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 Counseling , De-addiction Treatment and Rehabilitation Centre

The aims and objectives of the Gajre Hospital’s De-addiction Treatment and Rehabilitation Centre

for prevention of alcoholism and substance abuse are

  • To create awareness about the ill-effects of alcoholism and substance abuse to the individual, the family and the society at large. 
  • To develop culture-specific models for the prevention of addiction and treatment and rehabilitation of addicts. 
  • To evolve and provide a whole range of community based services for the identification, motivation, detoxification, counselling, after care and rehabilitation of addicts. To promote community participation and public cooperation in the reduction of demand for dependence-producing substances.
  • To promote collective initiatives and self-help endeavours among individuals and groups vulnerable to addiction. 
  • To establish appropriate linkages between voluntary agencies, working in the field of addiction and government organisations. 

Gajre Hospital’s De-addiction Treatment and Rehabilitation Centre aim to help the addicts to

  • Achieve total abstinence
  • Improve the quality of their lives by helping them to
    • Identify and deal with personality defects
    • Become aware of risk factors for relapse and develop positive coping skills
    • Strengthen inter-personal relationships
    • Develop healthy work ethics
  • Sustain their recovery through follow-up services
Gajre Hospital’s De-addiction Treatment and Rehabilitation Centre, both medical and psychological services are provided on an in-patient basis.

The after care / follow-up services are provided on an out-patient basis. Medical care is provided by physician / psychiatrist and nurses. Psychological care is provided by social worker, psychologist, sociologist or a recovering person with a minimum of two years of sobriety.

Gajre Hospital’s De-addiction Treatment and Rehabilitation Centre are to provide the following services

  • Awareness building
  • Screening and motivating clients to take help
  • Detoxification and medical care
  • Psychological therapy
  • After-care / follow-up
Activities related to detoxification and medical care

Detoxification services to be provided to make the withdrawal period safe and comfortable.
  • Other related medical and psychiatric disorders (diabetes / hypertension / depression, suicidal thoughts etc.) are to be treated. Services of other specialists, hospitals and testing laboratories can be used to ensure appropriate care.
  • Medical care to be provided during the follow-up as well.
After - care / follow-up and rehabilitation services

After- care and rehabilitation are essential components of addiction treatment. The outcome of therapy depends largely on the effectiveness of the follow-up efforts towards the patient’s re-integration into the community to attain whole person recovery. Rehabilitation through vocational training to facilitate income generation can be part of the services by the Addiction Treatment Centre. After care / follow-up services are provided on an out-patient basis.

Activities for aftercare and rehabilitation of the patient and family

  • A clearly defined after care programme (counselling, relapse prevention programme, self-help programme, reaching out to patients through home visits) to be made available with focus on the whole person recovery of the individual.
  • Procedures to be clearly laid out for relapsed patients to address relapse issues (in both detoxification and counselling services)
  • After- care plans of alternative methods for patients who have not recovered have to be explored and support to their family members to be ensured.
    • Responsibilities as a senior counsellor
  • Supervising and providing guidance to counsellors
  • Organising case discussion
  • Organising training programmes for counsellors
  • Assessing problem areas of clients
  • Collecting case history both from the client and significant persons
  • Conducting group therapy for clients
  • Providing counselling for family members
  • Providing follow-up counselling
  • Maintaining individual case records of patients seen
  • Conducting awareness programmes
Counselling staff (Three posts)

  • Functioning in a team to coordinate activities and receive feedback from other team members.
  • Counselling to incorporate assessment, motivation, building rapport, counselling families and significant others and planning treatment strategies from admission to follow-up.
  • Conducting re-educative classes, family therapy and group therapy.
  • Recording and documentation of the patient's treatment processes.
  • Conducting awareness programmes in the community.
  • Net working with government and non-governmental agencies.



Gajre Hospital’s De addiction Treatment and Rehabilitation Centre believes in minimum medication on tapering basis because it helps the patient to come out of the substance dependency. This leads to faster physical recovery.

The clinical course of recovery also has remissions and exacerbations. Treatment plans therefore have to include both immediate and long – term goal.

An outline of the medical management in different phases of treatment is presented below. When the patient is co – operative and his health condition is good, medical assistance to handle withdrawal symptoms can become necessary.

Gajre Hospital’s De addiction Treatment and Rehabilitation Centre team comprises of one physicians and one psychiatrist accompanied by four male nurses, three ward in charges.

Out patient basis

The OPD team comprises of the counselor a physician and psychiatrist. The counselor undertakes the following procedure is done to assess the patient coming for OPD:
  • History is taken of the patient individually all from the family accompanied with him.
  • Demographical data
  • Family History
  • Years of use and abuse
  • The kind of drugs abused
  • Health problems of the client
  • Any periods of abstinence and the kind of withdrawals faced during abstinence.
  • Previous treatments for addition or related problems
  • History of any psychiatric illness or childhood behavioral disorder.

The patient is been referred to the physician and psychiatrist, an extensive medical examination is been done and the treatment plan is prescribed with the medicines and recorded in the file.

After the examination of the doctors and the prescription given, the patient again has the discussion with the OPD counselor.

Indoor patient Treatment

Gajre Hospital’s De addiction Treatment and Rehabilitation Centre Treatment comprises of 15 to 21 days residential treatment, the admissions are done on Thursday with prior appointment and with the willingness of the addict himself. After filling the intake form the examination is done by the doctor.

The certification of the physician is necessary before getting admitted, to see whether the patient is physically fit to undergo treatment

Fitness is checked on the following grounds:
  • Willingness & Motivation
  • Weight
  • Pulse rate
  • Blood pressure
  • Open Cox
  • Open wound with HIV
  • Years of abuse
  • Any other health related problems

If the patient if found to have any serious health problem his admission is post – phoned and he is referred to other hospitals for treatment. After his physical recovery, he is admitted in Gajre Hospital’s De addiction Treatment and Rehabilitation Centre Patients are also asked to undergo certain pathological tests if required e. g. LET, SGPT, SGOT, (Liver Functioning test), and sugar pp (Diabetics test) etc.

Fifteen to Twenty one days days in Centre

Withdrawal management

2 – 10 days

The ward in charge and the withdrawal starting from Friday, Saturday lasting till Tuesday.

Hallucinations :

Medication/ Hourly check up of B. P, Temperature, pulse rate is monitored.

Partial Hallucinations :

Medication/ Hourly check up of B. P, Temperature, pulse rate is monitored.

If necessary like the patient is been excited, trying to runway is been tied up till the normalcy is been obtained.

Note:- Hourly check up of Blood pressure, temperature, and pulse rate is done.

Issues to be handled in counseling sessions.

  1. Distribution of patients, frequency and duration of session.
  2. Client’s family history (when started, age of initiation, duration, frequency type of addiction, present age present physical status etc.)
  3. Problems created by addiction – past and present (at family level, place of employment, accidents and indulgence in criminal activities if any, financial problems, legal problems, problems in relationships, sexual problems, problems in communication, physical and psychological problems, problems created due to expectations and needs of the client etc.)
  4. Ill effects of addiction of substances are explained.
  5. Detailed discussion on personality and character defects and how to work on them.
  6. Monitoring and supporting the client in charting the path of progress.
  7. Future planning with the client and for the client.
  8. What is recovery? Better recovery process. Role of family in recovery process.
  9. Relapse prevention.
  10. Importance of follow up – show and painful process, importance of consistency in keeping in touch with the counselor by telephone/letter/ visit. Meetings to be attended (‘AA’, counseling center). Follow up centers and their importance, ex – patients and their role and support, sponsors.

  1. Approx. 47% of men and 12% of women in the world smoke at this time
  2. Approx. one third to half of these die of smoking related diseases.
  3. On an average, men who smoke cut their lives short by 13.2 years, and female smokers lose 14.5 years.
  • Nicotine is the main alkaloid found in tobacco and is responsible for its addictive potential.
  • After inhaling smoke from a cigarette arterial nicotine levels increase markedly within 15min.
  • Nicotine activates the brain reward center.
  • The peak in plasma nicotine levels is followed by a gradual fall in the levels leading to a state of withdrawal which is relieved by the next cigarette.


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