Presentacin de PowerPoint

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TAKIWASI CENTER
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Tarapoto, San Martin/ PERU Altitude 333 m
asl Population 152 000 hab DP 20.9 hab/Km²
(Indigenous5) Agriculture First producer of
cocas leaf, PBC 46.8 of the population are
extremely poor (INEI)
Center for Rehabilitation of drug addicts and
of Investigation on Traditional Medicines
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Activities at Takiwasi Center

• Projection towards the community
• - External office
• Guided visits and talks
• Prevention program

• Rehabilitation
• Ambulatory treatment
• Internal residents (Therapeutic community)

• Investigation
• Traditional Medicine and dependences
• Psycho clinical evaluation of the model of
  treatment Takiwasi
• Production and transformation of medicinal plants
  (laboratory)
• Support to students and investigators (stages,
  thesis)

• Formation
• Psychotherapeutic
• Seminaries
• Practitioners (botanic, anthropology

• Diffusion-Communication
• Takiwasi Magazine
• Presence at the media
• Participation at congresses, meetings, forums,
  expositions.
• Scientific publications
• Edition of audio-visual material

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TREATMENT AT TAKIWASI
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Treatment in Takiwasi
Therapeutical sessions
Everyday life
MSC-plants
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Everyday life, holidays, joy rides, handcraft,
ergo therapy...
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Psychotherapeutic accompaniment
Individual following
Group dinamics
Medical evaluation and clinical analysis
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Treatment
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Stages

• Preliminary to evaluate the motivation and
  situation of the candidate, his/her resources and
  the conditions of treatment. Beginning of the
  Psycho-physic preparation for the entrance to the
  Center.
• Physical recuperation, awareness of the drug
  abusers lifestyle and degree of addiction from
  the preliminary stage (solitary) to the end of
  the second month.
• Psycho- emotional restructuringand awareness in
  realatin to others, exploration of the affective
  constelation third to sixth month.
• Existencial restructuring, internal awareness of
  the sense of one ownslife, reinswrtion and
  personal project sixth month and so forth.

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Therapeutical trial
Solitary 8-10 days
ENTRY
Preliminary stage 10 days
Stage I 2 m MY PAST AND ME
Residence 9-12 months Entourage
2 to 5 years
Entourage 2 to 5 years
Stage II

THE
OTHERS AND ME 3 months
Stage III THE LIFE AND ME 3
months
EXIT
Reinsertion 2 months
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• Plants
• Depurative, emetics
• Medicinal
• Teacher plants for diet
• EMC

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Therapeutic uses of AYAHUASCA
Experience of Takiwasi Center, for drugabusers
rehabilitation and of Investigation on
Traditional Medicines Tarapoto- PERÚ
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Ayahuasca drink
Chacruna (Psychotria v.)
Ayahuasca (Banisteriopsis c.)
?-Carbolines Harmine Harmaline THH
Diméthyl- Tryptamine (DMT)
Inhibits MAO, increases the action of
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Inmediat physical Ayahuasca effects

• - - Serotoninergic due to inhibition of MAO and a
  mild inhibition of the recaptation of serotonin.
• - Stimulates elimination (emetic, purgative,
  sweat-stimulant)
• - Initial orthosympathetic, and then
  parasympathetic effects. Final equilibrium.
• - Exacerbation of sensory perceptions.
• -        

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Inmediate Psychic Ayahuasca effects
-           . Sense of emotional
catharsis without the lost of consciousness .
Parcial disociative phenomen and temporal thar
permits the reorganization of pshychic instances
profound reconciliation . Death- rebird
iniciation . Simbolic visualization of the
internal psychic universe . Learning through
self-access . Amplification of consciousness
(Existential sens)
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Therapeutical usage of ayahuasca

• Clinical effects
• Antiparkinsonien
• Vermifugue
• Antidepressive
• Desintoxicant
• Increases immune system
• Regulator of psychic
• functions

• Physiological effects
• Increase of serotonin platelets
• Temporal increase of receptors 5-Ht of frontal
  lobule
• Increases plasm cortisol and hormone growth

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Endohuasca

• Beta carbolines
• Mammalss SNC
• Harmine and harmaline transitory inhibition of
  MAO.
• Harmaline linkage to tryptaminic receptors.
• THH inhibition of serotonine recaptation.
• Serotoninergic effect.

• DimethyltryptamineDMT
• Dream vissions.
• Linkage to 5-HT1 2 receptors, prolonge time of
  action of serotonin.
• Blood, urine, LCR
• Serotoninergic effect.

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Ayahuasca contra indications

• Personality problems.
• Border-line and psychotic process
• Important organic deficiences
• Pregnancy
• Treatment with anti-depresives

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APPLICATION AND EVALUATION OF PROTOCOL AT
TAKIWASI CENTER 1992-2000
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Patients seen between 1992-2000
Nicotin
Attention 1992-2000
Cocain
Heroin
PBC
Cannabis
Pharmaceutical
Alcohol
Psychological
Nº
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
All patients 382 Drug addicts
285 Psychological treatment 97
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Principal drug
Main drug
Cocain
Pharmaceuticals
10
1
Heroin
2
Alcohol
30
Cannabis
9
PBC
Nicotin
48
0
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The patients...
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Characteristics of the patients
Procedence
Foreigners
Other cities in Peru
10
21
Region/
Tarapoto
69
Current state
90
80
total
PBC
70
Alcohol
Others
60
50
40
30
20
10
0
11 a 20
21 a 30
31 a 40
41 a 50
gt 50
years
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Form of exit
Form of exit
Expelled
3
Escaped
Prescribed
23
23
Voluntary
51
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Retention index
Retention index/drug
90
Alcohol
PBC
80
Cannabis
Cocain
70
60
50
40
30
20
10
0
IR 1m
IR 6m
IR total
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AWARDS
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Current state



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Criteries of evaluation
GOOD There isnt drug abuse (problem drug
solved). Way of life healthy and normal.
Personal, familial and laboral stability.
BETTER The problem of addiction isnt OK yet
they abuse of alcohol and/or cannabis
ocassionally. Their current state is better at
least in the award of familial and laboral
stability. SAME There isnt any change.
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Current state and drug
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Current state and stability
Stability
35
30
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Familial S.
Professional S.
Personal Projectl
20
15
10
5
0
Good
Better
Same
Current state
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Before and after...
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Perú takiwasi _at_ terra.com.pe