CENTRE FOR ADDICTION MEDICINENIMHANS

Review Meeting in DDAP on 24th June

1992-2019

A. Brief Notes about Centre for Addiction Medicine, NIMHANS

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1991 2002

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1998Regional Centre

2007Bed strength 60

Initiated30 bedSeparate building

● Women Ward● Drug Toxicology● Virtual

Knowledge Training

Drug Toxicology Lab

Virtual Training Centre

2014Bed strength 80

Comprehensive Addiction Management

Group Therapy

Yoga

Nursing Care

Recreational Activities

State of Art Gymnasium

Neurofeedback

4Outdoor activities

B. Patient Services

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2018-19

New patients: 4198 Follow up: 19380Admission:1453

2017-18

New patients: 3352Follow up: 16554Admission:1319

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Adolescents

101 New Women

Drug Testing: 27126

171 New

2018-19

Digital Patient intake EHR: CAMSOFT

- Online File- Patient

waiting time : Substantial less

- Decrease Error

- Faster work flow

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COMMUNITY OUTREACH

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C. Training and Human Resource Development

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Training & Manpower developmentat NIMHANS

• Training of post graduates (1-3 months): MD, PhD, Mphil

• PDF (4 positions, including 2 sponsored)

• DM (2 Positions), PhD

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2018-19: 300 from across country

Medical Officer Training Himachal Chhattisgarh

Psychiatry social work

Connecting NIMHANS to Community health care provider

Training, Tele-mentoring, Accreditation and E-Consult: Addiction HUB and remote SPOKE weekly tele-ECHO sessions since 2014

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Support Staff

Psychiatric Social Worker Psychiatrists Faculty/ Expert

PsychiatristsClinical

Psychologists

IT Coordinator

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Increasing Capacity and Capabilities by Building a Virtual Network for Prevention, Treatment and Care

>4000 trained and connected health providers touched the lives of > 1,00,000 and continued to do so..

D. Research

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Alcohol Misuse in India - Public Health Consequences with Dept. of Epidemiology

Impact of Alcohol in Urban Settings, 2010 – WHO-India

Helped further public discourse on the impact of alcohol misuse on health

burden and social cost in India

Advocated the inclusion of alcohol as major risk factor in NCDs → health policy in India – Alcohol Policy of

India, Alcohol Atlas of India

Data influenced alcohol and health initiatives and policy in the SEARO

region and globally - the NCD initiatives of UN

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Neurobiology and Genetics of Susceptibility to Addictionin collab with Dept of Radiology, Neurophysiology, Psychology, Neurology

1. Why are some people at greater risk for addiction than others?2. Can we detect risk indicators early and intervene?Genes

Environmental stressors

Delayed brain development

Grey matter volumeBenegal et al (2007) Addiction Biology

White matter tract patencySubbu, Venkatsubramanian & Benegal (In prep)

CNS Hyperexcitability

Deviance in Brain Inhibitory Capacities in Alcohol-naïve Male Offspring of Alcoholics

Muralidharan K., Venkatasubramanian G, Pal PK, Benegal V (2008) Addiction Biology

Externalizing Behaviors

Poor white matter tract myelination predicts Novelty Seeking & Externalizing Behaviors

Vinay, Venkatsubramanian, Saini & Benegal Reduced subjective response to alcohol

0 – 20 minBaseline 20 – 60 minEth

HR

LR

Jagadeesh AN; Radha Prabhu; CR Mukundan; Vivek Benegal; SK ChaturvediResponse to Alcohol in Abstinent alcoholics and Social drinkers

HR – Lowered Subjective Response to Alcohol

Early repeated use – greater neuroadaptation – prolonged effects16

RESEARCH – WOMEN AND IMPACT OF SUBSTANCE ABUSE

• Highlighted the hitherto neglected area of women affected by alcohol, tobacco and other drug use

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Books and Manuals

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AUDIT by Independent Agency (VHAI) for MoHFW, GOI [August 2013]

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Audit by Independent Agency (VHAI) for MoH, GOI [August 2013]

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F. Action Plan- Strengthening Hospital services to provide care

for complex cases - Comorbid, Adolescent, Women, Geriatric

Services - Strengthening the Collaboration with States to

empower the human resources (CHG, Bihar, Odisha, Karnataka) and also start similar Centre at state (Kerala)

- Initiating a dedicated Tele-Addiction Services 22

Challenges

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- 4 more at the faculty level

- 8 more Senior Resident

- 60 more nurses

Faculty in Psychiatry 4Faculty in Psychiatric Social Work 1

Faculty in Psychology 1Senior Residents 2 PDF+ 6 DMNursing Staff 8+5PSW 6Social Workers 6Clinical Psychologist 1Psychologist 1Occupational Therapist 1Yoga Therapist 1Aftercare Workers 5Cohort Manager 1Project Manager 1Research Officer 1Junior Residents 8Senior Scientific Officer 1Junior Scientific Officer 2Technician 2+2Security 6Support staff 20Stenographer 1Lower Division Clerk 1Office Assistant 1Accounts Assistant 1Data Entry Operator 2

Current Status

DDAPMoHFW, GOI

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