Centre for Addiction Psychiatry


S SRaju Centre for Addiction Psychiatry

Drug addiction is a chronic, relapsing disease, characterized by compulsive drug seeking and use and by neurochemical and molecular changes in the brain. There iscompulsion to obtain the drug, tendency to increase the dose, psychological or physical dependence and detrimental consequences for the individual and the society. Drug abusers gradually spend more and more time and energy obtaining and using the drug. Once they are addicted, the drug abusers’ primary purpose in life becomes seeking and using drugs.  Common addictive drugs are alcohol, cannabis, nicotine, benzodiazepine and heroin and other opioids. An estimated 750million Indian are suffering from drug addiction and the numbers is rapidly growing.

The centre for Addiction Psychiatry in CIP was started on 09 July 1999. Initially there were 30 beds, which have been increased to 60 beds in January, 2011. It is a modern De-addiction Centre for managing persons suffering from alcohol and other drug dependence. It is also the nodal Centre for Eastern India for managing persons suffering from alcohol and other drug dependence.

Catchments area: The De-addiction Centre, CIP, caters to the patients seeking treatment for substance dependence, from different parts of Jharkhand, Bihar, West Bengal, UP, MP and Chhattisgarh. Referrals are received from faraway states of the country specially the North - Eastern states too.

Clinical Services: The clinical services consist of inpatient and outpatient consultations for substance dependent. Treatment approaches involve comprehensive biopsychosocial approaches of assessment and treatment. The committed team of deaddiction centre includes psychiatrists, residents, clinical psychologists, psychiatric social workers and psychiatric nurses.

Inpatient Services: The centre offers a comprehensive treatment programme which includes assessment and detoxification using most modern methods of pharmacological treatment, components of motivation enhancement, relapse prevention, group therapy and family intervention and other psychological interventions including relapse management and follow up, group meeting, supervision and facilitation of Alcohol Anonymous (AA) meeting, awareness program by lectures, slides and video shows, Psychoeducation to patients and guardians. Neuropsychological assessment and vocational rehabilitation facilities are also offered. All patients undergo detailed physical evaluation including detailed use of laboratory parameters, including screening for HIV using ELISA for HIV I and II.

Outpatient and Emergency Services: Emergency and Out-patient services include outpatient management of substance dependence detoxification, counselling and follow up. Complications like delirium or seizure are admitted in the emergency 24 hours, and later admitted as inpatients in the wards.There is further need of a separate wing for the in-patient facility specifically catering to women and children.

Outreach services: Providing aftercare and more accessible services closer to the community has been one of the major efforts of the Centre for Addiction Psychiatry with a focus on developing community responses. Community Outreach Program were conducted by Deaddiction Centre, CIP, between 2000 to 2002 in collaboration with RIHAA, an NGO doing community work at Holy cross Hospital Mandar, 25 kms from Ranchi. The team from CIP included Consultant, SR, JR, Clinical Psychologist and Psychiatric Social Worker, visited Mandar block once every month providing services to approximately 1500 patients in the community with average of 60 patients every month. The centre also provided awareness programme once every year at YMCA since its inception.

Training and Dissemination of Information:Centre for Addiction Psychiatry is involved in training medical and non-medical professionals with the ambit of the professional course at CIP, like psychiatry residents, clinical psychologist, psychiatric social work and psychiatric nurses in various aspects of substance dependence. The centre has been providing training to several visiting nursing students from Jharkhand, Bihar, West Bengal, UP, MP and Chhattisgarh. It is a nodal centre for manpower development training professionals from East India under the NDCPA programme started by Ministry of Social Justice and Empowerment. Academic development and research activities over past 12 years are as follows.

  • MD Thesis/ Dissertation-63
  • Publication-14
  • Paper presented at National Conference-2-3 per year