In a national household survey
conducted in India in 2000-2001 to estimate the extent of substance dependence
for alcohol and opiates it was found that the prevalence of alcohol was 21.4%,
Cannabis 3.0%, Heroin 0.2%, Opium 0.4% and other opiates 0.1%. An important
finding of the survey indicated that 17-29% of the users of various substances
were dependent users.
Medindia interviewed Padmashri
Dr. Shanthi Ranganathan, Founder, Director of TTK Hospital,
profit, pioneer voluntary organization involved for more than three decades in
the holistic treatment and rehabilitation of persons addicted to alcohol,
narcotic drugs and smoking.
Q. Given your long history of dealing with alcohol and other drug
addicts what is your advice to medical professionals who come across patients
with addictive disorders?
is one of the many
barriers to the effective diagnosis of addictive disorders. Telling the patient
flatly that he has a problem will put him on the defensive and his denial of
the problem can prove counter productive. I would encourage medical
professionals to keep the communication channels open and express concern about
the negative effects of addiction on the patient's physical, mental, economic
and social well being. Judgmental attitude or pessimism about the patient's
recovery could hinder diagnosis and treatment, possibly driving away the
patient to further doom. Adopt an understanding and empathetic approach that
will encourage the patient to "open up."
If a patient needs specialized
intensive treatment for addiction, medical professionals should refer them to
an addiction treatment and rehabilitation center or introduce the person to
self help groups such as Alcoholics Anonymous (AA) / Narcotics Anonymous (NA)
that operate within the area.
Q. The treatment and rehabilitation offered at TT Ranganathan Clinical
Research Foundation (aka TTK hospital) is known to be unique in the whole of
Asia. Please tell us about the treatment process in your hospital for
Our hospital offers 4-6 weeks
comprehensive in-patient treatment program that frees a person from the
clutches of addiction in a phased manner. Treatment starts as soon as the
patient comes in with an initial assessment by the intake counselor who
confirms the addiction problem and gauges the patient's motivational level to
overcome addiction and the support provided by family or well wisher backing
Medical management or detoxification
follows for 3-7 days to help the person overcome withdrawal symptoms like fits,
sleeplessness and severe pain
. The patient is also treated for
associated physical problems such as gastritis, neuritis, depression and malnutrition
Once the patient stabilizes physically and his normal eating and sleeping
patterns are restored, he is moved to the psychological therapy wing. This
highly structured program includes individual counseling, group therapy,
educative session and self help programs
packaged for 21 days.
Each patient and the accompanying
family member are assigned a counselor who helps them understand that addiction
is a disease that seriously harms the wellbeing of an individual, his family
and the society. The counselor is a supportive professional who helps them
'open up', face reality, take responsibility for their lives and face the
future with dignity and confidence. Counselors are available to converse in
English and in all leading Indian languages because we get patients from
different states in India.
is a vital
part of this program where patients share their painful past experiences and
come out of denial and accept they have a problem that needs to be rectified.
In our Re-educative sessions we teach practical methods to make positive
lifestyle changes and use the story telling technique for therapeutic changes
in recovering patients. Our experts draw inspirational stories from mythology,
fables, parables and real lives to enthuse the patients on the road to recovery.
Sharing, by recovering alcoholics, members from Alcoholics Anonymous (AA) and
Narcotics Anonymous (NA)
strengthens the self help group members to
stay sober with the basic philosophy, "I can't do it alone, but together we can."
Computer education and special
programs such as tailoring and other arts and crafts to facilitate
rehabilitation of families are also offered. The one-month residential primary
care treatment has a Follow up support for 2 years to help patients sustain
abstinence and to monitor the patient's lifestyle improvement help resolve
blocks in recovery.
Q. What is your success rate and if a patient suffers a relapse after
he completes your treatment program, how do you help him?
We have a 65% success rate and
more than 20,000 persons have been treated successfully in our hospital since
its inception in 1980. Our After Care Center has a Relapse ward that offers an
intensive, two month treatment for those who have suffered a relapse. This
again includes detoxification, psychological therapy and a separate 5-day
program for family members of relapsed patients.
Q. Please tell us about your Out Reach programs such as Village camps?
We observed frequent school
dropouts from a village school at Manjakudi (managed by our Trust), especially
during the harvest season. Our teachers found out that the kids' fathers were
alcohol addicts who never worked and turned violent if there was no food for
them at home. The mothers sent their children as hired laborers to do petty
jobs in the fields during the harvest season so that they would bring home at
least a little rice to feed the starving homes. TTK Hospital felt the need to
take de-addiction programs to villages where drinking is a serious problem and
villagers lack the awareness to seek treatment is cities.
We decided on an innovative
'Rural Camp' that took addiction treatment and rehabilitation to rural homes.
This Community Supported Recovery where the recovered persons in the village,
empower others coming out of addiction and this transforms the entire village
into a mighty force combating alcoholism. For the last 20 years we have been
conducting 5-6 rural camps every year, each camp lasting for 15 days, treating
25-30 patients in each camp, while effectively using the resources available in
the community. We have witnessed measurable success in the number of fathers giving up
alcohol and going back to work in the fields, the number of dropouts resuming
school and the daughters getting married in families of treated patients.
Following the success rate of
these camps TTK hospital undertook a UNESCO backed project to educate rural
women towards identifying community resources, for HIV counseling and testing,
addiction treatment and vocational training.
The project has effectively
reached 30,000 micro-credit group women in the last five years. We have shared
our knowledge and experience gained in this community module with other Asian
countries that are successfully implementing such projects, especially in Sri
Lanka and other Tsunami hit coastal areas.
Q. Your proudest moment ...
In 1980 when we started the TTK
Hospital and patients started walking in, wanting to be freed from addiction
and seeking treatment and rehabilitation, it was a proud moment for me. After
only two years of married life when I lost my husband forever due to alcohol
addiction, I vowed I'd do everything possible to redeem families reeling under
the negative effects of addiction.
The entire financial support for
building called Tejas -
the vocational training center established at TTK
Hospital in 2000 was provided by a young patient who was successfully treated
at our Center and later went on to build a very successful career for himself.
Now each day, people who have
recovered from addiction come with their families from different parts of India
to celebrate with us their 'birthday' -the day of total abstinence from alcohol
and substance abuse. The smile on the faces of patients and their families as
they celebrate these Sobriety Days freed from alcohol and drugs, energizes me
and gives me the spirit to carry on.
Q. Have you opened up addiction treatment centers like TTK hospital in
other parts of India or do you have branches anywhere else?
No. Our hospital center in
Chennai is the only one of its kind in the whole of Asia offering holistic and
comprehensive therapy involving the patient and his family. TTK hospital has
more than 50 experienced professionals committed to treating the multi
dimensional problems related to addiction. We believe in quality and quantity
and don't wish to open many centers and dilute the effect. Moreover, we are
like one big family here and even our workers -our tailoring master in the
rehab section for instance, are recovered patients who have given up lucrative
job offers and prefer to work with us to encourage others struggling with
addiction. I don't know if our hospital can find a similar dedication and
bonhomie if we establish more centers.
However TTK hospital believes in
sharing its varied experience and expertise by passing on information and the
necessary skills in areas such as early identification of addiction, treatment
methodologies and education and prevention strategies.
We give specialized training to
various target groups such as animators at grassroot levels, parents, teachers,
clergymen, corporate offices, medical professionals, paramedics, those
specializing in social work, criminology etc. Government of India's Ministry of
Social Justice and Empowerment named us the Regional Resource and Training Center
for southern Region in 2000. United Nations Office on drugs and Crime (UNODC),
Vienna, has recognized TTK Hospital as one of the 20 global resource centers of
Treatnet—a global network of drug dependence treatment and rehabilitation
"God give me the harmony of Life; Caring friends, a good night's sleep... A pleasant morning and a worthwhile day...!" A Vedic Prayer
Ranganathan and her team at TTK hospital help rebuild brick by brick, the lives
of patients and their families shattered by the addiction to alcohol and drugs.
Beneath the lady's homely appearance and endearing smile lies a fierce
determination to save lives—an effort which won many awards for her, including
the Government of India's Padmashri award, an award from the Colombo Plan for
outstanding services in the field of addiction and the UN Vienna Civil Society
Award presented in 1999 by Kofi Annan. Medindia wishes Dr. Shanthi Ranganathan
and TTK Hospital continuing success in their mission to restore honor and
dignity to patients and families
affected by addiction to alcohol and other drugs.