A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON AWARENESS AND READINESS TO CHANGE THE ABUSIVE BEHAVIOR AMONG PERSONS WITH ALCOHOL USE IN THE SELECTED COMMUNITY AREA AT INDORE, MADHYA PRADESH

Abstract

Alcoholism is a worldwide problem not confined either to developed or to developing nations. The adverse consequences of alcohol not only affect the individual user but society as a whole. Alcohol is a major public health problem today. Alcoholism continues to be a growing nuisance among all the strata of the society. Alcohol dependence is one of the most debilitating psychiatric illness affecting 5% of people, who consume alcohol. The prevalence of alcohol abuse has increased over the past 10 years, and the age of initial alcohol use has increased gradually in India. Alcohol dependence is one of the leading causes of disability and has led to increases in the incidence of crime and violence. The definition of harmful alcohol use in this guideline is that of WHOs International Classification of Diseases, 10th Revision (The ICD–10 Classification of Mental and Behavioural Disorders) (ICD–10; WHO, 1992): A pattern of psychoactive substance use that is causing damage to health. The damage may be physical (e.g. hepatitis) or mental (e.g. depressive episodes secondary to heavy alcohol intake). Harmful use commonly, but not invariably, has adverse social consequences; social consequences in themselves, however, are not sufficient to justify a diagnosis of harmful use. The term ‘hazardous use’ appeared in the draft version of ICD–10 to indicate a pattern of substance use that increases the risk of harmful consequences for the user. This is not a current diagnostic term within ICD–10. Nevertheless it continues to be used by WHO in its public health programme (WHO, 2010a and 2010b). Alcohol abuse is associated with many accidents, fights, and offences, including criminal. Alcohol is responsible in the world for 1.8 million deaths and results in disability in approximately 58.3 million people. Approximately 40 percent of the 58.3 million people disabled through alcohol abuse are disabled due to alcohol-related neuropsychiatric disorders.