Minimum Standard of Care

MANUAL
ON
MINIMUM STANDARDS OF SERVICES
FOR THE PROGRAMMES UNDER THE SCHEME
FOR PREVENTION OF ALCOHOLISM AND
SUBSTANCE (DRUGS) ABUSE
Prepared by
National Institute of Social Defence
&
Regional Resource and Training Centres
2009
CONTENTS
Page no.
Chapter 1 Introduction and about the scheme 1
Chapter 2 Integrated Rehabilitation Centre for Addicts 19

(IRCA) –with annexure
Chapter 3 Awareness-Cum-De-addiction Camps (ACDC) and 82

programme for prevention of alcoholism and
drug abuse at workplace (WPP) - with annexure
Chapter 4 Regional Resource and Training Centres (RRTC) 88

- with annexure
Chapter 5 Responsibilities of staff and code of ethics - rights for 127

staff and clients - with annexure
List of References 132

CHAPTER 1
MINIMUM STANDARDS OF CARE IN THE FIELD OF
ADDICTION TREATMENT / PREVENTION
ABOUT THE SCHEME
The government believes in addressing the problem of addiction in its totality. This includes
prevention efforts, creating awareness, early identification, treatment and rehabilitation,
sustained follow-up care, and also involving and mobilising the community.
The scheme to provide financial assistance to support NGOs to offer treatment of addiction
was initiated in the year 1987. In the year 2001, Minimum Standards of care were formulated,
to improve the quality of treatment delivery. This was the first ever initiative in social welfare
scheme to introduce Minimum Standards of Care (MSC) and establishing Regional Resource
and Training Centres along with it, to help NGOs to comply with Minimum Standards of Care.
Some of the benefits achieved are
- The expectations of the Ministry are clearly perceived without ambiguity, facilitating
adequate level of service delivery.
- Assessment and evaluation of programmes to ensure financial assistance is based on
objective criteria rather than on subjective issues.
- NGOs can structure their programme based on MSC to ensure effective service delivery.
- NGOs can review their services and make appropriate changes.
- Helps staff to work in a focused manner and improve team work.
- Ensures optimum utilization of resources through networking and convergence.
- Availability of valuable information to support research studies, assess adequacy of services
provided and plan appropriate staff training programmes where necessary.
Alcoholics and drug addicts are high risk group for HIV-AIDS. Hence, creating awareness,
prevention and referral to other NGOs to tackle the issue of HIV-AIDS is another priority.
To deal with multi faceted problems of alcohol and drug users, networking with other NGOs
who are offering allied services is an important aspect of the scheme.
As the scheme for prevention of alcoholism & substance (drug) abuse has been revised w.e.f.
1.10.2008, now this manual has been revised accordingly.
The aims and objectives of the scheme for prevention of alcoholism and substance
abuse are
- To support activities of non-governmental organisations, working in the areas of prevention
of addiction and rehabilitation of drug users with the rights based approach.
- To create awareness about the ill-effects of substance abuse to the individual, the family, at
the workplace and the society at large.
- To alleviate the consequences of drug and alcohol dependence amongst the individual, the
family and society.
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Manual on Minimum Standards of Services for the Programmes under
the Scheme for Prevention of Alcoholism and Substance (Drugs) Abuse
- To evolve and provide a whole range of community based services for the identification,
motivation, detoxification, counselling, after care and rehabilitation of drug users.
- To facilitate research, training, documentation and collection of relevant information to
strengthen the above mentioned objectives
Strategies
- To develop culture-specific models for the prevention of addiction and treatment and
rehabilitation of drug users.
- To promote collective initiatives and self-help endeavours among individuals and groups
vulnerable to addiction.
- To promote community participation and public cooperation in the reduction of demand
for dependence-producing substances.
- To create and sustain an infrastructure of trained human resource personnel and service
providers to strengthen the service delivery mechanisms.
- To facilitate networking among policy planners, service providers and other stake holders
with an aim to encourage appropriate advocacy.
- To promote and sustain a system of continuous monitoring and evaluation including self
correctional mechanism.
Eligibility conditions for assistance

The following organisations / institutions are eligible for assistance under this scheme.
1. A society registered under the Societies’ Registration Act (XXI of 1860) or any relevant Act
of the State Governments / Union Territory or under any State law relating to registration
of literary, scientific and charitable societies.
2. A registered public Trust
3. A Company established under Section 25 of the Companies Act, 1956
4. Panchayati Raj Institutions (PRIs), Urban local Bodies (ULBs), an organisation / institution
fully funded or managed by state / central Government or a local body
5. Universities, schools of social work, other reputed educational institutions, Nehru Yuva
Kendras and such other well established organizations / institutions which may be approved
by the Ministry of Social Justice and Empowerment.
In addition, the registered organisations to have the following characteristics.

a) It should have a properly constituted managing body with its powers, duties and
responsibilities clearly defined and laid down in writing.
b) It should have resources and facilities and experience for undertaking the programme.
c) It is not run for profit to any individual or a body of individuals.
d) It should not discriminate against any person or group of persons on the ground of sex,
religion, caste or creed.
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e) It should ordinarily have existed for a period of three years.
f) Its financial position should be sound.
Extent of Assistance
The quantum of assistance shall not be more than 90% of the approved expenditure. In
case of the seven North Eastern States, Sikkim and J & K, the quantum of assistance will be
95% of the total admissible expenditure. The balance of the approved expenditure shall
have to be borne by the implementing agency out of its own resources. The Universities,
Schools of Social Work and such other institutions of higher learning will be eligible for 100%
reimbursement of approved expenditure.
Services under the scheme

The following components are admissible
1. Integrated rehabilitation centre for addicts (IRCA)
2. Programme for prevention of alcoholism and drug abuse at workplace (WPP)
3. Awareness-cum-de-addiction camps (ACDC)
4. Regional resource and training centres (RRTC)
5. Technical exchange and personal development programme
6. Prevention education and awareness generation through media publicity
7. NGO forum for drug abuse prevention
8. Innovative intervention to strengthen community based rehabilitation
9. Survey, studies, evaluation and research on the subjects covered under the scheme.
Application– Annexure 1.1

To get financial assistance under the scheme, an Organization / Institution, should apply in the
proforma prescribed along with the relevant documents in duplicate on the first of April to
the Ministry of Social Justice and Empowerment, Government of India, New Delhi and a copy
to be sent to State Social Welfare Department in the respective states.
Submission of Reports – Annexure 1.2
HHalf-yearly reports to be submitted as prescribed by the Ministry of Social Justice and
Empowerment (twice a year) in the month of October and April through internet.
The manual has been divided into Four main areas. The minimum standards for each of
these areas are presented:
1. Integrated Rehabilitation Centre for Addicts (IRCA)
2. Awareness-Cum-De-addiction Camps (ACDC) and workplace prevention programme
3. Regional Resource and Training Centre (RRTC)
4. Responsibilities of staff and code of ethics for staff and rights of clients
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Annexure 1.1
APPLICATION FOR GRANT-IN-AID UNDER THE
SCHEME FOR PREVENTION OF ALCOHOLISM AND
FOR I INSTALMENT (ON-GOING CASES)
1. Financial year for which grant-in-aid applied :
2. Name and complete address of the organisation :
3. Details of the legal status of the organisation
a) Give name of the Act under which registered :
b) Registration No. and date of registration :
(Please attach an attested photocopy of the Registration Certificate)
c) Address of the Registered Office :
4. Details of Foreign Contribution received by the organization
a) Whether receiving foreign contribution : YES / NO
b) If ‘YES’ then furnish Registration No. and :
date of Issue of certificate by Ministry of Home Affairs
under the Foreign contribution (Regulation) Act, 1976
(Please attach an attested photocopy thereof)
5. Name of the programme being implemented :
(IRCA, De-addiction Camp, Workplace Prevention etc.)
6. Details of the Centre
a) Name of the Centre :
b) Complete Address of the Centre :
c) Name of the Project In-charge :
d) Tel No., Fax No. and E-mail address for contact :
7. List of papers/statements to be attached with the application as annexure
a) Registration Certificate of the organisation :
b) Registration Certificate for Foreign Contribution
c) Constitution of Management Committee/Trustees :
(with particulars of each member (i.e. name, complete residential address, parentage,
occupation with designation) and the tenure of the Committee (i.e. the last date on
which it was constituted and up to which date))
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d) A copy of the Annual Report for the previous year :
e) Audited/Unaudited accounts for the previous year :
Receipt and Payment Account, Income and Expenditure Statement and Balance Sheet
f) List of staff in the Centre during the previous year :
(with name, address, educational qualifications, designation and experience in the field
and period of employment)
g) Rent Agreement (valid for the current year) :
h) Half Yearly Progress Report (of the previous half-year :
in prescribed proforma :
i) Statement on the sources of income during previous year,:
including foreign contribution
j) Detailed budget estimates with break-up of expenditure :
for which grant is required
k) Name, address and account number of the Bank in which :
grant is being deposited
l) Name of the authorised representative of the organisation :
for financial transaction/ drawing grants from the bank
8. Additional information, if any, not covered by the above but relevant to the project may
also be submitted.
SIGNATURE
Place:
Date ( )
Name of the
Secretary/ President
Name of the/Institution
/establishment
(With office stamp)
Note: - The applicant organization/institution/establishment is to ensure:-
a. That each enclosed document is serially numbered as Annexure-A,Annexure-B,Annexure-
C, etc. and that appropriate entry is also made against the corresponding item in the
Application Form.
b. That each document is duly certified/signed by the President/Secretary of the organization/
institution/ establishment after affixing their office stamp; and
c. That the Registration Certificate is in the name of the applicant organization/establishment
only.
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APPLICATION FOR GRANT-IN-AID UNDER THE SCHEME

FOR PREVENTION OF ALCOHOLISM AND SUBSTANCE
(DRUGS) ABUSE
FOR II INSTALMENT (ON-GOING CASES):
1. Name and address of the Organisation :
2. Name of the programme :
3. Name and address of the Centre :
4. Financial Year of the Grant applied for :
5. Details of the grant received/applied :
Grant applied in the Received as Applied for II

current year Rs. I instalment Rs. instalment Rs.
List of documents to be enclosed:

1) Consolidated Audited Accounts for the organisation as a whole if not submitted with first
instalment;
• Receipt and payment statement;
• Income and expenditure statement; and
• Balance sheet
2) Audited Accounts for the grant-in-aid received during the previous year, if not submitted
with first instalment;
• Receipt and payment statement;
• Income and expenditure statement; and
• Balance sheet
3) Audited Utilization certificate for the grant received during the previous year;
4) List of staff for the current financial year, with full particulars detailing name, address,
educational qualifications, designation and experience in the field and period of
employment;
5) Half-yearly progress report for the period ending September of the relevant year;
6) Unaudited accounts for the first instalment for the current financial year;
7) Rent agreement for the current financial year, if not submitted earlier or expiring during
the year.
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SIGNATURE
Place:
Date ( )
Name of the
/establishment
(With office stamp)
Note: - The applicant organization/institution/establishment is to ensure: -
a. That each enclosed document is serially numbered as Annexure-A, Annexure-B,
Annexure-C, etc. and that appropriate entry is also made against the corresponding
item in the Application Form.
b. That each document is duly certified/signed by the President / Secretary of the
organization/institution/ establishment after affixing their office stamp
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APPLICATION FOR GRANT-IN-AID UNDER THE

SCHEME FOR PREVENTION OF ALCOHOLISM AND
FOR NEW ACTIVITY/PROGRAMME/NEW CASE
1. Financial year for which grant-in-aid applied :
2. Name and complete address of the organisation :
(also indicate the name, designation, address and telephone number of the contact person
for the organisation)
3. Details of the legal status of the organisation
a) Give name of the Act under which registered :
b) Registration No. and date of registration :
(Please attach an attested photocopy of the Registration Certificate)
c) Address of the Registered Office :
4. Details of Foreign Contribution received by the organisation
a) Whether receiving foreign contribution : YES/NO
b) If ‘YES’ then furnish Registration No. and date of issue of :
certificate by Ministry of Home Affairs under the Foreign Contribution (Regulation)
Act, 1976
(Please attach an attested photocopy thereof)
5. Details of the proposed Centre (site of implementation of the programme)
a) Name of the programme for which grant is requested :
(IRCA, De-addiction Camps, Workplace Prevention Programme etc.)
b) Proposed location of the programme (State, City, District) :
c) Enclose justification for setting up of the programme :
based on the following:
- nature and incidence of alcohol /drug abuse in the area as provided in any established
study/survey;
- details (with address)of available services in the district;
- need for new programme in addition to available services
- approximate distance of the proposed programme from the available services ; and
- professional experience of the organisation for implementation of the programme
6. List of papers/statements to be attached with the application as annexure
a. Registration Certificate of the organisation :
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b. Registration Certificate for Foreign Contribution :
c. Constitution of Management Committee/Trustees :
(with particulars of each member (i.e. name, complete residential address, parentage,
occupation with designation) and the tenure of the Committee (i.e. the last date on
which it was constituted and up to which date))
d. A copy each of the Annual Report of the organisation for the :
previous three years
e. Audited accounts of the organisation for the previous 3 years:
• Receipt and Payment Account;
• Income and Expenditure Statement; and
• Balance Sheet
f. Statement on the sources of income during previous year :
including foreign contribution
g. Statement on the projects/programmes being currently :
implemented by the organisation, period of implementation and source of funding in
respect of each project/programme
h. Statement on the assets of the organisation :
i. Detailed budget estimates with break-up of expenditure :
for which grant is required based on the norms of the Scheme
j. Name, address and account number of the Bank in which :
grant is to be deposited
l. Name of the authorised representative of the organisation :
for financial transaction
8. Additional information, if any, not covered by the above but relevant to the project may
also be submitted.
SIGNATURE
Place:
Date ( )
Name of the
/establishment
(With office stamp)
Note: - The applicant organization/institution/establishment is to ensure:-
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d. That each enclosed document is serially numbered as Annexure-A,Annexure-B,Annexure-

C, etc. and that appropriate entry is also made against the corresponding item in the
Application Form.
e. That each document is duly certified/signed by the President/Secretary of the organization/
institution/ establishment after affixing their office stamp; and
f. That the Registration Certificate is in the name of the applicant organization/establishment
only.
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VERIFICATION
Certified that above information is in accordance with the records and accounts audited/to
be audited and is correct to the best of knowledge and belief of the Office-bearers of the
organization, and after its perusal and satisfaction, they have authorized the undersigned by
a resolution dated ………………… to verify and submit the statement of information for
purposes of monitoring the scheme for which grants-in-aid was received from the Ministry of
Social Justice and Empowerment, Govt. of India.
1. I also hereby certify that I have read the rules and regulations of the scheme and I undertake
to abide by them. On behalf of the Management, I further agree to the following condition: -
(a) All assets acquired wholly or substantially out of the central grant shall not be
encumbered or disposed of or utilized for purposes other than those for which the
grant is given. Should the organization cease to exist at any time, such properties shall
revert to the Government of India.
(b) The accounts of the project shall be properly maintained. They shall always be open
to check by an officer deputed by the Government of India or the State Government.
They shall also be open to a test check by the Comptroller and Auditor General of
India at his discretion.
(c) Is the State or the Central Government have reasons to believe that the grant is not
being utilized for approved purposes; the Government of India may stop payment of
further installments and recover earlier grant in such manner as they may decide.
(d) The institution shall exercise reasonable economy in its working especially in respect
of expenditure on building.
(e) In the case of grant for buildings, the construction will be completed within a period
of two years from the date of receipt of the first instalment of grant unless the
Government of India grants further extension.
(f) No change in the plan of buildings by way of construction work will be made without
the prior approval of the Government of India.
(g) Progress reports on the project will be furnished at regular intervals as may be specified
by the Government.
(h) The organization will bear 10% of the estimated expenditure or the balance of the
estimated expenditure on the project as per the guidelines.
(i) The organization agrees to make reservation for the Scheduled Castes/Scheduled
Tribe candidate/Disabled Persons for appointment against the posts required for the
working of the organization in accordance with instructions issued by the Government
of India from time to time.
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(j) It is hereby certified that no grant is being received for the same project from any
Government, private or foreign source.
Yours faithfully,
Signature of the Authorised signatory

Name :
Designation:
Address :
Date :
Office Stamp :
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Annexure 1.2
HALF- YEARLY PROGRESS REPORT ON THE
FUNCTIONING OF TREATMENT-CUM-REHABILITATION
CENTRES
INSTRUCTIONS
• This Progress Report is to be furnished by the Organizations receiving grant-in-aid under the
Scheme for Prevention of Alcoholism and Substance (Drugs) Abuse of the Ministry of Social Justice
& Empowerment, Government of India.
• The Report is to be submitted to the Ministry of Social Justice & Empowerment on half-yearly
basis – the first report (April to September) should be sent immediately after 30th September
every year and the second report (October to March) immediately after 31st March every year.
• While filling up the report, the Organization should ensure that the figures supplied by them
match the figures in the records maintained by them.
• No column should be left blank and if no information is available for some particular column, it
may be clearly stated so.
• Normally, the first installment of a particular year would be considered after evaluation of the
half-yearly report for the preceding half-year period ie. October to March of the previous financial
year, and the second installment would be considered after evaluation of the half-yearly report for
the period April to September of the same year.
• Organizations should ensure timely submission of their progress reports to enable the Ministry to
process their grants-in-aid proposals in time.
PROFILE OF THE ORGANIZATION & CENTRE
1. (a) Name & address of the Organization:

(Full Postal address with Tel Nos.
and E-mail)
(b) Name & address of the Centre
(Full Postal address with Tel. Nos.
and E-mail)
(c) Contact Person for the centre:
Name
Designation
Complete postal address
Telephone/Fax number
Mobile No.
(d) E-Mail Address
2. Review Period (Please indicate whether
the report is for April-September or
October-March, 200____)
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3. Year of receiving first grant-in-aid from

this Ministry
4. Number, date, amount and the year for
the last financial aid received
5. No. of Beds for which the Organization
is receiving grant-in-aid
6. No. of beds actually in position
(including temporary arrangements made
during the review period)
7. REGISTRATION
A. Please state the number of clients registered at the Center during the half-year under review.
For OPD
For Indoor Treatment
TOTAL
B. Average age of clients registered at the Center during the Report period:
C. No. of female clients registered at the Center during the Report period :
8. DETAILS OF DRUGS ABUSED

Alcohol/Drug Abusers during the half-year under review at the Centre
Drug category No. of Clients
Opium
Heroin / Brown Sugar
Morphine
Buprenorphine
Propoxyphene
Other opiates
Cocaine
Alcohol
Cannabis
Hallucinogens
Amphetamines
Barbiturates
Minor Tranquilizers
Sedatives/Hypnotics
Multiple Drugs (in not in above categories)
Volatile Solvents (Inhalants)
Others (Please specify)
TOTAL
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9. METHOD OF DRUG TAKING (Please state the number of clients)
Oral Sniffing Injecting Any other
(IDU)
CLIENT’S DETAILS
(During the half-year under review)
10. SOURCE OF REFERAL
Please state number of clients referred to the Centre by :
Self Friends Family Social Private Govt. Counselling Ex-clients Law Any
Worker Doctor hospital & awareness or their enforce- other
Hospital center/De- family ment
addiction members agencies
centers
(NGOs)
11. MARTIAL STATUS

Never Married Widow/ Divorced Separated Separated Not
Married widower divorced due known
to drug use
12. EDUCATION
Illiterate Literate Primary Middle Hr.Sec Graduate Post Prof. Not
(read & Education Equiv. Graduate trained known
write)
13. EMPLOYMENT STATUS

Currently Never Part-time Full-time Self Student House Pensioner Not
Unemployed Employed Employed Employed Employed wife etc Known
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SERVICES
14. TREATMENT – During the half year under review
Please state number of clients
OPD Indoor Total
15. DETAILS OF STAY (INDOOR) – During the half-year under review

Indicate the number of indoor clients treated for the following durations of stay at the
Centre:
1-10 11-20 21-30 31-40 41-50 51-60 More than Total
days days days days days days 60 days days
16. DROP OUTS – During the half-year under review

Please state the number of clients who dropped out of the Centre due to the following
reasons:
Poverty Lack of family Unable to cope Inadequate Personal/any Legal Total
support with the facilities other reasons
treatment
17. COUNSELLING (for indoor clients)

Please state number of clients provided the following counselling services:-
A. GROUP COUNSELLING (During the half-year)
No. of clients Average/time session Total No. of sessions held
B. INDIVIDUAL COUNSELLING (During the half-year)

No. of clients Average time/session No. of sessions held
FAMILY COUNSELLING (During the half-year)

No. of families Average time/session No. of sessions held
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18. CLIENTS REQUIRING ADDITIONAL TREATMENT (during the half-year
under review)
Please state the number of clients suffering from the following ailments:
T.B. HIV/ AIDS Sexually Hepatitis B & C Abscess Any other
transmitted infection
diseases
19. RECOVERY (during the half-year under review)

Please state number of clients in the following phases of recovery after receiving treatment
services at the centre:
Sober Relapsed Dropped Out No News Expired
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FOLLOW UP ACTIVITIES
(During the half-year under review)
Details of follow up programmes taken up by the Centre:
20. Total number of letters sent/telephone calls made to ex-clients:
Twice in a Once in a month Quarterly Total
month During the half-year
Letters/phone
calls to ex-clients
21. HOME VISITS (by counselors to homes of ex-clients during the half-year)–
No. of ex-clients visited Total No. of visits undertaken
22. REHABILITATION PROGRAMMES GIVEN/ REFERRED BY THE CENTRE

Programmes No. of clients
Out reach programmes, camps etc
Self help groups
Half way Homes
Drop in centers
Family assistance programme
Vocational training services
Educational support
Work place support
Any other services
23. TRAINING PROGRAMMES

(a) Please indicate the details of the training Courses attended by your staff in last two years:
Name of the Duration with dates Organized by Name of the
staff who attended RRTC/NISD/ Any course
training Other
(b) Total no of staff trained in last two years
24. Please indicate the incidence of any other types of drug related morbidity
during the period and causes thereof.
I certify that the above information is correct and is based on the records maintained at the centre.
Signature and Stamp of the authorized Signatory
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CHAPTER 2
INTEGRATED REHABILITATION CENTRE FOR ADDICTS
(IRCA)
Aims of IRCA
To help the drug user to
- Achieve total abstinence – a drug free life
- Whole person recovery (WPR) indicates improving the quality of their lives by helping
them to
o identify and deal with personality defects
o strengthen inter-personal relationships
o develop healthy work ethics and financial management
o develop healthy recreational activities
o establish a crime free life
- Become aware of risk factors for relapse and develop positive coping skills to sustain their
recovery through follow-up services
- Providing guidelines to family members to break out of the ‘victim mould’ and emerge as
strong survivors, to deal with their problems and improve the quality of their lives.
Activities of IRCA
- Preventive education and awareness generation
- Screening and motivational counseling
- Detoxification and whole person recovery (WPR)
- Care and support to families of drug users
- Referral services
- After care and follow-up
- Rehabilitation
Bed facilities
IRCA will ordinarily have 15 bedded or 30 bedded facilities. In exceptional and rare cases,
the reputed centres under the scheme may be allowed to establish 50 bedded facilities after
scrutiny.
Period of stay as in-patient

The scheme also states that while a period of 30 days may generally be required for a
substance abuser to undergo various phases of detoxification and psychological therapy, a
provision for extension of stay will be made for a maximum period of another month in
deserving cases. The period of stay, in no circumstances, should exceed two months.
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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.
Activities related to prevention education and awareness generation

Aim Prevention education and awareness generation
Target Groups General population in the community, students, and also those who
have dropped out, parents and teachers, employees in industries,
slum dwellers and micro credit group members. High risk groups
like commercial sex workers, mobile population like truck drivers,
children of alcoholics, street children, prison population should be
specifically addressed.
Frequency Informal awareness programme once a week (Four a month)
Methodology To be conducted in local language. Audio visual aids like OHPs, slides
and films may be used. Innovative methods like street plays, puppet
shows, seminars, group discussions are to be included.
Distribution of IEC material to be undertaken
Topics to be covered Topics to be related to the target group. Some of the basic information
to be provided.
- Ill effects of alcohol and drugs

- Disease concept of addiction
- Availability of services
- Drugs and HIV
- Life skills for adolescents
Documentation Photographs and News Paper Clippings
Evaluation Half yearly by NGO functionary
Minimum criteria Records required

One awareness programme per week Awareness programme register to
be maintained by the project-in-charge –
Annexure 2.1
Details of programmes conducted
withfeedback from 5 people for each programme.
One article on addiction or the treatment Copy of the article published / details
services available to appear in daily of the programme telecast / broadcast.
newspaper, magazine or mass media
(television, radio) once in six months.
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Evaluation of the awareness programme by Awareness programme register
the NGO functionary. – evaluation report to be maintained by
project-in-charge – Annexure 2.1
Activities for screening and motivating clients to take help

- Assessment of addiction through personal interviews (with clients and family members)
and through use of standardized tests
- Providing counselling to motivate the addict to enter treatment
- Providing information about treatment including duration of stay, methodology of treatment
including detoxification, medicines prescribed and involvement of family.
Information to be collected on the first day Out-patient register which has
of meeting the client. demographic details, addiction history
and prior medical history to be filled by
counsellor – Annexure 2.2
Assessment to be made by using standardized Assessment forms (optional) to be
questionnaires. The questionnaires to be completed by the counsellor – Annexure
translated in the local language. 2.3 – Suggested Tests.
SMAST / AUDIT for alcoholism
DAST for drug addiction
Providing counselling every time he visits
the centre until, he is motivated to take help.
Meeting family members / support persons
at least once.
Activities related to detoxification and medical care

- Detoxification services to be provided with the rights based approach to make the
withdrawal 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.
Admission Register with basic details about Admission Register to be maintained by
patients to be maintained. the counsellor / Nurse - Annexure 2.4
Feeding the data electronically is desirable
Prescribing medicines to minimize withdrawal Medical manual which describes protocols
symptoms and to deal with related medical (based on research or in keeping with
and psychiatric problems. accepted practice) for prescribing medicines
to be maintained by the Medical Officer –
Annexure 2.5
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Medicines essential for detoxification and Medicines stock register to be maintained

other related medical emergencies to be and checked by the nurse once a month -
made available at all times and to be checked Annexure 2.6
for quantity and availability once a month.
Providing essential medicines free of cost for Medicines stock register
a period of one month.
In case of any laboratory tests to be
undertaken, the expenses should be borne
by the client / family
Medical history to be obtained on the day of Medical case sheet to be filled by medical
admission. officer/ Nurse – Annexure 2.7
Medical complaints of patients, prescription of
medicines / reasons for change of medicines
to be recorded by the medical officer.
In case of any untoward incidents like
fits, delirium or accident, the patient to be
monitored on an half hourly basis till he gets
back to normalcy.
In case of emergency, appropriate referrals to
be made.
For hypertensive patients, blood pressure to Blood pressure chart to be maintained by
be checked everyday till discharge the nurse – Annexure 2.8
For diabetic patients, urine sugar to be Urine Sugar chart to be maintained by the
checked as and when required. If need be, nurse – Annexure 2.9
blood test to be conducted at least once in
ten days.
Temperature to be recorded for patients Temperature chart to be maintained by
running temperature, until normal the nurse – Annexure 2.10
temperature is recorded for a minimum of
two days.
Essential equipment (if available in the centre)
to be checked for maintenance once in 3
months – ECG machine, Oxygen cylinder,
suction apparatus, BP apparatus, weighing
machine and urine sugar testing material.
Medical care to be given to discharged Follow up records related to medical care
patients for a minimum of 2 years be maintained and updated by the Medical
Officer - Annexure 2.1
Guidelines for psychological services:

- Assessing the problems related to addiction and motivating the drug user to participate
actively in the treatment.
- Providing psycho-social treatment for the total recovery of the drug user through
22
individual counselling, group therapy, re-educative sessions and yoga. Treatment plan to
include exposure to AA / NA meetings and introduction to other recovering drug user.
- Delivering services according to the schedule / timetable for the patients and their families
on a regular basis.
- Providing psychological care to families and support persons of the drug users.
Standards on programme structure

A schedule / timetable to be developed and Therapy manual to be prepared in local
followed. language and maintained by the Project
Rules that need to be adhered to by the Director & counsellors – Annexure 2.11
clients – e.g. waking time, recreation time.
Issues that warrant disciplinary actions - Therapy manual
e.g. involving in violence, trying to abuse
drugs inside the centre and the disciplinary
measures that can be taken.
Patients to complete treatment within the Admission register to be maintained by
prescribed period. Drop out or extension of the counselor
treatment beyond the one month period to
be recorded with reasons.
Record of patients’ attendance to Therapy Attendance Register to be
psychological therapy sessions. maintained by the counsellor – Annexure 2.12
Standards on counselling:
Minimum criteria Required Records
Case history to be completed within two Case history form to be completed by the
weeks through counselling sessions with counselor – Annexure 2.13
client and family members.
During the one-month programme, at least
8 counselling sessions to be provided. Each
session to last for at least half-an-hour to
forty five minutes and main issues recorded
in brief.
There should be improvement in the mental Case history form to be completed by the
condition of the client from first week to counselor.
subsequent weeks. Insufficient improvement
should be discussed with other team members
or the consultant psychiatrist, recorded and
appropriate action initiated.
Issues such as HIV positive status, extra Case history form to be completed by the
marital affairs, legal problems, marital counselor.
separation, gambling should be handled with
special efforts.
23
Treatment plans to be specifically recorded Treatment plan to be developed in

keeping in mind the whole person recovery. consultation with the patient and documented
by the counsellor
Standards on re-educative sessions:

Minimum criteria Required Records
Five educative sessions / therapeutic activities Therapy Manual to be maintained by the
to be conducted each week. counselor/social worker.
The contents of the re-education sessions
to be documented and followed to ensure
uniformity.
Basic issues such as disease concept, drug
use related damage, relapse, enhancing
coping skills, methods to stay sober, AA/NA
principles and HIV-AIDS to be covered.
Standards on group therapy:

5 sessions per week and each session to be Therapy Manual to be maintained by the
conducted for at least one hour. counselor /social worker.
Each group to have a maximum of 15 and a
minimum of 5 clients.
Groups to be divided based on languages the
patient speaks comfortably
Issues related to damage due to drug use,
symptoms of drug use, powerlessness and
unmanageability and breakdown of values to
be dealt with.
Participation and progress of individual Group therapy record to be maintained
patient during the group therapy sessions to once a week by the counsellor who is
be recorded once a week. conducting the group therapy session–
Annexure 2.
Guidelines for the family programme:

The addiction treatment centre should have programmes for the family members including
significant persons. The goals of the programme are
- to help them understand addiction as a disease and in turn develop a caring attitude
towards the drug user.
- to help them deal with their codependency traits and improve their quality of lives.
24
Standards for the family programme
Four counselling sessions for family members Case history form to be maintained by the
to be provided (either individual or combined counselor.
sessions) and main issues recorded in brief.
Through the sessions, to help the family
members to achieve personal recovery by
becoming aware of their codependency
traits, role of family member in recovery and
develop methods to deal with their feelings
of shame, guilt, anger and resentment.
One educative session to be conducted each Therapy Manual to be maintained by the
week. counselor / social worker.
The topics of the re-education lectures
to be documented and followed to ensure
uniformity.
Basic issues such as the objectives of the
treatment programme, the disease process,
relapse, recovery, impact of addiction on the
family to be provided.
Attendance register to be maintained by the
Record of family members attendance to
counselor / social work – Annexure 2.12
therapy programme.
Other guidelines related to psychological services

Minimum criteria Required records
At least one exposure to self help groups List of AA, NA, Al-anon, meeting information
(AA, NA, Al-anon) / sharing by a recovering to be available with the counselor
user before the discharge of the patient
Identity / follow up card with registration Follow up card to be maintained by the
number to be given to the patient at the time counselor – Annexure 2.15
of discharge.
An endorsement from the patient that he Endorsement to be signed by the patient
received free treatment and maintained by the counselor – Annexure
2.16
Declaration cum Indemnity form to be signed Declaration cum Indemnity form -
by the client / family on the day of admission Annexure 2.17
A manual which provides information about Administrative manual to be prepared by
the vision of the organisation, members of the project-in-charge – Annexure 2.18
the society, facilities and functions of the
centre to be available and updated every year.
Organisation chart to be included.
25
Half-yearly report with details of patients to Half-yearly report to be maintained by

be maintained Project-in-charge to be sent electronically to
MSJE
Compliance with DAMS DAMS format –Annexure 2.19
Referral services
Drug users who exhibit symptoms like violence, depression, suicidal thoughts should be assessed
and referred to a psychiatric hospital for availing specialized services.Those clients who are HIV
positive and develop any opportunistic medical manifestations such as tuberculosis, hepatitis
C, STDs should be referred to appropriate agencies which are accredited by NACO or any
other recognized institutions. There should be a system of linkages and referral in place.
In case of any medical/ psychiatric problem Medical case sheet– the need for referral
beyond the scope of the detoxification centre and medical / psychiatric problems exhibited
referral should be made within 2 days.Violent by the client to be recorded by the Medical
patients need to be assessed and transferred Officer / nurse.
if necessary to a psychiatry unit
Network directory of various specialists
/ hospitals to be maintained by the project
director - Annexure 2.20
After - care / follow-up and rehabilitation services

After- care and rehabilitation services 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 or managed through referring to other centres. After care /
follow-up services are provided on an out-patient basis.
Guidelines 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.
Patient to be prepared for discharge with Case History – recovery plans to be
focus on short-term and long-term goals maintained by the counsellor
- e.g. developing work ethics, improving
inter-personal relationships and financial
management.
26
Regular follow-up services to be provided on Follow-up card which has details of
completion of treatment. counselling notes, home visits and letters
written to be maintained by the counsellor/
- One counselling session every fifteen days
social worker
during the first three months
- One session every month from the third
month till he completes one year.
- One session every two months for one
more year till he achieves two years of
sobriety.
Failure to report for visits for two months to
be followed up with two letters, telephone
calls and one home visit for the local patients
and one letter to the family / significant
person.
Drinking / drug taking history and Follow up card to be updated by the
improvements made to be recorded in every counsellor/social worker
visit.
Whole person recovery to be assessed once
a year and recorded.

Patients completing one or more years Congratulatory letter
of sobriety to be encouraged by sending a
congratulatory letter.
Relapse has to be dealt with specific input Therapy Manual
to increase the understanding and coping
mechanism of the addict – four counselling
sessions.
Maintenance of a directory and networking Net working Directory to be maintained
with specialised services – vocational training, by the project-in-charge
job placement, referral to half way home /
after-care centre.
Vocational Rehabilitation Services

- Identification and networking with government recognized vocational centres to refer
recovering clients for training.
- Culturally relevant vocational training to be considered, utilising local resources and the
marketability of the products - e.g. candle making, tailoring, carpentry and mat weaving.
Mobilizing resources and networking with other agencies to be utilised.
- In case, the treatment centre runs a vocational unit as part of the de-addiction centre,
syllabus for the vocational course to be clearly laid out and followed meticulously.The unit
to be operated on an out patient basis.
27
- Training provided at the vocational centre to be recognised by government organisations

or at the end of the training, trainees to be able to write exams conducted by government
organisation.
In case the NGO has a vocational unit, the following records to be maintained.
Education, skills and prior work experience Assessment Form to be maintained by the
of patient to be assessed before initiating him vocational trainer
into vocational training.
To monitor regularity of attendance, register Attendance Register to be maintained by
to be maintained. the vocational trainer.
The performance of the patient to be assessed Work performance assessment form to be
every third month. maintained by the vocational trainer
The environment and physical aspects of the treatment–cum-rehabilitation

setting
- The centre should be located in a reasonably quiet locality.
- The centre should be easily accessible and connected through public transport.
- The built in area should be at least 2000 sq.ft. in case of metros and 3000 sq.ft. in case of
small towns and villages to house 15 patients and 3000 sq.ft. in case of metros and 4000
sq.ft. in case of small towns and villages to house 30 patients.
- The centre should be properly ventilated, well-lit and maintained in a clean manner. Water
to be made available.
- Basic safety of the patients to be ensured.
- Facilities at the centre
- Waiting space with seating arrangements for a minimum 5 persons
- Reception, enquiry and registration counters
- Cubicles / rooms for consultation for physical examination
- Nursing Station with facilities to store drugs, linen, and records of patients
- Facilities with privacy for providing individual counselling, group therapy, re-educative
sessions, family classes. They should be airy with comfortable seating with floor mats /
chairs. Blackboard, chalk and other material to be provided.
- Availability of recreational facilities such as books for reading, indoor games - carom,
chess, radio, television and outdoor games.
Requirement in a ward
- The minimum number of beds in a ward/wards should be 15/30/50 and there should be a
minimum of 1 foot distance between the beds (cots optional)
28
- Mattresses and pillows should be provided for each patient. Bed linen to be changed at
least once a week
- Each patient to be provided with a locker / storage space to store personal belongings
- There should be one bathroom for ten patients and one toilet for five patients. Open
toilets to be discouraged
Food for the inmates

The clients who are certified as being ‘below poverty line’ (BPL) to be provided food free of
charge. The food includes breakfast, lunch, dinner and tea. In a 15 bedded centre 8 and in 30
bedded centre 15 would be provided.
Breakfast, lunch, dinner and tea to be provided Below poverty line card to be checked / if
for a maximum of 8 inmates in a 15 bedded not available the NGO functionaries has to
centre and 15 in the case of 30 bedded make assessment
centre
A register with the signature of the client for
getting free food
Others
- Computerization of all the records should be made mandatory
- Space to be provided to store records of patients to ensure confidentiality and a system
of easy retrieval. Computerization of case histories to be considered and implemented.
- Addiction related educational material such as posters to be prominently displayed at
strategic points.
- Information pamphlets, hand outs and other educational materials (IEC) in the vernacular
to be made freely available for the public
- The centre can have LCD projector / overhead projector to conduct awareness
programmes.
29
Annexure 2.1
Awareness programme register
Lectures / street play / puppet show / film etc
1. Date and month of awareness programme
2. Target group and number of participants and location
3. Topics covered
4. Methodology used to impart information
5. Name of Resource Person
6. Feed back from a minimum of 5 people with their signatures
7. Photographs/News Paper clippings if any
Articles published
1. Date and month of publication
2. Name of publication
3. Title of the article
Evaluation report
1. Name of the evaluator
2. Background information about the evaluator
(education, work experience, expertise in the areas of evaluation / addiction)
3. Feedback given by the evaluator
30
Annexure 2.2
OUT-PATIENT REGISTER
Name of patient
Address & Telephone No.
Age
Educational qualification
Employment
Income
Marital status
Drugs of abuse
Years of abuse
Medical problems present
Withdrawal symptoms experienced
Prior treatment for addiction
Name of family member / support person
Address & Telephone No.
Date of out-patient counseling Issues dealt with and decisions made
31
Annexure 2.3
Suggested tests for screening Short Michigan Alcoholism
Screening Test (SMAST)
The short Michigan Alcoholism Screening Test is a 13 item questionnaire that requires only
a few minutes to complete. It was developed from the Michigan Alcoholism Screening Test.
Evaluation data indicate that it is an effective diagnostic instrument and does not have a
tendency for false positives.
Administration: Self-administered or administered by a counsellor.The questions related to
information of alcohol use during the past 12 months. All questions are to be answered with
“Yes” or “No” answers only.
Scoring: Each “Yes” answer equals one (1) point.
Score Problems
1 or 2 No alcohol problem
3 Borderline alcohol problem
4 or more Alcohol problem
SMAST
S.No Question Answer Yes or No
1. Do you feel that you are a normal drinker? (By “normal” we mean
that you drink less than or as much as most other people)
2. Does your wife, husband, a parent, or other near relative ever
worry or complain about your drinking?
3 Do you ever feel guilty about your drinking?
4. Do friends or relatives think you are a normal drinker?
5. Are you able to stop drinking when you want to?
6. Have you ever attended a meeting of Alcoholics Anonymous?
7. Has your drinking ever created problems between you and your
wife, husband, a parent or other near relative?
8. Have you ever gotten into trouble at work or school because
of drinking?
9. Have you ever neglected your obligations, your family, or
your work for two or more days in a row because you were
drinking?
10. Have you ever gone to anyone for help about your drinking?
11. Have you ever been in a hospital because of drinking?
12. Have you ever been arrested for drunken driving, driving
while intoxicated, or driving under the influence of alcoholic
beverages?
13. Have you ever been arrested, even for a few hours, because of
other drunken behaviour?
32
Source: Selzer, M.L.,Vinokur, A., and Van Rooijen, L. A self-administered Short Michigan Alcoholism Screening Test (SMAST)
Journal of Studies on Alcohol 36(1):117-126, 1975.
Screening Instrument: The Alcohol Use Disorders Identification Test (AUDIT)

Ask each question, tick the response and total the scores listed beside the
answer
Brandy 60ml = 2 units (approx)
Whisky 90 ml = 3 units
Rum bottle (180 ml) = 6 units
Gin (42.8% alcohol)
Beer Small bottle = 325 ml = 1 unit
Big bottle = 650ml = 2 units* (approx)
(5 - 6% alcohol)
1. How often do you have a drink containing alcohol?

Never (0) Monthly or less(1) 4 times a month(2) 2-3 times a week(3) 4 or more times a
week(4)
2.How many drinks containing alcohol do you have on a typical day when you are drinking?
(number of units)
1 or 2 (0) 3 or 4(1) 5 or 6(2) 7 or 9 (3) 10 or more (4)
3.How often do you have six or more drinks (number of units) on one occasion?
Never (0) Less than monthly(1) Monthly(2) Weekly(3) Daily or almost daily(4)
4.How often during the last year have you found that you were not able to stop drinking
once you had started?
Never(0) Less than monthly(1) Monthly(2) Weekly(3) Daily or almost daily(4)
5.How often during the last year have you failed to do what was normally expected from
you because of drinking?
Never (0) Less than monthly(1) Monthly(2) Weekly(3) Daily or almost daily(4)
6. How often during the last year have you needed a first drink in the morning to get yourself
going
Never(0) Less than monthly (1) Monthly(2) Weekly (3) Daily or almost daily(4)
7.How often during the last year have you had a feeling of guilt or remorse after drinking?
Never (0) Less than monthly (1) Monthly (2) Weekly(3) Daily or almost daily(4)
8.How often during the last year have you been unable to remember what happened the
night before because you had been drinking?
Never(0) Less than monthly(1) Monthly(2) Weekly(3) Daily or almost daily(4)
9.Have you or someone else been injured as a result of your drinking?
No (0) Yes, but not in the last year(2) Yes, during the last year(4)
33
10.Has a relative or a friend or a doctor or other health worker been concerned about your
drinking or suggested that you cut down?
No (0) Yes, but not in the last year(2) Yes, during the last year(4)
Add scores of the 10 questions to arrive at the AUDIT score
AUDIT score
0-7 Low risk
8-15 Risky and hazardous level
16-19 High risk and harmful level
20 or more Highest level of risk
Drug use questionnaire (DAST)

Instructions
1. The following questions concern information about your possible involvement with
intoxicants not including alcoholic beverages during the past 12 months. Carefully read
each statement and decide if your answer is `Yes’ or `No’. Then, circle the appropriate
response beside the question.
2. The use of prescribed or “over the counter” drugs in excess of the directions, and any
non-medical use of drugs.
3. This questionnaire is scored by allocating 1 point to each ‘yes’ answer -- except for
questions 4 and 5, where 1 point is allocated for each ‘no’ answer -- and totalling the
responses.
Score Problems
0 No problem reported
1–5 Low level
6-10 Moderate level
11-15 Substantial level
16-20 Severe level
These questions refer to the past 12 months

1. Have you used drugs other than those required for medical reasons? Yes No
2. Have you abused prescription drugs? Yes No
3. Do you abuse more than one drug at a time? Yes No
4. Can you get through the week without using drugs Yes No
5. Are you always able to stop using drugs when you want to? Yes No
6. Have you had “blackouts” or “flashbacks” as a result of drug use? Yes No
7. Do you ever feel bad or guilty about your drug use? Yes
8. Does your spouse (or parents) ever complain about your involvement Yes No
with drugs?
9. Has drug abuse created problems between you and your spouse or Yes No
your parents?
34
10. Have you lost friends because of your use of drugs? Yes No
11. Have you neglected your family because of your use of drugs? Yes No
12. Have you been in trouble at work because of your use of drugs? Yes No
13. Have you lost a job because of drug abuse? Yes No
14. Have you gotten into fights when under the influence of drugs? Yes No
15. Have you engaged in illegal activities in order to obtain drugs? Yes No
16. Have you been arrested for possession of illegal drugs? Yes No
17. Have you ever experienced withdrawal symptoms (felt sick) when Yes No
you stopped taking drugs?
18. Have you had medical problems as a result of your drug use (e.g., Yes No
memory loss, hepatitis, convulsions, bleeding, etc.)?
19. Have you gone to anyone for help for a drug problem? Yes No
20. Have you been involved in a treatment program especially related to Yes No
drug use?
For reference,
Gavin D.R. Ross H.E. Skinner H.A. (1989) `Diagnostic validity of the Drug Abuse Screening Test
in the assessment of DSM – III drug disorders’, British Journal of Addiction 84(3): 301- 307.
35
Annexure 2.4
Admission Register – can be one / two registers
Name of the patient
Age
Sex
Religion
Education
Marital status
Employment status
Kind of employment
Income
BPL - Yes / No
Address and telephone No.
Source of Referral
Date of admission
Date of discharge
Name of the counselor
No of group therapy sessions attended
No of counseling sessions
No of sessions for the family
Any rehabilitation measures taken
Referral to
Reason for drop out or extension
36
Annexure 2.5
Medical Manual
- Introduction about the medical manual
o Definition of addiction - general guidelines provided by WHO-ICD 10
- Short term, long term effects, route of administration, withdrawal symptoms
o Depressant drugs
o Narcotic Analgesics
o Cannabis
o Stimulants
o Inhalants
o Anabolic steroids
- Medical management of addiction
o General elements of an interview
o Mental status examination
o Detoxification procedure and pharmaco therapy
• for Alcohol
• for other depressant drugs
• for narcotics analgesics
• for cannabis
• for stimulants
• for inhalant
o Use of disulfiram, acamprosate and naltrexone
- Treatment of other coexisting psychiatric problems
o Depression
o Major affective disorder
o Delirium
o Anger or aggressive behaviour with signs of intoxication
o Severe anxiety
o Psychogenic stupor
o Dealing with emergency situations
o Support for cessation of Tobacco
37
Annexure 2.6
Stock Register (pertaining to detoxification and emergency
medical conditions)
Date Name of the drugs Available stock in No. Nurse’s signature
38
Annexure 2.7
Medical Form
Reg. No.
Name : Age : Date of Registration :
Drinking / Drug History
Details of alcohol /drug abused
Drugs Age of Years Years of Specific Route of Frequency Quantity Past
first of excessive type of admini- of use in used in use if
use use use drugs stration the last 30 the last any
days 30 days
Depressants
Alcohol,
Tranquilizers,
Sedatives /
Hypnotics
Narcotic
Analgesics
Opium,
Heroin /
brown sugar,
Morphine,
Codeine,
Pentazocine
Buprenor-
phine
Drugs Age of Years Years of Specific Route of Frequency Quantity Past

first of use excessive type of admini- of use in used in use
use use drugs stration the last 30 the last if
days 30 days any
Cannabis
ganja
/ charas
/ hashish,
bhang
Stimulants
Ampheta-
mine
Cocaine
Ecstasy
39
Hallucino-
gens LSD,
PCP
Inhalants
Petrol, Glue
Substance
not
classified
Cough
syrup, Anti
histamine
/ Anti
depressant
/ Anti
psychotic
/ Anti
cholinegic
Last drink / drugs taken ….. days ago
Diagnosis:
Previous history
Withdrawal symptoms experienced when the patient stopped
Alcohol Drugs
Tremors Tremors
Insomnia Insomnia
Fits Diarrhoea
Nausea Severe pain
Aches / Pains Restlessness
Hallucination
Delirium
Other psychiatric complications
- Depression
- Suicidal ideation / attempts
- Confusion
- Aggressive outbursts
- Hallucinations
- Paranoia
History of other medical problems in the past

- Haematemesis
- Jaundice
40
- Abscesses
- Bleeding piles
- Skin problems
- Any other
Chronic health problems

- Diabetes
- Liver disorders
- Epilepsy
- Respiratory problems – Pulmonary TB / Chronic Bronchitis / Bronchial asthma
- Cardiac problems – HBP / IHD / RHD
- Infections
- Others
History of previous head injuries, if any
Other information
Use of Tobacco Products – Smoking / Pan chewing / Others :
Knowledge of allergy to specific drugs :
Physical condition at the time of admission

Physical examination on the day of admission
Pulse rate Blood pressure
Urine sugar Weight
* Tremors * Jaundice * Malnutrition
* Lymph nodes * Loss of body hair * Clubbing of nails
* Glossitis * Wasting of muscles * Spider naevi
* Flushed face / excessive sweating * Abscess * Anemia
* Palmar erythema *Gynaecomastia
* Pedal Edema * Injection marks
Record abnormalities, if any, on examination of the following:

- Respiratory system Yes / No
- Cardio vascular system Yes / No
- Gastro intestinal system Yes / No
- Nervous system Yes / No
41
Impression of counsellor
Denial: Mild Moderate Severe
Medication provided during treatment

Date / month Complaints Medication Reasons for continuing / Signed by
change of medication physician
Any untoward incident occurred during treatment Yes No

If yes, describe the incident
Action taken:
Referral to other organisations

Date of referral:
Need for referral: Medical Psychiatric problems
Name of the institution where
referral was made:
42
Annexure 2.8
B.P. Chart
Name : Age : Reg. No:

Date Time B.P. Pulse Medication
43
Annexure 2.9
Urine sugar chart
Name : Age : Reg. No:
Colour of Urine AM AM AM AM AM AM AM
PM PM PM PM PM PM PM
Date Date Date Date Date Date Date
Red
Orange
Yellow
Green
Blue
Anti Diabetic
medication (dosage)
Insulin (dosage)
44
Annexure 2.10
Temperature chart
Name ……………………………………… Age ………………..
Reg.no……………………
Diagnosis……………………………………………………..
Date
Hours 7 13 19 7 13 19 7 13 19 7 13 19
F
107.
106.
105.
104.
103.
102.
101.
100.
99.
98.
97.
Pulse :
B.P.
45
Annexure 2.11
Guidelines to prepare therapy manual
Issues Content
Briefing about the programme A briefing about the treatment to be given
- About the psychological therapy
- Involvement of the family
- Rules and regulations to make the stay comfortable
Rules and regulations for the Rules and regulations
clients to be explained and
- No drug use in the centre
rights and duties of the client to
be properly defined - No abusive language.
- No anti-social or immoral act.
- To maintain oneself and the centre clean.
- Radio, tapes, TV and cell phone to be used according to
the rules.
- Rights and responsibilities
Disciplinary action – issues and Specific disciplinary actions for specific issues
consequences to be clearly
- Asset of the centre damaged
defined
- abusive language repeatedly used
- trying to have sexual relationship.
- bringing in drugs.
- making efforts to run away
- defying the rules repeatedly
Schedule and timetable for the - Schedule with specific timings
clients
- Schedule during weekends and holidays
46
List and content of re-educative - Medical complications related to alcohol and drug use
sessions
- High risk situations and relapse symptoms
- Methods to stay sober
- Working towards whole person recovery - Improving in
the areas of work, interpersonal relationship and financial
functioning
- HIV-AIDS
- Role of SHGs in recovery (AA / NA)
- Life skills enhancement – self esteem, assertiveness, stress
management
Individual counseling sessions - Goals of individual counseling
- Process involved – rapport building, identification of
problems and management, behavioural change and
sustaining the change
- Issues to be dealt in 8 sessions
- Format for writing the summary
Group therapy - Rules
- Topics
- Role of the facilitator
- Changes seen in clients
- Recording system
To achieve uniformity in filling up - explanation for some of the items in the case history
case history form, explanations form
to be given for a few items
- format for developing treatment plan
Re-educative sessions for - Schedule and content of sessions
families
- codependency
- dealing with feelings of
- fear, shame, hopelessness and grief
- anger management
- problems during recovery
- issues of children and parenting
47
Counseling for family members - Goals of family / marital counseling

Process involved
Issues to be dealt in 4 sessions
Format for writing the summary
Follow-up issues Services provided during follow-up
- Medical check up
- Counseling
- Referral to AA / NA / Al-Anon
- Home visits
- In case of relapse, counseling to be provided
Dealing with relapses - content of re-educative sessions for relapsed patients
- topics for group therapy
- counseling issues related to relapses
48
Annexure 2.12
Attendance Register for patients
Names of patients Dates – Present / absent
Attendance Register for family members / support persons

Names of family Name of the patient and Dates – Present / absent
members registration number
49
Annexure 2.13
Case history form and treatment plan
Socio-demographic information Registration No.
Date of registration:
Name: Address &:
Telephone No:
Sex: Age: Date of Birth:
Religion: Community:
Educational Qualification: (Specify)
Occupation: Income:
Marital Status:
Living arrangements: Live with family:
Live with friends or distant relatives:
Live alone:
On the street:
Name of family member / Support person Address &:

accompanied the patient Telephone No:
Referral: Self Recovered addict
Friends Employer
Family Media
Social worker Through awareness
programme
Physicians Any other
Prior treatment for addiction: Year Place of Days/months
Treatment of sobriety
I. Family History - Details regarding parents and siblings

1. Details regarding parents and siblings
2. Father’s Name: Age: Occupation: Income:
Mother’s Name: Age: Occupation: Income:
Reason for death
3. In case of death of parents Father
Mother
50
4. How old were you at that time? Father’s Death
Mother’s Death
5. About siblings
Relationship Age Education Occupation
II. Childhood and adolescent history

6. How would you describe your childhood / teenage years?
7. Did you experience the following before the age of 15 years?
Situations Present Absent
- Poverty / severe debts of parents
- Early parental loss
- Extra marital affairs of parents
- Broken home / single parenting
- Violence
- Sexually abused by others
- None
- Any other
8. Childhood / adolescence (before the age of 15 years)
Behaviour Problems identified Childhood & Adolescence
Present Absent
Running away from home
Frequent physical fights and violence
Destruction of others property
Stealing
Scholastic backwardness
Experimenting with drugs / alcohol
Gambling
Any other
III. Educational history

9. Years of education:
10. Achievements in the past Present Absent
Good academic records
High achiever in extra curricular activities
51
IV. Marital History

11. Details regarding spouse:
Name
Age
Religion / Community
Education
Occupation
Income per month
Other details about spouse (history of addiction in her family, her addiction history if any, any
other significant event in her life and attitude towards addiction)
12. Number of years of marriage
13. Is this marriage arranged or by choice? Arranged Choice
If by choice, accepted by family (present status) Yes No
14. Details regarding previous or subsequent marriages, if any Yes No
15. Have you been separated from your spouse due to
your addiction? Yes No
If yes, period of longest separation
16. Is patient suspicious of wife? Under the While
Influence of Abstinence
Alcohol/drugs
17. Any instance of family violence? Yes No
If yes, give details
Physical violence directed towards family members
Verbally abusive
Violent incidents with neighbours and outsiders
Breaking articles at home
18. Details regarding children
No. of children Male Female
19. Health status of family
Has there been anyone in your family who has suffered from any of these problems?
52
Problems Parents & Siblings Wife / Children
Yes Relationship No Don’t Yes Relationship No Don’t
know know
Major depression
Suicide / attempted
suicide
Psychiatric illnesses
Alcohol dependence
Drug dependence
Any other
20. Adjustment patterns
Relationship with family members Parents Siblings Spouse Children
No family (Dead)
Disowned by family / mutual rejection
Mixed or indifferent feelings
Usually friendly minor conflicts
Supportive
Not applicable
21. Family Damage as seen by the counsellor Mild Moderate Severe
V. Sexual history
22. Record extra marital experiences Present Absent N/A
(If unmarried, pre marital) If present,
- Age of partner:
- Is it a sustained relationship?
- For how many years have you known each other?
- What is the living arrangement?
- Any children Yes No Details
23. Have you been involved in any high risk sexual activities? Yes No
Sex with commercial sex workers
If yes, did you use condoms Always Sometimes Never
24. Sex with causal acquaintance Yes No
If yes, did you use condoms Always Sometimes Never
25. Have you been tested for HIV? If yes,
Positive/ Negative
53
Not willing to reveal

Not collected reports
Not applicable = NA
26. At present do you have any sexual problems? Yes No
Reduced libido
Impotency
Excessive sexual urge
Complete abstinence
Any other
VI. Occupational History

27. At what age did you start working?
28. How long have you been working?
29. Have you received any special award, recognition, merit certificates or promotions in the
past?
30. Did you change your job frequently due to addiction? Yes No
31. Did you have any periods of unemployment? Yes No
If yes, for how long and for what reasons?
32. Occupational damage
Absenteeism Yes /No Loss of pay Yes/No
Warning / Memos Accidents on the job
Suspension order Attend Work under the influence
Dismissal order of alcohol / drugs
Transfer order
33. Specify nature of current work:
34. Occupational damage as perceived Mild Moderate Severe
by the counsellor
VII.Financial History
35. Details of debts to be cleared: Amount
Money borrowed from family and friends
Loans from Banks
Loans from place of work
54
Money borrowed from money lenders
Money for redeeming articles from pawn shops
Outstanding debts at various shops
None
36. Financial damage as perceived by counsellor Mild Moderate Severe
VIII. Legal history

37. Have you been arrested for sale of drug? Yes No
If yes, No. of times
Have you been arrested for possession of drugs? Yes No
If yes, no. of times
38. Have you got into trouble with law for the following Yes No
If yes No. of times
Arrested for drunken / drug influenced
behaviour
Fined for drunken driving
Had an accident (even minor) while driving under
the influence of alcohol / drugs
Assault
Any other
IX. Leisure time activities

--------------------------------------------------------------------------------------------------------------------
39. Activities Before addiction In the last one year
--------------------------------------------------------------------------------------------------------------------
Playing Games, physical exercises
Going to movies, dramas
Watching TV / video, listening to music
Reading
Visiting relatives / friends
Other Hobbies / talents
--------------------------------------------------------------------------------------------------------------------
55
X. Religious beliefs
40. Are you a
believer
non believer
indifferent
41. Do you Always Sometimes Never
- Pray at home
- Visit temple regularly
- Go on pilgrimages
- Celebrate festivals
XI. Referral – medical as well as other referrals

Date and details of visits
Action taken: Referral to
If referred, name of organisation:
XII. Counselling Notes:

Session No. Date Issues dealt with
XIII. Treatment plan

Goals – Short-term and long- Specific activities to be Time frame
term undertaken
Abstaining from alcohol and drugs
Getting back to a routine life
Improvement in work life
Managing finances
Dealing with defects of character
Improving relationship with the family
Involvement in healthy recreational
activities
Follow-up measures
Dealing with relapses if any
XIV. In case of drop out or extension of stay

In case of drop out Date
Reasons for drop out Lack of Motivation
56
Lack of family support
Poverty, hence not able to stay
Legal problem
Unable to cope with treatment
Inadequate facilities
Any other
In case of extension,
Reasons for extension
57
Annexure 2.14
Group Therapy Record Form - Weekly
Name of Patient:
Counselor: Group:
___________________________________________________________________________
Attendance: M T W TH F Date: _____ To______ Name of therapist:
Issues Code
Focus on topic
Feelings level sharing
Openness in addressing issues
Involvement with other group members’
sharing
Any undesirable behaviour
Group Therapy – key

Codes have been provided for four major aspects
1. Focus on topic
a. Shares in a relevant manner
b. Shares relevantly most of the times
c. Shares relevant only sometimes
d. Irrelevant sharing
2. Feeling level of sharing
a. Share with a lot of feelings always
b. Shares with feelings most of the time
c. Shares with feelings sometimes
d. Shares with no feelings
3. Openness with which issues where addressed
a. Shared on his own initiatives
b. Shared openly with intervention
c. Shared only briefly in spite of intervention
d. Displayed lot of reluctance to share
4. Involvement with other group member’s sharing
58
a. Listens and participates actively
b. Listens but participates only sometimes
c. Shows little interest and participation
d. No involvement
5. Any undesirable behaviour noticed like sleeping, forming of sub groups, sarcasm, etc.
Please describe (no codes given)
59
Annexure 2.15
Follow-up card / Register
Name of patient :
Registration Number :
Date of admission :
Date of discharge :
Counsellor’s name :
Other known medical issues: (hypertensive / diabetic / IV user)
Referral to:
I. Medical review
Follow-up Complaints Name of medicine with dosage Reasons for continuing /
date of patient change of medicines
II. Review by counsellor

Date /month Issues dealt Recovery status – abstinence Other forms of
in counseling as well as progress made communication – letter,
telephone calls etc
III. Home visits

Date and Date of last Reasons for making home visits Issues dealt Response to
month visit to the during the the home
centre visits visits
Status of whole person recovery – Half yearly assessment

Areas of improvement Half yearly Half yearly Half yearly Half yearly
Alcohol / drug free life
Physical well being
Healthy relationship with family
members
60
Crime free
Gainfully employed
Financial stability
Scoring Key
Alcohol/drug free life Physical well being
No News = 0 No News= 0
Continues to drink = 1 Persistent inability to function due to poor
Substituting with drugs = 2 physical / psychological condition =1
Severe relapses, sober = 3 Unable to function most of the times due to
Mild relapses, sober = 4 poor physical / psychological condition =2
No relapse = 5 Average health with transient problems =3
Absent or minimal symptoms but functions
well generally =4
Superior functioning with no problems =5
Healthy relationship with family Crime free (crime includes domestic violence, illegal
members activities)
No News =0 No News = 0
Disowned by family =1 Arrest for illicit sale and production = 1
By and large alienated
from family =2 Arrest for violent behaviour =2
Mixed or indifferent feelings = 3 Violent under intoxication (not arrested) = 3
Usually friendly,
minor conflicts =4 Crime free = 4
Highly supportive =5 Adopting higher values = 5
Gainfully employed Financial stability

No News =0 No News =0
Illegal employment =1 Severe debts, difficult to repay =1
Unemployed =2 Moderate level of debts, can be repaid = 2
Irregular for work =3 No debts, no savings =3
Mostly regular =4 Average savings =4
Regular for work and High level of savings =5
productive =5
61
Annexure 2.16
Letter of endorsement for free treatment
Name of patient: Reg. No.

I, Mr. / Ms.………………………………………….............of age ........……………residing at
………………………………………………………. have received
Tick whichever is relevant
- free stay at the centre
- medical and psychological therapy for the patient
- therapy for the family
- addiction related medicines
- food at a cost of
from (date) …… …….. to………… ……… for alcohol / drug addiction.
Signature of the patient

Date:
Signature of support person
Endorsement register for providing free food to patients from the weaker
socio-economic background
Name of the patient and No. of days food given Signature of patient
Registration No.
62
Annexure 2.17
Declaration cum indemnity form
Project in charge
Name of the Organization
I________________________________aged_______years presently residing at___________
___________________________________________________________________________
do hereby solemnly declare and state as under:
We the Parents / Spouse / Guardians of Shri/Smt________________________aged________
years presently residing at ________________
1. I have voluntarily and of my own accord admitted myself to the rehabilitation/de-addiction
facility …………………..
2. I state that I have been informed about the entire treatment and medication in detail and
that I also fully understood and am aware of the implications and consequences thereof.
3. I declare and confirm that I have taken upon myself the entire responsibility, liability, risk
and consequences as may arise during or after the said treatment and medication and that
I shall not in any manner and at any time hereafter hold the said treatment facility, the staff
/ management liable and or responsible in any manner whatsoever.
4. I agree to indemnify and absolve the treatment centre for the following situations.
a. Sustaining injury / fatal or otherwise while trying to escape from the centre / trying
to procure drugs
b. Attempting to commit suicide
c. During withdrawal, leading to DT and becoming violent or suicidal
d. Consuming alcohol with disulfiram and developing fatal reactions
e. Developing unexpected side effects or rare complications while taking medicines for
withdrawal / depression / psychiatric problem / opportunistic infections due to HIV
5. I state that I am aware of all the statements and declarations made by me in the Declaration-
cum-indemnity executed by me on ______day of __________ 200 and I hereby confirm
and ratify the same.
6. I am making this declaration solemnly and sincerely without any force, coercion or undue
influence and the full force and effect should be given to all the statements and declarations
made by me herein above.
Solemnly declared at ___________this___________
day of _________
200_______by the within named
________________________ _______________
Signature of the client / family members
63
Annexure 2.18
Guidelines for Administrative Manual
- Origin / Inception of the organization

- Mission and Vision of the organization
- Achievements and growth of the organization
- Organization chart
- Other activities and functions besides de-addiction programme
- Formalities to be adhered to for registrar of societies / trust - list of Governing board
members, Minutes of last meeting, annual report
- Grant application and other relevant material
- Staff details and staff welfare measures like leave rules, list of holidays
- Code of ethics for staff
- Information about issues like rent agreement, electricity, water, telephone
- Procuring medicines
- Procedure for organizing meals
64
Annexure 2.19
Centre Code: Type: Form No.:
DRUG ABUSE MONITORING SYSTEM VERSION FOR

TREATMENT OR COUNSELING CENTRE
Note: Fields marked with (*) are compulsory
Quarter of reporting *
1/10/2007 to 31/12/2007
1/01/2008 to 31/03/2008
1/04/2008 to 30/06/2008
1/07/2008 to 30/09/2008
Sex *
Common Gender
Male
Female
Age *
Marital status *
Divorced
Married
Never Married
Not Known
Separated
Separated/Due to drug use
Widow/Widower
Education *
Graduate
Literate
Illiterate
Matriculation/Higher
Secondary/PUC/Junior College
Middle
Not Known
65
Post Graduate/Technical
Primary Education
Professional Education
Employment status *
Any Other
Currently Unemployed
Full Time employed
House Wife
Never employed
Not Known
Part Time employed
Self employed
Occupation *
Administrative Executive and

Managerial Workers
Clerical And Related Workers
Farmer
House Wife
Labours
Not Applicable
Not Known
Production and Related Workers
Professional Technical and Related
Workers
Sales Workers
Service Workers
Transport Operator Workers
Worked Not Classified by Occupation
Income(per month)
Place of Residence*
Rural
Urban
66
Pattern of drug use*
Drugs Ever Age of Use in Daily/near Duration Intensity of
Use First use one In daily use of last drug use
Month last one regular
mild/moderate/
Month use
severe
Alcohol
Cannabis
Heroin
Opium
Propoxy Phences
Other Opiates
Morphine
Buprenorphine
Barbiturates
Minor
Tranquilizers
Other sedatives/
Hypnotics
Cocaine
Amphetamine
Hallucinogens
Inhalants
Cough syrup
Others
Intravenous drug use

Ever No
No Response
Yes
Last Month No
No Response
Yes
If Yes, Sharing of needles and syringes/
paraphernalia
Ever No
No Response
Yes
Last Month No
No Response
Yes
67
Average expenditure on drugs/alcohol per

months(in Rs)
Last Year
Current
Ever apprehend by police for drug related
office
No
No Response
Yes
If Yes Ever Last One Month

Give reason
For Selling Yes Yes
No No
For Possession Yes Yes
No No
For unruly behaviour under the Yes Yes
Influence/assault.
No No
Any other crime like shealing Yes Yes
No No
Any previous attempts for
treatment
No
No Response
Yes
If yes, number of attempts made
over the past 5 years:
Duration since last treatment
(gap between last treatment and
present in months):
Family violence in the past 6 Frequency

months
Physical violence towards family Never
members
Rarely
Occasionally
Frequently
68
Verbal abuse Never
Rarely
Occasionally
Frequently
Violent with neighbours and outsiders Never
Rarely
Occasionally
Frequently
Breaking articles at home Never
Rarely
Occasionally
Frequently
Sexual practices (no. of partners
in the last six months):
Multiple partners
Multiple partners including casual
partners
Multiple partners including CSWs*
Single partner
Practicing safe sex in the last six
months (use of condoms):
Always
Never
No Response
Sometimes
Family history of drug/alcohol
abuse (information to be collected
about those family members who
are alive)
69
Drug Father Mother Brother Sister Father & Father &

Mother Brother
Alcohol
Cannabis
Heroin
Opium
Other Opiates
Propox Phene
Morphine
Buprenorphine
Barbiturates
Minor tranquilizers
Other sedatives/Hypnotis
Cocaine
Amphetamine
Hallucinogens
Inhalnts
Cough Syrups
Education Father Mother

Literate
Illiterate
Primary Education
Middle school
Matriculation/Higher
Secondary/PUC/Junior College
Graduate
Post Graduate/Technical
Professional Education
Not known
70
Occupation Father Mother
Professional Technical and Related Workers
Administrative Executive and Managerial
Clerical And Related Workers
Sales Workers
Service Workers
Farmer
Production and Related Workers
Transport Operator Workers
Laborers
Worked Not Classified by Occupation
Not Applicable
Not Known
71
DRUG ABUSED MONITORING SYSTEM (DAMS)

INTRODUCTION:
At present there is no system in the country to monitor drug use. Though some studies
in the past have been carried out to provide the necessary data about drug use in the
country, yet no effort has been made so far to streamline the process of data collection on
a scientific basis. Further, it is essential to collect the data for a number of years, to be able
to discern the trends of drug use, both in terms of the profile of drug users and the types of
drugs being used, and any shifts therein. The source from where the data could be collected
is crucial in n providing the authentic insights. The treatment and counseling centers are the
only sources, which interact with a large number of drug users in the country on a regular
basis, and where some form of records are maintained about the drug users and the dugs
being used.
The present effort is meant to set up a system of monitoring drug abuse trends in the
country, on the basis of data from the treatment and counseling centers being funded by
Ministry of Social Justice and Empowerment and Ministry of Health Welfare, besides other
centers which may be carrying out similar activities with drug addicts. The purpose is to
be able to know how many persons generally use the services, whether the numbers are
increasing or decreasing, to identify the users, their age group, sex, social status, employment
status and so on. The second important objective of monitoring is the kind of drugs being
used and the method of use.The data would help us in gaining useful insights about the types
of drugs being used, and the mode of drug use. It would help us in knowing the type of drug
use prevalent in different parts of the country. The quality of the data is crucial importance
in this existence. It is therefore, requested that the person responsible for collecting data
may carefully read the instructions to fill in the simple data format enclosed.
METHODOLOGY:
All treatment centers funded by Ministry of Social Justice and Empowerment and the
Ministry of Health and Family Welfare, besides other centers, which may be carrying
out similar activities with drug addicts, would be responsible for collecting the data in
the format designed for the purpose. The data would be collected for a period of three
months in a year, for all new drug users seeking your help. However, for the first month,
in case of de-addiction centers, all the persons already admitted in your center shall be
included.
The format should be filled in on the first day of the contact itself, though the information
can be subsequently revised, if the person remains in contact with you for a longer
duration. The period of data collection would be specified each year. For example, during
the current year, the data has to be collected from the 1st August to 31st October 2000.
The data would be sent immediately at the end of the period, to the Ministry of Social
Justice and Empowerment or any other address, which may be notified for the purpose.
After the data collection is over information about the services and the staff and other
facilities at the center would be provided on an information sheet developed for the
purpose. The data about the users would be sent along with the information about the
services at the center.
72
IMPORTANT GUDELINES FOR NGOs:
Duration: Please collect information with respect to the items given in the format from
all new drug users, clients coming to your center for the first time, seeking help, beginning
from 1st of August 2000 to 31st October 2000.
• For the month of August, in case of de-addiction centers, all the persons already admitted
in your center shall be included.
You are requested to familiarize all your staff members dealing with the drug users with the
code sheet and the manual to fill in the data. Refer to the manual in case of any difficulty.
The identity of the drug being used would require greater attention and detailed information
has been included. A list of common names used for different drugs is also being enclosed to
help you in identifying the drugs.
Please appoint one person as the contact person-in-charge for data collection in your
organization. He/she should be sent for the training for DAMS. He/she in turn would train all
other staff involved in data collection.
Please send the filled in formats for all new users, clients coming to your center for the first
time during the month of August, September, and October 2000. If possible, please send them
by courier, to ensure prompt delivery. Do not forget to fill in the information sheet about the
services at the center, and enclose it with the data about the users.
COLLECTING OF DATA:
The data has to be collected from all new cases reporting to seek help from your center,,
during the month of August, September, and October, 2000. The term new case here refers to
the person who is coming to your center for the first time. It is possible that you are providing
both counseling and treatment.The person first goes to the counseling unit and is subsequently
admitted for treatment.You are requested to teat the case as one, since the information about
the case has already been collected. This information should not be repeated, even if he/she is
being admitted for the first time.
The information has to be collected on first contact, though it can be revised subsequently, if
the person remains in contact for a longer period. It will help in collecting information from
all cases. It is always advisable to recheck the information regarding all entries, particularly
income, employment status, pattern of drug use, method of use, crime record and family
violence etc. If possible, try to get information from others sources e.g. visiting relatives and
friends, to authenticate the information provided by the person.
The format is pre-coded and is accompanied by a code sheet to facilitate you.
How to use the format:
Center code: All centers have been allotted a code, e.g. the center code for Navjoyti, Delhi is
2 4 0 7
• These codes would be the same for all DAMs format filled at your center code shortly.
Type: refers to whether you are providing counseling center use code 1, De-addiction 2 and
for both 3 e.g. Counseling Center
73
Funded by:
If you are funded by ministry of Social Justice and Empowerment use code 1, for the Ministry
of Health and Family Welfare, use code 2 and in case you are funded by some other source
other than the one’s mentioned above, use code 3.
1. Date of reporting:
For example, if the date is 5th August, 2000
0 5 0 8 2 0 0 0
2. Sex: There are three categories in this item- Male-1, Female-2 and common gender-3. Put
the appropriate code in the box, e.g. If the client is a male,
1
3. Age: Please record the actual age. Some illiterate persons may not be sure of their age.
Help them ascertain the same by using different methods, e.g. the date of birth of any younger
sibling, and so on. In case of nay doubt, use code 99. For example, if the client is 25 years old,
2 5
4. Marital Status: The item 7 categories.There is a category, which reads as divorced because
of addiction. In case of divorced cases do probe and record accordingly, using the code 6. If the
divorce has nothing to do with addiction, use code 4. I am sure you are aware of the difference
between the ‘divorce’ meaning legal separation, and ‘separation’, where the legal formality has
not been completed; though it may have been initiated. Please use the appropriate code 4 or
5 respectively.
5. Education: The item has 9 categories in all. If a person has passed class IX but failed in Xth,
his/her educational status should be recorded as ‘middle’-code 4. The same rule at all stages.
Passing a particular stage exam is the criteria for determining the level.
6. Employment status: The item has 9 categories. All categories are self-explanatory.
7. Occupation: There are 11 main categories in this item.A number of occupational activities
are listed under each. You may read the details carefully and can consult the code-sheet for
choosing the appropriate code. For example if a person were employed in restaurant/hotel,
his/her occupation would be service worker-code 05. However, if you are not able to classify
or if the occupation does not fit in any of the categories given, use the code-11 and specify
the occupation along side.
Code: DIVISION AND GROUPS

01 Professional, Technical and related Workers
- Physical Scientist
- Physical Science Technician
- Architects, Engineers, Technologists and Surveyors
74
- Engineering Technicians
- Aircrafts and Ship Officers
- Life Scientists
- Life Science Technicians
- Physicians and Surgeons (including dental and Veterinary surgeons)
- Nursing and other Medical and Health Technicians
- Scientific, Medical and Technical Persons, Others
- Economist and Related Workers
- Accountants, Auditors and Related Workers
- Mathematician Statisticians and Related Workers
- Social Scientist and Related Workers
- Jurists
- Teachers
- Poets, Authors, Journalist and Related Creative Artists
- Sculptors, Painters, Photographers and Related Creative Artists
- Composers and performing Artists
- Professional Workers
02 ADMINISTRATIVE, EXECUTIVE AND MANAGERIAL WORKERS

- Elected and Legislative officials
- Administrative and Executive officials, Government and local Bodies
- Working Proprietors, directors and Managers, Wholesale and retail trade
- Directors and Managers, Financial institutions
- Working Proprietors, Directors, and Mangers, Mining, Construction, Manufacturing and
related concerns
- Working Proprietors, Directors, Mangers and related Executives, Transport, Storage and
Communication
- Working Proprietors, Directors, and Mangers, other services
- Administrative, Executive and Managerial Workers
03 CLERICAL AND REALTED WORKERS
- Clerical and other Supervisors
- Village Officials
- Stenographers
75
- Typist and card and Tape Punching Operators

- Book keepers, Cashiers and related WORKERS.
- Computing Machine Operators
- Clerical and Related Workers
- Transport and Communication Supervisors
- Transport Conductors and Guards
- Mail Distributors and related workers
- Telephone and Telegraph Operators
04 SALES WORKERS
- Merchant and Shopkeepers, Wholesale and Retail Trade
- Manufacturers, Agents
- Technical Salesman and Commercial Travelers
- Salesman. Shop Assistance and Related Workers
- Insurance, real Estate, Securities and Business Service Salesman and Auctioneers
- Money Lenders and Pawn Brokers
- Sales Workers
05 SERVICE WORKERS
- Hotel and Restaurant Keepers
- House Keepers, Matron and Stewards (Domestic and Institutional)
- Cooks, Waiters, Bartenders and related workers (Domestic and Institutional)
- Maids and other House Keeping Service Workers
- Building care takers, Sweepers, Cleaners and related workers
- Launderers, Dry- Cleaners and Pressers
- Hair Dressers, Barbers, Beauticians and related workers
- Protective Service Workers
- Service Workers
06 FARMERS, FISHERMEN, HUNTERS< LOGGERS AND REALTED

WORKERS
- Farm Plantation, Dairy and other Mangers and Supervisors
- Cultivators
- Farmers other than Cultivators
76
- Agricultural Laborers and related workers
- Forestry workers
- Hunters and related workers
- Fishermen and related workers
07 PRODUCTION AND RELATED WORKERS

- Miners, Quarrymen, Well Drillers and related workers
- Metal Processors
- Wood Preparation Workers
- Chemical Processors and related workers
- Spinners, Weavers, Knitters, Dyers and related workers
- Tanners, Fell mongers and Pelt Dressers
- Food and beverages Processors
- Tobacco Prepares and Tobacco Product Makers
- Tailors, Dress Makers, Sewers Upholsterers and related workers
- Shoemakers and Leather Goods Makers
- Carpenter, Cabinet and related wood workers
- Stone Cutters and Carvers
- Blacksmiths, Toolmakers and Machine Toll Operators
- Machinery Fitters, Machine Assemblers and Precision Instrument Makers (except
Electrical)
- Electrical Fitters and related Electrical and Electronics Workers
- Broadcasting Stations And Sound Equipment Operators and Cinema Projectionist
- Plumbers, Welders, Sheet Metal and Structural Metal Makers and Erectors
- Jewelry and Precious Metal Workers and Metal Engravers (except printing)
- Glass Formers, potters and related workers
- Rubber and Plasters product makers
- Paper and paper board product makers
- Printing and related workers
- Painters
- Production and Related Workers
- Brick Layers and other Construction workers
77
- Stationary engines and related Equipment operators, Boilers and Greasers

- operators.
08 TRANSPORT OPERATORS, WORKERS

09 NOT KNOWN
10. LABOURERS
11. WORKERS NOT CLASSIFIED BY OCCUPATIONS
- New Workers seeking employment
- Workers reporting occupations, unidentifiable or inadequately described
8. Income: In this item the actual figure is to be recorded. Income re refers to the income of
the person seeking help per month from all sources. Round up the figure e.g.: if the monthly
income is 1005, it should be recorded as 1000. Many a times, people are not aware of their
monthly income. In that case, ascertain the average daily income and the number of days they
are able to get work. Multiply the daily wage by the average number of days a person is able
to get work in a month, to get your figure of monthly wage. Record the actual figure thus
arrived.
9. Place of Residence: This item has just two categories- rural and urban.You may ascertain
where the person generally lives and then classify the place as rural and urban. The definition
of rural area is where the majority of population is engaged in agriculture or agriculture
related activities.
10. Pattern of Drug Use: This item is meant to get information about all the drugs including
tobacco and alcohol, being used by the person or ever used by him/her.At first glance it appears
somewhat complicated, but if you look at it again, it is very simple. It is a list of all-probable
drugs a person may be using. Still, if you come across a drug, which is not listed here, you may
list the name in the last row of the table, and go on adding rows depending on the number of
unlisted drugs being used. Make sure that you record all the drugs. So, in the first column, you
may tick as many as drugs as he/she may have used even once. In the next column, identify the
age at which the drug was used for the first time. In the third column identify and record only
those, which he/she may have used in the last one month (counting from the day of reporting).
Again, make sure that you record all the drug or drugs he/she is using almost daily. In the last
column, record the time period of daily or near daily usage of the drugs. To help you in the
identification of the drugs, their street names are given below:
POPULAR NAMES OF DRUGS:

Types of Drug Commonly known as
Heroin Brown Sugar, Samck, No.4, Gard,

Samaan, pudia, Junk, Mall etc.
Opium Afeem,Amar, Bhukki, Doda, Post,Amli,Amli,Amal, Reta, Poppy,
etc
Morphine, etc
78
Buprenorphine Norphine, TDX, Tidigesic, Adnok, etc
Propoxyphene Proxyyvon, Spasmoproxyvon, Butaproxyvon, etc.
Other Opiates Pethidine, Pentazocine, Fortwin, Codeine, Methadone etc.
Alcohol Sharab, Daru, Desi,Angrezi,Tharra, Sura, Guttu,Thailli,Arrack,
Todi, etc
Cannabis Bhang, Ganja, Charas, Hashish, Grass, Sulfa, etc
Barbiturates Phenobarbitone, Pentobarbitone, Gardenal, Seconal etc
Minor Tranquilizers Valium, Diazebam, Librium, Nitravart, Das Number Ki Goli,
Alprax, etc
Other Sedatives/Hypnotics Sedyn, Carisoma, Mandrax etc
Cocaine Crack, Cocaine, etc
Amphetamine Speed, Amphetamine, Dextroamphetamine, Ecstasy etc
Hallucinogens PCP, Angel Dust, LSD etc
Inhalants Glue, Petrol, Kerosene, thinner, Solvetn, paints, Araldite,
Quickfix, Spirit, etc
Cough Syrup Bendryl, Corex, Phensydyl, Gathi, etc
Others Specify Avil,Vrufen,Voveran, Laxative, Lodex, Boot Polish etc
• Some of the street names may be the trade name of various drugs. However, this does not reflect on the drug
manufacturers.
11. Intravenous Drug Use: This item is self-explanatory. Please note that the intravenous
use in the last one month or ever, are to be recorded by simply using the codes i.e.Yes-1, No-2,
and in case of no response, code-9
12. Sharing of Needles, Syringes and other paraphernalia: Similar codes are to be
used as mentioned in the data item above. Please specifically ask and record, if they are sharing
needles, cleaning them with a gauze/cloth/water if any related item is being used for preparing
an injection with fellow users/others.
13. Average Expenditure on Drugs per month: Record the actual figure of average
monthly expenditure on drug use. Identify the drug/s being used, the quantity of daily use and
its cost, and then multiply by 30 to arrive at the figure of average monthly expenditure.
14. Police Record: Simply record Yes-1, No-2, and No Response-9
15. Any Previous Attempts at Treatment: Simply record Yes-1, No-2, and No Response-9
(a) If Yes, Number of Attempts: Record the actual number of attempts using numbers 1-5. If
there are more than 5 attempts, use code-6. Incase of no response, use code- 9.
(b) Duration since last treatment: Self explanatory, see the code sheet
16. Family Violence: Family violence here refers to physical and mental torture inflicted by
drug users on any or all the family members. Three possible answers are given with definition.
Record the appropriate code. If you think the information may not be correct or if there is
no response, use code-9
17. Sexual Practices: There are four possible answers given in the code sheet, which are
self-explanatory. Incase there is no response or you think information provided may not nr
true use code-9.
79
18. Safe Sex: This item refers four possible answers given in the code sheet, which are self-
explanatory. Incase there are no responses or you think the information provided may not be
true use code-9.
19. Family History of Drug Use: This item refers to the possibility of a family history of drug
use. If the father is or has been drug user, use code-1, for the mother use code-2, brother
code-3, sister code 4, father and mother code 5, and for the father and brother code 6. Incase
any other person is found to be a drug user use code 7, and mention the specific relationship
besides the box.
20. Father and Mother’s Education and Occupation: Please collect information about
the parent’s education and occupation as given above, for Education (5) and for occupation (7)
80
Annexure 2.20
Network Directory and a referral register
Issues Governmental Non-governmental

organization organization
Medical problems
Psychiatric problems
HIV / STD related issues
Half way homes
Vocational training
Shelter for family members
Legal help
To provide one page for each organization covering the following issues
- Name of the organisation:
- Address:
- Phone No.
- Contact person:
- Government / Non-government
- Admission procedures:
- Time and day of admission / consultation
- Duration of treatment:
- Kind of treatment provided
- Cost of treatment (free / paying)
- Discharge policy:
Referral register (one page for each month)

Name of the patient
Date and month of referral
Referred to
Referred for
Feed back of referral
81
CHAPTER 3
DE-ADDICTION CAMPS AND WORKPLACE
PREVENTION PROGRAMME
An organisation running a Treatment–cum-rehabilitation Centre may organise De-addiction
camps in areas prone to drug abuse especially in rural / semi urban areas. The organization
would utilized the staff and resources from the community.
The camp approach has many benefits
- Treatment is cost effective because existing facilities available in the community are made
use of.
- The local community is involved in organising the camp, hence, they provide support to the
addict in recovery and they also get sensitized regarding the impact of addiction.
- Sustained involvement of the community promotes collective initiative towards prevention
of addiction.
Activities for creating awareness in the community

- Formal and informal methods of creating awareness in the community that include
community participation such as organising dramas, competitions, pantomime shows,
street plays and folk media depending on the target audience.
- Messages to be sensitively designed so as not to arouse any undue scare, curiosity or
experimentation with alcohol and drugs
- The language, content and style of message to be culture-specific according to the target
groups to be addressed
- Education against alcohol and drug abuse to incorporate contents of socially healthy
alternative life styles
Activities for conducting de-addiction camps

- Creating awareness in the community about the problems associated with drinking and
drug addiction and the need for appropriate treatment.
- Prior to conducting the camp, a local host organisation has to be identified from the
community. The host organisation could be any non-governmental organisation, providing
health care / education / rural upliftment / micro credit system.The host organisation should
have credibility and be trusted by the community.The host organisation should be involved
in providing infrastructure such as accommodation for conducting the camp, organising
meals for the patients and treatment staff, and mobilising local support persons.
- It is important to involve the community in identification, intervention and providing
support during recovery. Identification of addicts to be done through multiple contacts
– formal / informal leaders, local physicians, community workers, teachers etc.
- Treatment to include detoxification and psychological therapy for the patients and therapy
for family members for a period of 15 days by conducting a camp at the community itself.
82
On completion of camp, to provide follow-up care for a minimum period of one year at
the community.
- To sustain the momentum built at the time of the camp, meaningful activities to be
conducted on an ongoing basis.
- Repeated camps at the same camp site for a few years for new alcohol / drug users would
help in converting the village / community a drug free zone
Standards on services
Identification of a host organisation and Profile of Host organisation to be
sensitizing them about the impact of addiction maintained by the counselor – Annexure
and the need for treatment. 3.1
A minimum of two programmes to be
organised prior to the camp at the
community.
Identification of patients through community
network - formal / informal leaders, panchayat
leaders, families of addicts,Youth associations,
teachers, Mahila Mandal workers, micro credit
group members, Religious leaders and health
workers / recovering addicts.
Through personal contact or by distribution
of pamphlets, making people aware of the
camp programme.
The selection criteria to be clearly defined Camp Manual to be developed and
and followed-up. maintained by the counselor.
Providing detoxification and dealing with Medical case sheet to be maintained by
addiction related illnesses. the medical officer
Identification and creating linkages for medical Network directory to be maintained by
services to handle emergencies during the project-in-charge
detoxification, during follow up and relapses
through local resources such as physicians,
hospitals and primary health centres.
Developing a structured programme for a Camp Manual to be maintained by the
duration of 15 days with the focus on medical project-in-charge
care as well as providing support to improve
the quality of life.
Providing a minimum of 8 re-educative
sessions for patients, 8 group therapy sessions
and 4 individual counseling sessions.
To provide support to the family, conducting Camp Manual to be maintained by the
five sessions for families with components of re- project-in-charge
educative sessions, group therapy, and counseling.
83
To sustain the recovery, conducting one Follow-up card

follow-up meeting at the camp site every
month for a period of one year.
Staff required to conduct a camp

- A minimum of three counselors and one nurse are required for 25 patients.
- Physician and other support persons from the camp site to be utilised.
Training of staff
- The treatment staff to be placed in a treatment centre that already conducting de-addiction
camps to understand and observe the camp approach
- Training to include methods to mobilize and work with the community
- Specific training on pantomime shows, street plays and folk media to be included.
Workplace prevention programme

Addiction to alcohol is a major problem in industries. According to some of the studies
conducted, 7-10% of the work force may have problems related to alcohol / drug use. It
creates problems for the employer, managers, union office bearers and supervisors. Some
of the problems faced are unpredictable absenteeism upsetting production plans, accidents
leaving an unpleasant impact, constant worry over product quality and deteriorating discipline
in the department.
A comprehensive strategy against the spread of alcohol and drug abuse includes building
awareness, training supervisors / managers on the impact of addiction and offering treatment
services. The programme is focused towards promoting health, maintaining safety and
improving work performance.
IRCAs run by non Governmental organizations who are taking up work place prevention
programme will be entitled to additional funds to set up a focal unit for awareness, preventive
education and referral services within a industry / enterprise.The additional fund will be given
towards salary of counselors / community workers / part time medical officer and production
of educational material.The enterprise taken under the programme should have at least work
force of 500 per unit.
Activities related to workplace prevention programme
- To create awareness among the employees about the impact of use and abuse of alcohol
/ drugs in relation to the quality of work.
- To create awareness among the families of employees about the impact of use and abuse
of alcohol / drugs in relation to health, finances and general well being.
- To educate and change the attitude towards use of alcohol and drugs and promote healthy
leisure time activities.
- To conduct awareness programmes for the management as well as union office bearers
regarding the impact of addiction and the need to develop a policy.
84
- To conduct training programmes for supervisors / managers to identify early phase addicts
through poor job performance.
- To collect data regarding absenteeism, accidents, poor job performance among the
employees and relating them to use and abuse of alcohol.
- To identify, refer and treat workers with problems of addiction.
Standards on services
To conduct one programme a month on Awareness programme register
creating awareness about the impact of
addiction – lecture, film shows and puppet
show.
To conduct one programme every six months
for families of employees on the impact of
addiction
To conduct one programme every two
months to supervisors / managers on early
identification of problem employees
To conduct one programme every six months
to management / union office bearers on the
need to have a policy to deal with addiction.
To help the industries to collect data regarding
absenteeism and poor quality of work and
the use and abuse of alcohol.
To treat patients referred by industries as Register for patients referred by industries
and when needed. Annexure 3.2
Training of staff
• The counsellors or community workers should have undergone at least one week training
in an organisation that conducts such workplace prevention programmes.
85
Annexure 3.1
Profile of host organization
Name of the organisation:

Address:
Telephone No.
Contact person:
Year of establishment:
Services provided:
Community’s perception regarding the
services provided by the organisation :
(interview five persons who have
made use of their services)
86
Annexure 3.2
Register for providing treatment to patients referred by
industries
Name of the patient:

Name of the industry:
Department where the patient works:
Department / individual who referred the patient:
Problems due to addiction in the area of work :
Date of admission:
Date of discharge:
Type of intervention / treatment provided:
Remarks by the counsellor:
Date & signature of counsellor:
87
CHAPTER 4
REGIONAL RESOURCE AND TRAINING CENTRES
(RRTC)
The Ministry of Social Justice and Empowerment has established a national centre for Drug
abuse prevention (NCDAP) at New Delhi to serve as an apex body for training, research and
documentation in the field of alcoholism and drug demand reduction.
Core objectives of NCDAP

- Raising the competency standards of the functionaries/ personnel working in De-addiction
centres and other related sectors.
- Invigorating efforts for preventing or minimizing any anticipated or consequent harm
related to Drug Abuse in clients and in the Community
- Standardization of care in Drug Abuse Prevention and treatment
- Updating information and creating a database on extent and pattern of Drug Abuse and its
various interventions at local, regional, national and international levels
The Ministry designated NGOs of repute and adequate experience and consistently good track
record as Regional Resource and Training Centre (RRTC). Eight RRTCs have been established.
– Annexure 1 – list of RRTCs with addresses and states covered.
Role of RRTCs
- Visit treatment centers to understand the issues and problems of the NGOs
- Establish a good working relationship with staff
- Function as a ‘mentoring agency’. Mentoring is to act as a trusted guide.
- Training of service providers based on the assessment of the training needs
- Document efforts for effective monitoring. Ensuring compliance with DAMS, Minimum
standards of care by NGOs.
- Documentation of programmes/results at the regional level
- Technical support to NGOs, CBOs and Enterprises in strengthening their programmes
- Strengthening the rehabilitation of the addicts by networking and convergence of
resources
- Advocacy, research and monitoring on regional issues
- Exchange visits
Criteria for selection of an RRTC
RRTC to be approved by NCDAP, Ministry of Social Justice and Empowerment
- Minimum of 10 years of experience in the field of addiction and getting grant continuously
without any break or adverse report
88
- Organization to have infrastructure facilities
o Training hall with a minimum capacity of 30 to 40 persons,
o Availability of training equipments viz. LCD, laptop, etc.
o Proper hostel facilities in the vicinity of the training hall/centre,
o Centrally located
- Should have long standing good training track record in the field of drug addiction and
availability of in-house trained resource persons.
- The organization should be able to showcase its treatment, rehabilitation programmes,
street-based programmes, etc.
- Established networking with state departments, NGOs, CBOs and enforcement
authorities.
- Financially sound organization
- Well placed at the regional level
Structure of the RRTCs
Staff Number
Coordinator 1
Documentation officer 1
Field workers 2
Accountant cum computer operator 1
Total 5
Visits to NGOs
In case the RRTC has more than 40 NGOs, List of RRTCs –Annexure 4.1
one field worker to be given for every 20
NGOs
Maintaining and updating the data base of Maintaining a separate file for each NGO-
NGOs - address, phone number, list of staff, Annexure 4.2
activities undertaken
Minimum of one visit per year per NGO Guidelines for visits – Annexure 4.3
– according to the NGO load in the RRTC First visit and subsequent visits Annexure 4.4
jurisdiction
In case more than one visit to be made,
expenses related to the visits to be
compensated by NISD as per their norm
Evaluating the functioning of NGOs once a Evaluation format – Annexure 4.5
year
89
Document all information related to the NGO Follow-up card – Annexure 4. 6

including staff details, training attended
Conducting on site training programme
(either individual or cluster of NGOs)
based on training needs - minimum of six
programmes a year
Providing material required by the NGOs
within 10 days of request
Organizing training programmes

Needs assessment to be conducted once a year Needs assessment form – Annexure 4.7
during the visit
Conducting training programmes based on - Format for banner, certificate
needs assessment - format for providing traveling allowance
for the participants
- Evaluation format – at the end of the
programme
- Format for writing training reports
- Developing a check list for training
programme- Annexure 4.8
Developing material for all important topics
and activities towards making the training
participatory
Developing power point presentations on
important topics - to be made once and update
it as when necessary
Attending the meeting once or twice a year - Format for the meeting – Annexure
Organized by NCDAP 4.9
Sending applications once a year and reports - Application format – Annexure 4.10
once a year - Annual report format – Annexure 4.11
Conducting programmes on special days

Sending letters to all NGOs regarding
important days to be observed.
International Day Against Illicit trafficking
and drug abuse , world AIDS day etc.
90
RRTC as a role Model agency for partner NGOs
Developing manuals and sharing the format Medical manual
during training programmes Nursing manual
Update manuals as and when needed Therapy manual
Administrative manual
Manuals to be provided by NCDAP
Maintaining medical form, case history
form, group therapy recording and follow-up
record.
Developing a format for compiling information Format for inspection officers – Annexure
related to RRTC activities 4.12
Maintaining a resource centre

Providing new information / material to As and when needed by NCDAP
NCDAP to update their website
Acquiring new material on addiction and To buy a minimum of 20 to 25 books/journals/
related topics each year with the funding educational materials
available
Visiting websites which are providing free List of web sites – Annexure 4.13
material
Compliance with DAMS and half yearly report by partner NGOs

Contacting NGOs either through mail / Once a year
telephone to ensure compliance with DAMS
Reminding NGOs in October and April Twice a year
towards compliance with half yearly reports
91
Annexure 4.1
List of RRTCs with addresses, Email IDs and States covered
Serial Name Name Address, contact Name of the focal Details

Num- of the of the details, email id etc. point with contact of states
ber RRTC organisa- details covered
tion
1 RRTC Galaxy Club RRTC NE-I Dr. Jayanta Manipur,
NE- I Singjamei MAthak Ph: 0385 2227574 Assam
Chongtham Leikei Mobile : 09862919102
Imphal, Manipur -795 e-mail- jayanta_
001 dr@yahoo.com
2. RRTC Kripa RRTC NE II Dr. P. Ngully (Director) Arunachal
NE- II Foundation (Kripa Foundation) RRTC NE- II Pradesh
(Nagaland) Red Cross Building, Raj +919436001854 Meghalaya
Bhavan Road. Kohima- rrtcnaga@hotmail.com Nagaland
Nagaland 797001 kripanagaland@yahoo.
Phone No: 0370- co.in
2241853
Fax No: 0370-2241854
E-mail:
rrtcne2@gmail.com
rrtcnaga@hotmail.com
kripanagaland@yahoo.
co.in
3. RRTC Mizoram P.Rohmingthanga, IAS Ms.Lalparmawii, Mizoram
Social (Rtd) Building, Chaltlang, Chief Executive Officer and
NE-III
Defence & Aizawl, Mizoram. & Director North
Rehabili- 0389- 2349321, Mizoram Social Defence Tripura
tation Board 0389-2345428, & Rehabilitation Board
0389-2345442, (RRTC NE-III)
rrtc_aizol@yahoo.com 0389-2349321
09436142562
92
4. RRTC Vivekananda 6/7, Banamali Ghosal Shri C.G.Chandra West Bengal
East-I Education Lane, James Apartment Tel. 033 -2445 2450 (Except
Society Ist Floor, Behala, Kolkata Darjeeling),
–700 034. Orissa ,
Tel. 033 -2445 2450; Tripura
033-2458 3183 (South)
Fax – 033 – 23970364 and
E.mail – vesrrtc@yahoo. Andaman
co.in; & Nicobar
chandra@cal.vsnl.net.in Islands
5. RRTC The Calcutta 48, Ripon Street Mrs.Premila Pavamani Bihar
Samaritans Kolkata-700 016. Hony. Director Jharkhand
East-II
Tel Nos. 033-2229 033-22298609 Sikkim and
5920/9731 E-mail: Darjeeling
Fax No. 033-2217 8097 premilapavamani@ part of West
E-mail: yahoo.com Bengal
rrtccalsam@gmail.com
Mr.Rajiv Sarkar
emcal@vsnl.com
Coordinator / Head
+919831011179
E-mail:
rajiv.rrtccalsam@gmail.
com
6. RRTC TT IV Main Road Indira Ms.Jacqueline David, Tamil Nadu,
South Ranganathan Nagar, Adyar, Chennai Coordinator Karnataka
Clinical 600 020 Ph:044 24912948 Kerala and
Research Tel Nos:044 24912948 Andhra
Foundation / 24918461 /2442 6193 Pradesh
/2441 6458
Fax: 044 24456078
E.Mail: ttrcrf@md2.vsnl.
net.in And ttrcrf@eth.
net
Website: www.
addictionindia.org
93
7. RRTC Muktangan Mohanwadi, Pratik Ms. Deepali Sabale, Maharashtra

West Mitra Nagar, Near Shetia Coordinator Gujarat Goa
hospital, Yerwada, Ph. No:- 020-64015947 Chhatisgarh
Pune-6 Madhya
Tel Nos. No.-020- Pradesh
64015947/
64014598
E-mail- rrtcwest@gmail.
com /
muktangan@vsnl.net
Web site: -
www. muktangan.org
8. RRTC SPYM SPYM Centre, 111/9, Dr. Rajesh Kumar Delhi
North Opposite Sector B- 4 Executive Director Haryana, HP,
Vasant Kunj, New Delhi Punjab, J&K,
Ph. No. 011-26893872
-110070 Rajasthan,
Tel No : - 011-26893872 UP & MP
Fax No:- 011-26896229 (north of
E – mail – spym@vsnl. Bhopal)
com, spymdelhi@gmail.
com
Web site :- www.spym.
org
94
Annexure 4.2
Date base of NGOs
- The file to contain a brochure about the organization.

- The following information to be recorded and filed
o Name, address of the organization
o Landmarks to reach the centre
o Telephone, fax, e-mail
o Contact persons and the telephone number
o Nearest railway station / bus to reach the centre and names of trains and departure
and arrival time
o Hotels near by with addresses and telephone numbers
o Any other NGOs situated in that location
- Staff list with all details
- Reports of every visit with remarks
Annexure 4.3
Guidelines for visit to NGOs by RRTC Staff
Prior to the visit

- Inform the NGOs through letters
- Followed up with a phone call
- Give them a minimum of 10 to 15 days
o To complete all their documents
o To appoint staff in case of vacancies
During the Visit

- First meet the staff and make them comfortable
o We are not inspection authorities, RRTC is a mentoring agency.
o We are here to help them comply with minimum standards of care
- Record training needs of staff
o Check whether anybody is interested in any specific programme
- Check the staff list and if possible get a typed copy; update regarding the training attended
at RRTC or NISD
95
- Check records
o Admission register
o Case history form
o Endorsement form for providing free treatment
o Home visits and follow-up records
o Manuals
- Ask one of them to informally talk about the patients and family programme.
o Routine
o Understand whether they have group and re-educative sessions
o Check about the list of topics for re-educative sessions
o Make sure the clients stay for a minimum of around 30 days
o One Patient - one counsellor system
- Conducting family programme - A minimum of one programme a week
- Go round the ward to check
o Space for 15 clients to sleep
o Space for conducting therapy
o Room for counsellors
o Some space for TV and carom
- Memorize a few names from the admission register and casually check who is
Mr. Ashok and Mr. Mahesh.
- The clients can be met informally
o How are you, how long have you been in the programme
o What have you learnt
o Which programme helped you most - group, class, sharing etc
o Not to focus on therapists
- Conduct a session for all the staff for one hr to 1-1/2 hrs.
o Structuring the therapy programme
o Motivation
o Follow-up counseling and issues
o Recovery issues
o Issues related to family
o Whatever the needs of the staff
- Facilitate networking with SACS / Social Welfare Department if need be for advocacy
96
Don’ts
- Not to accept any gift
- Discourage them from providing transportation
- Not to meet them in your hotels
- Maintain distance
- No obligations
- Not to write in their visitors’ book
Recommendation
- If need be, provide recommendations objectively and specifically through letter
- Ask them whether they need any material . Preferably provide them e-materials
On returning
- Fill up the follow-up card with coding and give it to documentation assistant
- Follow-up letter in case of any recommendations, signed by project coordinator.
- If you have promised any material, send it immediately
97
Annexure 4. 4
First visit and subsequent visit
NGO Evaluation Tool

Name of the organisation: _____________________________________________________
Address ___________________________________________________________________
Phone_____________________ Fax_________________ Email______________________
Contact person ______________________________ Designation_____________________
Date of visit:_______________ Timing: from _______________to ____________________
Name of the visiting staff\s ____________________________________________________

Landmarks and other details to reach the center
Location
Local people conversant with the organization / centres
Located in a reasonably quite locality (and easily reachable)
Board is placed at a prominent site with the sponsorship of MSJE
Infrastructure
Yes/No Remarks
1. Rooms to accommodate 15 beds
2. Availability of 15 beds ( condition and spacing of
beds)
3. Locker / storage space for each patient
4. Sitting room for patients and/or family?
Reception, enquiry, registration counter waiting
space for 5 person (min)
5. Medical check up room and for clients who are
in delirium or any emergencies
6. Counselling room? Confidentiality maintained?
7. A room to conduct group therapy and re-
educative sessions with the black board
8. Storage facilities
- medicines
- linen
- records of patients
98
9. In door / out door recreational facilities –
availability of open space
10. No of toilets and condition of the toilets

11. Availability of
- fans and lights
- water
Other facilities
- Rights of the clients prominently displayed?
- Addiction related educational material properly displayed?
Communication set up
Telephone available
Computer facility and internet connection
Fax facility
Staffing pattern in the organizations as reported by the NGO

Position Present Name Qualification Date of No. of NISD Remarks &
joining the / RRTC recommenda-
organisation trainings tions
received
Project
Director\In
charge
Counselor 1
Counselor 2
Counselor 3
Peer
educator
Medical
Officer
Nurse
Ward Boy
Yoga
Therapist
Accountant
Sweeper
Gate keeper
Total
99
Documentation - medical and psychological therapy

Documents Maintained Irregularly Not
& regularly Maintained maintained
updated
Awareness Programme Register
Admission/ Discharge Register
Medical case Sheet, B.P. Chart,
Urine sugar, Temperature chart
Medicine Stock Register
Attendance Register for patients
Attendance Register for family/
support person
Case History Form
Group Therapy Records
Follow-up Card and Status of whole
person recovery
Declaration cum indemnity form
Letter of endorsement for free
treatment
Attendance Register for staff
Manuals Maintained Irregularly Not

& regularly Maintained maintained
updated
Medical Manual
Therapy Manual
Administrative Manual
Networking Directory
Patient Records
Frequency of Admission Once a month Twice a month At any time
No. of patients present at the
time of visit
No. of drop outs
No. of relapse cases
Average bed occupancy
100
Patients admitted for the last 3 months
Upto 30 days 31-60 days More than 60 days Reasons for stay
beyond 60 days
Number of patients visiting the centre last 3 months

OPD Indoor Total
Group Counselling last 3 months

No. of addicts Average size of No. of session held Average time/
addicts group session
Individual Counselling last 3 months

No. of addicts No. of session held Average time/session
Family Counselling last 3 months

No. of families No. of session held Average time/session
Drug users referred to the other centres/ hospitals for following services
T.B. HIV- Sexually Hepatitis Hepatitis Any other Intra- Counselling Total
AIDS transmitted A B infection venous services
diseases drug users
Follow up after discharge from the centre/ project

Services Monthly Quarterly Annually
Treatment
Counselling and guidance
Home visits & telephone contacts

No. of visits undertaken No. Addicts contacted No. of ex-addicts leading
drug free life
101
Annexure 4.4
SUBSEQUENT VISITS
Name of the organization
Any change in the address of addiction center
Phone No. at treatment center
Fax No. :
Email:
Contact person in the organization
About the space in the center

Availability of name board
Availability of 15 beds For lecture and group therapy
Space for therapies Dining area
Recreation
Counselors’ cubicles
Availability of computer and computer
operator
About the staff

Availability of staff Name Qualification Date of Training Present /
joining attended absent
–RRTC/
NISD
Medical officer
Nurse
Project-in-charge
Counselor – 1
Counselor – 2
Counselor – 3
Peer worker
Availability of documents
List of documents Availability Completeness Any remarks
Register for admission and discharge
Medical form
Case history form
Follow-up form
Endorsement form for free treatment
Home visit register
Availability of manuals
102
Programme structure
Structure in the Regularity and Topics / issues Any other relevant
programme - details frequency handled information
Group therapy
Re-educative sessions for clients
Individual counseling
Family therapy
Average No. of patients treated in the 1 Month – No.

past 3 months
2 Month – No.
3 Month – No.
Average stay of patients in the past one
month
Any innovative approach used by the centre
Improvements made compared to previous Suggestions provided in the present visit
year
Received grant for the previous year DAMS submitted
Received grant for the current year No of records
Submission of half yearly records
Date of visit
Names of persons visited
103
Annexure 4.5
RRTC – ADDICTION TREATMENT CENTRES
SITE EVALUATION REPORT
Issues Rating Indicators
Physical structure
Utilisation of facilities
Structure of the programme
Documentation
Staffing
Other factors
Over all observations
Physical setting
4 - Spacious, well ventilated with facilities for beds, therapy, counseling cubicles as well as
recreation
3 - Adequate space for beds and therapy alone
2 - Inadequate space for beds and therapy but separate cubicles for counseling provided.
1 - Inadequate space for patients as well as therapy.
Utilization of facilities
4 - 100% bed occupancy or more and treatment duration is more than 21 days.
3 - 100% bed occupancy and treatment duration is less than 21 days
2 - Less than 100% bed occupancy and treatment duration of 21 days or more
1 - Less than 100% bed occupancy and treatment duration is lesser than 21 days
Structure of the programme
4 - Minimum standards of care met in full (three lectures and five group therapy sessions
in a week, follow-up, one family session in a week and two awareness programme in a
month)
3 - Most - 75% adherence to minimum standards of care criteria
2 - Minimum standards of care criteria met partly (50%)
1 - No structure at all
Documentation
4 - All records maintained as per MSC and complete and up to date.
3 - All records are maintained as per MSC but incomplete
2 - Some of the records maintained as per MSC
1- Very few or nil records
104
Staffing
4 - Qualified staff with training / experience for all posts
3 - Qualified staff but not trained or experienced
2 - Some staff are not qualified or vacancies not filled
1 - No qualified staff, vacancies present
Over all observations

4 - Good work being done as per MSC
3 - Good work with scope for improvement in one or two areas
2 - Quality of work needs to be improved in many areas
1 - Quality of work done very poor
105
Annexure 4. 6
Follow-up Card
Name of the organization : Contact person :

Address of treatment centre : Phone :
Land mark : Fax no :
Best way of reaching the centre : E.mail :
Date Report of Visit / feedback letter / letter received with details
Details of staff
Sl.no Name Age & Designation Date of joining Training attended
Education the organization –RRTC/NISD
106
Annexure 4.7
Training needs assessment format
Name of the Centre:

Contact Person:
Postal Address:
Phone:
E.mail:
Name of the Project Medical Coun- Coun- Psycho- Social Peer Nurse Ward
trainings Director Officer selor selor logist Worker educator boy
Orientation
programme
for new
counselors
About
alcohol
/ drugs,
detoxifi-
cation
procedure
and
manage-
ment
Structuring
the therapy
based on
MSC
Individual
Counseling
techniques
Group
therapy
techniques
Conducting
family
therapy
programme
Organiza-
tion of self
help groups
107
Patient
profiling,
recording,
and
documen-
tation
Relapse
prevention,
manage-
ment and
rehabili-
tation
Alcohol
and Drug
Prevention
at
Workplace
Prevention
and
manage-
ment of
drug abuse
and HIV/
AIDS
Initiating
micro credit
groups
Implemen-
t i n g
Minimum
Standard of
Care
Planning and
managing
d e -
addiction
centre
Life skills
for preven-
tion and
treatment
Mobilizing
and working
with the
community
108
Communi-
cation and
present-
ation skills
Planning
out reach
activities
Resource
mobiliza-
tion
P l e a s e
specify if
any
Please mark accordingly:
T - Trained (if he/ she has already received training on that issue)
Y - Training needed
N - Training not needed
109
Annexure 4.8
Format for certificate and banner
Title of the training course
Supported by:
National Institute of Social Defence – NCDAP
Ministry of Social Justice & Empowerment, Govt. of India.
Organised by:
Regional Resource & Training Centre
Venue:
Date:
RRTC
Certificate
This is to certify that Mr. / Ms…………………………………………………………………
has successfully completed programme on ------------------- organized by National Institute of
Social Defence, New Delhi in collaboration with RRTC -------------------- held at …………........
from ……….. to ………
RRTC Coordinator
Date ___________
Check list for training programme

- Getting sanction letter from NISD
- Prioritizing the training programme based on needs assessment
- Finalizing the dates for the training programme (keeping in mind festivals and other
important dates)
- Meeting with the team to discuss issues like selection of NGOs, resource persons and
logistic arrangement and delegation of responsibilities.
- Sending letters to NGOs at least one month ahead
- Informing resource persons and getting their confirmation
- Sending confirmation letters with details of stay, venue of training etc.
110
- Organizing the stay, food, transportation of participants
- Getting training package ready – bag, pad, pen and name tag
- Ordering stationary items
- Ordering a banner
- Planning the time table, preparing PPT and handouts for distribution
- Making sure LCD, lap top, over head projector are in working condition
- Registration of the participation on the first day
- Organizing chief guest for the inaugural or valedictory function
- Organizing field visits if need be
- Taking a group photograph
- Organizing certificates
- Evaluation forms to be given and collected back
- Keeping TA claim forms ready and providing cash for traveling
- Preparing the final reports to be submitted to NCDAP with list of participants, list of
speakers, content and material of training programme, photograph and accounts related
documents
- Review meeting to be conducted to identify gaps and planning strategies to improve the
quality of training.
Traveling allowance format

Received a sum of Rs ____________________ ( Rupees ____________________________
_______________________only) from …………………………… on behalf of the Director
N.I.S.D on account of TA For journey as per details below, as a participant in ------------------
days conducted by RRTC from ------ to------
Inward Journey
1. Road mileage from _____________________to __________________ Rs ___________
For ____________________________________ Km by Bus/ Auto )
2. Rail fare / Bus fare/ Airfare __________________ to _________________ By entitled class
ticket to be produced) Rs ____________________Class. Ticket no: _________________
3. Road mileage from ________________ to ________________ Rs __________________
For ______________________ Km by Bus/ Auto
111
Outward journey
1. Road mileage from ________________to ________________ Rs ______________
For ____________________________________ Km by Bus/ Auto )
2. Rail fare / Bus fare/ Airfare __________________ to _________________By entitled class
ticket to be produced) Rs ________________Class. Ticket no: __________________
3. Road mileage from ________________ to ________________ Rs __________________
For ______________________ Km by Bus/ Auto
DA (For journey period only)

Date _______________ Time of departure___________Date ______________ Time arrival
Date _______________ Time of departure___________Date ______________ Time arrival
DA Admissible ______________________________ @ Rs ___________________________
Total __________________
Signature (Participant)
Name (In Block letters) _______________________________________________________
Designation: ________________________________________________________________
Institution: _________________________________________________________________
Address: ___________________________________________________________________
__________________________________________________________________
112
Annexure 4.9
Guidelines for RRTC presentation for NISD Consultative
Meet
About the RRTC and its jurisdiction
- Representing the following through different symbols in the map of respective states under
RRTC jurisdiction :
o MSJE supported IRCAs in the state
o UNODC project being implemented if any in the different sites
o Composite TIs functioning in the state for drug users
- State wise distribution of number of MSJE supported IRCA functioning under the RRTC
preferably tabulated and presented graphically.
Capacity building
- Training Needs Assessment of NGOs
- Training programmes conducted , achievements and impact (MSJE supported) for the
previous financial year mentioning the following :
o Total number of trainings conducted in the previous financial year
o Total number of people trained and their profile
o Average participation per training programme
o Total number of personnel trained ( if the same person attends more then one training
here he/ she will be calculated as one )
o Total number of newly trained people
o Theme, location and dates for conducting the programme
o Evaluation of training programmes
- Other trainings apart from MSJE supported (UNODC, NACO, etc) programmes conducted
by RRTC with details.
- Other awareness and training programmes conducted for the following target groups
- School and colleges (students and teachers )
- Youth members
- Parents
- Children
- Workplace - industrial employees, supervisors and transport worker
- HIV workers, sex workers, VCTC counselors
- Village development officers and self help group women
113
- Proposed training calendar of the present/upcoming financial year mentioning :

o Theme of the course
o Tentative dates
o Probable venues
- List of important resource materials and IEC materials developed by RRTC during the
year. Mention about translation of material in local language.
Mentoring of NGOs
- Field visits conducted by RRTC during the previous financial year, state wise
Number of visits made Number of centres visited
More then twice
Twice
Once
Not visited
- No of on site training programmes conducted and no of beneficiaries
- Evaluation of NGOs based on the criteria given, state wise
- Physical structure
- Utilisation of facilities
- Structure of the programme
- Documentation
- Staffing
- Over all observations
• Integration of Minimum Standards of Services in progress at NGOs
Documentation
- List of databases maintained and updated by the RRTC
- DAMS related issues
Issues of networking and advocacy

Liaison with UNODC, NACO and other funding agencies.
Name of the projects Supported by Number of NGOs Implementing sites
implementing
114
Staff
- RRTC Team - staff and resource persons
- Training attended by RRTC staff
Challenges faced and way forward

- Problems faced by the RRTC.
- Recommendations from RRTC to Ministry
115
Annexure 4.10
SCHEME FOR ASSISTANCE TO VOLUNTARY
ORGANISATIONS FOR PROHIBITION AND DRUG
ABUSE PREVENTION 2008-2009
Regional Resource and Training Centre
Sub: Scheme for prevention of alcoholism and substance abuse – Regional
Resource and Training Centre
INFORMATION OF THE ACTIVITIES OF
REGIONAL RESOURCE AND TRAINING CENTRE
(A) ORGANISATIONAL DETAILS
a) Name & address of RRTC
b) Name & address of the managing
organization
c) Details of contact person in RRTC
(Name, Designation, Tele No., Fax No., E-mail
and website address, if any)
d) Organizational hierarchy in RRTC (in the
absence of the contract person)
(B) FINANCIAL DETAILS

a) Grants released with sanction no. & date
b) Expenditure incurred (total)
c) Balance available as unutilized
d) Audited/Un audited Accounts & Utilisation
Certificate (Please enclose)
(C) LOGISTICS DETAILS

a) Rent sanctioned
b) Rent actually paid (Copy of the Rent
agreement to be enclosed)
c) Total covered area in sq. ft.
d) Details of rooms etc available for various
facilities such as office, training hall, library
etc.
e) Details of the furniture /assets acquired
for the RRTC from the sanctioned grant /
provided along with supporting documents
of purchase
116
f) Details of equipments with RRTC provided
by the Project
(D) PROGRAMME DETAILS

a) Summary of the Training Programmes
undertaken during the period (indicate
whether evaluation undertaken and reports
sent to NCDAP)
b) Brief summary of the need assessment of the
NGOs undertaken during the period
c) Complete addresses of the NGOs under the
RRTC
d) Brief summary of documentation work if any,
during the period
e) Brief summary of work undertaken towards
preparation, editing etc. of resource materials
for RRTC. NCDAP, Ministry of Social justice
& Empowerment etc.
f) Calendar of Programmes / activities for the
year and whether sent to NCDAP
g) Details of pending accounts of training
programmes undertaken for NCDAP
indicating reasons.
(E) RESOURCE DETAILS

a) Details of Staff of the RRTC with qualifications,
designation, date of appointment and
experience in the field
b) List of Resource Persons in the region
associated for the Training Programmes
(whether a database prepared and furnished
to NCDAP)
c) Details of Resource Person drawn from other
NGOs in the region (whether list furnished
to NCDAP)
(F) LIBRARY DETAILS

a) Amount sanctioned
b) Expenditure incurred, if any.
c) Details of books, resource materials etc.
purchased/subscribed
d) Steps taken for computerization
117
(G) WEBSITE DETAILS

a) Whether updated information in respect of
RRTC is available on the Website (www.ncdap.
org)
b) If no, whether information has been sent to
NCDAP
NOTE:
1. This proforma is only meant to facilitate the assessment based on documents for the
release of first installment.
2. Detailed evaluation and assessment based on actual visit shall follow before release of
second installment.
3. Only those documents may be submitted afresh, which have not been submitted earlier
with the proposal.
118
Annexure 4.11
Annual report format
- No. of centers in RRTC

- Visits to De-addiction Centres
- Training needs assessment
- Capacity building programmes conducted for NGOs - funded
- Special training programmes conducted in specific locations by combining several NGOs
based on needs assessment
- RRTC Staff and their training
- Integration of Minimum Standards of Services in progress at NGOs
- Observing special days - International Day against Drug Abuse and Illicit Trafficking
- Networking and advocacy efforts
- Awareness and training programmes for different target groups
- Development of IEC and resource material
- Documentation and computerization
119
Annexure 4.12
PROFORMA FOR ASSESSMENT OF NGOs AS REGIONAL
RESOURCE TRAINING CENTRE
In conducting this proforma, the National Centre for Drug Abuse Prevention (NCDAP), the
National Institute of Social Defence (NISD), and the Ministry of Social Justice and Empowerment
(MSJE) endeavours to fulfill three primary objectives:
1) To evaluate the extent and consistency with which the Regional Resources and Training
Centres (RRTCs) have implemented and applied the terms enumerated in the Memorandum
of Understanding between NCDAP, NISD, MSJE and the RRTCs;
2) To collect information on the efficacy of current programmes that will be used to inform
the direction of future strategies developed by NCDAP, NISD and MSJE;
3) To assess the technical merit of current RRTCs and to explore the capacity of potential
NGO candidates for appointment to RRTC status.
This evaluation has been designed for the express purpose of attaining a comprehensive
understanding of current programme delivery in order to ensure the quality and relevance
of services provided by the RRTCs, the NCDAP, the NISD, and the MSJE. As frontline social
service agencies your perception and perspective of the issue-area are invaluable sources of
information, and any comments or suggestions offered to enrich the quality of service or to
elucidate existing and emerging concerns would be greatly appreciated.
A. Organization to be assessed :
Name of Organization :
Address of Organization :
Contact Person :
Address of Contact Person :
Year of Establishment :
Registration Number :
B. Assessment Team
Name of Assessor :
Designation :
Knowledge and Attitudes of Trainers and Facilitators: Please submit participant evaluations
of training courses, programs and services provided by organization.
120
Details of Capacity Building Programmes
Title and Brief No. of Participant Name of Dates and
Description of the in Attendance Collaborating Duration
Training Course Agency(s)
Conducted
General Experience and Capacity of the Organization:

Details of Experience:
a) If involved with the development of IEC materials, describe the type, content, the language
of print
b) If involved in networking with other agencies, describe the extent of networking and type
of agencies involved.
c) If the involved in advocacy work, describe the target groups, number, of programmes
conducted, their utility,
d) If actively involved in documentation, specify the information being documented, the
method and process of
e) If involved in developing training modules/materials, describe the modules/materials, their
utility and any unique features.
Activity Related to Training and IEC Material :

No Details of Training/ Currently Utilized Languages Target Age
IEC Material by Organization Available Group(s)
Prepared by the
Organization
RESEARCH AND DOCUMENTATION by RRTC

Organisation Activities
a) If the organization maintains a database of government-funded services providers, what is
its scope (regional or national), what information does it contain, and how frequently is
it updated?
b) If the organization maintains a database of non-government funded service providers, what
is its scope (regional or national), what information does it contain, and how frequently
is it updated?
c) If the organization maintains a database of resource persons, what is its scope (regional or
national),
If the organization conducts training events, describe their content and frequency.
121
Intra-Organizational Activity
a) If the organization is aware of other NGOs in its vicinity, what are they and in what
capacity do they function?
b) If at all, how many visits per annum does the organization visit other NGOs to conduct
TNAs? :
c) Does the organization network with State Government agencies (e.g. SACS international
agencies, CBOs)?
Business and Administration: Please provide the following documents for review by the
inspector.
a) Cash Ledger and all statements regarding details of income, expenditures, etc. :
Enclosed
b) Bank Pass Book and all documents regarding funding and grants :
c) Register of Assets and all documents regarding physical assets, :
d) Honorarium Register and all documents regarding remuneration receipts etc. :
e) Attendance Register of Staff :
Research: Please provide detailed summaries of research activity, including an outline of the
objectives, methodology, hypotheses, sample size, analysis, social relevance, and outcome of
the studies. Areas of research may include:
Advocacy Associated Activities

a) Does the organization provide sensitisation training on issues related to drug abuse for:
i. Political Leaders Yes/No v. Academicians Yes/No
iii.NGOs/CBOs/enterprises Yes/No vi. Social Activists Yes/No
(public and Private) :
iv. Community Workers : Yes/No vii. Others (please specify)
b) Does the organization enlist support for Government policies pertaining to demand
reduction? Yes/No
c) Does the organization mobilize mass communicators/media professionals for drug abuse
campaigns? Yes/No
d) Does the organization provide technical support to NGOs, CBOs, and Enterprises?
Yes/No
Monitoring and Evaluation Activities

Please provide details for any of the following activities participating in a sample of the
product:
a) Development of indicators/parameters for monitoring visits and instruments for
reporting:
122
i) Partner Evaluation Tool
ii) Training Need Assessment
iii) IEC Need Assessment form
RRTC Feedback on Funding and Government Support

a) How many monitoring visits to each centre are performed by the RRTC per fiscal year?
b) How can NCDAP/NISD/MSJE assist the RRTC in improving the effectiveness of
implementation and quality of service delivery?
INFRASTRUCTURE
A. Assessment of Equipment and Assets
NO Equipment Present Absent Source of Purchased by
Funding Organization
1 LCD Projector
2 Slide Projector
3 Computer in Training Hall
4 Screen
5 Flip Chart Stands
6 White Board
7 Over Head Projector
8 Backup Generator
9 Black Board
10 Seating Arrangement
11 Hostel Accommodation
12 Boarding facilities
13 Training Hall Capacity-30
persons
14 Transport Facilities
15 Library & Documentation
Centre
16 No. and dimensions of rooms
3 rooms ,1 training hall and 2
toilets
17. Cleanliness/Hygiene of the
Centre
18. Lighting arrangements, fans, etc.,
19 Others specify: Fax, Printer,
Scanner, Laptops.
123
AREAS of DEFICIENCY and RECOMMENDATIONS

a) Rate the overall competency of the RRTC staff to deliver programmes and training
sessions:
1 2 3 4 5
Poor Adequate Superior
b) Rate the overall adherence of the RRTC to its mandate (as outlined in the MOU):
1 2 3 4 5
c) Rate the overall capacity of the organization to provide support and leadership to other
agencies:
1 2 3 4 5
d) Rate the overall functioning of the organization as an RRTC:
1 2 3 4 5
Adequate
Poor Superior
Comments:_________________________________________________________________
Date of Inspection Signature of Inspecting Officers
124
Confidential to be filled by the I.O.
(Comments and Observation should be specific and based on the inspection Report)
Location and accessibility of the Centre
Maintenance of the records relating to
accounts
Cleanliness and Hygiene in the centre/project
(i.e. condition of walls, floors, beds; frequency
of linen exchange; bathroom facilities; drinking
water, food provided; etc.
Availability and functionality of lights, fans,
etc.
Consistency between staff knowledge, training
and field exposure, and their responsibilities
(evaluate for indications of commitment and
motivation)
Availability of training facilities, equipment, and
feasibility of conducting training programmes
Areas of deficiencies noted and suggestions for improvement
(Enclose a statement if necessary, duly signed)
___________________________________________________________________________
___________________________________________________________
Recommendation for continuation or termination of grant to the centre/project based on
services inspected. Provide specific reasons for conclusions and observations:
(Enclose a statement if necessary, duly signed)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Date of Inspection Signature of Inspecting Officers
125
Annexure 4.13
WEBSITES AVAILABLE
Government Sites
- Government Databases (U.S.) (Point of entry for all governmental resources)
- Center for Substance Abuse Treatment (CSAT)
- Center for Substance Abuse Prevention (CSAP)
- National AIDS Information Clearinghouse (CDC NAC)
- National Clearinghouse for Alcohol and Drug Information (NCADI)
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)
- National Institute on Drug Abuse (NIDA)
- http://www.ncadi.samhsa.gov
- http://www.csat.samhsa.gov
- http://www.niaaa.nih.gov
- http://www.who.int
Self-Help
- Al-Anon Family Group
- Alcoholics Anonymous (AA)
- Narcotics Anonymous (NA)
- National Self-Help Clearinghouse
- National Association for Children of Alcoholics (NACoA)
Other sites
- Addiction Research Foundation
- Canadian Centre on Substance Abuse (CSSA)
- Higher Education Center for Alcohol and Other Drug Prevention
- Join Together National Council on Alcoholism and Drug Dependence (NCADD)
- Center for Alcohol Studies (Rutgers University)
- Drug Policy Alliance
- Hazelden Foundation
- www.whoindia.org
126
CHAPTER 5
CODE OF ETHICS AND RESPONSIBILITIES OF STAFF
RIGHTS OF CLIENTS
Access to addiction treatment services without prejudice
- Services are available irrespective of religion, caste, political belief of all clients.
- Services are available irrespective of the particular drug(s) abused (e.g. alcohol, ganja,
brown sugar) or routes of administration (e.g. intravenous).
- Services are available irrespective of history of prior treatment
- Services are available irrespective of the patient’s ability to pay or employment status.
- Exclusion criteria for admission to be clearly stated e.g. medical complications / psychiatric
problems.
- Expulsion criteria to be clearly defined – e.g. being violent and abusing drugs / alcohol on
the premises.
Clients rights at the addiction treatment centre

All clients and their family members have the right to the following:
- A supportive drug-free environment
- To dignity, respect and safety.
- To be fully informed of the nature and content of the treatment as well as the risks and
benefits to be expected of treatment. To be made aware of conditions and restrictions
prescribed in the centre before admission.
- To wear their own clothes in keeping with local customs and traditions
- To have contact with, and visits from, family or support persons while in treatment.
- To have confidentiality of information regarding participation in the programme and of all
treatment records.
- To have permission to get discharged from the programme due to personal reasons at any
time without physical or psychological harassment.
- Access to the project-in-charge or management to air out grievances / register complaints
about the treatment or the staff.
(Reference: Modified based on CHASP Standards)
Code of ethics for staff

The primary obligation of all staff is to ensure quality of services to clients in treatment. The
relationship between the staff and the client is a special one and it is essential that staff have
both the maturity and the ability to handle the responsibility entrusted to them.
127
- Conduct oneself as a mature individual and a positive role model by not using alcohol /
tobacco / other drugs.
- Respect client by treating him with dignity.
- No sexual relationship of any kind with client.
- No physical restraint / locking up, to be used to detain or restrain patients who are in
normal physical and mental condition. No corporal punishment of any kind may
be used for any misbehaviour of the client. Only in extreme cases where
the client is violent or delirious or not in a position to take care of himself
physically restraining him/her is allowed to ensure protection to the patient
from inflicting harm to himself or others.
- No denial of food as a means of punishment.
- Not to make use of / exploit the client for the personal gains of a staff member /
organisation.
- Recognize the best interest of the client and refer him if necessary to another agency or
a professional for further help.
- No photographic, audio, video or other similar identifiable recording is made of
patients without their prior informed consent. If done for research / training, the purpose
has to be explained and consent obtained.
- Maintain all client information in the strictest confidence. Information about the patient
or his progress in treatment not to be divulged to any individual or authority without
the patient’s consent.
- No discrimination made against PLHAs (People living with HIV-AIDS) regarding admission
or in providing any other services.
- (Reference: Modified based on CHASP Standards)
Responsibilities of Medical Officer/Psychiatrist (One part- time post)

- Assessing clients with regard to their physical / mental condition and providing treatment
for their medical and psychiatric problems.
- Prescribing medication during detoxification, follow up and relapses and handling all medical
emergencies e.g. DT, fits and acute psychotic episodes
- Liaison with specialists in psychiatry, internal medicine, neurology, pathology and bio-
chemistry for referral in case of further treatment.
- Monitoring all records of detoxification, emergencies and follow up of patients
- Coordinating with the counsellors to plan the treatment and recovery of individual
patients.
- Facilitating in developing the Medical Manual
128
Training for Medical Officer / psychiatrist
- Exposure to new trends regarding kinds of drugs abused, medical and psychiatric
problems, new medicines/ methodologies available for the treatment of addiction through
participation in training programmes and conferences once a year
Responsibilities of nurses (Two posts) :

- Minimal history taking on admission
- Dealing with emergencies and assisting the Medical Officer
- Giving medication and injections;
- Maintaining all registers and records of patients during detoxification (e.g. blood pressure
and urine sugar)
- Supervising the functioning of ward boys, sweepers
Training of Nurses
- New nurses will be given training for a period of one week with information on drug
addiction, about psychiatric problems, effects of psychiatric medicines and day today
management of the centre.
- Nurses to be trained in dealing with emergency issues like breathlessness, acute psychotic
episode, convulsions and cardiac arrest.
Responsibilities of ward boys (One post)

- Assisting the nurses in the detoxification unit
- Attending to the personal hygiene of bed- ridden patients
- Escorting the patients to labs or other specialists
- Monitoring the visitors and checking patients for possession of drugs
- Conducting physical exercises for the patients
- Cleaning of the detoxification centre including toilets
- To maintain minimum records of the wards.
Responsibilities as a Project In charge (One post)
- Coordinating and managing the treatment and rehabilitation centre
- Taking care of administrative responsibilities of the centre – appointment of staff, attendance,
allocation of job and disciplinary action.
- Preparing Half-yearly / Annual report and application forms for grant purposes.
- Checking whether the records are maintained properly according to Minimum Standards
of Care
- Liaison with government and non-governmental organisations working in the field of addiction.
- Facilitate in the development of therapy and administrative Manual along with the team.
129
Responsibilities as a senior counselor

- Supervising and providing guidance to counsellors
- Organising case discussion
- Organising training programmes for counsellors
- Conducting group therapy for clients
- Providing counselling for clients and family members during treatment and follow-up
- Maintaining individual case records of patients
- Conducting awareness programmes
Counsellors / social workers / psychologists (Three posts)

- Functioning in a team to coordinate activities and receive feedback from other members
of the team.
- Providing counselling - assessment, motivation, counseling clients, 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.
- Visiting and net working with governmental and non-governmental agencies to support
the client in treatment and escorting / guiding him for admission to other organisations.
Training of counseling staff

- Orientation of one month duration to be provided to new staff on counselling, conducting
group and family therapy.
- Refresher courses to be provided to existing staff at least twice a year – to attend one
training conducted by Regional Resource Training Centre by each staff.
- Professionals from other addiction treatment centres to be encouraged to visit the centre
once a year and share their experiences. Similarly, staff to visit other treatment centres
once a year and learn from their experiences.
- Case discussions to be conducted once a week to ensure quality of service delivery.
Responsibilities of peer educator (One post)

- Creating awareness in the community and motivating for treatment
- Giving an exposure to self-help groups (AA / NA) by organizing either a sharing or
interaction
- Providing details of AA/NA meetings in the location
- Making home visits
130
- Organizing group activities / fun games in the evenings
- Assisting the therapy team in whatever area
Training for peer educator

- Orientation of one month duration to be provided to make him aware of psychological
therapy provided for clients and family members.
- To attend one programme organized by RRTC either at the NGO or at the head quarters
of RRTCs
Responsibilities of yoga/ other therapists (One post)

- Conducting physical exercises / yoga for the patients
- Conducting meditation and classes on spirituality
Responsibilities of accountant-cum-clerk (One post)

As an Accountant
- Writing main account / petty cash account and preparing monthly expenditure
statement
- Disbursement of cash for salaries and incidental expenditure.
- Assisting the Chartered Accountants in preparing Balance Sheet and liaison with project
coordinator regarding funds
- Maintaining asset register
As a clerk
- Receiving phone calls and working as a receptionist
- Maintaining attendance, leave letters
- Maintaining records for telephone calls, stationery and electricity.
- Getting stationery and cleaning items for the centre
- Visiting post office, bank and shops as and when needed
Responsibilities of sweeper / Peon (Two post)

- Cleaning the entire centre including bathrooms
- Maintaining the garden or space available around the centre
- Visiting post office and shops as and when needed
- Paying electricity and telephone bills
131
LIST OF REFERENCES
Bureau of Indian standards, New Delhi 1996 Indian standard – Quality management for
hospital services (for 30 bedded hospital) –
guidelines – Part 4 Hospital support services
- ICS 11.020
The Community Health Accreditation and Manual of standards for community and other
Standards Program (CHASP), Australia 1993 primary health care services (3rd Edn.).
European federation of therapeutic Standards for residential treatment services
communities (EFTC) staff code of ethics
John Ovretviet 1997 Evaluating health interventions – An
introduction to evaluation of health
treatments,services,policies and organisational
interventions - Open University Press,
Buckingham, Philadephia.
Ministry of Social Justice and Empowerment, Scheme for prevention of alcoholism and
Government of India, New Delhi 1999 substance (DRUGS) abuse
National workshops for medical Minimum standards of care in mental hospitals
superintendents of mental hospitals and – National Institute of Mental Health and
state health secretaries 2000 Neuro Sciences (Deemed University),
Bangalore 560 029
Shanthi Ranganathan 1996 The empowered community – A paradigm shift
in the treatment of alcoholism – sponsored
by Ministry of Welfare, Government of India,
New Delhi – pp 17-36.
UDC 362.111:616 1993 Indian standard – Quality management
procedures for out-patient department
(OPD) and emergency services – guidelines
– Part 1 upto 30 bedded hospitals – Bureau
of Indian standards, New Delhi.
UDC 658.56:658.64 1992 Indian standard - Quality management and
quality system elements – Part 2 – Guidelines
for services – Bureau of Indian standards,
New Delhi.
Uwe Gunnarsen 1973 Accreditation – Accreditation of alcoholism
programs
WHO , 1993 Standards of care in substance abuse
treatment
132
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MANUAL

MINIMUM STANDARDS OF SERVICES

FOR THE PROGRAMMES UNDER THE SCHEME

FOR PREVENTION OF ALCOHOLISM AND

SUBSTANCE (DRUGS) ABUSE

Chapter 2 Integrated Rehabilitation Centre for Addicts 19

Chapter 3 Awareness-Cum-De-addiction Camps (ACDC) and 82

Chapter 4 Regional Resource and Training Centres (RRTC) 88

Chapter 5 Responsibilities of staff and code of ethics - rights for 127

List of References 132

Eligibility conditions for assistance

In addition, the registered organisations to have the following characteristics.

Services under the scheme

Application– Annexure 1.1

APPLICATION FOR GRANT-IN-AID UNDER THE SCHEME

2. Name of the programme :

3. Name and address of the Centre :

4. Financial Year of the Grant applied for :

5. Details of the grant received/applied :

Grant applied in the Received as Applied for II

List of documents to be enclosed:

• Receipt and payment statement;

• Income and expenditure statement; and

• Receipt and payment statement;

• Income and expenditure statement; and

APPLICATION FOR GRANT-IN-AID UNDER THE

d. That each enclosed document is serially numbered as Annexure-A,Annexure-B,Annexure-

Signature of the Authorised signatory

PROFILE OF THE ORGANIZATION & CENTRE

1. (a) Name & address of the Organization:

3. Year of receiving first grant-in-aid from

8. DETAILS OF DRUGS ABUSED

11. MARTIAL STATUS

13. EMPLOYMENT STATUS

15. DETAILS OF STAY (INDOOR) – During the half-year under review

16. DROP OUTS – During the half-year under review

17. COUNSELLING (for indoor clients)

B. INDIVIDUAL COUNSELLING (During the half-year)

FAMILY COUNSELLING (During the half-year)

19. RECOVERY (during the half-year under review)

22. REHABILITATION PROGRAMMES GIVEN/ REFERRED BY THE CENTRE

23. TRAINING PROGRAMMES

(b) Total no of staff trained in last two years

Signature and Stamp of the authorized Signatory

Period of stay as in-patient

Activities related to prevention education and awareness generation

- Ill effects of alcohol and drugs

Minimum criteria Records required

Activities for screening and motivating clients to take help

Activities related to detoxification and medical care

Medicines essential for detoxification and Medicines stock register to be maintained

Guidelines for psychological services:

Standards on programme structure

Treatment plans to be specifically recorded Treatment plan to be developed in

Standards on re-educative sessions:

Standards on group therapy:

Guidelines for the family programme:

Other guidelines related to psychological services

Half-yearly report with details of patients to Half-yearly report to be maintained by

After - care / follow-up and rehabilitation services