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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
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
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 deaddiction 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.
alcohol consumption - 6.13L /year of
pure alcohol per person (aged 15 years and
older).
Out of this, nearly,30% unrecorded
consumption.
Worldwide
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 .
MEDICAL DISORDERS DUE TO ALCOHOLISM
Acute
intoxication-hypoglycemia- sudden
death if unrecognized.
Alcoholic Liver disease, Hepatic
encephalopathy and duodenal ulcer,
Accident proneness resulting
in brain injuries
Dyslipidemia
Cardiomyopathy
Effects on Liver
Effects on Kidneys and Brain
No exposure
to alcohol
Heavy prenatal
exposure to
alcohol
Photo courtesy of Sterling Clarren, MD
MEDICAL DISORDERS DUE TO ALCOHOLISM
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
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
Management Goals
Approach
 Pharmacological,
Rehabilitation
Psychosocial,
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
Multidisciplinary approach
Health
professionals
At community level
Psychiatry social workers &
Psychologists would help these
patients in
improving their overall
functioning and
quality of life.
IMA targets for a brighter
future generation and alcohol
free healthy India.
THANK YOU