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On May 06, 2016, the solemn official opening of a new project of the public organization "Dzherelo" - the center for the resocialization of drug addicted youth FreeDom - took place.
The guys were very worried and worried about how this event would take place, because the Governor of the Nikolaev region Merikov Vadim Ivanovich, the Head of the Nikolaev regional council Viktoriya Viktorovna Moskalenko, the People's Deputy of Ukraine Vadim Ivanovich Podbereznyak, the Head of the Ochakiv district administration Sergey Viktorovich Samoukov, representatives of the Clergy, power structures, the public. Nevertheless, everything went great - the guests were given a warm welcome.

The children showed the House with pleasure, as well as the study “Visions” - the hallmark of our organization. And even bad weather conditions did not become an obstacle in conveying to high-ranking guests the mission that our organization has been carrying out for 10 years. We prove to a skeptical society not just with words, but also with deeds, that drug addiction is not a death sentence – there is a way out and people should and can lead a healthy, sober and socially active lifestyle.

Chairman of the Nikolaev Regional Administration Vadim Ivanovich Merikov highly appreciated the achievements of the organization, separately noting that the organization exists without the help of the State, and right at the event appointed the Chairman of the Board of the public organization "Dzherelo" Pavel Kazaryan as his adviser, handing him a certificate.
The guys heard a lot of warm words addressed to them, words of parting words, wishes of prosperity and undisguised admiration for their activities. Given the continuous growth of drug addiction and, as a result, the increase in mortality among young people, we do not stop our activities and the third House to save, like the previous two, young people from death. At the end of the solemn event, all the guests wrote wishes to the children and the center on balloons and released them into the sky to thunderous applause.




























Archpriest Dionysius Puchnin, Head of the Department of Social Service and Charity of the Mariinsky Diocese and Head of the Zeledeevo Orthodox Rehabilitation Center

The parish has little funds and not enough people, but is there a need to start the rehabilitation of drug addicts or alcoholics? Where to begin? Archpriest Dionysius Puchnin, who has been heading a successful rehabilitation center in the small Siberian village of Zeledeevo for 8 years, shared his experience during the online seminar.

Rural parishes usually lack funds and lack people. What if there is a need to engage in the rehabilitation of alcoholics or drug addicts? How to choose a house for the center, where to get funds, where to recruit staff, what is the role of a priest in the center and what is the place of worship in rehabilitation - these and many other questions were answered at the next Internet seminar of the Synodal Department by Priest Dionisy Puchnin, Head of the Department of Social Ministry and charity of the Mariinsky diocese and the head of the Zeledeevo Orthodox Rehabilitation Center.

The rehabilitation center in the village of Zeledeevo has been operating since the spring of 2007. The new rector of the rural church, who was transferred here from the city parish, at first thought to deal primarily with works of mercy and work with youth. He had no idea to rehabilitate drug addicts. “I thought that I would do, as in the city, work with children: I would open a Sunday school. I never thought about working with drug addicts, ” - says father Dionysius.

His opinion was changed by an incident that happened to a familiar fellow villager. The priest found out that he was a drug addict, but then he left for Tomsk and ended up in a sectarian center for rehabilitation. When he returned, he said that he would open a similar center in a neighboring city.

“Conversations with this man convinced me that it was necessary to tackle the problem of rehabilitation closely, and our meetings convinced him of the need to repent and return to the Orthodox Church,” - continues Archpriest Dionysius Puchnin.

Together they began to study various rehabilitation programs, went to a rehabilitation center in Novosibirsk. After some time, I managed to buy a house in a nearby village. The newly created center had two more assistants.

With the blessing of the bishop, he began to work with rehabilitators. The house was bought for 1 km, away from the highway. It was both cheaper and secluded. However, according to the leader of the seminar, because of the remoteness from the temple, the new center lacked the constant participation of the priest in its work.

Father Dionisy went to study in the village of Sapernoye, Leningrad Region, where Archpriest Sergiy Belkov has been rehabilitating drug addicts for ten years. “It was his program that we took as a role model. We needed such rehabilitation activities that would be carried out without the involvement of specialists. Not because I deny their help. Just the opposite. We just live in a remote village, where there is not even a paramedic, and finances do not allow attracting specialists from outside,” says Father Dionysius.

Father Dionysius began to work under the program "Abode of Healing". Within a month, the rehabilitation center was moved directly to the temple grounds. As the founder of the center notes, the situation has improved rapidly. Initially, the center provided rehabilitation for both alcohol and drug addicts, but over time, this practice was abandoned. The center began to specialize in helping drug addicted young men.

“It has to do with - Father Dionysius explains, - that we found mutual dislike between alcoholics and drug addicts. Each of them considers his illness less shameful than the others.

However, a new problem arose - footage: “For a while, my assistants stayed with me, but after about a year and a half they dropped out. I was left alone. I had to check discipline, even at night. And expel, for example, for smoking. For a year and a half I worked at the center alone. Then the first assistants appeared from among the pupils themselves, who wanted to help their brothers.

Initially, the center existed on donations from the parishioners of the rural church. “When we started the rehabilitation process, we didn’t have a penny for our soul, - says father Dionysius. - The temple is rural, and it is not necessary to rely on its budget. I began to bring food and ask parishioners to buy them to help drug addicts. The parishioners took it with great enthusiasm and even began to bring food themselves. Then we planted a vegetable garden."

All the time the center was open, the rehabilitators fully served themselves. Until recently, until a cook appeared, they cooked their own food.

During the seminar a film about the life of the pupils of the center was shown. “I was waiting for me to be cured here, I would leave and live my old life, not using drugs, but also without faith. It turned out otherwise, I have changed forever. The second stage in the center after rehabilitation is training. Without churching it is impossible to avoid mistakes, crises are repeated. Yes, it’s impossible to do without them, because you begin to pull out all the dirt from yourself, get rid of it, ” - says one of them.

“It is important to build new relationships with other people, with yourself and with God during the rehabilitation period,” - says Father Dionysius.

Archpriest Dionysius Puchnin notes that it is important to be in contact with a professional who could help with practical advice. For him, Archpriest Sergiy Belkov became such a person. Today, the center in Zeledeevo itself organizes conferences on the rehabilitation of drug addicts in Yurga.


Arseny Zagulyaev

How to open a rehabilitation center in a rural parish | Russian Orthodox Church, Synodal Department for Church Charity and Social Service
The parish has little funds and not enough people, but is there a need to start the rehabilitation of drug addicts or alcoholics? Where to start?.RU

Many years of experience in similar drug rehabilitation centers shows that many patients come from the most remote corners of the country. Their purpose- receive comprehensive and effective treatment.

The task of the rehabilitation center– treatment of drug addiction and ensuring a comfortable stay for patients. The provision of professional medical services related to narcology should be carried out in non-residential buildings. Main conditions:

  • suitable area of ​​at least 55 sq. m;
  • a special room for employees and technical staff;
  • bathroom;
  • waiting corridors;
  • the presence of two rooms that meet the requirements of the SES (area - 14 sq. m, washable walls and floor, the presence of a sink).

Approximate costs of a similar establishment:

  • rent of a special room, the area of ​​​​which is 90 square meters. m will be 65 thousand rubles;
  • salary of an experienced narcologist - 55-60 thousand;
  • wages for nurses - 40-45 thousand;
  • the nurse receives about 23-25 ​​thousand rubles;
  • the salary of a medical registrar is about 20-22 thousand.

The total costs will be at least 210-215 thousand rubles per month. The cost of medical services, treatment and prevention of alcoholics and drug addicts is 4.5-5 thousand rubles. The average duration of treatment depends on the patient's condition and the complexity of the case:

  • dependence on alcohol - about 4-5 days;
  • heroin addiction - at least 5-6 days;
  • methadone addiction - 12-14 days.

After treatment, a long rehabilitation is necessary.

Drug addiction and alcoholism is an ominous plague of the 21st century, which must be actively and thoroughly fought. The problem cannot be solved with one treatment. For a successful result, productive rehabilitation and recovery will be required. It can be passed in a special center, the opening of which is a fairly profitable business.

The activity of the center is to provide professional assistance to patients. To get started, you will need start-up capital, as well as additional expenses for advertising, cooperation with clinics and medical centers, utility bills, and more. Given the urgency of the problem, the flow of customers will be high. The main thing- Choose a good location. During the first year, you will be able to recoup your own costs and receive a stable income. When organizing a rehabilitation center, remember the following:

  1. Treatment of drug addicted patients is a procedure for removing the main signs of physical dependence.
  2. At the rehabilitation stage, psychological dependence, which is a decisive factor in the disease, is removed. It has a basic and significant meaning.
The development of a business plan for a medical neurological center was carried out using materials from a really working project. Most of the business plans developed by Alto Consulting Group specialists have been successfully implemented and bring profit to more than one entrepreneur.

This business plan is equipped with financial calculations set out in Excel format. The ability to quickly change the main financial indicators allows you to quickly and easily calculate a new, adapted project, taking into account the client's requests.

The ease of submitting the material allows you to make all changes to the project to suit your needs with lightning speed, even for people who do not have a financial education.

All calculations are presented in a format that allows you to quickly enter new parameters and immediately get acquainted with financial forecasts. Changing a business plan to work in any other region of Russia is done simply and without the use of special knowledge.

The business plan of the medical neurological center was created taking into account the analysis of the development trends of this market in the coming years. All factors influencing the success of business development in this area are taken into account.

Name of the project:
"Medical Neurological Center".

Objective of the project:
This business plan has been developed in order to calculate the effectiveness of the project and attract investment funds to create a medical center.

Initiator of the project:
***

The implementation of this project will allow:

  • Create a medical center focused on:
    • assistance in the rehabilitation of children with birth injuries, cerebral palsy, ADHD, etc.;
    • assistance in the rehabilitation of CFS, neurosis, insomnia, PTSD, etc.;
    • complex family psychotherapy, psychodiagnostics and psychocorrection.
  • Create a business and get an income in the amount of *** thousand rubles.
  • Satisfy the demand for medical services in this area;
  • Create new jobs.

Number of service areas - 3.

The main characteristics of the project:
The volume of investments - *** thousand rubles.
Net present value - *** thousand rubles.
The discounted payback period is *** years.
The internal rate of return is ***%.
Return on investment - ***%.

The medical center "***" will be created "from scratch" in the city of ***. The center is planned to be located on leased premises in the *** district of the city. Organizational legal form - Limited Liability Company. Founder - ***.

The medical center provides for the creation of a private medical clinic that provides a wide range of services in the field of neurology. The neurological center belongs to the medical and preventive institutions of the outpatient-polyclinic type. The center will specialize in the diagnosis and treatment of children and adults with various disorders and diseases of the nervous system.

The main profile of the center will be neurology with the following list of services:

  • Expert advice
  • Functional diagnostics
  • Treatment

The medical center has no competitors. It will be the first such center in the region.

2 DESCRIPTION OF THE ENTERPRISE
2.1 Description of the medical center
2.2 Characteristics of the medical center
2.3 Regulatory documentation
2.4 Structural divisions
2.5 Flows of customers, personnel and materials
2.6 Sanitary maintenance of premises, equipment, inventory

3 EQUIPMENT OF THE MEDICAL CENTER
3.1 Equipment specifications
3.1.1 Equipment for functional diagnostics
3.1.2 Equipment for methods and programs
3.1.3 Equipment for the gym
3.1.4 Massage equipment
3.2 Other technological processes
3.2.1 Registry and cash desk
3.2.2 Cloakroom, lobby and waiting area
3.2.3 Doctor's workplace
3.2.4 Engineering equipment and interior decoration
3.2.5 Working conditions and safety
3.3 Center promotion
3.4 Environmental issues

4 MARKETING ANALYSIS
4.1 Characteristics of the medical industry
4.1.1 Key health indicators
4.1.2 Number and specifics of healthcare facilities
4.2 The market for paid medical services
4.2.1 Market size and dynamics
4.2.2 Market structure by income
4.2.3 Factors affecting the market
4.3 Consumer rating
4.3.1 Target audience

5 INVESTMENT PLAN
5.1 Directions of investment investments
5.1.1 Preparatory phase
5.1.2 Equipment costs

6 FINANCIAL PLAN
6.1 Project financing
6.2 Loan repayment
6.3 Service delivery plan
6.3.1 Duration of work shift and work schedule of employees
6.3.2 Duration of services provided
6.3.3 Health center capacity
6.4 Income plan
6.4.1 Cost of services
6.4.2 Revenue forecast
6.5 Cost plan
6.5.1 Fixed costs
6.5.2 Variable costs
6.6 Depreciation charges
6.7 Tax payments

7 PROJECT PERFORMANCE ANALYSIS
7.1 Key performance indicators
7.2 Indicators of investment attractiveness of the project
7.2.1 Calculation of the discount rate
7.2.2 Net present value (NPV)
7.2.3 Regular (PB) and Discounted (DPB) payback periods
7.2.4 Profitability Index (PI)
7.2.5 Internal rate of return (IRR)
7.2.6 Project performance indicators

8 BREAK-EVEN ANALYSIS

9 RISK ANALYSIS
9.1 Project sensitivity
9.2 Qualitative analysis

10 CONCLUSIONS

APPENDIX 1. STATEMENT OF CASH FLOW

APPENDIX 2. PROFIT AND LOSS STATEMENT

LIST OF GRAPHS, CHARTS, TABLES AND CHARTS

List of charts:
Graph 1 - Number of medical institutions in Russia, units.
Graph 2 - Number of doctors in Russia, thousand people
Graph 3 - Number of hospital beds in Russia, thousand units
Graph 4 - Number of health facilities in Russia, units.
Graph 5 - The volume of the market for paid medical services in Russia, billion rubles.
Chart 6 - Number of organizations operating in the CHI system, units
Chart 7 - The number of non-governmental organizations working in the CHI system, units.
Chart 8 - The volume of the CHI market, billion rubles.
Chart 9 – Volume of the VHI market, billion rubles
Graph 10 - Standard of living of the population of Russia, rub.
Chart 11 - Dynamics of income growth in Russia, in % to 2008
Chart 12 - Structure of household spending on paid services
Graph 13 - Number of patients with diseases of the nervous system, thousand people.
Graph 14 - Dynamics of cases for the first time
Chart 15 - Number of children under 14 diagnosed with nervous system diseases, thousand people
Graph 16 - Dynamics of the number of children under 14 with a diagnosis of the nervous system who fell ill for the first time, thousand people.
Chart 17 - Equipment cost structure, %
Chart 18 - Dynamics of income, thousand rubles.
Chart 19 - Dynamics of expenses, thousand rubles
Chart 20 - Dynamics of the value of assets, thousand rubles.
Chart 21 - Dynamics of the discounted flow, thousand rubles.
Chart 22 - Impact of Parameters on Net Present Value
Chart 23 - Influence of parameters on the internal rate of return

List of tables:
Table 1 - Equipment
Table 2 - Availability of medical personnel in Russia
Table 3 - Provision of hospital beds in Russia
Table 4 - Dynamics of the paid medical services market in Russia
Table 5 - Investments
Table 6 - Estimated cost of the preparatory phase
Table 7 - Required equipment
Table 8 - Structure of attracted funds
Table 9 - Loan conditions
Table 10 - Loan payments
Table 11 - Key indicators for loan repayment
Table 12 - Staffing
Table 13 - Staff work schedule
Table 14 - Services provided
Table 15 - Calculation of the capacity of the medical center
Table 16 - Attendance of functional diagnostics rooms
Table 17 - Prices for services
Table 18 - Revenue Forecast
Table 19 - PAYMENT
Table 20 - Variable part of wages
Table 21 - Cost of consumables
Table 22 - List of consumables in the average check
Table 23 - Calculation of depreciation charges
Table 24 - Tax payments by years
Table 25 - Financial indicators of the project
Table 26 - Calculation of the discount rate (WACC method)
Table 27 - Net present value calculation
Table 28 - Economic efficiency of the project
Table 29 - Calculation of break-even income
Table 30 - Operating lever
Table 31 - Sensitivity analysis for project profitability
Table 32 - Risk assessment

List of diagrams:
Diagram 1 - Specialization of medical institutions in Russia,%
Diagram 2 - Structure of income of medical institutions, %
Diagram 3 - Behavior of Russians in case of health problems, %
Diagram 4 - Financing structure, %
Diagram 5 - Structure of personnel costs, %

List of drawings:
Figure 1 - Scheme of flows of patients, medicines and personnel

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