Projects : * De-addiction De-Addiction / Chemical Dependency Project The year 1993 saw the materialization of a dream called Freedom Foundation. This facility offers treatment for alcohol and drug dependency. The exclusivity of the facility is the reason for the „dream‟ to continue and grow with various new innovations and scaled up interventions in the areas of alcohol/drug addiction. Catering to its wide clientele, this residentially programme is well equipped with private rooms and dormitory facility. The Goals of the treatment include: 1. Interrupt the drinking or drug taking behaviour. 2. Detoxification of the individual from alcohol and drugs 3. Break through the denial mechanisms of the illness 4. Break though barriers of isolation and loneliness which separate the individuals from the family, friends and society 5. Identify and interrupt destructive family and social relationships and replace them with positive ways of thinking and behaving, that includes working with the whole family 6. Introduction to self help support systems at home and in the community for both family members and clients. 7. Establish new communication patterns to enhance interpersonal relationships 8. Discover new and healthier ways of coping with feelings. 9. Encourage lifestyle changes necessary to continue abstinence 10. Administer treatment for co- dependants to bring about more meaningful family relationships. Definitions: Chemical Dependency : Chemical dependency is a physical and psychological need to use alcohol or other drugs that doesn't go away even when using them causes negative consequences. Drugs and Alcohol are chemical substances which on ingestion bring about chemical changes in mood, mind and behaviour of the user. Abusing chemicals alters brain chemistry and affects the body, mind, emotions, spirit (values) and relationships with the concerned individuals, family and society. However it is a disease, which is treatable at any stage in the life cycle of the chemically dependant person. Co-Dependency : Co Dependency is defined as “Those self defeating, learned behaviours or character defects that result in a diminished capacity to initiate or to participate in loving relationships.” according to Earnie Larsen a specialist on co dependency. Co-dependents are those people living in a committed relationship are so dependent on the addict/alcoholic that they end up enabling the progression of chemical dependency. Therefore it becomes very essential for families to look into their behaviour which is possible only through getting awareness of this illness and getting to know about their behaviours which are one of the contributing factors to their wards addiction. Services Therapeutic services for clients: Group Therapy- which includes step sharing sessions, psycho-education sessions, thoughts and feeling sessions, group process, motivational interviewing, family communications session, relapse prevention plan, experience sharing, video sessions, gym, yoga and facilitating support groups like the AA/NA. Individual Therapy- which includes following of a master treatment plan for recovery (Bio- Psycho- Socio module for treatment), autobiography sharing and individual one- on-one sessions Recreational Activities- volleyball, football, cricket, chess and caroms Therapeutic services for families: Group Sessions- Psycho educational sessions, family step working/sharing sessions, relapse prevention plan, family communication, motivational interviewing, introduction of outside family support systems like after care meetings and video sessions. Individual sessions- following of a master treatment plan (MTP) and step working for families as co-dependency may exist, recovery and support, case history collection and family education sessions Therapeutic services for communities: Heightening community awareness as to the nature and extent of chemical dependency and its related problems with educational institutions as well as different industries. Educate society to promote the concept that alcohol and drug dependency is responsive to appropriate treatment. Full scale implementation of an employee assistance programme (including personal training) at your agency by an experienced EAP consultant Criteria for admission of a person to Freedom Foundation De-addiction facility A person has to have a history of alcohol/drug abuse The chemically dependant person as well as the family must be committed to the whole program, its full duration and content. The Freedom Foundation Benefits Affordable program and quality services provided (CENAPS® Corporation, is committed to providing the most advanced training in the chemical dependency and behavioral health field). Being apart of a larger group that creates an enabling environment for recovery. Motivational interviewing technique, as all our counselors are trained by a CAADAC (The California Association of Alcoholism and Drug Abuse Counselors) approved/licensed counselor. Psychological evaluation/treatment by qualified psychologist/psychiatrist in case of dual disorders Individual treatment plan for all clients Structured plan of treatment for the family. Medical care, evaluation and support given by qualified doctors and nurses Family therapy for parents/spouse/siblings/children is also given to alleviate stress, as well as address co-dependency and restore family health. Transit facility is also available as a pre-discharge process Set up of proper support structures for the client and his family after treatment for example- AA (Alcoholics Anonymous), NA (Narcotics anonymous), AL -ANON (support group for the families of alcoholics), NAR-ANON (support group for the families of drug users), AL-ATEEN (support for the children of alcoholic parents) Structured follow up is given for as long as necessary or needed. * HIV/AIDS Prevention of Mother to Child Transmission of HIV (PMTCT) Children constitute a large number of the overall population living with HIV. Preventing transmission of HIV from a pregnant mother to her child during pregnancy, delivery and breastfeeding is an important prevention strategy. Freedom Foundation has been one of the first organizations in the civil society sector to set up an effective PMTCT intervention in the country. The two major initiatives by the Foundation function from Bangalore and Hyderabad. The Bangalore intervention, operated as a public/private partnership with Freedom Foundation liaising with Bruhath Bangalore Mahanagara Palike (BBMP) and city corporation maternity homes. From its conception in 2002, up to 2009 the programme successfully reached out to more than 1,35,000 women from 26 sites. Since 2009, there has been a successful transition of the programme to the City Corporation Maternity Homes. The foundation now is planning on PMTCT interventions in and around Bangalore in private sector hospitals much like the Hyderabad counterparts that function from 9 hospitals in Andhra Pradesh. PMTCT at Tel: +91 953 525 9009 (or) email@example.com , Bangalore: firstname.lastname@example.org PMTCT at Tel: +91 40 27754461 / 27957368 (or) Hyderabad: email@example.com Freedom Foundation offers the following services at Bangalore & Hyderabad: To all pregnant women: Beyond PMTCT : Voluntary counseling and testing OI treatment. & Family planning. Information handbooks to all Support group meetings & women Savings program. General health information ART preparedness, education & dissemination medication For HIV positive women: For the hospital: Supportive counseling Modular training for hospital Couple /Family counseling. staff. Nutritional counseling. Universal precautions- practices, Prophylaxis for mother and baby. procedures & supply chain Infant feeding counseling. management PCR testing. PCP prophylaxis and other For the community: supplements Follow up Regular awareness programs. Referrals & Networking. Comprehensive Care & Support Centres PLHA require care and support right from the time they come to know that they are HIV positive. The Foundation provides comprehensive and support services acros all its care interventions ranging from 50 bedded centers to 10 bedded ones as well. Service components provided are as follows: Medical care Access to HAART Palliative care Counseling Awareness, Prevention & Community Education Prevention of parent to child transmission of HIV Child care(residential & community based) Self help group (SHG) Advocacy & legal networking Referral, linkages and community leveraging Home Based Care Medical care: In our country most people learn that they are infected with HIV only when they start falling ill. Hence they first reach out for medical help. Access to quality Medical & Nursing care Quality medical consultation through out-patient & in-patient services at all stages of the disease. Nursing care round the clock. Access to medicines for all opportunistic infections. Availability of diagnostics. Critical care with referral services for specialized care. Training care providers & patient care givers Access to HAART: Highly active anti-retro-viral therapy (HAART) is the backbone of HIV/AIDS care. Freedom Foundation has been handling treatment across all its interventions. Evaluation of immune status. Rule out opportunistic infections. Assessment of patient readiness. Treatment education. Counselling Family preparedness. Understanding and developing Adherence structure Commencement of treatment with initial monitoring. Assistance with procurement & supply of drugs. Nutrition counseling. Monitoring and follow up Palliative care: In-patient nursing care. Pain management. Continuation of opportunistic infection management. Counselling & family support. Last rites. Counseling: Voluntary counseling & testing services. Post-test counseling. Supportive counseling Family counseling. Trauma, bereavement & other associated problems. Group therapy. Awareness, Prevention & Community Education: Awareness & sensitization to organized groups like schools, industries, etc. Targeted interventions with marginalized groups and other vulnerable communities. Employee Assistance Programmes (EAP) on Substance Abuse & HIV/AIDS with the public sector & private sector. EAP on Substance Abuse & HIV/AIDS for various law enforcement agencies Sensitization and inclusion of volunteers. Sensitization & block placements for post-graduate students of various fields. Prevention of parent to child transmission of HIV: Assessment, inclusion & coverage of ante-natal clinics. Provision of counseling & education. Training to MCH providers. Voluntary counseling & testing. Partner counseling & option of testing Post-test counseling. Family counseling Testing for STIs. Nutritional supplements Prophylaxis & feeding options. Testing of infant. Formation of self help groups Community health education Community mobilization. Referrals for care & support Access to HAART Income generation initiatives & SHGs Address Treatment issues of Alcoholism & Drug Addiction (available only at Bangalore) Assessment & evaluation Treatment & rehabilitation options Support group mechanisms Family issues & support Care for children infected with HIV inclusive of orphan care: All components of medical care Nutritional assistance Education assistance Referrals Access to HAART Access to food, shelter & clothing Vocational training Foster care Self help group (SHG): Formation of SHGs. Nutrition & education assistance programmes Income generation Micro-savings Peer support Advocacy & Legal services: Positive speaking Rights abuse & access to legal addressal by partnering with Lawyers Collective/Alternative Law Firm, etc. Referral & net working with government agencies especially for child rights. Partnering with the Women‟s cell. Media coverage. Lobbying for change at various levels. Corporate social responsibility, from sensitization to resource mobilization. Net working: With government hospitals including ART roll out centers. Private hospitals for specialized care. With positive peoples networks. Formation of NGO consortiums. Referrals to other NGOs. Diagnostic & Pharmaceutical partnerships Home Based Care: Mobilize communities to identify and support the needs of children and their families. Community volunteers trained to provide accurate information on HIV/AIDS, prevention, care and support for whole families and community members. Identification of Children affected with HIV/AIDS (CAA) Referrals of CAA & PLHAs for acute interventions and care Sensitization on needs of children infected and affected by HIV/AIDS and their families. Addressing stigma and Discrimination at all levels Providing Psychological support (grief, stress, succession planning, self esteem, pre test & post test counseling) to all PLHA and their care givers Recreational activities, opportunity for all children in the community to come together Training and support for extended families and other community members to provide foster care Networking with other PLHA groups Create system of referral for palliative care and hospitalization Behavior Change Communication & Life Skill education Creating active linkages with Baljyothi schools and anganwadi centers for imparting education and nutritional support Highly Active Anti-Retro-Viral Treatment Highly Active Anti Retroviral Therapy also referred to as ART is the treatment that hepls reduce the multiplication process of the virus thereby deferring the onset of AIDS and improving the quality and longevity of life in PLHA‟s ENHANCED ACCESS TO ANTI-RETRO-VIRAL TREATMENT THROUGH PUBLIC PRIVATE PARTNERSHIP ART clinic at Tel: +91 80 25435231/32, 65966443 (or) Bangalore: firstname.lastname@example.org ART clinic at Tel: +91 40 27792746 / 27794100 (or) Hyderabad: email@example.com Since the year 1999, Freedom Foundation has been providing anti-retro-viral treatment to people living with HIV/AIDS (PLHA). What started as a program with a few children and women on highly active anti-retro-viral treatment or HAART today has grown and has thousands of PLHA accessing services at our various units. This program looks at providing HAART medicines at a substantial concession. In addition, services like CD-4 count and other diagnostics are also available and done at our laboratory. The main objectives of the project are: To provide HAART at affordable costs to PLHA. Currently there are many PLHA who buy their medicines at retail pharmacies. At the GFATM project site, PLHA can avail of a substantial discount on the cost of medicines. All drugs available are those from reputed companies. To ensure that PLHA take HAART under the guidance of a trained physician: Many PLHA are often misguided regarding HAART as they may consult with doctors who are not adequately informed regarding HIV related medical care. At the GFATM project, the physicians present are well trained in the field of HIV medical care and follow the national guidelines. They not only look into anti-retro-viral treatment but also diagnose and manage various opportunistic infections. To provide laboratory monitoring support and diagnostic facilities for PLHA: The laboratory at Freedom Foundation/GFATM-2 project is equipped to do the CD-4+ and CD-8+ T lymphocyte enumeration. It has the capacity to do various bio-chemistry, hematology, microbiology and serological tests. The laboratory is enrolled for quality assurance for all the parameters. Counselling: The project has trained and well experienced personnel who deal with treatment related counselling, family counselling, etc. The counsellors provide PLHA with personal attention and quality time to discuss various issues that they may face. The project looks at net working with physicians who are already working in the field of HIV/AIDS so that their patients can avail of the facilities available. In addition, it also interacts with other doctors, hospitals and NGOs that refer PLHA who could benefit from these services. The clinical facility is open for consultation from Monday to Friday (10:00 am to 4:00 pm). Since 2005, this program has been funded by the Global Fund for AIDS, TB & Malaria (GFATM) Round 2 Child Care Positive Kids 'Positive Kids' @ Call 91 - 80 - 25440135 (or) email us at Bangalore: firstname.lastname@example.org Call 91 - 40 - 27861023 (or) email us at 'Diya' @ Hyderabad email@example.com The service that we provide for the children comes from a belief system that, 'no child need sacrifice quality of life to an illness'. Child care at Freedom Foundation includes the infected children who have been orphaned due to AIDS and left abandoned. The Foundations homes at Bangalore and Hyderabad bear witness to the fact that these kids are no different form any other children. These kids attend regular school, participate and excel in sports, take the lead where extra curricular activities are concerned and live together as one big family. Some of our kids have shared the stage with leading international personalities, leading Indian actors and actresses and have also met the President of India Mr. Abdul Kalam. Infected and affected children within the community are also catered to with many services ranging from educational assistance, nutritional assistance and ART assistance. Overall objectives for child care To provide HIV +ve orphaned/abandoned children with food, shelter and clothing. To enhance access to quality medical care at all times. To provide psycho-social support for fostering development of the child. To enable normal functions of the child as far as possible via school, play and recreation. To treat all children with anti retro viral medication as and when their condition requires it. To foster a sense of belonging in each child so that the child feels part of a larger family. Education & Nutrition In households where HIV is present the children suffer irrespective whether they are infected or affected. Affected children invarabily face the brunt when their parents are in the advanced stages as they have to assume the role of care givers and many a time these kids have to drop out of school and start working. The Foundation provides assistance to such families with support for the childrens education and also nutritional support for the family since poverty and hunger coupled with disease wrecks such children and their families. Over 200 kids are supported with their education and 75 families receive regular nutritional assistance each month.