What do we do ?
The CBO executive members enhance a quality and skillful experience of coordination, counseling and outreach from several years in the same field, being following the path and abstinence – where they set a trend setting examples for current active users in the society.
Aaina foundation communicates their vision, mission, goal and objectives so that the individual with the problem of substance use issue are treated with dignity and self-respect.
- A survey indicates that 7.5 crores Indians are drug users and dependant on substance drug, whereas the population of substance drug user in Mumbai has reached up the mark of 50,000.
- The number is going up significantly spreading to semi urban and backward areas. Substance abuse is becoming an area of concern as this is increasing by traditional, mooring, social taboos, emphasis of self-restraint and pervasive control.
- Although the need is unending but through the experience and field intervention by CBO members it was observed:
- First, drug abuse is prevalent in all the communities of the area of Metropolitan city Mumbai.
- Second, drug use is established in adolescence or early adulthood and it is costly and difficult to change once established. The prevention of substance use would also subsequently eliminate drug injecting and related deaths and HIV infections.
- Third, substance drugs abuse had a severe impact on physical health and psychological behaviour.
- Fourth, community intervention has proven effective for health problems such as smoking and chasing the drugs.
- Fifth the adaption of recovery programme which helps individual to be self-dependent & to gain his dignity with a sober life pattern.
- Sixth, with the help of reintegration the individual could be re-joining in a society as a productive member.
Finally, a strong social network and health infrastructure existed in these communities that could facilitate the development of a community-based intervention program.
Definition: Substance abuse
Substance abuse, also known as drug abuse, is a patterned use of a substance (drug) in which the user consumes the substance in amounts or with methods neither approved nor supervised by medical professionals.
Substance abuse/drug abuse is not limited to mood-altering or psycho-active drugs. If an activity is performed using the objects against the rules and policies of the matter (as in steroids for performance enhancement in sports), it is also called substance abuse.
Therefore, mood-altering and psychoactive substances are not the only types of drug abuse. Using illicit drugs – narcotics, stimulants, depressants (sedatives), hallucinogens, cannabis, even glues and paints, are also considered to be classified as drug/substance abuse.
Pillars of Aaina foundation
In this particular pillar it helps to educate about the harmful effects of substance abuse Confusion; nausea; slurred speech; lack of coordination; euphoria; dizziness; drowsiness; disinhibiting, lightheadedness, hallucinations/ delusions; headaches; suffocation; convulsions/seizures; hypoxia; heart failure; coma; sudden sniffing death among community and general population. During the initial stage of recovery users are often victims of physical illness.it also lacks better hygiene and healthy diet pattern. Aaina Foundation with the help of available resources will focus on self-help therapy, Psycho-educational lectures, and working on personality development programme, exercise, meditation and recreational activities to help to come out from physical crisis of substance users.
A wide range of psychological intervention is equally important in substance abuse treatment. Motivational therapy, cognitive therapy and relapse prevention are the major aspects of this pillar. Little is known about what makes a successful psychological intervention in addiction. Factors such as the approach and training of the psychiatrist, the readiness to change of the patient and the social support that surrounds them are all likely to be important, but a more detailed understanding is needed with the help of counselling.
Long-term abuse of certain substances can lead to physical dependence. A physical dependence is where the body’s central nervous system develops a tolerance to the drug. Physical dependence is usually associated with sedatives like opiates (heroin and opiate prescription drugs) and benzodiazepine (e.g. diazepam and alprazolam etc.). Where a physical dependence to a drug is evident, a drug detox will be required.
A drug detox is the process of allowing the body to rid itself of a drug whilst managing the symptoms of withdrawal. It is the first step in a recovery program and should be followed by treatment that looks at changing behaviour and cognitive function; drug detox alone is not full treatment. A medical detox’s necessity will depend upon a person’s medical condition, history of substance abuse and their age.
During the initial period without drugs, a long-term drug user is likely to experience a number of both psychological and physical withdrawal symptoms. The body and the brain functions need a period of time to readjust to functioning without the drug present and the adjustment period can lead to various withdrawal symptoms.
Long term use of substance abuse and after that help of treatment benefited to person’s sober life. A.F. especially works on reintegration of these clients of boosting their self confidence and self-esteem level. To keep them busy and enhancing their skills are parameters of the step it helps to sustain their recovery. With the help of reintegration substance user can re-join a society and family as a productive and a responsible member.
- 1. Medical support
- 2. Psychological support
- 3. Individual counselling
- 4. Group therapies
- 5. Family therapy
- 6. Field intervention
- 7. Referrals to health care institutions, NGOs, rehab centres, etc.
- 8. Enhancing each individual according to his skills and interest
- 9. Advocacy and networking with police, healthcare institutions, lawyers, society, peers etc.
- 10. Advocacy on stigma & discrimination
- 11. Awareness on HIV/AIDS, Tuberculosis, sexual transmission diseases, Hepatitis & other vulnerable diseases
- 12. Events and sessions on relapse prevention, awareness and education on substance drug abuse
- 13. Medical camp and detoxification.
To emphasize all the issue from the root level and form a community which will coordinate a prevention system that assist communities to assess substance abuse need and select and implement appropriate effective and scientifically defensible substance abuse prevention policies and programmes.
Creating harmony of substance user in their physical and mental health following the path of sobriety and abstinence.
To maintain and develop a range of high quality low threshold services which support our substance user of the community to access integrated pathway and achieve their goal. To develop appropriate partnership in order to advance our strategic objective. To create a service response which will address the unmet services user needs.er
Reintegration of substance drug user
To help substance drug user to bridge relationship with self, family and re-joins society as a productive member.
Effect changes in personal values and interpersonal behaviour.
Enhance coordination and collaboration of agencies and resources that administer drug, alcohol and other drugs.
1. To increase the accessibility and quality of treatment by advocating for cooperation, coordination, integration and enhancement of addiction and related mental health service.
2. To reintegrate substance user according to skill aspect such as health, employment, family intervention, self-confidence and self-esteem.
3. To educate medical and psychological co-morbidities.
4. To develop the capacity of organization at all levels to enable the quality delivery of the strategy.
5. Facilitate the creation of community planning process team that accurately reflects and comprehensively address the community needs.
6. Capacity building of community organization in order to identify needs, develop strategies to address the needs and secure the funding and other resources achieved a desired outcome.
7. To improve the pillars of medical, psychological, reintegration and shelter for community and avail them all the services.