INTRODUCTION: Pakistan is ominously impacted by the menace of substance abuse. Women, who represent 42% of the total population, are primarily affected by the use of illicit substances with co-occurring behavioural disorders. Despite extensive efforts, prevalence estimates reported here are likely to underestimate substance use among women. A high level of dependency was observed among the cases who were reported; however, the unreported cases in the general population are beyond the count. This study focuses on an approximation about the prevalence of anti-social behaviour among women in...

Conducted annually, the National Survey on Drug Use and Health (NSDUH) provides nationally representative data on the use of tobacco, alcohol, and drugs; substance use disorders; mental health issues; and receipt of substance use and mental health treatment among the civilian, noninstitutionalized population aged 12 or older in the United States. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present national estimates from the 2023 National Survey on Drug Use...

INTRODUCTION: In response to the emerging recognition of the need for Evidence-Based Practices (EBPs) for treating PSUDs, the Universal Treatment Curriculum (UTC) was conceptualised as a training series that is being conducted globally. This study delved into the experiences of addiction practitioners who completed the Universal Treatment Curriculum (UTC) training and utilize their UTC background to provide care for people with substance use disorder (PSUD).

METHODS: Ten addiction practitioners were interviewed, and Interpretative Phenomenological Analysis (IPA) was employed to analyse the...

BACKGROUND:

Implementing quality measurement is still a challenge in the field of drug treatment and harm reduction. In this case study, we investigate which strategies can be used to enhance the implementation of a policy in which quality indicators are made public.

METHODS:

Building on an evidence-based methodology, this case study shows how an organisation in Flanders – the Flemish Institute for Quality of Care – develops quality indicators along with its strategies to implement the measurement of the indicators.

RESULTS:

The study shows three types of quality indicators in...

INTRODUCTION:

The Cyprus National Addictions Authority (NAAC) is the main coordinating body for all matters related to licit and illicit substances as well as pathological gambling in Cyprus and it is responsible, inter alia, for the licensing, evaluation, funding (where possible), coordination, and reinforcement of all programmes, actions, and activities related to substances and gambling. Licensing and funding are based on the fulfilment of certain criteria and a certain level of quality.

METHODS:

The process that led to the establishment of a quality standards system for licensing...

BACKGROUND:

The implementation of quality standards in the treatment of substance use disorders in Lithuania is not well documented in the literature.

AIMS:

To describe the process of the development of quality standards from grassroots initiatives to their integration into mainstream healthcare under the leadership of the Ministry of Health.

METHODS:

Narrative review of retrieved documents, including related legal acts, followed by a subsequent content analysis.

RESULTS:

The implementation was divided into three stages characterised by specific activities, leading...

INTRODUCTION:

Quality Standards (QS) are an important priority in European drug policy, although the extent of their application remains unclear. The FENIQS-EU project (Further ENhancing the Implementation of Quality Standards in drug demand reduction across Europe) was set up to foster the use of QS. The objective of this paper is to present the main findings of the first 18 months of this project.

METHODS:

A multi-method study design was used to assess the application of QS. It consisted of:

1) an online survey and brief interviews with key stakeholders in various areas of drug...

Background:

People who have problems with using opioids or other drugs and inject them have shorter lives than most people. Liver diseases, especially, contribute to this. Checking liver stiffness might help find liver problems early. This study looks at how common liver disease is in people who use drugs and how different factors like types of drugs used, hepatitis C, alcohol, weight, age, diabetes, and cholesterol affect liver stiffness.

Methods:

From May 2017 to March 2022, data was collected from 676 people in Western Norway. Most were getting treatment for opioid addiction, while...

Background

There is little research on lifetime trauma exposure among individuals undergoing medication treatment for opioid use disorder (MOUD). A multisite study examined the prevalence of lifetime trauma and explored differences based on gender, PTSD status, and chronic pain.

Methods

A cross-sectional study examined baseline data from participants (N = 303) enrolled in a randomised controlled trial of a mind–body intervention as an adjunct to MOUD. All participants were stabilised on MOUD. Measures included the Trauma Life Events Questionnaire (TLEQ), the Brief Pain Inventory (BPI)...

INTRODUCTION: More than four decades of war and tragedy have destroyed most of the public infrastructure in Afghanistan. Currently, drug use is a major public health crisis in the country and drug treatment services have extremely limited coverage. This article is a review of substance use problem and treatment situation prior to the reinstatement of Taliban. The aim of this article is to provide evidence-based recommendations for policy makers to improve substance use treatment services and to integrate some components of this sector into primary health care and to ensure sustainability of...

Background

People with opioid use disorder (OUD) are frequently in contact with the court system and have markedly higher rates of fatal opioid overdose. Opioid intervention courts (OIC) were developed to address increasing rates of opioid overdose among court defendants by engaging court staff in identification of treatment need and referral for opioid-related services and building collaborations between the court and OUD treatment systems. The study goal was to understand implementation barriers and facilitators in referring and engaging OIC clients in OUD treatment.

Methods

Semi...

BACKGROUND:

Substance use increases the risk of damage to executive and cognitive functions. Manifested by a range of clinical symptoms, such impairments may affect people’s coping with everyday activities and their abilities to establish and maintain good social links. Substance users are an at-risk population in this respect. AIMS: Two cognitive rehabilitation interventions will be experimentally implemented into clinical practice and their effectiveness compared. The levels of impairment of the patients’ executive and cognitive functioning will be investigated.

METHODS:

The first...

BACKGROUND: The dropout rate from the treatment of patients with substance use disorders (SUD) negatively affects overall treatment outcomes. Little is known about the specific role of various psychiatric and psychosocial factors in the individual patients. Limited data is available in regards to mindset and addiction treatment, giving the opportunity of testing such interventions in the future.

AIM: To identify the key psychological, psychosocial, and other treatment related factors in the patients from the inpatient substance use treatment with addiction who have dropped out of the...

Background:
Recovery, a primary goal of addiction treatment, goes beyond abstinence. Incorporating broad domains with key elements that vary across individuals, recovery is a difficult concept to measure. Most addiction-related quality measurement has emphasized process measures, which limits evaluation of treatment quality and long-term outcomes, whereas patient-reported outcomes are richer and nuanced. To address these gaps, this study developed and tested a patient-reported outcome measure for addiction recovery, named Response to Addiction Recovery (R2AR).

Methods:
A multi-stage mixed...

INTRODUCTION: In Spain, the offer of prevention programmes is very varied and structured, but today the challenge remains how to put evidence into practice. European Commission define a best practice as “a relevant policy or intervention implemented in a real-life setting which has been favourably assessed in terms of adequacy (ethics and evidence) and equity as well as effectiveness and efficiency related to process and outcomes”. The aim of the study was to describe the Spanish Project of Best Practice Portal in Drug Demand Reduction and Behavioural Addictions (the BBPPA portal).

METHODS...

CONTEXTE : La mise en œuvre de la mesure de la qualité reste un défi dans le domaine du traitement de la toxicomanie et de la réduction des méfaits. Dans cette étude de cas, nous étudions quelles stratégies peuvent être utilisées pour améliorer la mise en œuvre d’une politique dans laquelle les indicateurs de qualité sont rendus publics.

MÉTHODES : S’appuyant sur une méthodologie fondée sur des preuves, cette étude de cas montre comment une organisation en Flandre – l’Institut flamand pour la qualité des soins – développe des indicateurs de qualité ainsi que ses stratégies pour mettre en...

INTRODUCTION: In the favourable political climate of the mid-2010s, the standards for Assessment & Selection of Prevention programmes Issued from the Review of EDPQS (ASPIRE) were developed to support project planning in drug prevention.

METHODS: This case study is a narrative from the main coordinator responsible for drafting this quality assurance material.

RESULTS: The framework that led to the creation of the ASPIRE standards is described. The production process is then explained and, thereby, the 12 ASPIRE standards resulting from it are presented. These quality standards and their...