Addressing the context and consequences of substance use, misuse, and dependence: A global imperative

Tsai, Alexander C.; Alegrı́a, Margarita; Strathdee, Steffanie A.

doi:10.1371/journal.pmed.1003000

Cited by 11 publications

(8 citation statements)

References 65 publications

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“…First, findings from the present study suggest that the provision of treatment and recovery support services for individuals with SUDs is one of the main priorities of mental health oriented NGOs in Ghana. With the current model of care, individuals with problem behaviors, including those with SUDs, require a holistic approach of care – which includes treatment for associated psychosocial problems and recovery support [ 2 , 6 , 8 ]. Although governments and health agencies have made some efforts to provide holistic services at the three main psychiatric hospitals in Ghana in the past decades, much of these efforts have focused on the medical treatment component of care, with limited attention to the psycho-social needs of individuals with SUDs or other drug-related problems [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…A wealth of evidence exists that demonstrate the adverse effects of substance misuse on the individual, family, and society [ 1 , 2 ]. Substance misuse – the use psychoactive substances in a way that causes harm to the user and others – has been associated with substantial social, economic, and health problems on the individual, family, and society, including mental illness [ 3 ], motor accidents [ 4 ], increased crime [ 5 ], lost productivity [ 6 ], economic burden and cost of treatment [ 7 ], and death from overdose [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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A qualitative exploration of the role of NGOs in the recovery support for persons with substance use disorders in a low-income African setting

Asante

Asiama-Sampong

Appiah

2021

Subst Abuse Treat Prev Policy

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Background In sub-Saharan Africa, most government mental health facilities are under-resourced to cater for the mental health needs of the population, including the provision of treatment and recovery support services for persons with substance use disorders (SUDs). However, in other settings, non-governmental organizations (NGOs) play significant roles by complementing governments’ efforts in the provision of care for vulnerable groups. Presently, no study exists that examines the contributions of NGOs in the recovery support of individuals with SUDs in the Ghanaian context. This study sets out to explore the role of NGOs in the recovery of persons with SUDs in Ghana. Method Using a descriptive qualitative design, eight staff (directors and senior recovery practitioners) from eight NGOs in southern Ghana were purposively selected and interviewed face-to-face using semi-structured interview guide. The interviews were audio-taped, transcribed verbatim, and analyzed using the thematic analysis within an inductive approach. Results The results showed that NGOs provide three main services: treatment of drug addiction (through psychotherapy and recovery capital), re-integration of recovered individuals into society, and advocacy and awareness creation in schools and communities. These efforts are thwarted by limited qualified professionals and inadequate government support. Conclusion Our results underscore the need for government agencies to collaborate with NGOs involved in the recovery management of persons with SUDs and other mental disorders to complement their efforts in strategizing, designing, and implementing context-appropriate substance misuse prevention and intervention programs and policies in Ghana.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A qualitative exploration of the role of NGOs in the recovery support for persons with substance use disorders in a low-income African setting

Asante

Asiama-Sampong

Appiah

2021

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

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“…According to the United Nations report, substance abuse in 2017 caused the death of 585,000 people and caused the loss of 42 million years of healthy life worldwide (5). The highest prevalence of substance use disorders is in Eastern Europe and the United States, occurring in 5-6% of the population, so out of 1 in 20 suffer from substance dependence (6).…”

Section: Introductionmentioning

confidence: 99%

Substance Abuse Poisoning Registry development: Based on lessons learned from a pilot implementation

Jebraeily

Delirrad

Boushehri

et al. 2023

Preprint

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Background: Substance abuse has been recognized as a national problem in which poisoning with pharmaceutical drugs, opioids and alcohols is a common problem in Iran. Due to the lack of a comprehensive information system related to Substance abuse, despite the systematic information in health services, and to achieve this goal, the purpose of this research was to develop a registry system for substance abuse poisoning in - Urmia University of Medical Sciences. Methods: This research is a practical development study that was done in 4 phases. In the first phase, minimum data set (MDS) of the system were determined. In the second phase, the registration system was designed. The third phase includes the implementation of the system, and finally, the system was evaluated by QUIS questionnaire. Results: A total of 58 data elements in 6 classes were recognized as essential for this system from the point of view of experts. The system was implemented on the ASP.NET platform using C# language and SQL Server database in the poisoning department of Taleghani Hospital in Urmia. The evaluation of usability of the system showed score obtained in the 6 main categories were in set of terms of the system 8.52, screen 8.36, ability to learn 8.8, overall functionality 8.04, user interface 7.98, and the overall interaction is 7.73 respectively. Conclusion: Considering the capabilities of the system for registering poisonings caused by drug abuse, it seems necessary to implement this system in the form of a national network, in order to make the necessary interventions to control drug abuse while using resources efficiently.

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“…Lack of substance use disorder (SUD) treatment contributes to adverse personal and social outcomes, 1 with an estimated 100 431 drug overdose deaths in the US from April 2020 to 2021. 2 Yet, of the nearly 20 million US adults meeting SUD diagnostic criteria, only 1 in 10 receives specialty treatment.…”

Section: Introductionmentioning

confidence: 99%

Performance Metrics of Substance Use Disorder Care Among Medicaid Enrollees in New York, New York

et al. 2022

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Addressing the context and consequences of substance use, misuse, and dependence: A global imperative

Abstract: In an Editorial, Guest Editors Alexander Tsai, Margarita Alegria and Steffanie Strathdee discuss the accompanying Special Issue on Substance Use, Misuse and Dependence.

Cited by 11 publications

References 65 publications

A qualitative exploration of the role of NGOs in the recovery support for persons with substance use disorders in a low-income African setting

A qualitative exploration of the role of NGOs in the recovery support for persons with substance use disorders in a low-income African setting

Substance Abuse Poisoning Registry development: Based on lessons learned from a pilot implementation

Performance Metrics of Substance Use Disorder Care Among Medicaid Enrollees in New York, New York

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