Social Work Practice with Persons with Alcohol Dependence in a Multi-Linguistic Context :A Bangalore Based Study

Sinu, E (2012) Social Work Practice with Persons with Alcohol Dependence in a Multi-Linguistic Context :A Bangalore Based Study. In: National Conference on “Redefining Social Work Profession in a Multi-Cultural Context, 11 - 12 Oct 2012, St.Mary's College, Shirva. (Submitted)

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Background: Centre for Addiction Medicine, NIMHANS Bangalore is the designated Regional Resource Centre for Addiction for Southern India, of the Ministry of Health, Government of India since 1992.It caters servicetopeople from different states in India and from abroad, coming from diverse linguistic backgrounds. About 1000 persons avail in-patient care each year and they come from different cultural backgrounds, some that permit alcohol use and others that prohibit it. In this context, the researcher evaluated the differences in psychosocial outcome of alcohol dependence when the psychosocial intervention is provided in two different languages for persons with alcohol dependence in a multi-linguistic context. Methods: Study was experimental in nature. Experimental research design; before and after with control group was adopted for the study. First 60 patients admitted in Centre for Addiction Medicine, NIMHANS, Bangalore from 2007 - 2009 were selected according to inclusion and exclusion criteria through consecutive sampling technique. Respondents who speak Kannada and Tamil and who were residing in and around 50kms of Bangalore were included for study. First 30 respondents formed the Experimental Group and remaining 30 respondents formed Standard Hospital Treatment Group. Family Centred Social Casework Intervention (FCSCWI) was provided in Tamil (n=17) and in Kannada (n=13) to the Respondents in Experimental Group. Routine Psychosocial Intervention is provided in Tamil (n=14) and Kannada (n=16) to Respondents in Standard Hospital Psychosocial Treatment Group (SHPST). Tools used: Alcohol Problem Questionnaire(APQ), Family Interaction Pattern Scale(FIPS), Marital Quality Life(QMS) and Family involvement in recovery process checklist. Statistical Analysis: Student ‘t’ test, one-way ANOVA, Chi-square test and Correlation Analysis were used. Written informed consent was obtained from the participants before the study. Results: Out of Sixty respondents; 52% Tamil, 35% Kannada, 8% Telugu and 3% Hindi and 2% Malayalam were their Mother Tongue. Among the respondents, 87% of them could carry on a conversation in Kannada, 78% Tamil, 40% Telugu, 32% Hindi and 27% in English. Standard Hospital Treatment comprised of 47% Tamil, 40% Kannada, 10% Telugu and 3% Hindi as their Mother Tongue whereas Experimental group had 57% Tamil, 30% Kannada, 7% Telugu & Hindi Respectively. There was no significant difference between the two groups with regard to Mother Tongue (Pf=1.4, p=.746). In Experimental Group 80% know Kannada and Tamil respectively whereas in Control (SHT) Group 93% can have conversation in Kannada and Tamil 77%. Despite the different language backgrounds the patients came from, they could comfortably participate in interventions delivered in Kannada or Tamil. The presentation will focus on the linguistic background of the patient and their choice of the language for intervention, the potential challenges of delivering the intervention in these two languages given the mother-tongue of the patient. Psychosocial outcomes in both the groups were similar in terms of duration of abstinence, reduction in alcohol related problems, family interaction pattern, marital quality, follow-up, intake of alcohol during relapse, time taken to lapse and relapse. Conclusion: The same psychosocial intervention provided in two different languages produced similar psychosocial outcomes of persons treated for alcohol dependence. Hence, Social Work Practice in Centre for Addiction Medicine can be effectively delivered in different languages by an adequately trained therapist.

Item Type: Conference or Workshop Item (Paper)
Uncontrolled Keywords: Multi-linguistic approach; alcohol dependence; social work practice.
Subjects: Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 21 Feb 2013 07:14
Last Modified: 21 Feb 2013 07:14

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