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Publications
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PUBLICATIONS
BY DR. KEDAR RANJAN BANERJEE IN XIII WORLD CONGRESS OF PSYCHIIATRY
HELD AT CAIRO, EGYPT FROM SEP 10-15, 2005
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1.
IMPACT OF FAMITY ENVIRONMENT, SOCIAL SUPPORT AND QUALITY
OF LIFE ON OPIOID ABUSERS (CAIRO,
EGYPT, 10 SEP
2005)
Kedar Ranjan Banerjee, Amarnath Mallik.
National Institute of Behavioral Sciences, Kolkata,
India
Objectives: Assessment
of quality of life (QUL) and social support in patients
with substance abuse disorder (opioid) is important
aspect of mental health care and have a greater impact
on prognosis and outcome of opioid abusers.
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Method: A prospective study
of 56 opioid aqbusers with duration of opioid abuse 1 year
or more was planned to determined family environment, social
support system and Quality Of Life (QOL). The study was done
in National Institute of Behavioral Sciences Clinic of Calcutta.
The proforma of general information with detailed history,
M.S.E. scale to assess and QOL were administered.
Result: Patients living in
joint family set up and with adjusted family members, healthy
marital life showed a good social support, QOL and outcome
of substance abuse disorder. Patients living alone or with
poor or unfavorable support showed poor QOL and frequent relapse.
Conclusion: Family environment,
social support and QOL have a greater impact on outcomes of
opioid abusers. Needful and effective family education programmes
need to be planed for family members of opioid abusers and
essential in management strategies.
Bibliographic References
- Botvin
G, Principles of Prevention, Handbook on Drug Abuse Prevention-Allyn-Bacon
ed Boston. 1995
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Bleiberg Jh, Devlin P, Coran J, Briscol R, Relationship
Between Treatment Length and outcome in a therapeutic Community
The Int. J. of the Addition 1994
2.PHYSICAL AND PSYCHOLOGICAL CO-
MORBIDITY IN PATIENTS WITH CANABIS ABUSE IN KOLKATA (CAIRO,
EGYPT, 11 SEP
2005)
Kedar Ranjan Banerjee, Amarnath Mallik, Gautam
Saha
National Institute of Behavioral Sciences, Kolkata, India
Objective: The study present
demographic profile along with physical and psychological
co-morbidity among the cannabis abusers attended for psychiatry
care and counseling in Dishari Unit, Kolkata.
Method: 160 patients of cannabis
abusers (according to DSMIV criteria) registered in the deaddiction
unit of Dishari Rehabilitation Centre, Calcutta on specified
days provided the source of study sample. A semi-structured
pro-forma was used to record socio-demographic variables,
and history of drug abuse (cannabis). Patients were then administered
GHQ, MMSE and structured clinical interview for DMS IV (SCID)
for Axis II disorders. Subjects were also evaluated on the
Severity of Psychological Stressors Scale (SPSS, APA1987)
for Axis IV and Axis V disorders. A detailed physical examination
along with EEG and CT Scan Brain and other investigations
were done for cording on Axis III.
Results: The sample had
age range of 23 to 43 years with mean age of 28.40+/- years.
Uncomplicated withdrawal was seen 56.25% and 43.75% cases
presented acute psychosis symptoms (delusion, confusion, hallucination,
psychomotor agitation) 25%cases had Mood Disorders, 18.75%
cases had Personality Disorder. Anxiety Disorder was among
12.50% cases. Physical co-morbidity were present in 31.25%,
most common being Chronic Bronchitis 25% cases and Recurrent
Upper Respiratory Infection 12.50%. More than 80% patients
responded well to the psychiatric and medical treatment. Clinical
implications of both physical and psychiatric co-morbidity
are discussed.
Bibliographic References
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Blume, S.B.Dulal Diagnosis- Psychoactive Substance Dependence
and the Personality Disorder J. Psychoact Drugs 1991
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Crone B, Gender differences in Substance misuse and psychiatric
comorbidity-Current Opinion Psychiatry 1997, 10, 1997
3. FIGHT FOR FREEDOM –
MENTALLY ILL PERSONS OF INDIA (CAIRO,
EGYPT, 12 SEP,
2005)
Amarnath Mallik, Kedar Ranjan Banerjee
National Institute of Behavioual Sciences
The mental health scene in India has changed
slowly but some definite changes in the last few decades is
remarkable. Pre-independence “custodial care”
in “asylum” has turned into “therapeutic
care”, protection, rehabilitation of mentally ill persons
and promotion of mental health.
It is real threat to humanity when we find
hundreds of men and women are in the prison throughout India
solely because of their mental illness.
During 1993-94 more than 300 male and female
mentally ill persons (known as NCL – Non Criminal Lunatic)
have been released from jails of West Bengal, India. Many
of them were in the prison more than ten years. Their only
crime was mental illness.
The Indian Lunacy Act of 1912 has been replaced
by the Mental Health Act 1987 and came into force from 1993.
Previously according to the Indian Lunacy Act it was usual
procedure that the police can put mentally persons in prison
by an order of Magistrate.
According to the new Mental Health Act of
1987, mentally ill persons dangerous to themselves and to
the society may be kept under detention in a psychiatric hospital
or licensed Nursing Home.
Unfortunately till today a good number of
mentally disordered persons are staying in different jails
of India. In West Bengal, India 150 male non-criminal mentally
ill persons are staying in Alipore Special Jail and 20 women
including “stray girls” and “under trials”
are imprisoned in Presidency Jail. Due to judicial probing
on the unhealthy condition and negligence on the part of care
of mentally ill persons of West Bengal, some steps have been
taken but it is insufficient to meet the need.
Mentally ill persons, under-trial prisoners
should be provided quality management along with legal and
psychological counseling facilities. The success depends on
collaboration between different sectors of Government, Social
Welfare and Prisons needs more attentions. Changes in service
delivery, workforce developments, consideration of right of
mental patients and gradual decline of the stigma against
the patients will create more radical change in position.
Bibliographic References
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Collins J.J, Schlenger WE: The prevalence of psychiatric
disorder among admission to prison. Presented at 35th Annual
Meeting of American Society of Giminolofy, Denver, Nov 1983.
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Report of the Joint Committee on Mental Health Bill 1978,
Lok Sabha Secretariant, Govt. of India, New Delhi, India.
4. HEALTH STATUS AMONG ELDERLY
POPULATION AND NEED OF CARE & COUNCELLING IN RURAL AREA
OF INDIA (CAIRO,
EGYPT, 12 SEP
2005)
Amarnath Mallik, Kedar Ranjan Banerjee
National Institute of Behavoural Sciences
Objective: The aim of this
study is to evaluate status of the elderly population in rural
area of West Bengal, India. Due to demographic changes the
increasing number of aged indivisual with physical and psychological
problems causing increasing demands on social service system
as well as on family support.
Methods: A door-to-door
field survey was in two villages of North 24 Parganas, West
Bengal by a team of psychiatrists, GPs and social workers
with the aim of accessing physical and mental morbidity of
the elderly population (aged 65 years and above). The total
sample comprises of 410 persons. The house hold schedule was
used to record the size and structure of family, age, sex,
education, occupation and marital status. The case detection
schedule contained 50 questions for identification of mental
illness were used. Socioeconomic status schedule was used
in the survey to determine the socioeconomic status of each
family. Mini-Mental State Examination (MMSE), CAGE, GHQ and
Geriatric Depression Scale (GDS) were administered.
Result: Sociodemographic
data – mean age 74.50, Male 42%, Female 58%, Married
65%, Widowed 28%, Living with family 65%, Living separate
6%. Physical illness was found in 74% of which cardiovascular
disorder 17%, pulmonary disorders 38%, genitourinary disorder
17%, neurological disorder 12%, and mental disorder were present
in 32% of total population.
Conclusion: High prevalence
of physical impairments was noted with moderate prevalence
of mental impairments with low prevalence of substance abuse
observed. Need of physical and mental health care with counseling
and community support is necessary.
Bibliographic References
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Addonizio G, Alexopoulos GS, Affective disorder in the elderly,
Int. j. Gertatr. Psych. 8,41, 1993
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Coffey ED, cumming J.L, Text Book of Geriatric Psychiatry,
Washington DC Am. Psy. Press Inc. 1994
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PUBLICATIONS
BY DR. KEDAR RANJAN BANERJEE IN WORLD PSYCHIATRIC ASSOCIATION
INTERNATIONAL CONGRESS HELD AT FLORENCE, ITALY
FROM NOV 10TH –13TH, 2004
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SUBSTANCE
ABUSE AMONG ADOLESCENTS AND CRITICAL ROLE OF COUNCELLING
(FLORENCE,
ITALY,
10 NOV 2004)
A. Mallik, K.R. Banerjee
National Institute of Behavioral Science, Kolkata, India
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the last few years, there has been a remarkable
increase in the use of psychoactive drug and alcohol
in our society, particularly among youths. The management
of substance related disorders and disorders associated
with alcohol is multidisciplinary approach. The
role of psychotherapy and counseling is important.
Counseling is an act of assistance and is particular
form of brief psychotherapy based on humanistic-existential
theory. By counseling an indivisual is assisted
to become self-sufficient, self-dependent, self-directed
and to adjust efficiently to the demands of |
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a better and meaningful life, in the management of substance
abusing persons. Early detection and evaluation is essential,
which has to be followed by predetoxification counseling,
detoxification after care, follow-up and rehabilitation
along with psychologist counseling. Substance and alcohol
abuse frequently coexist with other psychiatric conditions,
which are often difficult to detect and evaluate. During
management, including counseling dependence and tolerance
already developed with different chemicals and alcohol
are important to consider. The chances of polydrug abuse,
denial, relapse and coexisting mental disorders or behavioural
problems are to be kept in mind. Counseling with family
members and group counseling will help in family and social
rehabilitation. Psychoanalytically oriented psychotherapy,
behavior therapy, cognitive therapy, interpersonal therapy
are also useful for substance abuser and alcohol dependent
patients. Adequate and proper relapse preventation strategies
are to be considered during counseling of substance abuser
and alcohol dependent persons. Psycosocial intervention
through counseling is to be done for prolonged maintanance
of total sobriety. Indivisual psychotherapy and counseling
is needed but group therapy may be more effective and
acceptable to many patients who perceive substance abuse
or alcohol dependence as a social problem rather then
a personal psychiatric problem. To make counseling meaningful
and effective, an emphatic attitude of family and community
is essential.
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PSYCHOLOGICAL
REHABILITATION - A NEW UNDERSTANDING IN DEVELOPING COUNTRIES
(FLORENCE,
ITALY, 11 NOV 2004)
A.
Mallik, K.R. Banerjee
National Institute of Behavioral Science, Kolkata, India
Three is increasing recognition that many medical illness
including psychiatric disorder, are chronic in nature.
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treatment will have both acute and long-term component.
Long-term management of deficit states requires a variety
of intervention, psychological as well as pharmacological.
Psychosocial rehabilitation is gradually gaining ground
in developing countries like India. The practice of psychosocial
rehabilitation seems deterred by financial problems,lack
of trained personal, attitudes of staff and family members.
However, in our country custodial care of mentally ill
being shifted to therapeutic care and rehabilitation of
patients through psychosocial intervention. Psychosocial
rehabilitation is practiced in our center through a program
called CARE (Counseling And Rehabilitation Exercise).
Rehabilitation is of three typed: individual based psychosocial
intervention, family psychosocial intervention, community-based
intervention. Resistance handling skills training, psychoeducation,
mid-way homes, sheltered workshops, community awareness
and resource mobilization are gaining more importance.
With the introduction of the new mental health act, much
stress has been focused on mental health and welfare law. |
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