Spiritual enhanced drug addiction rehabilitation (SEDAR) program: An innovative strategy for increase coverage of methadone program in Malaysia

2011 ◽  
Vol 26 (S2) ◽  
pp. 100-100
Author(s):  
A.R. Rusdi ◽  
R. Noorzurani ◽  
H. Hussain
Keyword(s):  
Drug Users ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
Hospital Setting ◽  
Hiv Risk Behavior ◽  
Body Parts ◽  
Innovative Strategy ◽  
Therapy Program ◽  
Outcomes Measures ◽  
Time Period

IntroductionIn Malaysia, national methadone maintenance therapy program was started by the goverment in October 2005 as part of harm reduction approach in reducing HIV prevalence among drug users along with needles and Syringes exchange(NSEP) program. However, slow coverage of MMT treatment occurs due to limited resources in existing health facilities and lack of participation from general practioners(Gps). There is a need for another paltform to increase coverage and participation of GPs in national MMT program.ObjectivesTo compare the retention rate and other outcomes measures between SEDAR program and Standard MMT treatment in hospital.AimsTo determine the feasability of MMT program in mosque environment.MethodsThe pilot MMT program known as SEDAR program was conducted in Ar-Rahman mosque involving 30 clients. Brief spiritual intervention(BSI) was given by mosque staffs on top of standard MMT treatment counseling. BSI include washing body parts with water or “wuduk”, praying in the mosque or “tahiyatul masjid” and recite “doa” in the mosque environment prior to direct observed therapy of methadone in the mosque by the pharmacist. The retention rate, % of urine drugs negative over time period, drug use and HIV risk behavior, quality of live and spiritual progress were measure using specific tools: OTI, WHO Qol, SF36, HIR96.ResultsWe expect the SEDAR group in Mosque has better outcomes or comparable with standard MMT treatment in hospital setting.ConclusionsThe SEDAR program is feasable to increase coverage of MMT program in Malaysia.

Predictors of HIV Risk Behavior in Iranian Women Who Inject Drugs

2017 ◽  
Vol 47 (3) ◽  
pp. 356-369 ◽  
Author(s):  
Mojtaba Habibi ◽  
Solmaz Farmanfarmaee ◽  
Mohammad Darharaj ◽  
Kaveh Khoshnood ◽  
Joshua J. Matacotta ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Risk Behavior ◽  
Risk Behaviors ◽  
Hiv Risk ◽  
Drug Users ◽  
Methadone Maintenance ◽  
Peer Group ◽  
Hiv Risk Behaviors ◽  
Hiv Risk Behavior ◽  
Women Who Inject Drugs

This study aimed to investigate predictors of drug-related HIV risk behaviors among women who inject drugs. A total of 163 women were recruited from harm-reduction-oriented drug-treatment centers in Tehran, Iran. Each completed a set of measures that included the Risk Behavior Assessment, Beck Depression Inventory–Second Edition, Revised Self-Efficacy Scale, and Peer Group Beliefs Regarding HIV-related Risk Behaviors Scale. The results indicated that past attempts to abstain from drugs, using methadone maintenance treatment programs, and acceptance of peers’ risky norms were significant predisposing, enabling, and reinforcing predictors of frequency of injection, respectively. Furthermore, predictors of frequency of sharing injection paraphernalia included purchasing drugs jointly with other drug users and peers’ norms conforming injecting drug use behaviors. Harm reduction services that take into consideration cultural and peer norms, as well as the development and implementation of HIV prevention programs, are likely to reduce drug-related HIV risk behaviors in women who inject drugs.

scholarly journals HIV Risk Behavior and Beliefs of HIV-Seropositive Drug Users

1992 ◽  
Vol 22 (4) ◽  
pp. 833-847 ◽  
Author(s):  
Christina Hartgers ◽  
Pieta Krijnen ◽  
Johanna A.R. van den Hoek ◽  
Roel A. Coutinho ◽  
Joop van der Pligt
Keyword(s):  
Risk Behavior ◽  
Hiv Risk ◽  
Drug Users ◽  
Hiv Transmission ◽  
Hiv Risk Behavior ◽  
Unsafe Sex ◽  
Response Efficacy ◽  
Female Prostitute ◽  
Hiv Seropositive ◽  
Hiv Negative

To assess HIV risk behavior, beliefs, attitudes and intentions among HIV-seropositive drug users (DUs), we studied 122 HIV-positive DUs (including ninety-five current injectors) participating in a longitudinal HIV-study among DUs in Amsterdam. All were familiar with their serostatus. Over a period of four months, 20% of the sample put others at risk of HIV infection, mainly through unsafe sex. Forty-nine percent think they might infect someone with HIV in the future, again mainly through unsafe sex. Although the majority intends to use condoms, self-efficacy and response efficacy is low; that is, many do not think they are able to use condoms when necessary and many have limited confidence in the efficacy of condoms in preventing HIV transmission. Correlates of HIV risk behavior were non-Dutch nationality and being a female prostitute. The results suggest that, next to efforts which aim to prevent new infections among HIV-negative injectors or sexual partners of injectors, prevention efforts should focus on HIV-seropositive DUs or former DUs.

Needle-sharing among young IV drug users and their social network members: The influence of the injection partner's characteristics on HIV risk behavior

2006 ◽  
Vol 31 (9) ◽  
pp. 1607-1618 ◽  
Author(s):  
Jennifer B. Unger ◽  
Michele D. Kipke ◽  
Christine J. De Rosa ◽  
Justeen Hyde ◽  
Anamara Ritt-Olson ◽  
...  
Keyword(s):  
Social Network ◽  
Risk Behavior ◽  
Hiv Risk ◽  
Drug Users ◽  
Hiv Risk Behavior ◽  
Needle Sharing

Effects of Case Management on Drug Users' Risky Sex

1998 ◽  
Vol 78 (1) ◽  
pp. 6-30 ◽  
Author(s):  
DOUGLAS LONGSHORE ◽  
SUSAN TURNER ◽  
M. DOUGLAS ANGLIN
Keyword(s):  
Drug Use ◽  
Case Management ◽  
Risk Behavior ◽  
Problem Behaviors ◽  
Drug Users ◽  
Unprotected Sex ◽  
Hiv Risk Behavior ◽  
Favorable Effect ◽  
Street Crime ◽  
Management Protocol

Case management for crime-involved drug users is designed mainly to reduce further drug use and crime but may also promote reductions in HIV risk behavior. In a five-site evaluation, the authors examined the effects of a case-management protocol known as Treatment Alternatives to Street Crime (TASC) on drug users' frequency of unprotected sex and frequency of sex while high on drugs and/or alcohol. At one site, case management had a favorable effect on the frequency of unprotected sex. At four sites, case management had a favorable effect on the frequency of sex while high. These effects were moderated by users' baseline level of risk behavior or history of related problem behaviors (drug use and criminal conduct). Implications for case management and drug use treatment are discussed.

scholarly journals Evaluation of a Low-Threshold/High-Tolerance Methadone Maintenance Treatment Clinic in Saint John, New Brunswick, Canada: One Year Retention Rate and Illicit Drug Use

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy K. S. Christie ◽  
Alli Murugesan ◽  
Dana Manzer ◽  
Michael V. O'Shaughnessey ◽  
Duncan Webster
Keyword(s):  
New Brunswick ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Illicit Drug ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
High Tolerance ◽  
Low Threshold ◽  
One Year ◽  
The One

Objective. To report the one-year retention rate and the prevalence of illicit opioid use and cocaine use in the Low-Threshold/High-Tolerance (LTHT) methadone maintenance treatment (MMT) clinic located in Saint John, New Brunswick, Canada.Methods. A description of the LTHT MMT clinic is provided. The one-year retention rate was determined by collecting data on patients who enrolled in the LTHT MMT clinic between August 04, 2009 and August 04, 2010. The prevalence of illicit drug use was determined using a randomly selected retrospective cohort of 84 participants. For each participant the results of six consecutive urine tests for the most recent three months were compared to the results of the first six consecutive urine tests after program entry.Results. The one-year retention rate was 95%, 67% of the cohort achieved abstinence from illicit opioids and an additional 13% abstained from cocaine use.Conclusion. The novel feature of the LTHT MMT clinic is that patients are not denied methadone because of lack of ancillary services. Traditional comprehensive MMT programs invest the majority of financial resources in ancillary services that support the biopsychosocial model, whereas the LTHT approach utilizes a medical model and directs resources at medical management.

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