Parvarish Recovery Center Trust(omit trust) provides a therapeutic, non-judgmental environment. PRC treat clients with the disease of addiction, people who are facing problems due to their addiction and are looking for a way out. PRC provides treatment in a safe, healthy and peaceful environment that is beneficial for their client’s mental wellbeing and sobriety. Our way of treatment provides a client’s safe place to express their feelings and to reflect. Along with providing a safe environment prc teach clients how to analyze themselves so that they may have a better understanding of their addiction and may bring about a positive change. Parvarish recovery center aims to equip the client with tools to deal with problems that may help them solve problems in the future. Our purpose is that clients take full responsibility of their problems and develop attitudes of positive change. On the basis of our program of sobriety we enable our patients to live fruitful and functional lives.
The inquiries are welcomed through three different ways
- By Phone (within the city and outside city).
- By Referral.
i) By Phone (within the city)
- Inform them about the duration of the program & the methods used. Inform them about the screening procedure.
- Inform them about the fees charged (also tell them it may vary).
- Encourage them to fix an appointment.
- Ask-them the contact details and patient profile – Follow-up (if they don’t show up after fixing an appointment).
ii) By Phone (outside the city)
- All of the above.
- Explain them the admission criteria.
- Inform them about the list of belongings to bring (if possible).
iii) By Referral
- Get information about the reference.
- Relation with the reference (acquaintance, family or friend & X-Clients and families).
- Rest will be followed as per general inquiry procedure.
- Results of screening tests are assessed by the PRC staff.
- The patient is informed about the date of admission if he clears the screening test.
- Admission form is filled.
- Rules and regulation will be discussed by the patients and family members.
- While patient is admitted test is essential and it comprises of HIV,HEP-B,HEP-C AND CBC.
- Consent form is signed by the patient as well as by the family.
- Fee discussed is collected.
- Visit schedule is communicated to the patient.
- Family of the patient is informed about the Family Program.
- Patient will got through a detailed body and luggage search.
- Space and mentor is allotted to the patient.
- A complete luggage and body search of the patient.is conducted making sure that the moral values of the patient are not hurt in any way.
- Complete search of their clothes, including collars, bottoms, and pockets, inside the stitching of jackets: inside the shoes, under the shoe soul.
- Complete search of patients belongings is conducted where his pillows, quilts, watch, soap, toothpaste etc.
- Sustenance in motivation to remain drug free.
- Support to the patient during detoxification program.
- Treatment of acute withdrawal symptoms in a safe and compassionate environment.
- Orientation to the patient about the rehabilitation program.
ii) Objectives (Day 1-5)
- Listening to the patient about the physical problems, craving and Psychological/emotional issues.
- Listening and counseling the patient to relieve distress, anxiety, and sleep disturbance etc.
iii) Objectives (Day 6-10)
- Orientation to the patient about the living condition, rules and regulations, program needs, patient rights and their importance.
- To build motivation and encourage the patient.
iv) Procedure of Detoxification
a) Medical Interview and Support
- Ask for any present physical complaints.
- Ask for specific symptoms.
- Ask for complications.
- For the last drug intake (quantity/type/mode of use).
- Tailor a medical regime based on medical and drug information.
- Appropriate support and counseling to the patient related to his fears about withdrawal.
- Simplistic information about the process of withdrawal.
- Explain the tailored medical regime and timings and who will administer the medication.
- Medication will always be administered under supervision.
b) Support by Peer and Mentor
- The mentor will be selected by the medical supervisor in consultation with the staff.
- The patient after admission will go with the mentor and interact with the peers and have a round of the faculty.
- Mentor will help the patient build motivation and will provide fellowship.
- After the medical interview the mentor will provide support.
- The mentor will also explain rules for living in center and help the patient in following them.
- The mentor will ensure that the luggage returned to the patient after it has been searched by the designated staff promptly on the same day.
- Welcome the patient on the first common meal.
- The mentor during the program will be responsible for listening, orientation and identification with the patient.
C ) Relaxation during First Ten Days
- The patient is exempted from HD’s while he is in detoxification phase.
- Patient is exempted from lectures, groups, etc. till considered functional.
- When the patient has been admitted in the PRC center and has gone through the detoxification phase, he is now ready for the rehabilitation program.
- This program covers the duration of approx. 80 days.
- A schedule has been maintained which is followed every day for the three months Types of Groups, Meetings, Sessions, & their details in Individual Counseling.
- This session is held 8-10 times by the counselor during the treatment period of his/her patient.
- These sessions start after the detoxification period.
- Physical, mental and emotional issues of the patient are dealt with.
- Patients are motivated to share their feeling and life story with other patients.
- Specific goals are given to the patients.
- They are assisted if they’re unable to accomplish those goals.
- Patient’s progress is assessed.
Bio-Psycho-social Assessment of the patient
- Counselor and Psychologist assess the patient.
- This assessment is done 15 days after the patient is admitted.
- This assessment is done according to a specified form.
- This assessment is completed in 2 sessions.
- Treatment Plan is made for the patient after this assessment.
- Goals and Objectives are defined for the client after this assessment.
- The assessment result is filed in the patients record file.
iii. Morning Meeting
- A meeting is held every day in the morning without the counselor.
- Patients introduce themselves and share their feelings “Thought of the Day” is read and discussed.
- Questions are raised regarding the “Thought” and patients tell their reflection of the thought.
- Problems faced in the house are discussed.
- Patients who do not follow the rules of the house are penalized.
- These penalties are decided by the other patients.
- Minutes of the meeting are written in the register.
- At the end of the meeting, a prayer is held.
- A community meeting is held with the management.
- A patient reads out the preamble of the meeting.
- Then the “rules and Regulations” of the house is read out.
- Patients introduce themselves and share their feelings.
- Head of the meeting presents the weekly report.
- Problems faced by patients (regarding hospital, staff, other patients, etc) are discussed.
- House Duty inspector and Head of Fun Group are chosen.
- Head and Deputy Head are changed every 15 days.
- Winners of the activities held in Fun Group are announced – Patient of the week is announced and he is nominated for the reward.
- In this meeting, the management carefully assesses the behavior of the patients and their progress.
- House duty refers to the daily housework the patients have to perform themselves.
- They clean their rooms, wash their clothes etc.
Peer Evaluation of the patient
- Patients are given the peer evaluation form 2 days before this activity.
- These forms consist of Block and Resources.
- The patient is evaluated by the peer for his progress over time.
- Every peer writes down 5 blocks and 5 resources of the patient being evaluated.
- Top 2 blocks and resources are chosen and their examples are stated.
- When the activity is completed, the counselor evaluates all the forms and shares the result.
- Prayer is held in the end of this session.
- These forms are filed in the record file of each patient.
vii. Life Story
- The Head keeps a life story form with himself.
- The meeting is started with reading the preamble of the meeting.
- The patients are motivated to share their life story.
- Other patients can raise questions regarding one’s life story and then share their feelings over it.
- This activity is repeated overtime, as patients hesitate to share their life in the beginning but gradually start sharing their experiences.
- Group Head prepares a report regarding the life story of patient and submits it to the concerned Counselor.
- Counselor goes through the report and then plans an Individual Counseling session with the patient.
- At the end of the activity prayer is held.
- The life story report is filed in patients record file.
viii. Big Book
- This big book session with the patient is done to motivate the patient through’ different stories.
- This book comprises of previous experiences of drug addicts and their story of how they overcame this addiction.
- A patient reads out a story from the book.
- This story is discussed and patients are motivated to identify themselves and share their feelings.
- This session is held without the presence of any professional staff/doctor.
- This session is distributed over the span of 80 days.
- Prayers are held at the end of this activity.
- Before going to sleep, the patient revises and recalls his whole day and his feeling throughout the day.
- He evaluated what he learnt during the day.
- A sheet is given to the patient in which the patients share their feelings, experiences and problems they’ve faced during the day.
- This sheet is read by his counselor the next day.
- During this activity the patients sit together With their facilitator and share their thoughts about the drug addiction and problems faced by them in their life.
- These thoughts (if negative) are then confronted by the facilitator and the peers.
- The effectiveness of this activity is based on the facilitator, as how he/she manages to eliminate the negative thoughts arising in patients mind – Prayer is held at the end of this activity.
- SOAP notes are written down in the patients record file regarding this process group.
- Weekly Review Voting
- A voting is held once every week to check the behavior and discipline of the patients.
- A form is given to the patient a day before this activity, in which they analyze other patients’ .discipline and check if he has accomplished the goals assigned to him in the previous weekly review.
- These forms are evaluated by the counselor to check which patients accomplished their goals which didn’t – Blocks and Resources are written on the board.
- The patients who is being evaluated sits in the front (turning his back to other patients), in a way he cannot see other patients.
- The voting then takes place on every “Block” and “Resources” to check his behavior throughout the week and is he accomplished his goals or not The patient does not know who voted for him on disciplinary issues.
- This review is filed in each client’s record file.
xii. Fun Group
- The head of this group is selected in the community meeting.
- Head of the fun group supervises this activity.
- All the activities for this session are pre-planned.
- In this session, patients entertain themselves with music, singing, dances and recreational games.
xiii. N.A Meeting (Narcotics Anonymous)
- Patients are told to maintain silence for few minutes for those drug addicts who are suffering & don’t have the chance of treatment.
- All patients introduce themselves in the meetings.
- 12 steps are read in the meetings.
- Narcotics Anonymous’ approved literature is read in the first half.
- Clients are motivated to share their feelings and experiences in second half – Prayer is held in the end.
xiv. Educational Group
- This session is monitored by Recovery Counselor, Psychologist and Doctor.
- The topics of the lecture are decided before the session – The Topics include,
- Ten Task Recovery Stages.
- 12 Steps program.
- Relapse and Shame.
- Post-acute with drawl & its management.
- Life After Addiction.
- Disease Concept.
- Craving management.
- Addiction & communicable diseases.
- Defense mechanisms.
- Unmanageability & powerlessness.
- Relapse process & its management.
- Recovery & related issues.
Behavior Modification Process
- Patients who misbehave or break disciplinary rules are punished over their behavior.
- A sheet is maintained of every patient which states all their record of penalties and reasons for it.
- This sheet is reviewed by the staff on weekly basis and if there’s an increase in the disciplinary issues the patient is then called upon for counseling.
xvi. Family Program
- Families are allowed to meet their relatives admitted in the PRC house on the Sunday 15 days after admission.
- After 15 days they are allowed to meet every Sunday.
- Family is allowed to bring in lunch for the patient have it while they are at the PRC House.
- They can only leave the list of items allowed as per Rules (tetra-packed milk, fruits).
- Immediate family of the patient should come on Sundays.
- A family lecture is held, where the families are told about the rules and regulations of the PRC House, and their role in this rehabilitation program.
- No attendant is allowed to live with the patient.
a) Family Educational Group
- A lecture is held for the family once in a three weeks.
- in this group the family is educated about how to deal with a drug addict.
Following topics are discussed in this session,
- Disease concept ./ What is addiction.
- Defense mechanism identification & management.
- Enabling & provoking syndromes &how to manage it.
- Role of family in addiction.
- 12 step of Narcotics Anonymous.
- Anger, resentment and Un-realistic Expectation.
- Follow up & it’s Importance.
- Relapse & its management.
b) Family Process
- The family is asked to sit together and share their feelings about the problems they face living with a drug addict.
- A counselor is present with the family as a facilitator to help them to share their experiences, problems& feelings with each other.
c) Family Meeting
- Families are asked to sit together and share their feelings.
- No counselor is present in this meeting.
- Only families of all the patients sit together in this session.
d) Family Session
- Counselor meets the family of their patient.
- They inform the family about their patient’s progress.
- They are motivated to participate in the family program.
- Family issued with the patients are dealt with.
xvii. Notice Board
- Daily schedule is put up on the notice board.
- Penalty sheet/Behavioral issues will be displayed on the notice board.
- Room allotment schedule is displayed on the notice board.
xviii. Relapse Prevention Program
- In this session, patients are educated about different life skills.
- Workshops are held on different topics, to help patients avoid relapse.
- Following are the topics of Relapse.
- High Risk Situations, identification and management.
- Self-esteem + shame.
- Anger management.
- Stress management.
- Relapse warning signs and its management.
- Denial and how to break it.
- Loss and Grief.
- Communication skills.
Extension of treatment is done on following basis
- Disciplinary issues.
- If treatment goals are not completed.
- If the patient is not responding well to the treatment and not showing any progress.
- The extension time is of maximum 15 days.
- After care follow up.
- Half-way house.
- Day care.
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