Drug De-Addiction Cum Rehabilitation centre

Introduction

Drug De-addiction
 Drug addiction is a chronic, relapsing disease, characterized by compulsive drug seeking
and use, and by neurochemical and molecular changes in the brain.
 Drug addiction is becoming a major health problem in India with some estimates
indicating that as many as 15 million people in India could become addicts by the end of
2015.

. Aim

To design a drug de-addiction cum rehabilitation center for people with drug addiction and for
those persons with mental illness (psychiatric).This will totally base on the design of the building
in order to recover or rehabilitate the persons by understanding the terms of psychological
treatment through the building envelope. and Set up a "Home Away from Home" offering solace
to the suffering individual and family alike, where the atmosphere would be of a large extended
family in which the residents would get the comfort, security, love and kindness of the family,
with psychosocial Rehabilitation Programmes and medical care administered by experts in
respective areas

Objectives
 Research on psychological basis of persons with mental illness, depression, anxiety etc...
 Study on how to recover drug-addicts and help rehabilitating mentally ill and life
suffering people.
 Emphasis on designing-landscaped area, interiors, exteriors and the whole building
envelope in order to suite the proposed function psychologically.

Scope
 The design will be developing a center that will cater drug de-addiction and
rehabilitation center along with the training center
 Building form, interiors and landscaped areas will be highlights of the design
 The campus will also include residential facilities for staff member(nurses, ward boys and
hospitality staff)
 Minimum standards of care at De- Addiction centres:
INFRASTRUCTURE

CENTRE BUILDING
The Centre should have a building of its own. The surroundings should be clean.

Location: It should be easily accessible from the outside. This facility should be functionally
integrated with district hospital for seamless sharing of facilities of district hospital. The
building should have a prominent board displaying the name of the Centre in the local
language. It should be well planned with the entire necessary infrastructure. It should be well
lit and ventilated with as much use of natural light and ventilation as possible. Entrance should
be well-lit and ventilated with space for Registration and record room, drug dispensing room,
and waiting area for patients. The doorway leading to the entrance should also have a ramp
facilitating easy access for disabled patients, individuals using wheel chairs, stretchers etc.

Outpatient Area

The outpatient department of the centre should be a functionally separate entity from the
Outpatient department of the hospital. If the expected number of patients reporting to the centre
daily is estimated to be
New patients: Five to Seven
Old patients: Twenty to Twenty five

All patients would be seen both by the doctor and the counsellor/social worker. Hence rooms
need to be provided for both, ensuring adequate privacy during interviews of patients.

Doctor’s chambers: There should be adequate lighting and ventilation to provide a

comfortable environment to the doctor and the patient. The furniture should include one
desk and doctor‖s chair, with one stool and two or three additional chairs.
Recommended: 2 consultation chambers
Space requirement: 9 m 2 per chamber, presuming examination couch is not required.
Total area for consultation chambers: 18 m2

Counselling room: Area and furnishing may be same as Doctor‖s chambers.

Recommended: 2 chambers
Space requirement: 9 m 2 per chamber.
Total area for consultation chambers: 18 m2
Waiting area: the waiting area can be calculated by the general thumb rule of 1 sq meters per
patient. Taking the approximate number of patients to be 7 new and 25 old (total 32) with scope
for further increase in work load, total waiting area is proposed to be 40 sq meters. In addition to
the waiting area the centre should have provision for basic facilities such as drinking water and
waiting time entertainment such as a TV with cable connection etc.
Waiting Area: 40 m2

Toilets: There should be one male and one female toilet (WC + wash basin) for the staff. The
toilets for the patients and attendants should be made as separate toilet complexes for males and
females. Each of these toilet complexes should have one W C and one Indian style lavatory and one
wash basin. Male toilet complexes will have two urinals in addition to the above. The total area
requirement can be arrived at as follows:
Staff toilets @ 6 m2 each = 12 m2
Patient toilet complex (with janitor’s closet) @ 18 m2 each = 36 m2

Pharmacy: If the general hospital, of which the de-addiction centre

is a part, has a dispensary, the same may be used for de-addiction centre as well. Otherwise, for
dispensing of medications from the De- addiction centre an exclusive pharmacy should be
established. In either of the cases, there should be provision for at least three cupboards for storing
medications out of which at least one should have double lock and key mechanism to facilitate
storage of scheduled drugs like Buprenorphine etc.
Recommended area for pharmacy (if not existing): 24 m2

Drug dispensing room: This should be a small room located

adjoining the exclusive DAC pharmacy to administer drugs to those patients who require the drug
to be given under supervision. The drugs and names of patients should be recorded in a separate
register and the whole process should be under the supervision of a trained staff nurse or a
pharmacist.
Recommended area: 12 m2

Records and registration room: Since substance dependence is seen

as a chronic non-communicable disease, the patients who report to a centre like this usually
expected to have a prolonged outpatient follow-up along with a few inpatient treatment episodes.
Thus, maintenance of records remains a very important activity. To provide for this, the type of
numbering system proposed is the Unit num be r i ng system, which covers all patient records in a
single number and files records of subsequent visits to the hospital under the same number.
To facilitate this kind of record keeping it is advisable to have an infrastructure which can be
upgraded to incorporate computerized data entry system, which lends to easy search-ability even
if the patient has not brought his previous records with him. Hence there should be enough space
to keep a computer and printer setup in the registration area. Since the expected number of daily
admissions is low, hence a single window system wherein the same window handles inpatients as
well as new and old outpatient records is recommended.

The record room should be adjacent or adjunct to the registration counters. There should be a
cubicle for the Medical Record Officer to sit and stations for other workers. The storage of old
records should be done either in the same complex or in close vicinity to the registration so that
old patient‖s files can be readily retrieved as and when the patient reports to the centre.
Recommended space requirement:
Outpatient registration: 12
m 2 Admission office: 12 m2
Medical records office: 24
m 2 Storage room: 12 m2
Total area for record maintenance: 60 m2

Administrative area and stores: There should be a place for the rooms of Administrative officer
and accounts personnel, if these staff members are exclusively meant for the centre and are not
shared with the district hospital. Two rooms may be provided for administrative usage, and one
for accounts and finance department. The stores require a bigger area for storage of medical,
general and linen stores. One separate cabin should be provided for the store officer.
Recommended Space requirements:
Room for Officer / Sister in charge: 12 m2
Room for accounts personnel: 12 m2
Store room: 36 m2
Total area for Administration area and stores (if not shared with hospital): 60 m2

Others :
Urine sample collection room: Though the centre is expected to share the laboratory facilities with
the district hospital, a separate room for collection of urine samples may be provided, only for
those centres which are running urine screening facilities. Recommended area: 12 m2
Staff room: A room would be required for the staff to sit, discuss, have refreshments etc.
Recommended areas: 24 m2
Total OPD area: 312 m2

In- Patient Area

Wards: There will be a ten bedded ward in the hospital for the De Addiction Centre. These beds
should preferably be in an area away from the general traffic to ensure privacy for such patients.
At least two beds should have railings and/or provision for restraining violent patients. The ward
should have provision for round the clock nursing. There should be a well stocked and equipped
nursing station, with file racks, cupboard for storage, water supply, etc.
The following is a list of different inclusions in the ward:
10 Beds – two cubicles of 4 beds each and 2 bed room with restraints
 Nursing
station
Interview
room
Doctor‖s Duty room
Nurses changing
room Ward store
Sluice room
Visitor‖s room
Toilet
o Staff
toilet
male
and
female
o Toilet
compl
ex for
male
and
femal
e
patien
ts
separa
te
Janitors closet
Group D room
Pantry

 There should be one nurses‖ changing room which should have adequate ventilation and
should provide for a toilet with one W C and wash basin.
 Provision for a water cooler with filtration systems may be made. Separate toilets (with
W C and wash basins) and bathrooms should be provided for male and female patients. A
sluice room may be provided with janitor‖s closet.
 The ward should have an interview room which provides privacy during doctor-patient or
counsellor-patient interactions. The interview room should have adequate lighting and
ventilation, and sufficient furniture.
 All electrical connections in the ward should be planned such that the patients have
minimal access to the electrical points. Electrical sockets should specially be avoided in
secluded area like the toilets and bathrooms. The electrical connections for all such areas
should be placed in a centrally decided location preferably near the nursing station.
 Likewise the ward windows may be designed to minimize chances of illegal traffic of
substances through the spaces or of patients escaping through windows.
 Use of glass partitions or windows should be minimized in the ward as such items are
liable to be broken or damaged and may be injurious to the patients.
 Light music can be played in the ward during waking hours to provide a soothing
environment to patients to hasten recovery.

Space requirements for ward areas:

o Beds: 8 m 2 per bed X 10 beds: 80 m 2
o Nursing station with toilet: 18 m 2
o Interview / treatment room: 12 m2
2
Recreation/rehabilitation/activity room: This room may be used to provide facilities for light
entertainment like Television with cable, light music and different activities like indoor games,
reading newspapers and magazines and handicrafts. This room may also be used for group
interactions / meetings.
Space requirement: roughly 2 m 2 per patient i.e. 24 m2
Total covered area for Indoor: 296 m2

Table 1: Space calculation for the centre

Space (in m2 )
Name of the area
Out Patient Area
Consultation chambers 18
Counselling room 18
Waiting area 40
Staff toilets 12
Patient toilet complex 36
Pharmacy 24
Drug dispensing room 12
Records and registration room
Outpatient registration 12
Admission office 12
Medical records office 24
Storage room 12
Administrative area and stores (only if not shared with the hospital)
Room for Officer / Sister in charge 12
Room for accounts personnel 12
Store room 36
Wards
Beds (8 m2 per bed X 10 beds) 80
Nursing station with toilet 18
Interview / treatment room 12
Doctor’s Duty room 18
Nurses Changing room 12
Ward store 24
Patients relatives waiting area with toilet 18
Sluice room 12
Group D room 12
Ward pantry with drinking water facility 12
Staff toilets 12
Patient toilet complex 36
Recreation/rehabilitation/activity room 24
Sub total 606
Add 30% extra for circulation space 182
Sub total 788
Add 10% for walls 80
Total covered Area 866
Other special requirements of the centre
Water supply:
The centre should have provision for 24 hours water supply. The bathrooms, wherever provided
should be fitted with geysers and/or other equipments as required to ensure supply of hot water
during cold season.

Waste management:
All necessary steps should be taken to ensure proper segregation and disposal of bio medical waste
in the centre. The disposal of Bio medical waste may be clubbed with Bio Medical Waste
management in the rest of the hospital.

Security services:
Security must be adequately provided both in wards and in outpatient area. Some of such patients
can turn violent at times and the security personnel need to be trained in handling such outbursts.
The work of the security service should be augmented by intelligent facility design as had been
suggested earlier to minimize chances of illegal substance trafficking, patients escaping from the
ward or breakage of ward property by violent patients.

Signage and Publicity:

Prominent signage and publicity boards should be put up to make the public aware of such
services in the hospital.

Shared services:
The following services are proposed to be shared with the main hospital:
 Emergency
 Laboratory and Radio diagnostic services
 Kitchen / dietary services
 Laundry services
 Housekeeping and other support services
Case Study

 Muktangan Rehabilitation Center Mohanwadi, off

Pune-Alandi Road, Yerawada, Pune
Maharashtra 411006

 HOPE TRUST
# 35 C, MLA COLONY, ROAD
NO.12, BANJARA HILLS
HYDERABAD - 500 034 (ANDHRA PRADESH) INDIA

Site Proposed

Site location - chandigarh

Site area - 11 acres

The site is in near proximity to

the government medical
college of chandigarh

Why chandigarh?
Extent of drug addiction in Punjab is more than
70 %More than 10 million people are addicted to
drugs in Punjab and Haryana, in 2014 delhi
registered the most cases of drug trafficking, the
police registered 55 cases ,In chandigarh under
NDPS, The centgres in civic hospital Are intaking
the de addicts of more than 500 to 600 which
Are more than their capacity