Trends in Sociodemographic and Drug Abuse Variables in Patients with Alcohol and Drug Use Disorders in a Nigerian Treatment Facility

Adamson, Taiwo Abosede; Onifade, Peter Olutunde; Ogunwale, Adegboyega

doi:10.4314/wajm.v29i1.55947

Cited by 29 publications

(31 citation statements)

References 5 publications

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“…The predominance of cannabis (55%) over other drugs in this study is in keeping with the report by Adamson et al (2010) of a change in the pattern of drugs used by patients admitted to the DATER unit between 2002 and 2007 compared with between 1992 and 1997. They reported that the rate of cannabis use by admitted patients increased from 26.6% to 53.3%, while the use of cocaine and opiates decreased from 44.0% and 22.0% to 17.1% and 8.6% respectively.…”

Section: Discussionsupporting

confidence: 78%

Personality profiles of patients with alcohol and drug misuse in a Nigerian treatment facility

Adamson¹,

Onifade²,

Ibikunle³

et al. 2010

Int. psychiatry

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Drug dependence treatment in Nigeria is at an early stage of development. The first ‘stand alone’ drug dependence treatment in-patient unit in Nigeria, the Drug Addiction Treatment Education and Research (DATER) unit, Aro, Abeokuta, Nigeria, was established in 1983. Prior to this, patients with drug dependence received care along with other patients in psychiatric wards and traditional healing homes (United Nations International Drug Control Programme, 1998). Currently, there is no national body in Nigeria actively involved in regulating or facilitating good practice in drug dependence treatment.

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Section: Discussionsupporting

confidence: 78%

Personality profiles of patients with alcohol and drug misuse in a Nigerian treatment facility

Adamson¹,

Onifade²,

Ibikunle³

et al. 2010

Int. psychiatry

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show abstract

“…The scheme [15] is a social security system which seeks to guarantee the provision of needed health services to persons on the payment of token contributions at regular intervals. However it makes provision for admission in a ward for only 15 days in a year and, for now, has well established program for only the formal sector, consisting of the public service and organized private sector; whereas two-third to three-quarter of those accessing substance abuse treatment in Nigeria are unemployed [16] and are thereby effectively barred from the funding opportunities afforded by the health insurance.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical setting would naturally be expected to be a conducive environment for long term substitution/maintenance therapy. On the contrary, none of the units embraced the therapy, despite the demand for treatment by persons who abused opiates [16]. Two possible reasons for this are, one, methadone and other substitution/maintenance medications are yet to be approved by the National Agency for Food and Drug Administration and Control; and two, at present, there is no existing framework for their use in the country.…”

Section: Discussionmentioning

confidence: 99%

A descriptive survey of types, spread and characteristics of substance abuse treatment centers in Nigeria

Onifade

Somoye

Ogunwobi

et al. 2011

Subst Abuse Treat Prev Policy

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BackgroundNigeria, the most populous country in Africa and the 8th most populous in the world with a population of over 154 million, does not have current data on substance abuse treatment demand and treatment facilities; however, the country has the highest one-year prevalence rate of Cannabis use (14.3%) in Africa and ranks third in Africa with respect to the one-year prevalence rate of cocaine (0.7%) and Opioids (0.7%) use. This study aimed to determine the types, spread and characteristics of the substance abuse treatment centers in Nigeria.MethodsThe study was a cross sectional survey of substance abuse treatment centers in Nigeria. Thirty-one units were invited and participated in filling an online questionnaire, adapted from the European Treatment Unit/Program Form (June 1997 version).ResultsAll the units completed the online questionnaire. A large proportion (48%) was located in the South-West geopolitical zone of the country. Most (58%) were run by Non-Governmental Organizations. Half of them performed internal or external evaluation of treatment process or outcome. There were a total of 1043 for all categories of paid and volunteer staff, with an average of 33 staff per unit. Most of the funding came from charitable donations (30%). No unit provided drug substitution/maintenance therapy. The units had a total residential capacity of 566 beds. New client admissions in the past one year totalled 765 (mean = 48, median = 26.5, min = 0, max = 147) and 2478 clients received services in the non-residential units in the past year. No unit provided syringe exchange services.ConclusionsThe study revealed a dearth of substance abuse treatment units (and of funds for the available ones) in a country with a large population size and one of the highest prevalence rates of substance abuse in Africa. The available units were not networked and lacked a directory or an evaluation framework. To provide an environment for effective monitoring, funding and continuous quality improvement, the units need to be organized into a sustainable network.

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“…The unit has been described elsewhere [14][15][16]. It was established in 1983 within the premises of its 526-bed parent hospital, the Neuropsychiatric Hospital, Aro, Abeokuta, which is one of the 8 federal neuropsychiatric hospitals in Nigeria.…”

Section: Methodsmentioning

confidence: 99%

Use of Addiction Severity Index in a Nigerian Drug Abuse Treatment Unit: A Clinical Audit

Onifade¹,

Osisanwo²,

Ganzallo³

et al. 2013

J Alcohol Drug Depend

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Trends in Sociodemographic and Drug Abuse Variables in Patients with Alcohol and Drug Use Disorders in a Nigerian Treatment Facility

Abstract: BACKGROUND: Globally, patterns of the use of psychoactive substances have been changing. OBJECTIVE: To evaluate the trend in two five-year periods,

Cited by 29 publications

References 5 publications

Personality profiles of patients with alcohol and drug misuse in a Nigerian treatment facility

Personality profiles of patients with alcohol and drug misuse in a Nigerian treatment facility

A descriptive survey of types, spread and characteristics of substance abuse treatment centers in Nigeria

Use of Addiction Severity Index in a Nigerian Drug Abuse Treatment Unit: A Clinical Audit

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