Not many women become addicts

Fact: That may have been true some years ago, but today there
are almost as many men as women.

Myth: Domestic violence is very high in cases where alcohol

or drug abuse is involved.
Fact: How people behave when they are under the influence of
alcohol and/or drugs depends on a number of things. You must
consider the personal, social, physical and emotional factors.
Episodes of problem drinking and incidents of domestic violence
often occur separately and must be treated as two distinct issues.
Neither alcoholism nor drugs can explain or excuse domestic
violence.

Myth: Alcohol improves sexual performance and desire.

Fact: Alcohol may provoke the desire but it also inhibits
performance. It can interfere with achieving erections and increases
erectile dysfunction.
 Myth: Alcohol helps one to sleep well.
Fact: Dependence on alcohol upsets regular sleep patterns.

Myth: Alcohol is a good way to stay warm in cold weather.

Fact: Alcohol can cause significant heat loss from the body. This
can be dangerous for health.

Myth: Beer doesn't come under the category of not hard

liquor, so it can be consumed safely.
Fact: Beer contains lesser amount of alcohol than hard liquor like
whisky or rum. But it is "alcohol."

Myth: When your friends get together for a party and are
drinking you have to drink to have a good time with them.
Fact: You can have a good time with your friends by doing things
rather than drinking.

Myth: I can try drugs just once and then stop.

Fact: Almost all the drug addicts start by saying and thinking
exactly this.

Myth: Alcohol and drugs make me live a more creative life.

Fact: Drug use looses clarity of awareness and thinking and
rationality in action.
 Drug Abuse and Addiction the path to drug addiction begins with the act of
taking drugs. Addiction is characterized by compulsive drug craving, seeking
and use of drugs that persists even in the face of harmful consequences.

General warning signs you can look for:

(a) Inability to relax or have fun without drugs
(b) Sudden changes in work or quality of work
(c) Frequently borrowing money, stealing or selling possessions
(d) Angry out bursts, mood swings and irritability
(e) Deterioration of grooming
(f) Avoidance of family, friends and others
(g) Making frequent trips to restrooms or isolated areas
(h) Pressuring others to use drugs
(i) Using drugs first thing in the morning
(j) Deterioration in family relationships
(k) Involvement in legal problems

Warning Signs of Teen Drug Use:

(a) Negative changes in schoolwork, missing school, or declining grades

(b) Increased secrecy about possessions or activities
(c) Use of incense, room deodorant or perfume to hide smoke or chemical
odours
(d) Subtle changes in conversations with friends (more secretive, using
“coded” language)
(e) New friends of questionable nature
(f) Increase in borrowing money
(g) Evidence of drugs paraphernalia such as pipes & rolling foils and
papers
(h) Bottles of eye drops, which may be used to mask bloodshot eyes
(i) Evidence of inhaling products and accessories, such as hairspray, nail
polish, correction fluid, etc.
 (b) Always remember that any one of the above signs may not be enough to
indicate substance abuse but should be enough to suggest that there
may be a problem

Why do people use & abuse drugs?

1. Some people use drugs because they like the rush it gives them or because
they are thrill seekers.
2. Others may try a drug out of curiosity or because their friends do it.
However, many people use drugs in order to cope with unpleasant emotions
and the difficulties of life.
3. Around 50% of drug abusers also suffer from a mental illness such as
depression, anxiety, etc.

People soon develop tolerance to the drug and have to increase the amount of
the drug to achieve the same pleasurable effects as derived before.
They also experience withdrawal symptoms, (nausea, restlessness, insomnia,
concentration problems, sweating, tremors and anxiety) after reducing or
stopping chronic drug use.

Commonly abused drugs:

1. Marijuana (Pot, dope, weed)

Effects - Sense of relaxation, increase in appetite, red dilated eyes
2. Barbiturates (downers, sedatives)
Effects - Lowed inhibitions, drowsiness, decrease in anxiety, decrease in
breathing and pulse, psychosis
3. Amphetamines (Uppers, speed) & Cocaine (coke, blow)
Effects - Feeling of exhilaration & Euphoria, increase in energy & hyperactivity,
insomnia
 4. Hallucinogens (LSD, angel dust, ketamine)
Effects - Hallucinations, impaired perception of reality, flashbacks
5. Narcotics (Heroin, smack)
Effects - Pain relief, euphoria, drowsiness & sedation
6. Inhalants (Solvents, aerosols, gases)
Effects - Brief “high”, loss of inhibition

Psychological stress from work or family problems, social cues or the

environment can interact with biological factors to hinder attainment of
sustained abstinence and make relapse more likely. Active participation of the
patient is essential for good outcomes.

Why Can’t Drug Addicts Quit On Their Own?

Most attempts to quit drugs result in failure to achieve long-term abstinence.
Long-term drug use results in significant changes in brain function that persist
long after the individual stops using drugs.

Treatment
Treatment of addiction is as successful as treatment of other chronic illnesses
such as diabetes, hypertension and asthma.

How long does drug addiction treatment usually last?

Individuals progress through drug addiction treatment at various speeds, so
there is no predetermined length of time. Treatment is usually long.

What helps people stay in treatment?

§ Strength of character
§ Family involvement
§ Good follow up – meeting doctor as she / he calls.
§ Treatment directed towards change in lifestyle & attitudes.
 Principles of effective treatment:
1. No single treatment is appropriate for all individuals
2. Attending to multiple needs of the patient (medical, psychological, social,
vocational and legal problems)
3. Adequate period of time critical for treatment effectiveness
4. Medications in combination with counseling and other behavioral therapies
5. Co-existent mental disorders should be treated in an integrated way
6. Medical detoxification is only the first stage of addiction treatment and by
itself does little to change long–term drug use.
7. Requires multiple episodes of treatment
8. Building up of social, family support systems is vital for the program me
adherence.
9. Other helpful adjuncts are Alcoholics Anonymous, Narcotics Anonymous and
other voluntary help groups.
 MUKTANGAN MITRA

Muktangan Mitra is a Public Charitable Trust dedicated to the treatment of

substance users, research in this field. It has achieved the status of being
one of the best institutes in the field of Drugs & Alcohol de-addiction today.
Its treatment module of 5 weeks based on Gandhian Principals, Rational
Emotive Behavior Therapy and Alcoholic Anonymous is considered as a Role
Model and recommended by the concerned authorities.

It has multi-disciplinary approach. Apart from treatment, its activities range

from helping law enforcement authorities, training to the concerned people
like police & jail officers, industrial welfare officers, community leaders etc.
To create general awareness, Muktangan Mitra has produced two feature
films. The first film MUKTI is about Drug & Alcohol addiction and the second
film BEWAQT BARISH brings in the awareness message about HIV/ AIDS to
the masses.

Recovered & recovering substance users run this whole program me and
75% of their staff is recovered substance users.

A journey through the past, present and vision of future along with some
salient features of Muktangan Mitra:
1) De-addiction Treatment: Muktangan De-addiction Center has 5-week
residential treatment program me. This treatment program me is in tune
with the culture & human values and involves many activities in line with
Minimum Standards. The de-addiction center shifted to the present
premises in October 2000. The land was kindly given on lease by Pune
Municipal Corporation.

2) Counseling Center at Narayan Peth, Pune: This counseling center is

located in the heart of Pune city in Narayan Peth and her Clients from
Pune & surrounding area visit every day in the evenings. Muktangan
out Patient & Counseling Facility, whereby clients were counseled
and consulted by a Doctor. These were the cases, where a hope of
recovery is there without the imminent need of admission at the center.

3) Regional Resource and Training Center – West Zone (RRTC –

West): This center is managed by Muktangan Mitra. Ministry of Social
Justice and Empowerment has been persistently striving its fight against
the substance use and trying to improve the availability of prevention,
treatment and rehabilitation services. Regional Resource and
Training Center – West (RRTC West) was sponsored for management
by Muktangan Mitra by the Government, viewing its very good track
record of milestones achieved and its commitment towards the
community service. This center looks after the capacity building of 83 De-
addiction centers in the States of Maharashtra, Madhya Pradesh,
Chhattisgarh, Gujarat and Goa. This also includes for regular Training
Programmed as per the Training Need Assessment and Advocacy.

4) O.P.D. Facility: Outpatient facility at Muktangan De-addiction Center is

thrice a week in the mornings. These are cases, where a hope of recovery
is there without the imminent need of admission at the center.

5) Follow Up Centers in Maharashtra (17 Locations): Muktangan has a

strong network of follow up centers at various locations in Maharashtra.
 Every month, one of the counselors from Muktangan De-addiction center
visit each of the location on a fixed day.

6) Day Care Facility: The discharged clients who don’t have jobs come at
9.00 am in the morning and stay till 5.00 pm in the evening and
participate in the various activities. They are given guidance and helped
for vocational rehabilitation. It can be termed as half way shelters.

7) After Care Facility: This facility is for Clients who have completed treatment
module of 5 weeks and due to the intense of their addiction decide with a
mutual consent to extend the stay period. They are motivated to pick up the
winded up threads of their life and take positive steps further to get into the
regular social stream. Some of these clients are today the counselors and
also hold various perquisite positions within Muktangan Mitra Family.

8) Sahachari Project: This is a support group started for & by the wives of the
clients with full support from Muktangan Mitra. In addition, income generation
activities are also taken up for the rehabilitation of the family.

Considering the increase in substance abuse in all parameters of life, there are a large
number of community members, who are in dire need of a helping hand,
assistance and guidance. Although the Ministry of Social Justice and
Empowerment - Government of India, International Agencies like UNODC with
their various projects for outreaching the community members, Corporate
Institutions and individuals have come forward to realize these efforts into a
reality; there is still a lot to be done to achieve the targeted goals. The time has
come to explore and expand the wings in the new horizon and following are the
fields where works are being initiated:
 i) Exclusive De-addiction Center for Female Substance Users.
ii) Half Way Home.
iii) Treatment cum Rehabilitation Center for HIV Positive Substance
Users & their Partners.

Vocational Rehabilitation and Family Rehabilitation for Substance

Users and their Partners/ Families:
 Navjyoti- Delhi Police
Foundation for Correction, De-addiction and Rehabilitation.
Kiran as Deputy Commissioner of Police (North), Delhi Police, in 1986 initiated
de-addiction programs as a major step towards crime prevention. She set up
detoxification centers at six police stations in her jurisdiction. This experiment
was a remarkable success. The public support compelled it to be
institutionalized and in 1988 she along with her colleagues from the police
registered it as a Foundation called Navjyoti - Delhi Police Foundation for
 Correction, De-addiction and Rehabilitation. Kiran is the Founder General
Secretary and continues to supervise it in an honorary capacity.
The model of Navjyoti became an inspiration for other state police forces
across the country. Navjyoti counselors and Kiran gave many presentations on
how Navjyoti works and how police could play a positive role in drug
prevention. Many state police forces including the National Police Academy
included this concept in their training programs. Navjyoti started sharing and
today has spread its message in many different cities through its training and
affiliation exchange programs.
Since inception in 1987, Navjyoti has detoxified around
12000 drug addicts from Delhi and the neighboring states.
Detoxification is induced through a multi-disciplinary treatment — medical,
psycho social and environmental and has follow-up and ‘Community out Reach’
programmes. Hence, the organization does not advocate the use of substitute
substances; instead it practices total abstinence from all chemicals including
those used for the purpose of detoxification. Patients remain at Navjyoti
center for a year. All professional services are free of cost. The patient only
pays for his food to a food contractor. For some patients, food comes from
home. Navjyoti supports only the poor.

Navjyoti has institutionalized by organizing the family members of the

recovering addicts as a Capable Group. They help themselves and others while
assisting Navjyoti in after care services.

Navjyoti approach is very challenging and difficult because, according to it,

the process of treating and rehabilitating drug abusers should always be open
to new possibilities so as to maximize the potential for the former abuser’s
recovery and reintegration into society.

De-addiction Treatment & Rehabilitation:

Navjyoti offers a multidisciplinary treatment program, which addresses the

physical, mental, emotional, and spiritual aspects of the illness. Treatment for
 each of these dimensions is provided so that the patient may return to the
family, job and environment with improved physical and mental well being, free
from chemical dependency and equipped with the tools necessary to maintain
a drug free life style.
The main goal is to provide an environment that is best possible for recovering.
The program is based on the belief that drug dependency is a chronic
progressive and potentially fatal disease but is treatable and that the recovery
process can be an experience of freedom, happiness and joy.
Through this program, patients learn the fundamental skills of recovery and
make commitment to a life style of sobriety through total abstinence. Navjyoti
also believes that recovery is a continuous process of growth whereby in
addition to the patients, the family and the community has an equally
important role to play. Therefore, apart from the treatment program for the
patients intervention is also planned for the family and the community.
Treatment is based on the “Bio Psycho Spiritual Social” management with the
belief that drug addiction is a disorder of the whole person and hence needs to
be caressed holistically.

Treatment Based on “Bio-Psycho-Spiritual-Social” Management

 The treatment plan is divided into three
developmental phases:
I Phase : Preparatory Phase (OPD)
II Phase : Six months residential treatment program
III Phase : Rehabilitation Phase (After Care Group)

PHASE I : PREPARATORY (OPD) The patient is motivated to undergo

treatment in this phase through OPD.
Here the patient is made to attend certain disciplinary programs through which
he is mentally prepared for quitting drugs by reviewing experiences and
recognizing the damage and distress that drug use has caused

PHASE II: SIX MONTHS RESIDENTIAL TREATMENT PROGRAMME

once the patient is motivated for treatment in OPD, he is admitted to undergo a
six months residential treatment program. Treatment Program, the patient is
made to live in a therapeutic community and treated holistically on physical,
psychological, social and spiritual aspects. Detoxification is carried on using
homoeopathy, yoga and naturopathy. Behavior modification is emphasized
throughout the program for better personality development through personal
introspection, working on the negative attitudes, counseling, discipline, and
encountering, educative and interactive sessions. Spiritual feelings are also
inculcated esp. at the end of the treatment program through meditation,
Vipassna, Art of living, Yoga etc

PHASE III: AFTER CARE AND REHABILITATION

after Care and Rehabilitation program for the addicts was started in the year
1995 in order to maintain the gains made in the treatment. Presently, a three
month after care and rehabilitation program is being run whereby the patient
reports in the OPD regularly for three months after completing the residential
treatment. He is provided with a safe environment and equipped with skills to
handle cravings through regular sharing, counseling and spiritual sessions. This
has gone a long way in reducing the relapse rate.

INDIA - The Medical Tourism Destination! Sep 28,

2007
Hindustan times
Medical Tourism World - Affordable Treatments Facilitator in India
The Company spokesman briefly highlights the meaning & advantage of
Medical Tourism in India:

Medical Tourism in Brief:

Medical tourism is a great new trend that is changing the way
that thousands of Americans and Europeans are choosing to
rehabilitate themselves from drugs. This exciting new way of
receiving medical treatment involves traveling to an advanced facility,
having your procedure at a much lower cost, and using the savings to opt
for and enjoy a holiday during your recovery in an exotic location!

“Research has shown that recovery in a new and

stimulating environment is much faster than if
you were to stay in hospital or at home”.
 Medical Tourism in India :
Here people from all over the world travel to India for various medical
treatments & pay a much lesser price for the treatment here & also take a
holiday here & still save money.

Cost of certain treatments in India is as less as 25% of the cost for the same
treatment abroad and today, India offers World Class Medical Treatments
with world class medical facilities at fraction of cost comparatively. It makes
India the an ideal healthcare destination for highly specialized medical care
& High Quality Medical Facilities.

Key benefits of Medical Treatments & Tourism in India :

• World Class Treatment & Fraction of comparative cost in western
countries.
• Patients from more than 55 countries treated in India.
• The Indian doctors are recognized as amongst the best at International
levels.
• Practically no waiting time for Taking Medical Treatment.
• India rated among the top 5 favorite tourism destinations
worldwide.

"The Equation 'Medical Tourism in India = Quality

Treatment+Holiday+Big Savings, holds so true" he sums up.
 Standard Treatment Matrix.

DUE TO THE STUDY AND MANY YEARS OF EXPERINCE THE TEAM OF

THE DOCTORS HAD CAME WITH MATRIX OR DALIY SHEDULE FOR
THE PATIENT OF DRUGS. THIS IS THE STANDARED MATRIX
FOLLWED BY MANY INSTITUTES IN INDIA, WITH SOME MODULATION
IN IT.

This matrix gives complete scheduled for the patient, from morning to night
and which type of activity has to be followed at what time and day. It makes
easier for doctors to keep record of the patient,

DAILY SCHEDULE
6.30 am Wake Up
6.40 am Prayer
7.00 – 8.00 am Yoga / Meditation
 8.00 – 8.45 am Shave / Bath
9.00 – 9.30 am Breakfast
9.30 – 9.50 am Silent Moments
10.00 – 11.15 am Therapy Session
11.15 – 11.30 am Tea
11.30 – 12.45 pm Step Work / Reflection
1.00 – 1.30 pm Lunch
1.30 – 3.00 pm Rest
3.15 – 3.30 pm Tea
3.30 – 4.15 pm Thoughts & Feeling
4.15 – 5.00 pm Audio / Video Session
5.00 – 6.45 pm Leisure / Games
7.00 – 8.00 pm AA / NA Meeting
8.00 – 9.00 pm Leisure / TV
9.00 – 9.30 pm Dinner
9.30 – 9.45 pm TV News
10.30 pm Lights Out
Saturday: Half Day Sunday: Family Visits

TEN Steps
1. We Admitted we were powerless over alcohol - that our lives
 had become unmanageable

Came to believe that a power greater than ourselves could

2.
restore us to sanity.
Made a decision to turn our will and our will and our lives to
3.
the care of god as we understood him.
4. Made a searching and fearless moral inventory of ourselves
Admitted to god to ourselves and to another human being the
5.
exact nature of our wrongs.
Were entirely ready to have God remove all these defects of
6.
Character.
7. Humbly asked him to remove our shortcomings.
Made a list of all persons we had harmed and become willing
8.
to make amends to them all.

Made direct amends to such people wherever possible except

9.
when to do so would injure them or others.

Continued to take personal inventory and when we were

10.
wrong promptly admitted it.
 In
individual
counselin
g
sessions,
counselor
and
patient
work
together
to
identify
Yoga Practice
personal
problems
and set
 The power
lab helps
them to
look up
and see
the
potentialiti
es and the
promises
of life. The
cornerston
e of our
program is
the Steps
of AA / NA
with a goal
of total
abstinence
Tai Chi Chuan Session from
alcohol
and other
drugs, and
bringing
improveme
nts on bio /
psycho/soc
ial level.
Each
patient
 works on
adopting
the
philosophy
of AA / NA
before
leaving
treatment.
Care for
the family
is an
important
part of
our
rehabilita
tion
services.
Because
the
disease
of
chemical
dependen
cy
directly
or
 indirectly
affects
the life of
so many
people,
Kripa
offers a
family
service
programm
e every
Saturday
and
Sunday in
English
and Hindi.

COUNSELING,
Is a scientific process of assistance?
Extended by an expert,
In an individual or group situation
To a needy person(s).
The process aims at enabling the individual,
 To learn and pursue,
More realistic and satisfying
Solutions to his/ her difficulties.

RELATIONSHIP
↓
GROWTH
↓
CHANGE
Counselor helps to develop the ability
To take
Wise, discreet, independent & responsible
DECISIONS

The Process of Counseling Stages

STAGE 1:
Developing a Therapeutic relationship
↓
STAGE 2:
Exploring Problem areas
 ↓
STAGE 3:
Goal Setting
↓
STAGE 4:
Maintaining change
↓
STAGE 5:
Termination
COUNSELING
IS
NOT JUST
A TALK

A DISCUSSION
GUIDANCE
BUT IT IS
A RELATIONSHIP
BETWEEN
TWO HUMAN BEINGS
TO LEARN
&
TO BEHAVE
 AS A
HUMAN

Some studies showing need of yoga………………

New Delhi, Nov 10: Relapse after treatment for drug addiction is not
uncommon, but if yoga and naturopathy are practiced, the incidence of relapse
is reduced.
According to a study conducted by the Central Council for Research
in Yoga and Naturopathy (CCRYN), the non-meditative approach of
yoga and naturopathy in treatment of drug addicts is more effective
in detoxification as compared to the allopathic or meditative
treatment.

The study was conducted on the experimental group comprising 205 drug
addict cases from the Drug De-addiction Centre of Navjyoti, Delhi Police
Foundation and 100 cases of the hospital inside the Tihar jail under
control group.
 Three years data of patients in experimental group treated with yoga,
naturopathy and counseling was compiled.
Also, data of control group on physical and psychological withdrawal
symptoms, physical parameters, and psychological tests among other
parameters was gathered. These patients were being treated with allopathic
system of medicine.
The yogic treatment administered to the experimental group included
pranayama (breath control), jalneti (cleansing of nasal path), kapalbhati
(cleansing process for lungs), shankha prakshalan (digestive system
cleansing technique), yognidra (yogic method of deep relaxation), asana
(postures), sukshma vyayam (gentle exercises), mool bandha mudra and
ashwani mudra (yogic postural locks).

Among the naturopathic treatments enema, wet pack and mud pack,
hub bath, cold bath, spinal bath, spinal massage, hot foot bath, full
body dry friction, chromo therapy (healing using color and light), full
body steam and chest pack were given to the experimental group,
besides naturopathic diet.

The withdrawal symptoms were recorded on each patient at the beginning and
henceforth at a week’s interval on the scale of normal, mild, moderate and
severe.
The study concluded that non-meditative treatment of drug
abusers through yoga and naturopathy is more effective in
detoxification. (ANI)
 Design
……………………………………………………
….

Before starting the planning, some points………………

Recollecting some points……….from my past understandings.
In today’s techno oriented and a highly urban lifestyle, I feel concerned about
various issues that are making our lives as human beings poorer.

Can we design the space that would; in whatever manner in a small or in a big
way, contribute their share in responding to these courses in positive manner?

1) An overall fragmentation resulting in a schizoid state of life (tending

towards schizophrenia) can my design reflect an inherent sense of unity,
harmony with various natural and manmade elements and forces?
 2) Man is moving further away from nature .so can I design something
which symbolizes the relationship between nature and architecture act as
a catalyst in bringing the urban and highly westernizes masses to come
in harmony with nature and learn to respect its elements.

3) Man is being isolated and is missing the meaningful interaction with

fellow human being. Can our architecture help in bringing man closer to
man? Can we design human spaces with man at the center?

4) Over commercialization and deterioration of human values: information

overload and over-consumption resulting from greed.

5) Could commercialization in architecture be reduced by shifting the

emphasis from “salability to sanity” from “ glossy wrapping to
inner content” from “super imposed architectural gimmicks to
function” and climate related forms” from “overindulgence to
restraint” ?can value based architecture act as an agent of social
change?

6) Could our architecture, the spaces that have in evoke a kind to time
perception that nurtures sensitivity?

7) Too much dependence of on technology and an overall loss of identity

and amass produced environment, with a sudden break in traditional
social and cultural value. Can my design be modern and still keep
contributing with tradition, history and social cultural values considering
the urbanity which is developing?

8) Destruction of natural resources and disturbing of the ecological balance

has become our duty today. Can our designs be geared towards
sustainability?
 9) An almost total disrespect to the context including the site and the
climate of the zone or area under study. Can we not ask the site what
kind/type of a building it would like to have?

10)Most of our modern living and work environments make us feel

exhausted this happens in spite of all the measurable condition of good
work environment?

11)Can our design include this immeasurable dimension of “human spirit”

that will rejuvenate us and integrate us with wholeness of life?

“Architect as a shaper of space “(space as an important attribute of our

lives)can be explored in various ways –

As a symbol

An agent of socio cultural change

As an interpreter of life valves

As an expression and barometer of human aspiration as sensitivity.

As a relevant , functioning organism within the great interconnected

environmental totally
During designing …………………………………
 The building should have therapeutic value,
contributing to the healing process of the drug
addict.
A balance was struck between the sense of freedom and
disciplinary control.

The design unifying transparency becomes expressive of this

freedom and increase the physical and visual interaction;
thereby reducing the isolated alienated feeling.

Even the; main entrance is transparent the transparency; the cut outs;
open courtyards; terrace; balconies and the seating encourage patient
to open up. The small amphitheater binds the various functions together
creating a much needed “sense of belonging.”

“Shouldn’t our design respond to the behavioral psychology

of the user?”

Larger courtyards senses as an open air multipurpose gathering space.

Modernity and tradition are intermingled in a building which translates a

brief for contemporary building type into language and tradition of
Indian culture and climate.
The courtyard theme is inspired from traditional Indian house which fits
for the Rehab institute.
The structure is of local basalt stone crafted into 350 and 450 mm bearing wall.

Spans are achieved through concrete slabs and lintels.

Where larger areas are to be unobstructed spans, a coffer system or

exposed concrete are employed.

The design of the coffer slab is done in such a manner that it is often huge
triangles.

The shuttering can be made once and it can be used repeatedly.

 The roots are covered with many lore tiles, left intern natural red colour.

The material system is one used in local region.

But these old systems are used in new innovative ways to focus on
nature and to capture view.

Stone bearing walls and concrete slabs are insulated and water proofed with
tiles.

A number of connecting devices; like ramps, seating “ottas”, kind like” steps
are drawn from traditional Indian setting and encourage informal meetings and
interactions.

The architectural language is based on the design principle that

materials must be expressed honestly
The physical plan of the campus encourages personal development and
“Small group interactions” various hangout spaces have been created. Links
between structures are activity areas themselves like amphitheater steps
linking central core with dormitories.
The traditional “devices” like “ottas” (masonry seats), kund like steps
(dreams from Indian river quays) sitting walls and pavilions, ramps and
other component act to integrate the exterior areas with the interior and to link
diverse activity areas together.
The climates of versee gaon (in pen) range from “hot dry” in the springs to
“cool” rainy in the rainfall and “chilly dry” in the winter.

This temperature context is explored in the design

All the rooms have verandas and extend into courtyards;
allowing activities to spill out into open areas.
A system of lawns; walkway and garden enrich the design.

There is a sequence of designed open; semi enclosed and closed

space to create learning environment
 Design principles:-
Expression of material in their natural form.

Integration of their interior with exterior spaces through the use of

glass sliding panels verandahs, terraces, courtyards and walls.

Human proportion for plan, section and elevation.

The vast borrowed landscape as a template to generate an

“immediate landscape”.

The use of water spouts; window boxes; ottas ramps etc.

 The pivot doors, with the adjacent circulation, allow the space to
grow or close down depending on the need.

With the main central unit space, the intent was to create
transparence between the outside and the inside that they would
recall from the inside what you had seen on the outside and vice-
versa.
In Indian tradition , open space is open space is one of the most
precious commodities , the landscaping anchor this building to the
natural landscape and the wilderness and vegetation reserve that is
adjacent to the site .
The topography was used to create an outdoor amphitheater for
special ceremonies and events.
The landscaping woks with this building to choreograph a specific
arrival procession.
 The sense of permanence and warmth of the center is conveyed
through the use of natural and traditional building materials and
style, shush as stone, ottas and open courtyards.

Traditional materials and forms interpreted in a contemporary way

translated architecture in to the center’s mission, to be simple,
strong, elegant and timeless.

The transparency from by lour creates a sense of private outdoor room for
meditation and prayer allowing you to be surrounded by the garden without
learning workshops.
Because the stone walls take their colour from the surrounding context, the
slopping, heighted roofs becomes the signature gesture for the library to pro
claim itself as a mark in a center.
This building should set an example for the system with regard to good design
practice that can be attamed without reliving merely on technology. to that end
the overall aesthetic is a response to the building’s orientation and expression
of the program elements.