Section 10. Minimum Standards

(1) The centre shall maintain the following minimum standards; namely:- A. Physical Standards: (i) The centre after obtaining licence shall start operations within thirty days from the date of issue of license and inform the Licensing Authority about the commencement of its operation. (ii) The Licensing Authority shall cause an inspection of such new centre to be conducted by the District level Committee. (iii) The Centre shall have requisite number of beds (one for each patient), adequate accommodation and proper spacing between the beds shall be provided. (iv) The centre shall have sufficient ventilation and be free from any pollution which may be detrimental to the health of admitted patients. (v) The centre shall have potable/ drinking water and running water for washing, bathing and cleaning purposes. (vi) The centre shall have proper sanitation facilities in terms of cleanness and shall have adequate number of bathrooms, toilets and sinks. (vii) The centre shall provide clean bed linen, utensils and articles for personal hygiene of the patients. (viii) The centre shall provide fresh, nutritious and adequate meals to the admitted patients. (ix) The centre shall have adequate recreational facilities for the patients. (x) Reception enquiry/registration counter/waiting space with seating arrangements for a minimum of five persons. (xi) Cubicle/room for providing individual counselling, group therapy and family counselling. (xii) Space to store records of patients to ensure confidentiality and a system of easy retrieval. (xiii) related educational material such as posters to be prominently displayed at strategic points in the centre. (xiv) Pamphlets, hand bills and other educational materials in vernacular shall be made freely available for the public. (xv) CCTV camera (xvi) Facility for Bio-metric Attendance of staff and admitted patient B. Medical Standards: (i) No patient shall be coerced to undergo detoxification treatment without explaining the range of treatment options available to him including substitution/maintenance therapy and Psychosocial interventions and his consent for undergoing treatment for de-addiction. (ii) Treatment protocol of centre shall follow established and evidence based medical practice and guidelines published by the World Health Organization (WHO), Government of India, and Indian Psychiatric Society (IPS), including the harm minimization practices advocated, from time to time. (iii) Nursing and other staff employed in the centre shall be duly qualified as per their job requirement, be competent to handle the work assigned to them. The core staff (doctors and nurses) shall have received training in de-addiction 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 de-addiction treatment. (v) When an M.B.B.S doctor manages a centre, it shall have a psychiatrist on its roll for visiting the centre at least once in a week. (vi) Each centre shall display the arrangement on the notice board for providing support and emergency services to the in-patients, if needed. (vii) Adequate transport/ambulance for patients shall be ensured by the centre. (viii) Round the clock medical nursing care to the patients/addicts 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 de-addiction center: (i) One part-time (4 hours a day) doctor who is MD preferably in Psychiatry, or M.B.B.S with at least three months training in de-addiction treatment from a recognized institution. (Doctor-Patient Ratio 1:20) (ii) Two Social Workers/Counsellors who are M.Phil./M.A. in psychology, Sociology or social work (preferable with training in de-addiction treatment) from a recognized institution (Social Workers/counsellor-Patient Ratio 1:10) (iii) Four staff nurses for round the clock services, who are B.Sc . Nursing or Diploma in Nursing with training in de-addiction treatment from a recognized institution (Nurse-Patient Ratio 1:20) (iv) Three ward attendants who have passed 10+2 examination. from a recognized board or institution with orientation training to handle drug addicts to be provided at the centre locally within three months. (v) Two security personnel-one each, round the clock. (vi) Two Safai Karamcharies. (vii) Two Cook cum Helper on regular arrangement for fresh nutritious food. (viii) Peer Educators (Optional) (2) For counseling Centre: (i) One Project Director/Programmer Officer-one. Hkkx 4 ¼x½ jktLFkku jkt&i= fnlEcj 18 2020 1218 (ii) Two Social Workers/ Counsellors with basic qualification of M.A. in Psychology, Sociology or Social work preferable with training in de-addiction treatment from a recognized institution. (iii) Three ward Attendants who have passed 10+2, examination from a recognized board or institution with orientation training to handle druge addiction to be provided at the Centre locally within three months. (iv) Two security guards/Chowkidars. (v) Two safai Karamcharies. (vi) Peer Educators (Optional). (vii) One Cook cum Helper on regular arrangement for fresh nutritious food. D. Support Services: Each centre shall provide the following support servicees:- (i) Emergency medical care. (ii) Recreation/rehabilitation facility and outdoor activities. (iii) Regular daily outpatient's services. (iv) Referral linkage for specialist medical services, laboratory services. HIV/AIDS centres, RNTCP centres. (v) Adequate transport facilities for patients for the purpose of linkage activities and emergency medical care. E. Record Maintenance Dissemination: (i) It shall be mandatory for all the centres to maintain personal and treatment record of all the patients. (ii) These records shall be confidential and available only to the authorized persons on request 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) in performa developed by the Union Ministry of Health and Family Welfare, to the Director Public Health Medical and Health Department, Rajasthan 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.