HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

5th Edition of Global Conference on

Addiction Medicine, Behavioral Health and Psychiatry

October 21-23, 2024 | Baltimore, Maryland, USA

GAB 2024

Community-based management of mild to moderate alcohol addiction in Gadchiroli, India

Speaker at Addiction Medicine, Behavioral Health and Psychiatry 2024 - Aarti Amrut Bang
Society for Education, Action and Research in Community Health, India
Title : Community-based management of mild to moderate alcohol addiction in Gadchiroli, India

Abstract:

Introduction: 7% of Indian men drink alcohol in a harmful or dependent pattern. At that rate, an estimated 33 million males suffer from alcohol addiction. Moreover, Indian males drink frequently and heavily. More than 50% of them are binge drinkers. Institutional de-addiction for such huge numbers of addicts will need enormous resources. Hence, newer approaches that are more accessible and less costly need to be developed.

Objectives: To pilot test the feasibility and effectiveness of a community-based approach for management of alcohol addiction. Here we describe our experience of four years.

Outcome: A total of 10542 patients were treated during Jan 2019 to July 2023 through the de-centralized community-based task-shifting approach. Out of the 1500 villages in Gadchiroli, 681 villages were provided addiction management care by way of 812 one-day intervention camps. A total of 19,657 physical follow-up visits were done as part of 30- and 90-day treatment and outcome measurement 35.4% of all patients had remained completely abstinent at the end of 30 days and 37% reported decrease in drinking. At 90 days, 31.1% patients reported having maintained their abstinence.

Conclusion: A low resource community-based approach for management of alcohol addiction is feasible and resulted in positive outcomes in patients with mild to moderate alcohol addiction. Patients with severe dependence or severe medical co-morbidities need referral.

Audience Take Away Notes:

  • A unique non-physician delivered addiction management intervention spread over an entire district of 1.2 million. Delegates interested in low-cost brief interventions for alcohol use disorders in low- and middle-income countries will have an opportunity to know more from this presentation
  • Learnings from a large community intervention program where intervention is primarily delivered by counsellors who are trained in specific alcohol management skills
  • To understand the success that can be obtained from a non-resource intensive intervention and the process of executing such a district-wide intervention.
  • To share with my peers and experts from the field of addiction management.
  • Collaboration and research opportunities for delegates interested in alcohol addiction in large community settings in a developing country.

Biography:

Dr Aarti Bang completed her MBBS (Bachelor of Medicine, Bachelor of Surgery) from B.J Medical College which is one of the top colleges of India. I worked as a rural medical officer for 18 months in the tribal regions of Maharashtra. She finished her Psychiatry residency in 2016 and joined as a Psychiatrist in the internationally renowned public health organization SEARCH (Society for Education, Action and Research in Community Health). She has been leading the Mental Health Program at SEARCH since 2018. She undertook the first community prevalence survey to estimate the burden of common mental disorders in the tribal belt of Gadchiroli. She is currently pursuing her Masters in Public Health from Johns Hopkins University with a full scholarship support.

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