deemag and chest clinic

lL.r,RY.’rn*,G4.CVT. GAZ,.(EXTRA.). SEPT. 1, 20lC 91 I (BHDR. t0, t932 SAKA)

lAuthorisedEnglishTranslation]

HARYANA GOVERNMENT

SOCIAL ruSTICE AND EMPOWEF*I4ENTDEPARTMENT

Nnfifinqfian r !v*t!!+s+.vtr

Tiie ist SePteirrber2. fiifi

No. S.O.921C.A.61/1985/5.?1 and 78120L0.Jn exerciseof the powers conferredby section78 andsub-section(1) readwith sub-section(2) of section7l crflheNarcotieDrrigsaneiPs-yelrotrogrSieub,stanceAsct, 1985,{CentralAct 61sf

1985),theGovernorofHaryanaherebymakesthefollowing rulesforestablishtnent, appointment,maintenance,managemen.t,superintendenceof centres,for aBpointment,trainirrg,powersanddutiesof personnelemployedin suchcentres and for identification, treatment, education, aftercare, rehabilitation. social re- integrationof addictsandfor supply f,ornarcoticdrugsandpsychotropicsubstances to tiie addieis.i-rameiy:-

l. (l) These rules rnay be called the Haryana De-addiction centres Shortitleand commenc€ment.

Q\ Theyshallcomeintoforcefromthedateoftheirpublicationinthe

u,l

\

Official Gazette.

:

:

{c)

(d) (e)

(0

(g)

“District Level Committee” m€ansthe Committee constituted undersubrule {1} of rule 8;

“Form’ meansform appendedto theserules;

“Government’ meansthe Governmentof the Stateof Haryana in the Adminisrative Department;

2.

(1)

In theserules, unlessthe context otherwiserequires;

(a) “Act” meanstheNarcoticDrugsandPsychotropicSubstances Acl 1985(CentralAct No. 6l of 1985);

(b) “Centre’l means cirug de-adtiiction and rehabilitation centre establishedundersub-sectton(l) of section7l of theAct;

Definitions’

.+

“Licencing authority” means the licensing-cum-registering authorityconstitutedundersubrule(l) ofrule7;

“Organisation”includesasocietyrggistere.dundertheSocieties

society,Trust, a company incorporatedunder the Companies Act, 1958, (1 of 1958), institution fully funded, managedor

by the StateGovernment or by the Ministry of Social :Justiceand Empowerment, Government of India;

lpproved

{h) “Stat-eLeyel Committee” means the State Level Committee constitutedunder sub-rule(1) of rule 3;

Constitution of Statelevel Committee.

(2) Words and expressions used in these rules but not defined shall have the same meaning respectively assignedto them in the Narcotic Drugs and fr'”t ot opic SubstancisAct, 1985(C*ntralAct 61 of 1985).

3. (1) There shatl be state Level Committee, comprising of the following officials andnon-official members;namely:-

912

HARYANA GOVT. GAZ. (EXTRA.)’ SEPT.1, 2010 (BEDR. 10,1932SAKA)

be–

Official Member ‘.

Official Member

Official Member

Official Member :’

“Official Member Official Member

Member SecretarY.

(viii) Secretary,Haryana StateChild Welfare Council

(ix) Secretary,Haryana Red Cross Society

.(x) Head, Psychiatry Department, Post Graduate Institute of Medical Sciences,Rohtak’

(xi) Head, psyctriatry, Post Giaduate Institute of Medical Education and Research,Chandigarh’

(xii) HeadPsychiatrGy,MCH,:Z’ Cnalltt:*’_ (xiii)Director,statelnstituteofMentalHealth’Rohtak’

(xiv) Two lawYersof rePute’

(xv)TworepresentativesofexistingNGosworkinginthisfield of the State’

(xvi)TheCommitteemay-?*anyadditionalMgmberf<rrameeting

who has special qoulifitutions an$ gxnerielce in the field of

(i) Administrative Secretary,Health ‘ and Medical Education

(ii) Administrative Secretary”Social JusticeandEmPowerment’

(iii) Administrative SecretarY, Technical Education

(iv), AdministrativeSecretary’ Higher Education

(v) Adrninistrative SecretarY, School Education

(vi) Director, Social Justice and EmPowerment DePartment

(.vii) DirectorGeneralHealthServices

—

(2) TheSeniormostSecretaryshallbetheChairman’

(3) The role,and responsibilities of the state Level’ committee shall

‘

HARYANA GOVT. GAZ. (EXTRA.),SEPT.1, 2010 9 1 3 (BHDR. lA” 1932SAKA)

(i) to act as supervisory, policy making and facilitatory body with regardto treatmentof addictsand their rehabilitation;

for operationof centres;

(iii) to ensureeffective irnplementationof minimum standardsof care in Centresas laid down by the Governrnentof India or any StatutoryBody or this Committee;

(iv) to help and guide for establisha collaborative treatment network among the centres and Govermental and Non- GovernmentalHealth Care facilities;

(v) to conduct facilitating training prograrnrne for personnel deployedin centresi

(vi) to undertakeany other activity for the promction of welfare and rehabilitation of addicts;

(vii) to decide the appeaisagainst the decisions of the licensing authority”

4. A personshatlbedisqualifiedfor beingappoirrtedasarnembercrrin Disqaliiicatron. caseis already appointed then shall be rernoved by the Gcvernment if he,

(i) hasbeenconvictedandsentencedto imprisonmentfor anoffence which in the opinion of the Governmentinvoives moral turpitude; or

(ii) is an undischargedinsolvent, or

(iii) is af unsoundmined and standsso declaredby a cornpetentcourt” of,

(iv) has been removed or dismissedfrom the Government or a body corporateowned or controlled by the Government.

5. (1) Every non-official rnember shall hold office for a period of three Term of oflice of

years from the date of his appointment and shall be eligibie for re-appointment.

(2) Anon-officialmembermayatanytimeresignfrommernbershipof the Authority State Level Committee by forwarding letter of resignation to the Chairmanandsuchresignationshalltakeeffectfrom thedateoa which it is accepted.

(3) Whereavacancyoccursbyresignationorotherwiseofanon-official metnber, the Government shall fill the vacancy by appointing from amongst the samepersonsandthepersonssoappointed,shallholdoffice for theremainderof the term of office of the member in whose place he has been so appointed.

non-official mennbers.

Licensing authority’

9t4 FIARYANAGOVT.cAZ. (EXTRA.),SEIrr. 1, 20lo (B[IDR. 10,.tg32 SAKA)

(4) Where the term of office of any non-official member is about to e x p i r e , t h e G o v e r n m e n t m a y a p p o i n t a s u c c e s s o rt h r e e m o n t h s b e f o r e t h e e x p i r y o f the term of such memberbut the successorshall assumeoffice only after expiry of the term of the member.

6. (1) ThereshallbeaStateLevelLicensingAuthorityconsistingofthe following members;namely:-

namely:-

(i) Director GeneralHealth Services,Haryana;

(ii) Director, Social Justice & Fmpowerment Department, -‘—-.t ——-

.

(2) ThefunctionsoftheLicensingAuthorityshallbeasunder:-

(i) to issue provisional licence, regular licence and to renew

licence for operation of centres set up by any organization ; and to registercentresalreadyoperating;

(ii) to investigate complaints against centres as also against suspected/allegedunlicensed centres;

(iii) to monitor, superviseand evaluatefunctioning of various cenfresin the Stateof Haryana;

(iv) to ensureminirnum standardsof care in the centre basedon

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:;ffi HHtril,:t,;’;ti

time to time;

(v) toimplementand_monitortheguidelinespreparedbyState Level comrnittee for settingup andfunctioning of thecentres;

(vi) to caffy out periodic inspectionsof the centresand in caseof any violations initiating punitive proceedingsincluding suspensionor cancellationof the licence;

(vii) to dcvise ft*.:yn procedurefor dischargingits duties and for canying out the objectives and implementing the rules and

(viii;):f#:::T:iij:Ii”*,. by,hse,aL,eve, a (3) The Licensing Authority shall follow the following procedure,

(i) onreceiptof anapplication,informtr-thel-icensingAuthority may causesuch enquiries to be rnadeabout the applicant as it deemsfit to ensurethat the applicant is capableof adhering to the minimum stand.ardsprescribed under these rules for

– running a centre;

HARYANA GOVT. GAZ. (EXTRA.),SEPT,1, 201.0 9 1 5 (BHDR.,10,1932SAKA)

(i0 after getting suitable enquiry conducted and after satisfying ibelf about the capabilities of an applicant for setting up a centre in accordancewith the minimum standardsprescribed in theserules,the licensingauthority shall issuea provisional licenceto the;

(iii) after issuanceof provisional licence, the applicant shall comply with theprescribedminimum standardsandsuchother conditions as are prescribed by the licencing authority, and requestthe Licensing Authority to grant regular licence within a period of six months. If he fails to apply for the regular licence within the specified period, he shall stop the operation of the centre” A cenffe be operated in the State of Haryana only after issuanceof a licence;

(iv) for conversionof aprovisionallicenceinto aregularlicence, the l-icensing authority shall satisfy itself about due compliance of all the conditions of the prcvisional licence by the applicant, fcr which purpose, it may causethe centres to be inspectedby the District Level Committee;

(v) alicenseshallbevalid for aperiodof five ysarsfrom thedate of issue unless suspended,revoked or cancelled by the licensing authority for non compliance of any of the conditions of license and non adherenceto the Minimurn Standardsprescribed under theserules;

(vi) the fee for application for setting up a centre shall be Rs. 10,0001-(tenthousandrupeesonly) for new licence and Rs.5000/-{five thousandrupe€sonly) forrenewal of lieence. The application for renewal of licence shall be made in

(vii)

(viii)

the centresestablishedby the Government of Haryana shall be exempted from the paynnentof license fee;

Psychiatric Nursing Hornes/flospitals which are holding licenseundertheMentalHealthAct, 1987(14of 1987land the Central Mental Health Authority Rules 1990) and are providing treatment and care to addicts shall be exempted from applying for the license.They shall be governed under the provisions of Mental Health Act, 1987 (14 of 1987), however, they shall be registered apply fcr registration in Form I to the l,icensinq Authority and supmit data on de- addiction casesin the prescribed performa i.e. Drug Abuse Monitoring System (DAMS) to the Licensing Authority, as directed for the purpose of consolidation of data on de- addiction in the State;

Minimum Standards.

9. (1) The Cenffe shall conforrn to &e following Minirnum Standards; narnely :_

:

9t6

HARYANAGOVT.GAZ.(EX{RA.),SEPr,.l, 2010 (BHDR,.10,1932SAKA)

,

(ix),

: (x)

all the existing centresshall hav,eto apply for the license yjSio six monthsfrom thedateof publicationof theserules, in Form I.

on thereceiptof applicationfor regularlicensein Form I the Licensing Authority shall issuethe samewithin thirty days of the receipt of reports regarding compliance of the conditions of provisional license to the applicant;

Appear, ^*,,*,1;*laxil:o:#ii-::f”fi1?,1#,t#f:r:’#::i??ff::”::ffi’i-:: him in Form lll.

Districtlevel

‘ committee’

8. (1) There shalt be a District Level Comrnittee, comprising of the foltowing members;namely :.-

,

(i) to periodicaliy monitor,

‘supervise

A,

PHYSICAL STAI\TOARDS :_

(i) The centre after obtaining license shall start operations within thirty days of the receipt of the license and inform the licensing authority about the commencement of its operatlon

t”‘ll;’:T:::-,:.f.’1T”:.11i::\’;’hT’B::H:,”i:l

Committee;

iiii) The, Centres shall have requisite number of beds ( one for each patient). Adequate accommodation and proper spacing between the beds shall be provided.

Chairman.

l\{ernberSecretary Mcmber

and evaluate the fi.lnctioningof the Centresin the district in accordancewith

theconditionsof thelicenceandguidelinesframedby State Level Committee or Licencing Authority frorn tirne to time.

(ii) to ensurethat every centre has valid licence;

(iii) To rnaintain the record in the form prescribed by the State Level Committee from time to time’

(i) DeputyCommissionerorhisnominee not below ttre rank of Additional

DePutYComnnissioner’

(ii) Civil Surgeonof the district

(iii) District SocialWelfarc Officer (DSIVO)

(2) The functions of the District Level Cornmittee shall be;

HARYANA GOVT. GAZ. (EXTRA.),SEPT.1, 2010 917 (B[IDR. 10, 1932SAKA)

(iv) The centre shall have sufficient ventilation and be free from any pollution which may be detrimental to the health of admitted pafients.

(v) fhe cenffeshallhavepotable/drinkingwaterandrunning waterfor washing,bathingandcleaningpurposes.

(vi) The centre shalt have proper sanitation facilities in terrns of clean and adequatenumber of bathroorns, toilets and sinks.

(vii) Thecentreshallprovidecleanbedlinen,utensilsand articles for personal hygiene of the patients.

(viii) ‘The centre shall provide fresh, nutritious and adequate

‘

(ix) The centre-shall have adequaterecreational facilities for the patients.

(x) The following additional facilities shall be available in every centre; namelY :-

(a) reception enquiry / registration counter/waiting space with seating arrangementsfor a minimum of five persons.

(b) cubicle/room for providing individual counseling, grouptherapyandfamily counselling.

(c) space to store records of patients tel ensure confidentiality and a systeniof easyretrieval.

(d) related educational material such as posters to be p{ominently displayedatstrategic points in the cenffes.

(e) pamphlets,,handbills and other educational materials in vernacular shall be made freely available for the public.

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/ maintenancetherapy and psychosocial interventions and his consent for undergoing treatment for de-addiction.

(ii) Treatment protocol of centresshall follow establishedand evidencebasedmedical practice and guidelines published by the Word FlealthOrganization (‘WHO), Government of

. India, and Indian PsychiatricSociety (IPS), including the harm minimization practicesadvocatedfrom time to time.

meals to the admitted patients.

SIS

FIARYAF{ACTOVTG. AZ. {EXT’R’A’)$, EpT” 1′ 2*10 (BHDR.i0. i932S,AKA)

‘

{iiij Nursing and oth*r staff employed in t}re centre shali be

tohandlethework assipicdtothern.Thecorestaff(Iloctors and nurses)shail have receivedtraining in de-addiction treatmeutfrom argcogniuedinstitution’

(iv) officer in-charge of a centre shall be duty quaiified psychiatrist ar doctar with at least three months rraining in de-adCictiqntreatrfient

{v) whendoctcrmanagesacentre,it,shallhaveapsychiatrist

(vi) Eaeh,centre shall furnish and prcminently display an undertaking/arrangementfrom themanagementin charge of a GovernmentlPrivateCentre. for provitiing support and emergency servicesto the in- patients’ if needed’

(vii) Adequate rransport/Ambulancefor patients shall be ens*red bY the conFe’

{viii) Round the glock medical nursing care to rhe addict shall be ensuredbY the cenffe

1{ix) There shall bs adequateand readily available sfosk of mcdicines required and related physical and psychiatric co- morbidities.

C’ STAFF H,BQIIREIVIENT :- (a) F+rDe-addiction Centre.

;

– (i) Onepart-time(4hoursaday)doctor;MD Psychiatry

tr*ining in de-addictiontrestmentfrcnna recognired institution iDsctsr: Fatient Ratio 1:20).

(ir) Two SociatrWorkers/Counselors-MPhil/h{A in

;:HTlnlT;J:”ffsJd;-:’H’1,ffff-$;”i:;*’: recognized instituilon {Counselors; Patient Ratio

t:I0).

{iii} Fcurstaffnurs€s{-eirroundthecioc’kservices.BSc’ cr Diplorna in Ntrsing witir iraining in drug freamtent frbm a recognizedinstitutian (Nurse:Fsti.entRatio

1:2S).

tiv’l TfueeWerdr\uendants-i0+2e’JucationO. rientation trailing to handledrug addictsprcvided at the Centreloeallv within threemonths’

HAR.YANACCVT.GAZ”tgxrRA.), SFFT.1,2Sl0 919 {,BI{DR.10,tr93?SAKAi

tv) Threesecurityperson$eol-neeach,ranndtheclock. {vi) TwoSafaiKaramctraris’

fresh:nufitiqus faod frorn outside’

{b) For coumEingCentre -.: ,,. l

(i) Project DirsctorlProgramme Officer-one’

:-(ii)rhregSryialWsrkers/CounsclorswithBasic qualification of MA in Psychology, Sociology or

‘t

–

,

(iii) Three TVardAttendants-Basicqualificarion l0+2, , crientation ffaining to handle substancedependlnts

.-tobeprovidedat.theCentrelocallywithinthree rnonths.

i (iv) Two securityguards/Chowkidars’ (v) Two safaikaramcharis,

sociai wark preferably with training in de-addictron

-a

ff€atment from

recognized institution

(vi) PeerEducators(OPtional)’

(vii),One Cook curn^tlelper

(Op.lionafor r’ee1l,ar )-

usfocdf?ornautside. ‘ a;:angemintfsorfrestrnutritio

_ ..,j-

:

::

n” $IPFORT $ERVICR$:;. Eachcentreshallprovidethefcllcwing supportservices,-

(i) EmergencYmedicalcare.

,

{ii) Recreational/rehabilitationfacilities and outdoor activities.

{iii} Regulardailyauryatientservices’

{iv) F-eferra!iinkage for specialist medicai ser’.,ices” iaboratory serviceg.HIn’/iAiDS centers,RNTCP centres.

iv) Adequatetransportfacilities for patientsfor the purp0seof iinkageactivitiesandemergencYnredieal c&re.

”

Admission to centre.

10. (1)

of ihe patient, after discussing risks, benefits and alternatives to treatment to be recordedin writing. Copy of the consentform shall be provided to the client. The client shatlhavethe right to refuseanddiscontinuetreatmentat any tirne.

, (2) The StateLevel Committee or the l-icencing Authority, as the case may be, may frame guidelinesor impose such conditions as it deemsproper.

(3) Each Centre shall give an undertaking to the effect that it shall protect the human rights of the admitted patients as per the Universal Human Rights and that it will not engagein the following activities with the patientsi.e. solitary confinement,forced labour,punishment,beating,psychologicaltorture, chaining or locking up. The patients liberty shall be protected at all times. It shall allow private interaction with family and provide communication to the patient undersupervisionof theauthorizedpersonof Centre.It will ensureconfidentiality

of medical and counseling records of the patient except caregivers and under judicial orders.

920 HARYANA GOVT. GAZ. (EXTRA.),SEPT.1, 2010 (BHDR. 10, 1932SAKA)

E RECORDMAINTENANCEAFIDDISSEMINATION :-

(i) It shall be mandatory for all the Cenffes 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 onDrugAbuseMonitoring System(DAMS) Performa developed by the Union Ministry of Health and Family Welfare, tc the Director General Health Services,Haryana and to the Director, Health and

ff$JL,H’J:il#1Tffi’,”fff:,l.,il:,il#l,: for the purpose of information and compilation of

State and National data.

Admission to:theCenhe shall be madeonly with informed consent

HARYANA GOVT.GAZ, 1. gzl {EXTR.+,),,SEPT” ?t}10

10,1,932SAKA),,,

r,oRMr, ,

it :.r ”

{ (See.rute6(!)(i)(yiii)(ix)(x}J . REGISTRATION CERTIFICATE/LICENCE

We,..

Drugs anri Fsychoiropic SubstanceAct, 1985 (6i of i985) after saiisfying rlie

requirement of the Drug-de-addiction centre, hereby grant the.Registration

certificatellicencefor establishmentlmaintenance Drug-cie-adciictioncenrre. 9f

2. The Registrationshali be valid for a periociof 3 years,commencing from. .:…..

The Registraticn shal! be subject to the conditions laid down in the section 71 of”; the Narcotic Drugs an,CFsychotropic SubstanceAct and ihe rules mad.eunder there for de-addictioncentres.

$HnR

.; r, -1,-rtrt,

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g2z”

ganynnin GovT.GAz.(nxrira.),,’sEmt-r,’2010 ($”HDR,10, 1932S. AKA)

: p,Onnr#il

ftSeerute6(i)(vt)I appl,rcATroNFoRRE}{EwHorr’nnetstnarrox

\

Subject : RenewalRegistrationNo”c..r..t’-….. o…dat€d

I requestyou to kindly renewalmy RegistrationNo… datedthe…….,”..

prescribedby thee*t unJtn” noim numedthereunder.f huu*heiewithattacheda demandraftfor Rs.250only.

;;tt

Flace

Yoursfaithfullv Signature

Date..

Thankingyou.

‘V i

TLARYANAGOVT. GAz. {EXTRA.},SEPT.tr, 2010 923 GFTDR.trg, 1932SAKA)

F’ORM TTT APPLTCATION FOR APPEAL

(seerule 7)

The AppellateAuthority . Governmentcf

To

‘

Sir, 5

I …………………of. establishingDrug-de-atldictioncentre’=(Copoyf the earlierapplicationto be attached)M. y applicationwasrejectedbytheRegistrationAuthorityasperhisl helle$erNo..

l. …..,’ 2. i.r….

3.

,(Cobyenclosed)

The abovereason{s}appear(st)o be not vatid. I requestedyou to reconsidermyapplicationM. yjustificationa.re:

a l.

2………;.

3.

I am wilting to appearbeforeyou for a personahl earing,if necessary, I amherewithenclosingadraftforRs.300.

Flace Ilate.

Yours faithfully Signature. ….”……….

Date…….,..

DHANPAT SINGH

Financial Comnnissionerand Principat Secretary to Gcvernment, Haryana.

Social Justice and Empowerment Deparffne*t’

4?628-_L.R.-H.G.PC.,hd.

ThankingYau.