What is addiction?
Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one's behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.
Recovery Principles:-
1) People with mental illness and/or addictive disease can and do recover.
2) Every person's journey to recovery is individual and unique.
3) Recovery should be defined through the eyes of the consumer rather than the provider.
4) Recovery is a process of growth.
5) Recovery is not necessarily a smooth transition from one stage to the next.
6) Recovery involves changing one's attitudes, taking on new roles and developing new skills.
7) Recovery requires sustaining hope. Relapse Prevention Plan

Relapse Prevention Plan:
We provide skilled personal counselors to assist clients to create their own relapse prevention plan.
The plan is customized to address all areas of a client's life in relation to relapse prevention.
The complete relapse prevention plan assists clients to be confident and ready to succeed.
Clients will create an organized written plan so they can become:
1) Knowledgeable about addiction and relapse prevention
2) Stronger and healthier both physically and mentally
3) Skilled in problem solving and clear thinking
4) Skilled in using positive relaxation techniques
5) An expert communicator

Addiction is a pathological relationship with a mood or mind-altering substance or behavior which renders one powerless and produces harmful consequences. The addicted person is often the last to accept the disease concept. But parents, spouses, and other people close to the addict are slow in identifying the disorder as an illness. This is because they, too, are simply too involved emotionally with the disease process. An addiction does not exist in a vacuum.

The rapid increase of consumerism coupled with a significant slump in gainful employment in corporate/-unorganised sectors and entrepreneurship is threatening a widespread depression among the young generation globally. The picture is noticeably alarming especially in the developing countries. The obvious fallout is large numbers of people increasingly succumbing to substance abuse West Bengal is perhaps the worst hit among the states in India, where the number of drug addicts/alcoholics has reached unbelievable heights in comparison to the number of institutions that are rising to the cause of rescuing them from the curse of addiction that inevitably leads to ruin of individuals and families and also premature death. Looking at this grave and practically unaddressed issue, a handful of youngsters started PRAYAS CENTRE in august 2007, which was registered under the West Bengal Societies Act in the following year.

FOCUS AREA
The city of Kolkata has a tangible problem of drug abuse, affecting largely the economically weak. The issue is further complicated by the influx of migrant workers from neighbouring rural areas. Being a port and also an international airport, it is also a significant entry point for narcotics from the 'Golden Triangle'.
Due to close proximity of the northeastern states of Manipur, Mizoram, Tripura and Nagaland, injecting is the general mode of drug use in Kolkata. Consequently, HIV affliction among the drug-using population is already a matter of growing concern. Brown sugar, Tidigesic, SpasmoProxyvon, Avil, morphine etc. are some of the commonly used drugs.

Today there are thousands of afflicted street children, daily labourers and rag pickers. They spend their entire earning on drugs or alcohol and become prone to committing crimes like theft, shoplifting, snatching and armed robbery. They are sometimes driven to extremes like selling their blood and organs and committing murder for money to procure the substances they are addicted to. Poverty, easy access to drugs, high cost of treatment centres and the large number of street-addicts have resulted in a crisis situation, which needs to be tackled on a war footing.
You can contact us by phone or by filling out our online confidential consultation form and one of our qualified admissions counselors will help you to find the help, you or your loved one need. Call today and find out more about our exceptional facilities, addiction rehabilitation programs and affordable rates.

Admission counselors are available 24X7 at:
Off : 033 64175890
Helpline : 9836762985, 9874030122,9831585438
E-mail : prayas.centre@hotmail.com
Address : 14/73/E Uttarpra,Khardah , Kolkata- 700118

Addiction to drugs is very common these days seen in every sex, age, color, caste person. There is no class for this drug addiction and it obviously affects the healthy life. Every kind of drug is available in the market these days. Althoug...h these drugs fantasize people a lot but when they realize the reality of this fantasy, they are already an addict and then they start performing every kind of social evil. All these activities affect their life a lot but then they are totally out of their own control. Although want their normal life back but they are not able to do this. Normally this starts from smoking a cigarette, then some alcohol but then it starts climbing to the peak of your brain, and you start crumbling everywhere. Then the fantasies increase and you forget everything whether it is your family or your friends. You see only one thing that is your fantasy, which had become your need. By the time, you realize your mistake and come out of the habit it is all over.

Recovery

Rehabilitation, Recovery & Reintegration
There has been a shift in the paradigm guiding mental health and rehabilitation services for person with (Mental) psychiatric illness. RECOVERY model has been agreed and accepted world over and is followed at PRAYAS CENTRE.

Recovery Means CLINICAL RECOVERY:
As defined by psychiatrists and psychologists, the reduction/cessation of symptoms to help the patients to regain a normal life.

PERSONAL RECOVERY:
Refers to an ongoing holistic process of personal growth, healing and self determination. At PRAYAS CENTRERECOVERY MODEL of mental health rehabilitation encompasses clinical & personal recovery and it embraces and mandates Hope, Wellness and Empowerment.
Recovery oriented mental health rehabilitation services are:
De-Emphasising on diagnosis and pathology
Re-emphasising on the strengths and personal growth
We at PRAYAS CENTREfollow Recovery model which includes understanding, accepting or overcoming

The effects of mental illness The trauma associated with relapse of symptoms Negative attitude from family , friends, professionals and towards one self Loss of role and positive identity in society Stigma and discrimination.

Phases of Recovery
Overwhelmed by disability and how the person is treated Struggling with the disability and rebuilding connection to the self, others, the environment and meaning and purposes Living with disability and new connection to the self others the environment and meaning and purposes. Living beyond disability: authenticity, connectedness and contribution
PRAYAS CENTRE psycho social rehabilitation centre has the distinction of able to cater to and fulfil the needs of the person with mental illness and the related family. The programs and evolution of the programs are an example of the response PRAYAS CENTRE as a professional body to the changing and evolving psycho social field.

COUNSELLING:
PRAYAS CENTRE has team of counsellors who are all post graduates in psychology and special interest and training in abnormal psychology to counsel the residents. The counselling sessions happen at regular intervals while the counsellor meets the residents on a daily basis. Counsellor is the one point person who co-ordinates with the whole team and is the main contact person for the family all visits and updates.

FAMILY INTERVENTIONS & THERAPY
believes and considers family interventions and involvement at regular intervals are very impartment part of psycho social rehabilitation. Family having the primary care takers as part of rehabilitation program are helped to develop skills to manage the person with mental health problems and be aware of the condition and medications. At THE EMPATHY FOUNDATION family sessions are aimed at • Resolution or at least understanding the area of conflict between the resident(person with mental illness) and family • Better understanding of the problem and treatment measures and its outcomes • Help and identify area of communication creating conflict or problem and improve communication patterns in the family • Help enhance problem solving, coping skills and strategies

To understand our rehabilitation process, one has to understand our perspective towards 'The Disease' and 'The Recovery' i.e., the problem and the solution. We strongly suggest that you go through the page "Addiction/ Alcoholism & Recovery" before going through this page. In order to ensure the best result of rehabilitation process we have formulated a therapeutic community comprising of suffering and recovering Addicts/ Alcoholics. The theme of the rehabilitation process is "Attraction rather than Promotion". When a suffering Addict/ Alcoholic get attracted toward a recovering Addict, he starts following the footsteps of his predecessor's in recovery. That is the easiest and most successful method of motivating one toward recovery. Though we have psychiatrist and general physician but our rehabilitation procedure is not based on medication. Medicines definitely play a vital role for general ailment but that is not the foundation of this rehabilitation process. We follow a rehabilitation process based on counseling, group sessions, therapeutic duty, behavioral therapy, yoga, meditation, etc. The '12 steps' is the foundation of this self help process. A daily schedule comprising of eight sessions besides other life fulfilling activities has been formulated as medium of the rehabilitation process. This schedule is the backbone of the entire rehabilitation procedure. The schedule and discipline associated with it are non- negotiable. One is exempted only if deemed physically unfit by our medical advisors and on any other ground if advised by our counselors.

Drug De- Addiction and Rehabilitation
Drug addiction and abuse is as common as alcohol abuse and dependence with much more long lasting and disabling effect on the people abusing. There are many drugs of abuse ranging from cough syrup which is easily available to banned drugs like cannabis or cocaine or LSD and others.
At PRAYAS CENTRE people with following drug abuse are commonly seen and treated:
1) Nicotine
2) Marijuana
3) Heroin
4) LSD
5) Inhalants
6) Prescription drug abuse like sleeping pills
7) Injectable abuse like Pethidineetc

At PRAYAS CENTRE for alcohol and Drug De-addiction and rehabilitation specialists deal with each of the drug addiction in the most professional way so that reasons for abuse/dependency are analysed along with its effects on the system and environment of the individual so that holistically all issues are addressed.
It is generally observed that while people who use occasionally these drugs are seldom been able to be identified in the initial days of induction into these drugs are unfortunately recognised when they start manifesting symptoms suggestive of withdrawal or development of a behavioural/mental health issues like hallucinations, delusions, social withdrawal, negative motivation, anger, inappropriate behaviour and change in personality.

At PRAYAS CENTRE for alcohol and Drug De-addiction and rehabilitation the program is tailor made to suit the needs of the individual as needs and requirements are unique to each individual and manifestations of the problems at each stage are different. Here the focus is on not just the drug but also the associated manifested or underlying mental health problem without addressing which recovery is incomplete and efforts are futile. There is equal stress on psycho education of the family also.
The therapeutic programs are similar to that planned and executed for Alcohol dependence and abuse but much more focused here are individual focussed interventions along with group interventions like
1) NA meetings
2) Bio-Psycho-Socio Education lectures
3) Group Intervention

Alcohol De- addiction Programs
Alcoholism/ addiction can happen to anybody and there is no specific sex, occupation, education background, family background, social status that has exception. Alcohol addiction along with damaging the physical health has its adverse effects on marital life, personal life, and occupational life leading to divorce, unemployment and even stigmatisation.

Individual Therapies
PRAYAS CENTREcentre for Alcohol & Drug De-Addiction and rehabilitation has recovery oriented interventions apart from group interventions, one to one by the trained de addiction psychologists supported by clinical psychologists which are overseen by de addiction specialist under the guidance of psychiatrist. The residents are selected on set criteria for residential program for those who need brief interventions and non residential settings same is offered at MIND TALK.

GROUP INTERVENTIONS
Group interventions include:
1) Group discussions
2) Bio-psycho-social lectures about the alcohol and related problems
3) Reflexions
4) A meetings. PRAYAS CENTREcentre for Alcohol & Drug De-Addiction and rehabilitation has recovery oriented interventions apart from group interventions, one to one by the trained de addiction psychologists supported by clinical psychologists which are overseen by de addiction specialist under the guidance of psychiatrist. The residents are selected on set criteria for residential program for those who need brief interventions and non residential settings same is offered at MIND TALK.

DRINK REFUSAL SKILLS
Drink refusal skills are imparted to persons willing to abstain from alcohol as to how confidently but assertively refuse to budge for the social pressure to drink alcohol and not feel guilty about the refusal. The residents atPRAYAS CENTREwill have opportunity to deliberate and discuss about this skill in group settings along with other residents under the supervision of bare-foot counsellor.

PROBLEM SOLVING SKILLS TRAINING
This skill helps the person to manage problems which disturb his/her resolve to abstain from alcohol. PRAYAS CENTRECentre for Alcohol and Drug De-addiction and rehabilitation helps the person recognise the problem, generate possible solutions, select most appropriate options, plan action and evaluate objectively the selected approach. This skill helps the person not just objectively view the problem but also wean off the dependency of the alcohol when ever encountered with problem. But this skill is refined and reinforced mostly during relapse prevention and post discharge period.

ASSERTIVENESS SKILL TRAINING
Expressing one's feelings both pleasure and displeasure is a skill very important for a harmonious social living. For some assertively expressing their displeasure and discomfort itself can create anxiety, frustration and anger. If they are not able to manage this side effect of lack of assertive skills it can lead to harmful drinking behaviour. At PRAYAS CENTREcentre for Alcohol and Drug De-addiction and rehabilitation, assertiveness training happens so as to help them manage interpersonal situations that have potential to produce negative mood states and thereby predispose the person to drinking.

RELAXATIONS AND STRESS MANAGEMENT SKILLS TRAINING
Tension can be physical, mental or psychosocial. Tension can be a predisposing factor in some for drinking alcohol. Hence if the issues leading to tension and skills to manage tension if not addressed can be a factor for relapse. At PRAYAS CENTRECentre for Alcohol and Drug De-addition and rehabilitation all residents under the program are taught relaxation techniques both conventional like deep muscle relaxation, relaxation imagery and those derived from Yoga to manage stress appropriately.

COGNITIVE RESTRUCTURING
Many people with harmful drinking and even dependence will have peculiar beliefs about the reason and cause for them to drink and continue to drink despite the awareness about the harmful effects of the alcohol. Here the irrational, counterproductive beliefs and attitudes contribute to continue drinking. At PRAYAS CENTRECentre for Alcohol and Drug De-Addiction and rehabilitation with cognitive restructuring in both individual and group level the person is made to understand the his/her faulty understanding harming them.

CUE EXPOSURE AND MANAGEMENT
Cue exposure and management is one of the important interventions atPRAYAS CENTRECentre for Alcohol and Drug De-addiction and Rehabilitation. Cue exposure is the pleasant effects of alcohol consumption that the person gets due to people, places and events that regularly precede drinking and cues exposure becomes a conditional response to that. Some of the common cues include sight and smell of an alcoholic drink, mood states or situations in which drinking has previously occurred, and people , places and times that have previously been associated with the pleasant effects of alcohol.

COUPLE THERAPY AND FAMILY THERAPY
Couple therapy and family therapy is one of the main stray of approach atPRAYAS CENTRECentre for Alcohol and Drug De-addiction and rehabilitation. In most of the cases strained relationship or lack of good family atmosphere though does not predispose a person to drink alcohol but has been a strong reason for relapse. HencePRAYAS CENTRE has felt the importance of educated and a skilled family which in itself becomes an extension of therapeutic environment after rehabilitation for person with alcohol dependence/abuse or harmful use.

After Care Services
Left untreated, addiction is a devastating disease that is chronic, relapse-prone, progressive, and sometimes fatal. Recovery is an ongoing process, which is why a personalized continuing care plan is part of every client's treatment experience. A strong continuing care program is important to help you stay sober, in addition to various continuing care groups and outpatient services. Clients and family are offered a structured follow-up plan post discharge which helps them to review their progress and address any challenges.
Prior to discharge, each client goes through a personalized and comprehensive Relapse Prevention Plan. Individual relapse triggers are identified and discussed.
Moreover, a Family Communication Session is conducted between the client and family members, the goal of which is to:
1) Build a fresh, rewarding relationship with the addict
2) Be supportive without setting themselves up for disappointment
3) Avoid enabling destructive behavior
4) Set and maintain boundaries
5) Cope with relapse
6) Deal with the practicalities of sober living, such as helping the addict find a job and deal with the stigma of addiction
7) Local AA/ NA meeting addresses are provided on discharge. Regular contact with the client is also established via social media and emails.

OUR DAILY SCHEDULE

06:15 A.M.	WAKE UP
06: 30 A.M.	MORNING PRAYER
06:30 A.M. TO 07:00 A.M.	SELF CLEANING
07:00 A.M. TO 07:45 A.M	07:00 A.M. TO 07:45 A.M PRAYER & MEDITATION ( RELIGIOUS PRACTICE NOT PERMITTED)
07: 50 A.M. TO 08:20 A.M.	HOUSE CLEANING
08:30 A.M.	BREAK FAST
09: 15 A.M. TO 09: 45 A.M.	OCCUPATION THERAPHY
10:00 A.M. TO 10:30 A.M.	10:00 A.M. TO 10:30 A.M. READING SESSION (COLLECTION OF PERSONAL STORIES OF RECOVERING ADDICTS/ ALCOHOLICS FROM ALL OVER THE WORLD)
10:40 A.M. TO 11:20 A.M.	BATHING AND WASHING PERSONAL CLOTHES
11:30 A.M.TO 12:30 P.M.	INPUT SESSION (DETAILED INFORMATION ON ADDICTION / ALCOHOLISM AND RECOVERY)
01:00 P.M.	LUNCH
01:20 P.M. TO 02:20 P.M.	REST
03:15PM to 04:00PM	REST
02:25 P.M. TO 02:55 P.M.	ASSINGMENT (WRITING ANSWERS OF DEFINITE QUESTIONS ON LIFE OF ONESELF & HIS ADDICTION RELATED HISTORY)
03:00 P.M. TO 04:00 P.M.	Group Discussion (ON THE ANSWER WRITTEN IN THE PRIVIOUS SESSION)
04:05 P.M. TO 04:15 P.M.	RED TEA
04:15 P.M TO 04: 40 P.M.	HOUSE CLEANING
05:00 P.M. TO 05.25 P.M.	P.T. / YOGA / EXERCISE
05:30 P.M. TO 06:00 P.M.	TIFFIN & TEA
06:00 P.M. TO 06: 50 P.M.	LEISURE TIME (PLAYING CAROM, CHESS, LISTENING MUSIC , WATCHING T.V. , READING NEWSPAPER, EVENING BATH.)
07:00 P.M.TO 08:00 P.M.	NARCOTICS ANONYMOUS / ALCOHOLIC ANONYMOUS MEETING
08:05 P.M. TO 08:55 P.M.	BREAK
09:00 P.M. TO 09:35 P.M.	DINNER
09.40 P.M. TO 10:40 P.M.	DAILY INVENTORY(WRITING & ANALYSIS OF THAT INVENTORY ALSO)
10:45 P.M.	LIGHT OFF