The Centre shall maintain the following Sections 71 and 78.
minimum standards of care, namely :— A. PHYSICALSTANDARDS :
The Centre shall—
(i) have requisite number of beds (one for each patient), adequate accommodation and proper spacing between the beds shall be provided.
(ii) have sufficient ventilation and be free from any pollution which may be detrimental to the health of admitted patients.
(ii) have potable/drinking water and running water for washing, bathing and cleaning purposes,
(iv) have proper sanitation facilities in terms of clean and adequate number of bathrooms, toilets and sinks.
(v) provide clean bed linen, utensils and articles for personal hygiene of the patients.
(vi) provide fresh, nutritious and adequate meals to the admitted patients.
(vii) have adequate recreational facilities for the patients.
(viii) The following additional facilities shall also be provided in every Centre, namely :-—
(a) Reception enquiry/registration counter/waiting space with seating arrangements for a minimum of five persons;
(b) Cubicle/room for previding individual counseling, group therapy and family counseling;
(c) Space to store records of patients to ensure confidentiality and a system of easy retrieval;
(d) Related educational maierial such as posters to be prominently displayed at strategic points in the cenires; and fe) Pamphlets, hand bills and other educational materials in vernacular shall be made freely available for the public.
B. MEDICAL STANDARDS:
(i) No patient shall be compelled to undergo detoxification treatment without explaining the range of treatment options available to him including substitution/maintenance therapy, psychosocial interventions and his consent for undergoing treatment for de-addiction.
24 PUNJAB GOVT GAZ, (EXTRA.), JAN. 19, 2011 (PAUSA 29, 1932 SAKA) (ii} Treatment protocol of the Centres shall follow the established and evidence based medical practice and the guidelines published by the World Health Organization (WHO), Government of India, and the Indian Psychiatric Society (IPS) including the harm minimization practices advocated from time to time.
(iii) Nursing and other staff employed in Centre shall be duly qualified as per their job requirement and shali be competent to handle the work assigned to them. The Core Staff (doctors and nurses) should have received training in Substance Use Disorder treatment from a recognized institution.
(iv) Officer in-charge of a Centre, shall be duly qualified Psychiatrist or Doctor (M.B.B.S.) with at least three months training in Substance Use Disorder Treatment.
(v) Where an M.B.B.S. doctor manages a Centre, it shall have a Psychiatrist on its roll, visiting the Centre at least once a week.
(vi) Each Centre shail display the arrangement on the notice board for providing support and emergency services to the in-patients, if needed.
(vii) Adequate transpori/ambulance for patients shal! be ensured by the Centre.
(viii) Round the clock medical nursing care to the patients shall be ensured by the Centre.
(ix) There shall be adequate and readily available stock of medicines required and related physical and psychiatric co-morbidities.
C, STAFF REQUIREMENT:
(1) For a Substance Use Disorder Treatment Centre :
(i) One part-time (4 hours a day minimum) doctor who is MD Psychiatry (preferably) or an M.B.B.S. doctor with at least three months in Substance Use Disorder Treatment from a recognized institution (Doctor-Patient ratio of 1:20) ;
(ii) Two Social Workers/Counselors who are in M.Phil./M.A. in Psychology, Sociology or Social Work preferably with training in PUNJAB GOVT GAZ. (EXTRA.), JAN. 19, 2011 25 (PAUSA 29, 1932 SAKA) Substance Use Disorder Treatment from a recognized institution (Counselor-Patient ratio of 1:10);
(ili) Four staff nurses for round the clock services who are B.Sc. or Diploma in Nursing with training in Substance Use Disorder Treatment Centre from a recognized institution (Nurse-Patient Ratio of 1:20);
(iv) Three Ward Attendants who have passed 10+2 examination from a recognized Board or institution, as the case may be, with orientation to handle Substance Use Disorder patients to be provided at the Centre within three months ;
(v) Two Safai Karamcharis ;
(vi) One Cook-cum-Helper or regulararrangement for fresh nutritious food from outside ;
(vii) Peer educator (Optional) ; and
(viii) Three security guards/Chowkidars.
(2) For a Substance Use Disorder Counseling and Rehabilitation Centre :
(No patient/client shal] be admitted to Rehabilitation Centre till he has undergone detoxification from a recognized Centre. This fact should be on record with evidence.)
(i) One Project Director/Programme Officer ;
(ii) Three Social Workers/Counselors with basic qualification of M.Phil. or M.A. in Psychology or Sociology or Social Work preferably with training in Substance Dependence treatment from a recognized institution ;
(iii) Three Ward Attendants with basic qualification of 10+2 examination from a recognized Board or institution, as the case may be, with Orientation to handle substance dependents to be provided at the Centre within three months ;
iv) Two security guards/Chowkidars :
a “ & ?
26 PUNJAB GOVT GAZ, (EXTRA.), JAN. 19, 2011 (PAUSA 29, 1932 SAKA)
(v) Two safai karamcharis ; and
(vi) One Cook-cum-Helper (Optional) or regular arrangements for fresh nutritious food from outside.
D. SUPPORT SERVICES :
Each Centre shall provide the following support services -—
(i) Emergency Medical Care ;
(ii) Recreational/rehabilitation facilities and outdoor activities ,
(iii) Regular daily outpatient service ; .
(iv) Referral linkage for specialist medical services, laboratory services, HIV/AIDS centres, RNTCP centres; and
(v) Adequate transport facilities for patients for the purpose of linkage activities and Emergency Medical Care.
E. RECORD MAINTENANCEAND DISSEMINATION :
(i) It shall be mandatory for all the Centres to maintain personal and treatment record of ai! the patients.
(ii). These records shall be confidential and available only to the authorized persons on request at with the discretion of Officer-in-charge of the Centre.
(iii) All the data on activities of the Centre shall be sent on Drug Abuse Monitoring System (DAMS) Performa, developed by the Government of India’s Union Ministry of Health and Family Welfare, to the Director, Health Services, Punjab and to the Director, Health and Family Welfare, Ministry of Health and Family Welfare, Government of India, on the quarterly basis for the purpose of information and compilation of State and National] data.
Sections 71 and 78. 15. Admission.—Admission to the Centre shall be made only with informed consent of the patient, after discussing risks, benefits and alternatives to the treatment, to be recorded in writing. A copy of the Consent Form shall be provided to the patient. The patient shall have the right to refuse and discontinue treatment at any time.
PUNJAB GOVT GAZ. (EXTRA.), JAN. 19, 2011 27 (PAUSA 29, 1932 SAKA) FORM-1 [(See rule 10(1), (11) and 12] APPLICATION FOR REGISTRATION/LICENSE From The To Director Health and Family Welfare, Punjab, Chandigarh.
Sir, SubjectApplication for Registration/License of
(a) Establishment/Maintenance of Substance Use Disorder Treatment Centre, at :
(b) Establishment/Maintenance of Substance Use Disorder Counseling/ Rehabilitation Centre, at I request you kindly to issue‘me Registration/License for the period of for the above said instifution/s. | am providing the facilities as prescribed by the Act and the rules framed thereunder, I have attached herewith a Demand Draft for Rs. 1000 bearing No. dated i hereby give an undertaking to the effect that I shall protect the human rights of the admitted patients and shall not engage in the activities adversely affecting the patients such as solitary confinement, forced labour, punishment, beating, psychological torture, chaining or locked up. The patients’s liberty shall be protected at all time. I shall allow private interaction with family and provide communication to the patients under supervision of the authorized person of the centre. 1 will ensure confidentially of medical and counseling records of the patient, except from the caregivers and under judicial orders.
Thanking you Yours faithfully, Signatures Place Dated 28 PUNJAB GOVT GAZ. (EXTRA.), JAN. 19, 2011 (PAUSA 29, 1932 SAKA) FORM-II [See rule 10(9)] APPLICATION FOR RENEWAL OF REGISTRATION From To Director, Health and Family Welfare, Punjab, Chandigarh.
Sir, Subject.—Renewal of Registration/License No. __ dated of
(a) Maintenance of Substance Use Disorder Treatment Centre, at _ Sets all
(b) Maintenance of Substance Use Disorder Counseling and Rehabilitation Centre, at request you to kindly renew my Registration/License No.
dated the for the next three years from eee to , for the above said institution/s. [ am providing the facilities as prescribed by the Act and the rules framed there under. I have attached herewith a Demand Draft for Rs, 500/- bearing No. dated Thanking you Yours faithfully, Signatures Place :
Dated :
PUNJAB GOVT GAZ. (EXTRA.), JAN. 19, 2011 29 (PAUSA 29, 1932 SAKA) FORM-III [See rule 10(4), (11) and (12)] LICENCE/RENEWAL/REGISTRATION CERTIFICATE We, , being the Licensing Authority under Narcotic Drugs and Psychotropic Substance Act, 1985 (Central Act No. 6! of 1985), after satisfying the requirement of the Substance Use Disorder Treatment Centres/Rehabilitation, hereby grant the Registration certificate/licensee for the
(a) Establishment/maintenance of Substance Use Disorder Treatment Centre,
(b) Establishment/Maintenance of Substance Use Disorder Counseling/ Rehabilitation Centre,
2. The Registration Certificate/License shall be valid for a period of three years, commencing from and ending with ;
The registration shall be subject to the conditions laid down in the Section 71 of the Narcotic Drugs and Psychotropic Substance Act 1985 and the rules made there under.
Licensing Authority Director, Social Security, Women Director, Health and Child Welfare (Punjab) and Family Welfare, (Punjab) Place :
« Date :
30 PUNJAB GOVT GAZ. (EXTRA.), JAN. 19, 2011 (PAUSA 29, 1932 SAKA) FORM-IV [See rule 10(8) and 11(5)] APPLICATION FOR APPEAL To The Appellate Authority, Government of Sir, I of. had applied for a Registration/License for establishing the Substance Use Disorder Treatment/ Rehabilitation Centre. (Copy of the earlier application is to be attached). My application was rejected by the Authority vide its letter No.
dated for the following reasons.
Ww h o (Copy enclosed) The aforesaid reasons for refusal/cancellation of registration are not valid.
You are, therefore, requested to reconsider my application for registration on the ’ following grounds namely :
L
2.
3 I am willing to appear before you for a personal hearing, if necessary, I am enclosing herewith a draft for Rs. 300 bearing No.
dated Thanking you, Yours faithfully, Signatures Place :
Dated:
SATISH CHANDRA, Principal Secretary to Government of Punjab, Department of Health and Family Welfare.
13985 LR(P)—Govt. Press, U.T:, Chd.