Implementing an Evidence-Based Culturally Sensitive Model of Relapse Prevention Therapy in India

Presented by:
Martin Peters BA(Hons), Dip HE, Dip, RN, CSAT III, ACRPS
Obi Unaka BSc(Hons), MCMI, MFDaP, ACRPS from Mumbai India

 Having a population of 1.38 billion people, India is the second most populated country in the world with a sixth of the world’s population. With more than two thousand ethnic groups, 216 languages spoken and with every major religion represented, evidence-based substance misuse treatment is still in its infancy. The key finding from a survey conducted by the All India Institute of Medical Sciences, covering all the states and union territories of India on the prevalence and extent of substance use in India is that, there are major variations in different states in the extent and prevalence of use of various substances. Substance abuse is still often stigmatized and not openly discussed. Notwithstanding, RPT and other evidence-based interventions are effective when the various cultural, religious, and ethnic differences are taken into consideration. In its application with our clients, the Gorski-CENAPS RPT model is adapted to include a focus on the importance of family and community support in the recovery process. Emphasis is placed on educating family members, significant others and the wider community on addiction, its implications, and recovery processes.

 

This presentation demonstrates why given the communal nature of Indian culture, it is necessary to involve the whole family and clinicians advised to respect the hierarchical structure of the Indian family and be aware of the major cultural themes when applying any intervention. It establishes how the Indian perspective appears to lend itself mainly to pharmacological and psychiatric interventions with minimal trust in psychological therapies, and how the involvement of and engagement with family members helps diffuse the mistrust when they understand how the therapeutic approach appeals to their cultural values.

 

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The video content was recorded at the Preventing Relapse Symposium, Starting Addiction Treatment and Recovery Off Right on April 21st-22nd, 2023 held in Ft. Lauderdale, Florida. The goal of the Symposium was for attendees to learn and enhance techniques across all levels of care with proven and practical applications of the Gorski-CENAPS Model of Recovery and Relapse Prevention, implemented with a wide variety of programs, clients, and special populations. Sessions were designed to be applicable and informative to providers and consumers at all skill levels and various lengths of personal recovery.
 
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This workshop is also available as a Gorski-CENAPS On-line Course. To earn continuing education credit (CEs), enroll in the course here: https://gorski-cenaps-home-study.thinkific.com/pages/preventing-relapse-symposium-courses