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iiCONTENTSINTRODUCTIONiii1.
DRUGS1Short-andLong-TermEffectsandWithdrawalSymptoms2.
INDICATORSOFADDICTION21SignsandSymptoms3.
MEDICALANDPSYCHIATRICCOMPLICATIONS374.
ADDICTIONINVARIOUSSETTINGS515.
MOTIVATIONANDINTERVENTIONSTRATEGIES596.
COUNSELINGFORMOTIVATION677.
RECOGNIZINGTHEADDICT77TheRoleoftheFamilyiiiINTRODUCTIONThisfieldguidehasbeendesignedtotrainandpreparethoseworkingintheareaofdrugaddiction,aspartoftheCommunityWideDrugDemandReductioninIndiaprojectoftheMinistryofSocialJusticeandEmpowermentandtheUnitedNationsInternationalDrugControlProgramme,RegionalOfficeforSouthAsia.
Itbringstogethertheexpertiseandresourcesofprofessionalswithmorethantwentyyearsofexperienceinthearenaofdrugaddictionprevention,treatmentandresearchinIndia,andisintendedforcounselors,serviceprovidersandtrainers.
Itishopedthatthisguidewillbuildcapacitybyhelpingtodevelopwell-equipped,competentandeffectiveprofessionals.
NotesonUsingthisGuideWorkinginthefieldofaddictionisachallengingtask.
Asserviceprovidersandtrainers,youareexpectedtoexpandyourknowledgebase,sharpenyourclinicalskillsandworkwithenthusiasmandsensitivity.
Thisguidewillprovideyouwiththeresourcestomeetthechallenge.
Forthesakeofclarityandconvenience,certainstandardizationshavebeenmaintainedthroughtheguide.
Theclienthasbeenassumedtobemale,andthecounselorfemale.
Theclient'ssignificantfamilymemberhasalsobeenassumedtobefemale—usuallywife/mother.
However,thisisnotmeanttoimplythatalldrugabusersaremenandallcounselorsarewomen.
Thisguidehassevenchapters,eachofwhichismadeofthreeparts:InformationsectionwherefactsarepresentedinaclearandconcisemannerSkillsharpeningtoolswhereproblemsanddoubtsthatarelikelytoarisearediscussedandclarifiedInternalizingtoolsthatcovercasestudiesandquestionstohelpserviceprovidersinternalizetheconceptsdiscussedinthechapter.
Anattempthasbeenmadetoprovideinformationnecessaryforthetaskofeffectivecounselingassimplyandbrieflyaspossible.
Whereappropriate,questionnaires/formshavebeenprovidedforthecounselorstocompleteoruseintheirwork,andphotocopiesofthesecanenablemultipleuse.
Afeedbackformhasbeenprovidedattheendoftheguideforyourcomments.
Pleasewritetousattheaddressprovided—wevalueyouropinion.
Yearofpublication2002AjointpublicationofMinistryofSocialJusticeandEmpowerment,GovernmentofIndia&UnitedNationsInternationalDrugControlProgrammeRegionalOfficeforSouthAsiaDevelopedunderProjectAD/IND/99/E40CommunityWideDrugDemandReductioninIndia(fortheNationalCentreforDrugAbusePrevention)Contentprovision:T.
T.
RanganathanClinicalResearchFoundationChennaiPrincipalauthors:ShanthiRanganathanRukmaniJayaramanV.
ThirumagalAnitaRaoLanguageeditor:RasnaDhillonDesignersandprinters:TaraArtPress,NewDelhiTel.
:3378626,3379686Coordinatedby:UNDCP,ROSATheopinionsexpressedinthispublicationarethoseoftheauthorsanddonotnecessarilyrepresenttheofficialpolicyoftheUnitedNationsInternationalDrugControlProgrammeandtheMinistryofSocialJusticeandEmpowerment,GovernmentofIndia.
ThedesignationsuseddonotimplytheexpressionofanyopinionwhatsoeveronthepartoftheUnitedNationsconcerningthelegalstatusofanycountry,territoryorareaorofitsauthorities,frontiersorboundaries.
S.
No.
ContactPersonTelephoneNo.
FaxNo.
E-mailAddress1.
Dr.
(Mrs.
)ShanthiRanganathan044-4918461044-8257150ttrcrf@md2.
vsnl.
net.
inSecretaryT.
T.
RanganathanClinicalResearchFoundation17,IVMainRoad,IndiraNagarChennai,TamilNadu2.
Dr.
RajeshKumar011-6893872011-6896229spym@vsnl.
comExecutiveDirectorTheSocietyforPromotionofYouth&Masses(SPYM)VasantKunjNewDelhi3.
Dr.
AnilAwachat020-5659407020-5659407muktangan@rediffmail.
comDirectorMuktanganMitraMohanwada,YerawadaPune4.
Rev.
VijayanPavamani033-2295920033-2178097emcal@vsnl.
comChairmanTheCalcuttaSamaritans48,RiponStreetKolkata5.
Mr.
G.
C.
Chandra033-4680365033-4680364chandra@cal.
vsnl.
net.
inSecretaryVivekanandaEducationSociety25/1A,D.
H.
Road,ArcadiaKolkata6.
Dr.
JayantaKumar0385-2275740385-222936Jayanta_isd@hotmail.
comDirectorGalaxyClubSingfarmerMathakChhongthem,Imphal7.
Dr.
(Mrs.
)JoyceAngami0370-2251990370-242224kripanld@rediffmail.
comDirectorKripaFoundationNearCatholicPublicCentreD-Block,Kohima,Nagaland8.
Dr.
Lalnunthara0389-3493210389-340277---ChiefExecutiveOfficerMizoramSocialDefence&RehabilitationBoard(MSD&RB)Chaltiang,Aizawl,MizoramREGIONALRESOURCETRAININGCENTERSwww.
rrtcindia.
orgMinistryofSocialJusticeandEmpowermentShastriBhawan,NewDelhi110001Tel:3388580Fax:3384918DRUGADDICTION–IDENTIFICATIONANDINITIALMOTIVATIONThisfieldguidehasbeendesignedtotrainandpreparethoseworkingintheareaofdrugaddiction.
Itbringstogethertheexpertiseandresourcesofprofessionalswithmorethantwentyyearsofexperienceindrugaddictionprevention,treatmentandresearchinIndia,andisintendedforcounselors,serviceprovidersandtrainers.
Itishopedthatthisguidewillbuildcapacitybyhelpingtodevelopwell-equipped,competentandeffectiveprofessionals.
TheCommunityWideDrugDemandReductioninIndiaprojectoftheMinistryofSocialJusticeandEmpowermentandtheUnitedNationsInternationalDrugControlProgramme,RegionalOfficeforSouthAsiawasinitiatedin1999.
TheNationalCenterforDrugAbusePreventionandeightRegionalResourceandTrainingCenterssetundertheprojectfocustheireffortsonalargeincreaseinskilledpersonnelandthetrainingoftrainers.
Aseriesoffieldguidesisbeingdevelopedtowardsthisend.
DrugAddiction:IdentificationandInitialMotivationisdesignedtohelpcounselorsidentifyandassesstheextentofsubstanceabuse.
Itcontainscomprehensiveinformationonthesignsandsymptomsbywhichabuseofspecificdrugs—heroin,cannabis,alcohol,andothers—canbedetermined.
Thiscoversmedicalandpsychiatriccomplicationsstemmingfromabuse,aswellasbehavioralpatternsathomeandintheworkplacethatserveascluestotheunderlyingproblem.
DrugAddictionalsoprovidesguidanceinprovidinginitialmotivationcounseling—encouragingdruguserstoseektreatmentandhelpingtheirfamiliesrecognizeandcometotermswiththefactofaddiction.
UnitedNationsInternationalDrugControlProgrammeRegionalOfficeforSouthAsiaEP16/17,ChandraguptMarg,Chanakyapuri,NewDelhi110021Tel:4104970,71,72,73Fax:4104962,63E-mail:undcp@undcp.
ernet.
inNationalCentreforDrugAbusePreventionNationalInstituteofSocialDefenceGroundFloor,WestBlock1,Wing7,RamaKrishnaPuram,NewDelhi110066Tel:6173257Fax:6173257E-mail:nc_dap@excite.
com