Annual Report of ASHADEEP for the Session 2013-2014

Home , Ratan Tata

Registered ofϐice: Piya Apartments, Kanaklata Path, Lachitnagar, Guwahati-781007, Assam, India Phone: 0361-2456837, Fax : 0361-2380027 Email: [email protected] Website: www.ashadeepindia.org

Registered under Societies Registration Act No. RS/KAM/240/C/385 of 1996-1997 Registered under Foreign Contribution Regulation Act No. 020780056 Registered under National Trust No. 0306/MR-MD/2003 dated 11/3/2003 Accredited Member of Credibility Alliance Donations exempted from Income tax Under Sections 12(A) & 80(G) of IT Act 1961

Name and Address of Bankers 1. State Bank of India, West Guwahati Branch, Bharalumukh, Guwahati 2. ICICI Bank, Bhangagarh, Guwahati 3. Axis Bank Ltd., Chibber House, G.S. Road, Guwahati 4. IDBI Bank Ltd., G.S. Road, Guwahati 5. Yes Bank, G.S Road, Ulubari, Guwahati

Name and Address of Auditor Parthasarathy Choudhury & Associates F/90, Gurdwara Building Anup Chanda Land, Police Bazar Shillong – 793001, Meghalaya

Name and Address of Internal Auditor Dhawan Pandey & Associates 101, Shivam Apartment, Opposite PIBCO Building Rukmini Gaon, Guwahati – 781022, Assam

Name and Phone numbers of Contact Persons 1. MUKUL CHANDRA GOSWAMI, Secretary Ph : +919435043308 2. DR. ANJANA GOSWAMI, Director Ph : +919864077861

Vision To achieve a life of better quality for persons with mental disorders and their families.

Mission To initiate and strengthen Mental Health Interventions in the North Eastern states of India. Honb’le President of India, Shri Pranab Mukherjee presenting the Padma Shri Award to Shri Mukul Chandra Goswami at Rashtrapati Bhawan, New Delhi.

It has been 17 years since Ashadeep set out to bring about a silent revolution for many who had to bear an invisible cloak of prejudice. The journey since then is exemplifi ed in the numerous signifi cant life stories like that of Jayanta whose father thought that his hyperactive school drop-out child was born without a voice or Anita whose brother thought that his sister had been dead after she went missing when she was fourteen and all eff orts to trace her failed. Anita was missing from home for twenty years before she was admitt ed at Ashadeep’s Navachetana Homes in 2005 and reunited with her brother in 2010 while Jayanta is now an avid ‘tabla’ player at Ashadeep Day Rehabilitation Centre and eff ortlessly presents the classic hits of Dr Bhupen Hazarika. Experiences like these have motivated Ashadeep to strive for the cause of mental health and its implications not only at the individual level but also at a macro level. When Government of India bestowed the Padma Shri Award to Mr Mukul Chandra Goswami, Founding member and Secretary of Ashadeep, in 2014 it was indeed recognition for all those individuals working relentlessly for an otherwise overlooked human reality.

1 A Few Words from the President of the Executive Committee

uring the year, Ashadeep continued to be a beacon of hope “Dfor those unfortunate to be at the margins of society due to a mental health problem. Continuing the good work in the mental health sector in respect of intellectually challenged individuals, homeless women with mental illness, interventions in remote areas of the state, its advocacy eff orts were rewarded as the Government of Assam assisted in the establishment of rehabilitation home for homeless men with mental illness, fulfi lling a long felt need as hitherto the available resources permitt ed the looking after of mentally ill women only. Spreading the activities at the community level, a comprehensive Community Mental Health Programme, encompassing three development blocks in the State, bringing into its fold health service providers of government Primary Health Centres, was started. This has been a long felt requirement as ultimately it is only the health care structure of the State that can reach all parts of the State. Nay, provision of health care is one of the fundamental responsibilities of any State. The capacity building of PHC doctors and paramedical staff of the primary care system envisages dealing with the issues at the grassroot level, hopefully obviating the need for further inputs at a later stage. Most signifi cantly, the measures which are a part of the programme would allow larger number of people, particularly in the rural areas, to lead a healthy and fulfi lling life, realising their true potential. As an organisation, Ashadeep has grown, from a husband and wife team with extremely limited resources beyond a burning desire to mainstream persons with mental disorders and a zeal beyond measure, to a body with well trained personnel and a pool of specialized consultants, providing not only services but also capacity building, advocacy and has brought about a sea change in the mental health care scenario in the State. We appeal to all sections of society to come forward and lend a hand in helping to unlock the potential of individuals aff ected in respect of their mental health, contributing to their families and to society.”

Bhaskar Barua President

2 CURRENT PROJECTS / ACTIVITIES OF ASHADEEP

Sl. No. Name of Project Location 1 Day Rehabilitation Centre House No. 9, Karbi Namghar Path, -For individuals with intellectual disabilities Behind State Zoo, Japorigog, Guwahati, and associated disorders and persons with Pin – 781005 Phone: 0361-2380027 mental illness 2 Navachetana 1. Transit Care Home - ‘Doya Bandhu -Rehabilitation homes for homeless women Bhawan’, Bilpaar Road, Rehabari, with mental illness Guwahati 2. Rehab Home – P.L. Home Campus, Bamunigaon, Near Boko, District Kamrup (Rural), Pin – 781123 4 Psychiatric Outdoor Clinic (OPD) Medi Safe, Below Ulubari Fly Over, -Psychiatric consultation for those who are Ulubari Chariali, Guwahati socially and economically marginalized; follow up centre for ex residents of Navachetana and Udayan 5 Community Mental health Programme 1. Boko Block, Kamrup (Rural) -Creating access to mental health 2. Sipajhar Block, Darrang District- in interventions in rural areas collaboration with SATRA 3. Mayong Block, Morigaon District- in collaboration with Morigaon Mahila Mehﬁ l 6 Counselling Services 3B Piya Apartments. Kanaklata Path -Face to face & Telephonic ‘Paritranam’ – Lachit Nagar, Guwahati – 781007 Helpline (995-447-1111) 7 Resource Centre on Mental Health 3B Piya Apartments. Kanaklata Path -Training, workshop, sensitization and Lachit Nagar, Guwahati – 781007 awareness generation, creation of resource material, and advocacy 8 Udayan P.L. Home Campus, Bamunigaon, Near -Rehabilitation Home for Homeless Men with Boko, District Kamrup (Rural), Mental illness in collaboration with Social Pin – 781123 Welfare Department, Government of Assam

3 Major Grants received during 2013-14

Sl. No. Agency Purpose Amount in `

1 Ministry of Social Justice For Day Care Centre 3,81,563/- and Empowerment, (1st installment of Yr 2012-13) Government of Assam

2 Navajbai Ratan Tata Trust For ‘Navachetana’ home for 90,00,000/- rehabilitation of Homeless Women with Mental Illness, Community Mental Health Programme at Sipajhar and Morigaon and Resource Centre

3 Ministry of Youth Aﬀ airs Promotion of sports among the 2,60,260/- and Sports, Government disabled of India

4 Jamsetji Tata Trust For Community Mental 20,81,000/- Health Programme at Boko, Kamrup(Rural)

5 Social Welfare For Navachetana home for 10,20,000/- Department, Government rehabilitation of homeless women of Assam with mental illness

6 Hans Foundation, New Counselling Services- Face to Face 10,96,000/- Delhi & Telephonic helpline “Paritranam”

7 Give India, Mumbai Towards Rehabilitation expenses at 2,81,524/- Day Care Centre, General expenses, Corpus Fund, Food & Medicine Expenses of Navachetana residents and Ashadeep Shop

8 Council for the Indian Award money (Derozio award for 1,00,000/- School Certiﬁ cate Special Education) Examinations

9 South Asia Voluntary Towards General Fund 1,07,105/- Enterprise (SAVE)-UK, Glagsow

4 Executive Committ ee Members w.e.f. 08/12/2012

Sl Name & Designation Occupation Address

1 Shri Bhaskar Barua Retired Civil Servant House No. 3, 2nd By Lane, S.K. President Baruah Road, Rukmini Nagar, Guwahati – 781006 Ph: 9435011862

2 Shri Mukul Ch. Retired Bank 4th Floor In-Built Residency Goswami Employee 9 Monalisa Path, Mother Teresa Secretary Road, Guwahati – 781024 Ph: 9435043308

3 Shri Vijoy Patir Business Near Anganbari, West Silpukhuri Treasurer Road, Guwahati – 781003 Ph: 9864091783

4 Shri Ronojoy Sen Consultant Architect 4th By Lane, Tarun Nagar, Guwahati-7 Member Ph: 9435107827

5 Dr. Jolly Baruah Associate Professor Chenikuthi, Guwahati Member Pandu College Ph: 9864058137

6 Smt. Leeta Hazarika Practicing Psychologist / Bamunimaidan, Guwahati Member Guest Lecturer Gauhati Ph: 9954711343 University

7 Shri Pabindra (Opu) Business Sangpu House, Opp. Raj Bhawan, Dutt a Chowdhury Uzan Bazar, Sat Pukhuri, M.G. Road, Member Guwahati-781001 Ph: 9864054745, 9954083383

8 Shri Ashok Jhuria Business Garima Palace, H.B. Road, Member Kamarpatt y, Guwahati – 781001 Ph : 0361-2514332

Executive Committ ee Meetings

Sl. No. Meetings Held on Members present

1 03/08/2013 7

2 30/12/2013 7

3 19/02/2013 6

5 Overall Progress and Results Achieved in 2013-2014

No. of Progressive Sl. Beneﬁ - Total up to Project / Activity Supported by No. ciaries in 31st March, 2013-14 2013

Partly by Ministry of Social Justice & Empowerment, 1 Day Rehabilitation Centre, Guwahati 120 343 Government of India, New Delhi

2 Navachetana – Rehabilitation of Homeless women with mental illness, Primary funding by Navajbai Guwahati & Bamunigaon Ratan Tata Trust, Mumbai Total admissions 56 482 Residents re-integrated with families 50 419

3 Free Psychiatric Outdoor Clinic (OPD), Guwahati Navajbai Ratan Tata Trust, Number of new patients 115 893 Mumbai Total examinations 840 4426

4 Resource Centre Number of Training Programmes (organized; ‘resources provided’) as 45 98 Various sources under diﬀ erent resource agency) programmes (Community Number of Trainees Mental Health programme, 1024 2360 Counselling Services, Day No of Workshop/Seminar 1 14 Rehabiltation Centre) No of Awareness Generation 43 Programmes

5 Promotion of counseling services to achieve positive mental health in the community Paritranam (995-447-1111) – helpline Hans Foundation, New Delhi Number of calls received 115

Face to Face Counselling – Number of Cases 118 211

6 Udayan Home for Rehabilitation of homeless Men with mental illness Social Welfare Department, Number of men admitt ed 37 37 Government of Assam Number of men reintegrated 12 12

7 Community Mental Health Programme Navajbai Ratan Tata Trust; Number of Persons Enrolled and 586 586 Jamsetji Tata Trust received intervention Number of Districts Covered 3 3

6 Programme Details he Day Rehabilitation Centre caters to individuals with Tintellectual disability and associated disorders and persons recovering from mental illness. The activities undertaken for both the groups are as follows: 1. Conventional and Special Education, Living & Social skills training, Sports and Adventure sports, for the intellectually disabled and those with pervasive developmental disorders. 2. Pre-vocational & Vocational training at Sheltered Workshop in the Centre which is a part of therapy as well as a source of facilitating income generation. 3. Re-instilling social skills including interpersonal and communication skills amongst persons recovering from mental illness. 4. Counselling – individual/group of persons recovering from mental illness. 5. Counselling & Training of Family Care Givers of both Day Rehabilitation the groups. 6. At the Sheltered Workshop, articles are produced from Centre recycled material such as carpets and door mats made (Established 1996) from old clothes, bags and envelopes from old calendars, news papers, wedding cards and waste paper, hand fans SHELTERED WORKSHOP at from incense stick packets, etc. Other items produced are handkerchiefs, pot-holders, napkins, dress materials, ﬁ le the Day Rehabilitation Centre – covers, etc. and crochet products such as mobile covers, An initiative which has gone door mats and baby blankets. beyond catering to therapeutic needs of the individuals Achievements/Highlights 2013-14: to providing avenues for  Ashadeep’s Day Rehabilitation Centre, was conferred livelihood generation. The “Derozario”Award for Education and Human Enrichment in the category of ‘Special Education’ for the year, 2013 by Council for the Indian School Certiﬁ cate Examinations. The award consisted of an Engraved Gold Medal (22 ct. 24 grms), a Citation, a Silver Plaque, and an amount of Rs 1 Lakh in the form of an account payee

Hon’ble Governor of Karnataka Dr H.K Bharadwaj presenting The Derozerio Award for Education and Human Enrichment in the category of ‘Special Education’ for the year, 2013 by Council for the Indian School Certiﬁ cate Examinations to Dr Anjana Goswami, Director, Ashadeep at Bishop’s Cott on Boys’ School, St Mark’s Road, Bangalore on 8th January, 2014

7 Demand Draft. Hon’ble Governor of Karnataka Dr H.K Bharadwaj presented the award to Dr. Anjana Goswami, Director, Ashadeep at the presentation ceremony held in Bishop’s Cott on Boys’ School, St Mark’s Road, Bangalore on 8th January, 2014 during the Annual Conference of the Association of Heads of Anglo Indian Schools in India.  5 special students of Ashadeep brought laurels for the nation by winning 2 gold medals, 2 silver medals and 1 bronze medal at the Special Olympics Asia Pacifi c Regional Games held in New Castle, Australia from 1st- 7th November, 2013.  A six month vocational training was initiated at Day Rehabilitation Centre on 22nd October, 2014 under Skill Contingent from Assam at Special Olympics Development Programme of National Institute for Asia Pacifi c Regional Games held in New Castle, Australia from 1st- 7th November, Empowerment of Persons with Multiple Disabilities. The 2013”. training includes participants from various NGO’s working on disability and jute braiding, etc.  2 female students of the Sheltered Workshop att ended a Workshop on Skill Development and Rehabilitation of Multiple Disability organized by National Institute for Empowerment of Persons with Multiple Disabilities at NEDFI House, Dispur.  Disability Card Camp was organized at the centre in collaboration with Swabalambi and District Health Services on 30th November, 2013.  Renowned singers Mr Bidya Sagar and Mr Digaanta Bharati and noted Assamese fi lm actress Ms. Barsharani Bishoya celebrated Rongali Bihu with the students of Day Rehabilitation centre in April, 2013.

Film Actress Barsha Rani during Pre Bihu Celebrations at Ashadeep’s Day Rehabilitation Centre

8 A resident at Navachetana Rehab engaged in Weaving

he aim of this project is to reach out and intervene with Tone of the most vulnerable and overlooked sections of the society- homeless women with mental illness who are highly visible yet turned a blind eye to by society at large. The major activities of project ‘Navachetana’ are to provide care, NAVACHETANA - treatment and rehabilitation inputs to these women and to Rehabilitation of ‘Homeless re-integrate them with their families. Follow up of those who Women with Mental Illness’ are reintegrated with their families is maintained through Ashadeep’s weekly OPD, household visits, and telephone. -Initiated in 2005; Currently in This process of rehabilitation is undertaken in stages at the its third phase of funding (Phase I: two homes- 2006-2009, Phase II: 2009-2012, Phase III: 2012-2015) by Sir Ratan  Immediate assessment, care, and treatment for mental Tata Trust and Navajbai Ratan health and general health ailments at Transit Care. Tata Trust, Mumbai.  After the residents make adequate recovery and reach a certain level of functionality (as per growth chart scale), they are moved to Rehab home at Bamunigaon. Psycho- social inputs, pre-vocational and vocational training are provided at Rehab which is followed by reintegration with families and the community. During this entire process psychological assessment tools such as Growth chart, Mental Status Examination, Global Assessment Functioning, Positive and Negative Symptom Scale, and Indian Disability Evaluation and Assessment Scale are used. When the resident att ains adequate functionality, they are encouraged to participate in carrying out chores and undertaking vocational activities for which an incentive is provided to them. These incentives are part of the token therapy followed as part of rehabilitation and also help the residents to secure savings which they carry with them at the time of reintegration. Highlights of the year- 56 women were admitt ed during 2013-14, of which 5 were readmission cases due to relapse. 50 women were reintegrated with their families and the community. 6 women who were reintegrated with their families have been linked up with livelihood generation activities. Chart depicting admission patt ern over the years at Navachetana

Recreational activities at Navachetana Rehab in Bamunigaon uring the formative years of Ashadeep, an issue which Dwas identifi ed to be aggravating the already dismal mental health scenario was the plight of homeless persons with mental illness. This marginalized section had no access to any form of intervention as the state and centrally sponsored mental health institutions were already bogged down with catering to huge number of clients and hence were ineff ective in extending their services beyond clinical treatment. Ashadeep’s package of intervention for homeless women with mental illness which covered care and treatment including psycho social rehabilitation and reintegration with their families was acknowledged by the Government of Assam as a model to be replicated across the state. To cater to homeless men with mental A male resident of Udayan being reintegrated illness wandering in the streets of Guwahati Ashadeep in with his family collaboration with Government of Assam set up Udayan Home. It is a 40 bedded home for rehabilitation of homeless men with mental illness which is located in the lush green compounds of P.L. Home Campus, Bamunigaon. Services include treatment, care, psycho-social rehabilitation, pre-vocational and vocational training, and reintegration with families. Honourable Minister of Social Welfare, Mr. Akon Bora inaugurated the home on 10th July, 2013. Also present during the function were Mr. Hemanga Sharma (Commissioner, Social Welfare Department), and other offi cers of Social welfare Department. Interventions similar to those provided in the Navachetana Udayan Homes are extended to the men. - ‘Rehabilitation of Homeless Highlights- Men with Mental Illness’ 37 homeless men with mental illness were admitt ed and provided with treatment. 12 of the men have been reintegrated with their families within Assam and in other states like Jharkhand, Madhya Pradesh, Chatt isgarh, and Bihar. Vocational training has been initiated on trades like bamboo work and masala (spices)grinding.

The newly constructed “Udayan” Rehabilitation Home for Homeless Men with Mental Illness at Bamunigaon Patients at OPD

reating easy access to mental health intervention for Cmarginalized population is the prime objective of the Free Outdoor Service (OPD) located in Ulubari, near the Guwahati Railway Station. Along with serving the needs of Out Door lower economic groups and mentally ill residents of diff erent Psychiatric Facility shelter homes, this provision has become the focal point of continuing treatment for past residents of Navachetana who (OPD) have been re-united with their families, and also individuals from previous Outreach locations. It has been observed that many of the individuals, who visited OPD had issues which could be tackled through basic psycho-social intervention such as counseling. Such cases are identifi ed in the OPD and catered to by the counseling cell. During 2013-14, a total of 840 reviews were carried out and 115 new patients registered in the OPD. Chart depicting fl ow of cases in the past four years

12 he population of India has crossed the billion mark Tbut the state of services for mental health is yet to keep pace. Given the high rate of occurrence of major mental disorders, at 1-2% there is a gap of immense magnitude in terms of resources for mental health care and treatment. It will take a decade if not more to take care of this lag at the present rate of provision of services. It is also a matt er of concern that the limited available resources tend to be largely commandeered by those who can aff ord it due to their economic or geographical advantages. Even in the best case scenario, mental health services are made available only at the district headquarters and are totally lacking as part of primary health care systems at the block or village level. With the view of creating access to mental health care and treatment for those are socially, economically, and geographically marginalized Ashadeep had undertaken outreach mental health camps from during the years 2006 to 20-12 in remote regions of Assam including confl ict areas such as Chirang, Baksa and Kokrajhar in Bodo Territory areas. The Community Mental Health Programme (CMHP) Community Mental of Ashadeep is an outcome of such outreach mental health Health Programme initiatives which has been undertaken in 3 blocks of Assam. Areas Covered- Sipajhar block in The major aim of this programme is to facilitate systemic developments in the community whereby, mental health is Darrang District, Mayong block included in health care delivery at primary level and there is in Morigaon District, and Boko signifi cant improvement in the health seeking behaviour for block in Kamrup (rural). issues related to mental health.

CMHP is being implemented in Sipajhar and Mayong block through local partner agencies SATRA and Morigaon Mahila Mehﬁ l respectively. In all CMHP locations, District Health Administration has cooperated in the implementation of the programme activities. A total of 586 individuals have been enrolled in the programme: Sipajhar-280; Mayong-266; Boko-40.

Mrs Chandana Sharma giving a presentation on Community Mental Health Programme during District Diagram depicting break up of total individuals enrolled in CMHP Health Review meeting at Boko

13 The Community Mental Health Programme being implemented in Boko by Ashadeep is a part of a national level initiative by Jamsetji Tata Trust in various states. Ashadeep is implementing this programme in association with Parivartan, Maharashtra and Sangath, Goa as resource agency. This programme focuses on the following: Common Mental Disorders (CMD), Severe Mental Disorders (SMD), Convulsive Epilepsy, Alcohol Use Disorders (AUD) and Suicide Prevention For low prevalence and especially long term disorders (psychosis, bipolar disorders and convulsive epilepsy), a collaborative community based care (CCBC) method is adopted for service delivery with focus on recovery through treatment, and rehabilitation including sustenance of livelihood. For the suicide prevention program, evidential fi ndings will be assessed based on what health and community actions are feasible in the program area and design interventions that use a combination of universal, Offi ce at Boko for Community Mental Health targeted and high risk approaches Programme accordingly. The major activities of the Community Mental Health Programme in Sipajhar and Morigaon, consist of identifi cation of persons with mental illness, their referral to primary health centres treatment through provision of medicines, follow- up to ensure continuation of medication and facilitation of income generation activities amongst persons recovering from mental illness. Table showing activity wise fi gures in CMHP locations-

Training of Health Workers for Community Activities Total Number Number of Number of Number of Mental Health Programme Population of General ASHA/ANM/ Caregivers Awareness and covered Doctors MPW/ASHA provided sensitization trained @ Supervisors psycho- programmes Block PHC/CHC / provided education carried out FRU training Sipajhar 1,20,000 14 113 129 16 (June,2013) Mayong 65,000 7 98 143 15 (April,2013) Boko 1,0000 11 78 - 12 (June, 2013)

14 uring the past one year of providing Dtele-counseling, it was found out that 39% of the total 178 cases were students while 49% were individuals employed in various professions. Thus, it can be inferred that the need for counseling is vital at a time when more and more individuals are entering higher academics and sett ing foot in the professional world. The severity of these issues has increased manifold as societal norms and mores have undergone a major change especially in developing nations. If left unresolved, such issues can aff ect a person’s daily choices and functioning and ultimately, it can manifest into An awareness programme at Nellie serious psychological disorders with lasting Panchayat, Mayong Block under CMHP eff ects and sometimes drastic consequences such as suicide. Also, a signifi cant percentage of caregivers of persons with mental disorders are found to be suff ering from stress and anxiety which need intervention. Promotion of counseling services to achieve positive mental health in the community Supported by Hans Foundation and formally initiated in 2011, counseling services through helpline “Paritranaam” have been extended to include Face to Face Counseling. Highlights- Group counseling session conducted with the residents of State Home for Women, Guwahati.  Training session for parents for “Understanding of Parent’s Role towards their mentally challenged Children” by resource person Dr. Mythili Hazarika, Clinical Psychologist, Guwahati Medical College Hospital on 8th February, 2014. Special educators training session on “Eff ective Management of Mentally Challenged Children of Day Rehabilitation Centre “on 22nd March, 2014.

15 he multitude of activities is aimed Ttowards reaching out to various stakeholders and creating a platform for dialogue with other members of society to ensure that developments on issues of mental health do not remain in isolation. All the team members of Ashadeep are involved in carrying out the activities of the Resource Centre.

Highlights Mr. Mukul Chandra Goswami, Secretary & Founding member, Training of Doctors at Sipajhar Block, Darrang Ashadeep has been included as a member of the Steering Group Committ ee of National Health Mission, Government of India. Resource Centre A seminar was held at B.Baruah College on the occasion ..for training, orientation and of Wom en’s Day where the “Navachetana” model of rehabilitation of homeless women with mental illness sensitization programmes, (something missing? – the NC model was the subject workshops, seminars and advocacy matt er of discussion?, . Mr. Mukul Goswami and Dr. on mental health Anjana Goswami were invited as Guest Speakers. World mental Health Day was celebrated by Ashadeep in collaboration with Assam State Legal Service Authority. Training was provided to Anganwadi Workers on mental health and its implications on children by Social Workers Ms. Plabita and Ms. Snigdha. Railway oﬃ cers at Guwahati Railway Station were oriented on identiﬁ cation of homeless women with mental illness by social workers Mr. Joseph and Ms. Snigdha in January, 2014.

Training of ASHA,ANM and Multi Purpose Ashadeep was involved as a resource agency in workers on mental health, Sipajhar Block, developing curriculum and providing training under Darrang Rashtriya Madhyamik Shiksha Abhiyan on “Methods and Skill for Special Need Educators” for teachers of various schools in Assam. A signiﬁ cant number of interns from various colleges and universities visit Ashadeep as a part of their ﬁ eld work exposure, block placement and other related academic discourses. Such level of involvement has qualitatively increased in leaps and bounds as they actively participate in activities of the resource centre such as creating sensitization

Training Programme for Caregivers of Persons material and undertaking awareness programmes on mental with Mental Illness,Mayong Block, Morigaon health.

16 “During our month long internship, we rediscovered some beautiful emotions like love, care that still hold their own ground of importance in a world that today remains largely shrouded by violence and hatred.” -Bhargabi Das, Rakhi Hazarika, Snigdha Anand Prakash, Himali Das, Dimple Rabha (Interns@Ashadeep)

Interns from Tata Institute of Social Sciences, Mumbai, delivering lessons on ‘good touch and ‘bad touch’ to students as part of Sex Education to students at Day Rehabilitation Centre

17 A noble gesture by our Corporate friends The number of students of these Day Rehabilitation centre has increased at a steady rate in the past few years. Given the state of transport services in the city which is yet to become secure and supportive of diﬀ erently-abled individuals, it becomes essential that such services are provided to them exclusively. As a part of their social responsibility towards the community, Rural Electriﬁ cation Corporation Limited provided a “Tata Winger” to support the transportation needs of students of Ashadeep Day Rehabilitation Centre. The vehicle was formally launched by Shri Pradyut Bordoloi, Honourable Minister of Power & Industries, Government of Assam at Ashadeep’s Day Rehab Centre in Jatia, Kahilipara on 12th November, 2013. Drawing Competition for Students of various schools in association with European Union For the second year on succession, drawing competitions were held across 16 schools in Guwahati which included 5 Assamese medium schools and 5 special schools. A total of 1600 students in the age group of 8-12 years participated in the drawing competitions held in their respective schools during the months of September and October, 2013. Prizes were distributed to the winners by H.E. Dr. João Cravinho, Ambassador of the European Union for India, during a ceremony held at Vivekananda Auditorium, Uzanbazar, Guwahati on 26th February, 2014.

Shri Pradyut Bordoloi, Honourable Minister of Power & Industries, Government of Assam,Mr Sushil Kumar Lohani ( I.A.S, Executive Director RGGVY & Chief Executive Oﬃ cer REC, PDCL), Mr Rakesh Kumar Arora (General Manager, CSR) & Mr A.K. Goswami (Chief Project Manager, REC) at Ashadeep’s Day Rehab Centre in Jatia, kahilipara on 12th November, 2013 18 Thakuria Sir is like a God to us, with his help she is now able to do so much, starting from taking care of her diabetic mother like a nurse, taking tuitions, taking computer classes, attending her classes regularly - Father of Sunita (name changed) who was diagnosed with Schizophrenia and attending OPD since 2009, about Dr P Thakuria, Psychiatrist at Ashadeep

She is absolutely fi t now, and she has a sense of responsibility towards her family members .Nobody can say that she suff ered from mental illness - Father of Chanda(name changed) who is enrolled in the Day Rehabilitation unit of Ashadeep since the past 15 years

The supportive and caring environment with the mental health service providers around acts both as a “motivator” and “ stress buster” encouraging sharing of thoughts, personal issues ,and guiding them towards a better life, unlike other institutions -Sister of Daisy (name changed) who has been suff ering from Schizophrenia since 7 years during her routine review at Ashadeep’s OPD

I have succeeded in showing the proper pathway to the people with Mental Illness in my locality, and preaching that “Seeking treatment, proper food, family support” are the major requisites for recovery from Mental Illness combined with faith -Brother of Niju(name changed) who had received treatment during Outreach Mental Health Camps in Sipajhar

19 A Saga of Reunion One of the most signifi cant events for the team at Ashadeep is when a homeless woman with mental illness is substantially rehabilitated and reintegrated with her family. More often than not these occasions witness rejoice by family members at being reunited with their loved one. However, there are times when families turn their backs to accept the woman and dramatic scenes ensue. The reintegration of Munni Devi (name changed) can be summed up as no less than ‘theatrical’ which will remain etched in the minds of social worker Joseph Sangma and health care worker Deuri. Shabbily dressed and scavenging from dustbins, Munni had been roaming around in Jatia, Guwahati, in a state of hallucination. She was rescued and admitt ed by Ashadeep on 10th February, 2012 where she was diagnosed as suff ering from Schizophrenia. Munni spent 2 years at Navachetana where she was provided with necessary psychiatric treatment and psychosocial rehabilitation measures. Once she att ained functionality, eff orts to locate her home were stepped up and it was found out that she came from an area at the border of Nepal and Bihar. On 5th February, 2014, Munni was taken for reintegration by social worker Joseph and health care worker Deuri. They boarded the train to Bihar and reached Purnea from where they travelled for a day to Bammakhi village in Pipra. They hired a tempo and made a few stops to enquire about Munni’s father’s name. During one such stop a man recognized Munni and called for a bystander in a nearby ‘kirana’ shop who was apparently her own brother. The brother refused to identify Munni as his sister and remained aloof. A crowd gathered in the meanwhile and led Munni and the workers to her maternal home. Munni’s brother followed them and after reaching their house he called out his relatives as a drama unfolded. Munni’s relatives created a commotion demanding that she should either return with Joseph and Deuri or go to her husband’s house. When Joseph insisted that they take her back, the relatives brandished guns and threatened them with dire consequences if Munni was not taken back. The tempo driver sensed danger and negotiated with the relatives to let the team leave. The driver then took Munni, Joseph and Deuri to the Sarpanch’s house who helped them trace Munni’s husband. It was dusk when they reached Munni’s husband’s house. They learnt that she had been suff ering from mental illness for a few months before absconding from home. She had a daughter who was married and was expecting at the moment. On being told about Munni’s illness and her recovery, the in laws accepted her back while the Sarpanch took it upon himself to help in continuation of her medication. In the past years, the team at Ashadeep has had varied experiences with diff erent individuals and communities which break down societal myths and assumptions. This was one such instance which showed an uncommon scenario where the woman’s maternal relatives refused to take her back while the in laws accepted her.

20 FINANCIAL INFORMATION Abridged Balance Sheet As On 31st March 2014

Particulars 2013-14 2012-13 Assets AMOUNT % AMOUNT % Fixed Assets 99841.70 1% 90012.65 1% Investment 550000.00 4% 550000.00 5% Deposits and Advances 70327.00 1% 9500.00 0% Current Assets 11686594.95 94% 11180260.35 95% Income and Expenditure A/c Balance Total 12406763.65 100% 11829773.00 100% Liabilities Corpus/Endowment Funds(s) 1753237.98 14% 657754.43 6% Capital Reserve 0.00 0% 353952.27 3% Earmarked Funds 10170181.67 82% 9601695.30 81% Loans / Borrowings 0.00 0% 0.00 0% Current liabilities and provisions 483344.00 4% 1216371.00 10% Total 12406763.65 100% 11829773.00 100%

Abridged Income and Expenditure Account As On 31st March 2014

Particulars 2013-14 2012-13 Income AMOUNT % AMOUNT % Self generated funds 1581887.02 10% 854558.00 11% Indian sources 13276457.00 87% 6432505.87 83% International sources 443991.41 3% 480932.10 6% Total 15302335.43 100% 7767995.97 100% Expenditure Programme expenditure 14127652.37 94% 7872340.50 92% Management expenditure 869052.50 6% 603901.60 7% Other expenditure 32593.71 0% 56541.44 1% Total 15029298.58 100% 8532783.54 100% Surplus/ (Deﬁ cit) 273036.85 (764787.57)

Abridged Receipts and Payments Account As On 31st March 2014

Particulars 2013-14 2012-13 Receipts AMOUNT % AMOUNT % Opening Balance : Cash and Bank 10053760.35 36% 3010418.26 13% Self generated funds 1409722.00 4.99% 857044.00 3.75% Indian sources 15138114.67 53.56% 18701441.09 81.93% International sources 1303586.41 4.61% 105716.10 0.46% Secured loans 0.00 0% 0.00 0% Other receipts 357754.00 1.27% 152200.00 0.67% Total 28262937.43 100% 22826819.45 100% Payments Programme Expenditure 14930373.00 52.83% 10692948.50 46.84% Management Expenditure 348997.50 1.23% 1653769.60 7.24% Other Expenditure 1088174.00 3.85% 2040.00 0.01% Fixed Assets purchased 15890.00 0.06% 24301.00 0.11% Loan repaid 0.00 0% 0.00 0% Investments 2000000.00 7.08% 250000.00 1.10% Advance to staff 28000.00 0.10% 150000.00 0.65% Closing Balance : Cash and Bank 9851502.93 34.86% 10053760.35 44.04% Total 28262937.43 100% 22826819.45 100% Parthasarathy Choudhury Bhaskar Barua Chartered Accountant President Mukul Ch. Goswami Secretary Place : Shillong Place : Guwahati Date : June 17, 2014 Date : June 20, 2014 Staff Strength Type of Staff Male Female Total Paid Full Time 5 2 7 Paid Part Time 3 1 4 Paid Contract Staff 31 39 70 Paid Consultant 5 1 4 TOTAL 44 43 87 Unpaid Volunteers 3 9 12

Distribution of Staff According To Salary Levels (for all full time/part time/ contract/consultant/other staff ) Slab of gross monthly salary (in `) plus benefi ts paid to staff Male Staff Female Staff Total Staff <5000 17 21 38 5001-10000 15 13 28 10001-25000 10 6 16 25001-50000 2 3 5 >50000 TOTAL STAFF 44 43 87

The salary and benefi ts of the NGO Head, the highest paid staff member and the lowest paid staff member in 2013-14 Head of the Organisation : Mukul Chandra Goswami, Secretary /Director (Programme) Rs. 3,84,000 Highest paid: Mrs. Chandana Sharma, Sr. Executive, (Documentation and Communication) Rs. 3,84,600 Lowest paid : Att endants of the Day Rehabilitation Centre Rs. 24,000 Remuneration paid to Executive Committ ee Members in the year 2013-14: SL NAME & DESIGNATION AMOUNT (Rs) 1 Shri Bhaskar Barua, President ZERO 2 Shri Mukul Chandra Goswami, Secretary Rs. 3,84,000/- 3 Shri Vijoy Patir, Treasurer ZERO 4 Shri Ronojoy Sen, Member ZERO 5 Dr. Jolly Baruah, Member ZERO 6 Shri Pabindra (Opu) Dutt a Choudhury, Member ZERO 7 Smt. Leeta Hazarika, Member ZERO 8 Shri Ashok Jhuria, Member ZERO NOTE: Remunerations paid to Shri Mukul Chandra Goswami towards his full time involvement as Director (Programme). Amount Reimbursed to Board Members in the year 2013-14 for the following items: 1 International Travel nil 2 Domestic Travel for Mukul Chandra Goswami, Secretary Rs. 5960 3 Local Conveyance nil 4 Entertainment Expenses nil 5 Others nil

Travel  Total cost of national travel by all Staff and Board Members during the year : Rs. 14,457/-  Total cost of international travel by all Staff and Board Members during the year : Nil Acknowledgements The Ashadeep family is grateful to the following individuals and organisations for their support to the cause of Ashadeep: 1. Department of Social Welfare, Government of Assam 2. Department of Health, Government of Assam 3. Ministry of Youth Aff airs & Sports, Government of India 4. Gauhati Medical College & Hospital, Guwahati 5. Sir Ratan Tata Trust, Mumbai 6. Navajbai Ratan Tata Trust, Mumbai 7. Jamsetji Tata Trust, Mumbai 8. GiveIndia, Mumbai 9. Sitaram Jindal Foundation, New Delhi 10. Hans Foundation, New Delhi 11. Delegation of European Union to India 12. The L.G.B. Regional Institute for Mental Health, Tezpur. 13. National Institute for Mentally Handicapped, Secunderabad. 14. SEPPA Gives, Guwahati 15. Morigaon Mahila Mehfi l, Morigaon 16. ‘SATRA’, Sipajhar 17. ‘Seneh’. A home for elderly women 18. ‘the ant’, Bongaigaon 19. Gold, Guwahati 20. St. Stephen’s School, Guwahati. 21. South Asia Voluntary Enterprise (SAVE), United Kingdom. 22. Special Olympics Bharat (Assam Chapter) 23. Dr. Kamini Arandhara, United KingdomMr. Ajit Narayan Deb Kachari, Rehabari, Guwahati. 24. Dr. Pranab Kumar Baruah, Guwahati. 25. Mrs. Jul Sharma and Dr. Jagadish Sharma, United Kingdom. 26. Mrs. Krishna Baruah, Rukmini Nagar, Guwahati. 27. Mr. Vishal Solanki, IAS, Guwahati 28. Mr. Ananta Senapati, U.S.A 29. All other individual donors who have made contributions towards the organization during the year. 30. Members of the Print & Audio-Visual Media. Awareness generation material on mental health developed at Ashadeep

Awareness generation material on mental health developed at Ashadeep

We welcome all our donors, well wishers and any individual to visit all our centres and projects. We sincerely treasure your views and suggestions, which will positively help us improve our work and encourage us to carry on regardless of what lies ahead. Awards and Accolades Team Behind all the Action Dr. Anjana Goswami being honoured by Smt. Mamata Sharma, Chairperson, National Women’s Commission for her services towards women and children

Chandana Sharma receiving award on behalf of Ashadeep from eminent actor and social activist Sri Rahul Bose as a Joint winner of Edelgive Social Innovation Honours 2012 in the category “Health & Well Being”