Introduction to Deaddiction :
SDMH has been visionary in the concept of service to mankind with its various initiatives. Providing deaddiction and rehabiliatation to patients suffering from alcohol use disorder (alcohol dependence/alcoholism) and nicotine addiction is another such initiative. The only private trust hospital that has an indoor and outdoor facility to deal with such cases. The aim is to provide solace to the patient and family members in terms of physical, mental, emotional, social and spiritual health.
Alcohol and tobacco are one of the worst chemicals that cause many serious and terminal illnesses. One such disease associated with their use is addiction. It is known since last 80 years that addiction is a chronic and progressive illness; the concept has been endorsed by World Health Organization.
A. Alcohol Use Disorder (alcohol dependence/alcoholism)
Alcoholism is a chronic, progressive and deadly disease. It can be controlled and not cured, like any other chronic disease like diabetes, coronary artery disease, hypertension etc). It is not a disease of morality or will power; hence a structured programme is needed for long term sobriety.
The model followed at SDMH involves muti-pronged approach that includes a team consisting of doctors and counsellors.
A detailed questionnaire is filled for diagnosing alcohol dependence/abuse.
Treatment of alcoholism (SDMH Model)
It is broadly divided into four aspects viz.
2. Detoxification and medical care
3. Recovery programme and
4. After care
How to Know Whether A Person Is Suffering From Alcoholism?
The CAGE questionnaire asks the following questions:
1. Have you ever felt you needed to Cut down on your drinking?
2. Have people Annoyed you by criticizing your drinking?
3. Have you ever felt Guilty about drinking?
4. Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?
Two "yes" responses indicate that the possibility of alcoholism should be investigated further
1. OPD consultation in room no 210 by Dr Harsh Udawat (all days except Tuesday and Sunday)
2. Admission in a triple sharing room (1200 Rs per day). Other rooms also available as per patients affordability.
B. TOBACCO DEADDICTION Why should smokers/chewers quit?
Also, because, quitting benefits at all ages, where one is below 30 years of age or above 60 years. Not only the risks acquired due to tobacco use gets eliminated after 15 years of total abstinence, but there is also definite gain in the longevity of life from 3-10 years depending on the age at which the person quits- Surely, earlier one does so, better it is. Hence, for any man or woman- young, adult or old, quitting tobacco at an earliest should be the NORM. The world recognizes “Tobacco Use is A Disease & Tobacco User is A Patient.” It is now for us to change the perception to promote quitting tobacco and motivate our parents, siblings, friends, and colleagues to QUIT and STAY QUIT.
Tobacco Treatment Center at SDMH
Currently, it is the only center in the private health sector in Rajasthan that provides treatment for Tobacco Dependence/Quitting Smoking and Chewable Tobacco. It is operational for over a year now with quit success over 60% and 30-day quit rate of 52% in over 350 patients.
The treatment is done entirely on OPD basis on all week-days (Monday to Saturday) from 12 noon to 4 PM. It follows international, evidence-based state-of-art norms. It consists of a combination of one-to-one intensive intervention (counseling for about 30 minutes or more) and drug treatment (pharmacotherapy). The drug treatment is generally required for about 1-2 months.
The patient is advised to follow-up twice at least: (1) One month after the initial visit; and, (2) To biochemically confirms a successful quitting one month after the treatment is over (through urinary cotinine test).
Besides, every patient is followed-up telephonically on3rd day and 7th day of “the quit date”; and, thereafter, after 1-, 3- and 6- months and 1 year. These six follow-ups are done “for free” to boost the patients’ efforts “to stay quit”.
Call at 0141- 2566251, Extensions 6122-23 (9AM to 5 PM) and 6121 (12 noon- 4PM);