Experiences from a Community Based Substance Use Treatment Centre in an Urban Resettlement Colony in India

Background. There are limited community based treatment services for drug dependence in India. Rural areas and urban resettlement colonies are in particular deficient in such services.Aims. The current study aimed at preliminary assessment of substance use disorder management services at a community based substance use treatment clinic in an urban resettlement colony.Methods. The study was carried out at community based substance use treatment centre in a resettlement colony in India. The records of the centre were chart reviewed.Results. A total of 754 patients were registered at the clinic during the study period. Heroin was the primary drug of abuse for 63% of the patients. The mean duration of follow-up for the patients with opioid and alcohol dependence was 13.47 (SD±10.37; range 0–39) months. A total of 220 patients of opioid dependence were prescribed substation or abstinence directed therapy. Buprenorphine (87), slow release oral morphine (SROM) (16), and dextropropoxyphene (98) were used for opioid substitution.Conclusion. It is possible to deliver substance use disorder treatment services in community setting. There is a need to develop area specific community based treatment services for substance abuse in socially disadvantaged populations such as urban resettlement colonies.

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Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services

Drug and Alcohol Review ◽

10.1111/dar.12439 ◽

2016 ◽

Vol 36 (3) ◽

pp. 369-377 ◽

Cited By ~ 3

Author(s):

Danika Tremain ◽

Megan Freund ◽

Luke Wolfenden ◽

Paula Wye ◽

Jenny Bowman ◽

...

Keyword(s):

Substance Use ◽

Health Risk ◽

Behaviour Change ◽

Substance Use Treatment ◽

Risk Behaviours ◽

Community Based ◽

Treatment Services ◽

Health Risk Behaviours

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Diagnostic Impressions in Substance Use Treatment Services

PsycEXTRA Dataset ◽

10.1037/e583522010-001 ◽

2010 ◽

Keyword(s):

Substance Use ◽

Substance Use Treatment ◽

Treatment Services

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Barriers and Facilitators of Using Telehealth to Identify and Manage Behavioral Health and Substance Use Disorder Conditions in Rural Areas: An Environmental Scan (Preprint)

10.2196/preprints.22025 ◽

2020 ◽

Author(s):

Naim Naim ◽

Laura Dunlap

Keyword(s):

Substance Use ◽

Behavioral Health ◽

Substance Use Disorder ◽

Rural Areas ◽

Primary Care Providers ◽

Care Patient ◽

Direct Patient Care ◽

Care Providers ◽

Provider Education ◽

Opioid Use

BACKGROUND Access to behavioral health services, particularly substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas. Some of the reasons for these challenges include local primary care providers without experience in behavioral health treatment, few specialty providers, and concerns over stigma and lack of privacy for individuals from smaller communities. Telehealth can ease these challenges and support behavioral health, specifically SUD treatment, in a variety of ways, including direct patient care, patient engagement, and provider education. Telehealth is particularly relevant for the growing opioid epidemic, which has profoundly affected rural areas. OBJECTIVE We sought to understand how telehealth is used to support behavioral health and SUDs, with a particular focus on implications for medication-assisted treatment for opioid use disorders. The intent was to understand telehealth implementation and use, financing and sustainability, and impact in the field. The results of this work can be used to inform future policy and practice. METHODS We reviewed literature and interviewed telehealth stakeholders and end users in the field. The team identified a diverse set of participants, including clinical staff, administrators, telehealth coordinators, and information technology staff. We analyzed research notes to extract themes from participant experiences to answer the study questions. RESULTS Organizations varied in how they implemented telehealth services and the services they offered. Common themes arose in implementation, such as planning for technical and organizational impacts of telehealth, the importance of leadership support, and tailoring programs to community needs. CONCLUSIONS Telehealth is used in a variety of ways to expand access to services and extend service delivery. As the policy and reimbursement landscape continues to evolve, there may be corresponding changes in telehealth uptake and services provided. CLINICALTRIAL NA

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