Thesis SynopsisRehabilitation Centre for Substance Use Disorder Raza Rajesh BA11ARC038 1 Definition “Substance Use Disorder refers to the overuse of, or dependence on, a drug leading to effects that are detrimental to the individual's physical and mental health, or the welfare of others.[2]” Mosby's Medical, Nursing & Allied Health Dictionary. 2 ” Bernie Warren. Sarah Ng Ka Ling. March 2000.Philosophy “An Architectural production to compliment the healing process of Substance Abuse with the quality of outer space contributing to modify our inner psychological space with the help of nature. accessed in ‘Rehabilitation and education village for young drug addicts. pg 16 3 . Government of India. in a variety of settings. delivered by trained professionals. non-communicable disease.The Goddess of Wine. supported by the Ministry of Social Justice and Empowerment. 5000 BC : The Sumerian people used the “Joy plant “. There are around 430 drug dependence treatment centers throughout the country. which are being run by NGOs. one of the “14 Jewels” that the ocean delivered was Varuni. The treatment services for Substance Use Disorder in India are delivered by three major players. The first major player is the Non-Governmental Organization (NGO) sector. has established about 122 drug dependence treatment centers (or ―DACs‖ as they are called) throughout the length and breadth of the country (Panda. 2007). Smoking of Cannabis is known in India since 2000 BC. 4 . Government of India (MSJE. The Ministry of Health and Family Welfare (MOH&FW). which is believed to be Opium. The third major group is the government de-addiction centres (―DACs‖). The drug dependence treatment sector is still developing and undergoing refinement. In India. The disorder requires a comprehensive treatment. 2008). Another major group is the private sector. belonging to various disciplines. Most of these government centers are associated with either general hospitals at the district levels or with departments of Psychiatry at certain medical colleges.Introduction Substance Use Disorder is best conceptualized as a chronic. many doctors including a large number of psychiatrists are providing services to people for substance use related problems. Drug abuse in history The Hindu mythology says that during Amrith Manthan . The code of Hammurabi (1792-1750 BC) is the oldest known form of legal code . King Hammurabi By the middle of Sixteenth Century. Cannabis and Narcotics. drugs like Cocaine. that had regulatory provisions and guidelines for preventing Alcohol Abuse. Cocaine Kit Harrison Act (1914): made the possession of Narcotics without a prescription a criminal offence. 5 . By the late 19th Century Cocaine kits were readily available in the western world. Tobacco and Hallucinogens were introduced from America to Europe . in exchange of Wine . ‘Spirit and Place: Christopher Day” Internationally acclaimed British Architect and Sculptor Christopher Day believes that buildings have the life the architect gives them. with state of the art facility which provides the outer shell of support to the process of reforming the affected from within.Objective “…The more ‘felt’ are buildings. the more connected to rhythms of day…they value the individuals they will house…environment can heal as well as harm…places of spirit…nourish both individual and society”. A Centre for Substance Use Disorder has to be set up in tune with the international standards. and that aura is captured by those who reside in them. 6 . a personality that is either positive or negative. taken from the 10th European Conference on Rehabilitation and Drug Policy The ideal location of the proposed site gives us immense scope of utilizing its natural ambience. refinement. 7 . reformation. “…for the suffering soul. A serene situation to offer peace of mind. landscape architecture and green architecture. Rehabilitation Center for Substance Use Disorder has increasing social relevance and is becoming a fundamental need of Indian society. a perfect setting to practice functional architecture by using its diverse branches like sustainable architecture. occupational therapy like gardening. the very concept of this sustainable Institution will inspire the lost souls with a new sense of direction and bring them back to normal life. reinventing one’s own self through meditation. agriculture. world is healing” Menander. a hilltop surrounded by natural thick vegetation encircled with a sparkling river. therapeutic process of healing. reading.Scope Rate of Substance abuse is escalating alarmingly in the modern world and India too has a significant share in it. In total. recreational facilities of swimming and other indoor & outdoor games. Yoga. d. i. Most of these government centers are associated with either general hospitals at the district levels (district hospitals or civil hospitals). In the early times. f. c. Among the illicit substances . General research on de-addiction centers a. Regional studies It concerns about the evolution of De Addiction Centers in Kerala in the last century. with.“Golden Crescent” on the Northwest and “Golden Triangle” on the North–East. But. Government of India. Registration Outpatient Unit Inpatient Treatment Dispensing of Medicines Emergency Services Laboratory Services Psychological Interventions Referral/Consultation Record Maintenance Observe 8 . Licit substances (alcohol and tobacco) are the most commonly used substances. National studies About 122 drug dependence treatment centers (or De-Addiction Centers ―DAC) have been established by The Ministry of Health and Family Welfare (MOH&FW). b. b. g. cannabis and opiates are the most frequently used ones. 21st century proved the terminology more relevant by the sudden increase of drug addicts. e. h. Service and facilities a.METHODOLOGY 1. deaddiction centers were basically focused on Alcoholic addiction purpose. PLAN Research India is located close to the major illicit opium growing areas of the world. some have also been attached with departments of Psychiatry at certain medical colleges. Quantitative data may be gathered by measuring. This possibly will clarify the context of the site. Basic standards National Drug Dependence Treatment Centre (NDDTC). Every inch of the inner and outer space should be designed to ensure free flow of fresh air and proper lighting Building techniques and parameters Conventional and traditional building techniques and parameters are followed. Flat Slabs and insulating the exterior wall with mud cladding to bring green effect are effectively utilized. – – – – – Licensing / Accreditation Compatibility with existing health services framework Sensitivity and adaptability to local culture Promoting service utilization A patient-friendly atmosphere Understand Space requirements Should provide required spaces according to the rules and regulations . observation. All India Institute of Medical Science. “Minimum Standards of Care for Government De-Addiction Centers” which is approved by government of India. mental maps and so on. Construction techniques like RCC Construction. sketching. Analyze Quantitative and qualitative analysis Quantitative Qualitative Area Statement Parking Building Materials etc Site Analysis Standards and Bylaws Design Criteria etc Qualitative information or data may be recorded through interviews. weighing. Modular construction. Delhi has published a document on the basic norms for setting up a De-Addiction Center. counting. measured drawing etc. sound recording. photography. Nature and surrounding A fine observation of the nature and surrounding of the de addiction center is supposed to be done. Circulation or movement Shall understand about the basic circulation inside the building as well as the property outside. Design Case studies 9 . documentary photography.Each facility that is to be provided should be assigned with the respective space required and extra space should be allocated for the future development plans. Basic freedom of movement is the core factor which affects the mentality of the inmates. net Bodhi is an initiative of Abhaya. Services Offered: Alcoholism Treatment. Free Treatment. Drug Addiction Treatment. the Nobel awarded work of our great poet Rabeendranath Tagore. Family Services. Trivandrum.5 Acres Type of Architecture : Traditional Kerala Architecture Style : Brick & mortar walls with tiled roof Architect : Unknown Built On : 1988 Run by : Abhaya (NGO) Email : [email protected]. Residential Rehabilitation. Out Patient. Bodhi Hospital Location : Poojappura. NGO based at Trivandrum with leadership support from a renowned poetess in Kerala. Bodhi is a relaxing and innovative centre “where the mind is without fear”. Smt. Substance Abuse Counseling. 10 . Kerala State Area : 0. inspired from Geethangali.Sugatha Kumari. Bodhi offers a free. and doctors who have the skill to diagnose patients accurately.Bodhi receives aid from the government which allows it to provide free care. counselors and social workers caters to the needs of the patients. Recovery treatments include group therapy. individual therapy. 2. A team of experts consisting of a psychiatrist. family counseling. Muktangan Rehabilitation Center 11 . calm place for recovery from alcohol and drug addiction. It has 15 beds as well as an out-patient program. Abhaya started the Bodhi facility in 1988. general physician. Drug Addiction Treatment. AA & NA Meetings. 12 step. After completing the program there is also extensive follow up to help patients stay sober after the program. Substance Abuse Counseling. The centre recently opened a ward called Nishigandh. off Pune-Alandi Road. Anita Awachat Email : muktangancorporate@gmail. AA meetings. group therapy.com Services Offered: 12 Step. yoga. meditation. The Mutkangan Rehabilitation Centre is a loving. Mutkangan’s program is a five week program consisting of physical fitness. passionate place for men and women to receive help with addiction.41 Acres Built On : 1986 Architect Founder : : Shirish Beri and Associates Late Dr. 12 . Muktangan also has its own magazine and literature available to aid patients while in the program or out. Alcoholism Treatment. the Mutkangan Rehabilitation Centre works hard to help individuals change their lives. Pune Area : 0. Family Services. This ward is specifically designed for only women patients and is also staffed only by women. Corporate Program. relaxation therapy. Yoga and Meditation The Mukangan Rehabilitation Centre was established in 1986 by the late Dr. Relapse Prevention. Residential Rehabilitation. Anita Awachat – a woman who had a passion and dream for an addiction free society.Location : Mohanwadi. and prayer. While the reality of this dream is overwhelming. Women. Site photos View from Exterior Entrance Lobby Cut out from the arrival Lobby View of amphitheatre from Entrance lobby View of the lobby from the amphitheatre Amphitheatre 13 . Wire frame : 2D presentation 14 . hardly 8 kilometers away from city center. A truly ‘green building’ in natural surroundings to house the affected persons of substance use disorder with great emphasize on ‘green design’ such as orientation. low e-glass. A worshipful ambience is set in structure by a suggestive dome with a view of Arabian Sea from its rear. maximize natural lighting and ventilation. on an uninhabited hilltop.Design concept An outer space to enrich one’s inner space with the help of Mother Nature The capital city of Kerala will be proud to have such a facility. surrounded by a river and with a vast skyline view of more than 30 kilometers. a heart-filling sight of green stretch and light thin fresh air to breathe in. creation of ‘wind corridor’. again to expedite the healing process. 15 . fixed and movable shading panels and a conscious move from hospital outlook into a more corporate / resort environment. City skyline and the like. Thiruvallam . heavy vegetation and mind pleasing sight of the horizon. Karamana River.13 Acres 400 feet approximately above sea level The site is on a hill named Jugdekunnu in Thiruvallam. Trivandrum . Laterate soil and hard terrain assure a stable construction. Kerala . Site Photos 16 . natural wind flow. 8 km from the city center. India 4.Site information General information Location Area Altitude : : : Judgekunnu . It’s the most suitable location for such a project with rich scenic beauty. Entrance to Judgekunnu from Thiruvallam-Karumam road Ghat Road Ghat Road 2 Reaching Hilltop Village in the valley Hilltop reached 17 . Entrance to the proposed site Proposed site I Proposed site II Proposed Site III Zenith of the Site Panoramic view from the hilltop 18 . Lush Greenery Around The city skyline and proximity to the city Karamana River flowing around the hill Terrain Texture Terrain .Laterate soil Proximity to Airport 19 . Arabian Sea: view from hilltop The Sunset 20 .