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Kavitha.P 1 , K. Sekar 2 , William Raj 3

COMMUNITY BASED EDUCATION PROGRAM ON ILL EFFECTS OF SUBSTANCE USE: A PILOT PROGRAM FOR THE MARGINALISED COMMUNITY. Kavitha.P 1 , K. Sekar 2 , William Raj 3. DEPARTMENT OF PSYCHIATRIC SOCIAL WORK NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES , BANGALORE 560 029 , INDIA.

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Kavitha.P 1 , K. Sekar 2 , William Raj 3

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  1. COMMUNITY BASED EDUCATION PROGRAM ON ILL EFFECTS OF SUBSTANCE USE: A PILOT PROGRAM FOR THE MARGINALISED COMMUNITY Kavitha.P1, K. Sekar2, William Raj3 DEPARTMENT OF PSYCHIATRIC SOCIAL WORK NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES , BANGALORE 560 029 , INDIA

  2. INTRODUCTION • In India nearly 30% of men and 5% of women are regular consumers of alcohol. • India is one of the largest producers of alcohol in the world contributing to 65% of production and nearly 7% of its import. • The average age of drinking has reduced from 28 years in 1980 to 17 years in 2007. (Gururaj, 2011)

  3. IMPACT ON MARGINALISED COMMUNITIES Alcohol brewing among the marginalized communities further aggravates the poverty at home (WHO, 2004). Study population: Arundathiyar is a marginalized community in Tamil Nadu known as ‘dalit among dalits” who does scavenging work, agriculture labour and other menial work.

  4. STUDY POPULATION SAMPLING Total sample enumeration of Arundathiyar families in 21 villages. TOOLS USED • Alcohol Use Disorders Identification Test (AUDIT, WHO, 2001). • Family schedule. (Indian Council of Medical Research, 1984).

  5. NEED ASSESSMENT READ TAMILNADU ERODE DISTRICT SATHYAMANGALAM TALUK 21 VILLAGES 1247 FAMILIES 4473 INFORMANTS SUBSTANCE USERS N=1454 (32.5%)

  6. SOCIO DEMOGRAPHIC PROFILE

  7. AGE AT INITIATION AGE INTRODUCED BY Majority initiated at young age Predominantly by friends

  8. ALCOHOL CONSUMPTIONRisk of alcohol related harm was reported by 8% of substance users • Risk of consumption was same among all the age group • More men (9.6%)were at high risk of substance use

  9. ALCOHOL DEPENDENCY 15 % reported alcohol dependency Dependency was higher among • Persons living alone (26.1% ) • Higher age group(37 to 54 yrs 17.4% , 55 to 72yrs 16%,) • Males-16.4%

  10. ALCOHOL RELATED PROBLEMS11% of alcohol users were harmful to high risk users • 44% of harmful users were in the age group 19-36yrs • 51% of high risk users were in the age group 37-54. • 94.7% high risk users were married. • 95% of high risk users were Males.

  11. DEPENDENCY AND ALCOHOL RELATED PROBLEMS

  12. MODULE SUBSTANCE USE & IMPACT TREATMENT & INTERVENTION TECHNIQUES PREVENTION MYTHS & FACTS TYPES & FORMS STAGES & CHARACTERISTICS IMPACT

  13. COMMUNITY BASED MODEL • Developing • Training module • Work book • IEC materials Sensitisation of the volunteers Need assessment NGO capacity building through Training of the trainers program (17-MT Trained) Community resource building through Hand holding training programs (71 CLW Trained) Community based education programs (1-VILLAGE) Adolescent(6-boys/4 girls) Women-10 Substance users-8 Referral-2

  14. OUTCOME A MODEL ON: “COMMUNITY BASED EDUCATION PROGRAM ON ILL EFFECTS OF SUBSTANCE USE” WAS DEVELOPED REACHING OUT TO VARIOUS OTHER COMMUNITES THROUGH NGOS

  15. THANKYOU

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