Drug abuse and its treatment in China

Michels, Ingo Ilja; Zhao, Min; Lü, Lin

doi:10.1024/2007.04.04

Cited by 7 publications

(8 citation statements)

References 32 publications

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“…Thus, the results of the current study also indicate a need for more comprehensive treatment approach in the voluntary rehabilitation centers in China. One obstacle of providing comprehensive treatment might be the high service price, which is often beyond the paying capacity of heroin patients who are normally marginalized in the society without third party payers (Michels et al, 2007). Thus, the government was suggested to control costs of voluntary rehabilitation and expand medical insurance to drug use disorders and the co-morbidities.…”

Section: Discussionmentioning

confidence: 99%

Profiles of psychiatric disorders among heroin dependent individuals in Changsha, China

Yang

Liao

Wang

et al. 2015

Drug and Alcohol Dependence

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Background The strong comorbidity of psychiatric and substance use disorders is well documented outside of China, however it has not been studied extensively among drug using individuals in China. This study evaluated patterns of co-occurring psychiatric and substance use disorders among heroin dependent individuals in Changsha, China. Methods Participants were 1002 individuals consecutively admitted between March 10 and October 30, 2008 into two compulsory and one voluntary drug rehabilitation centers in Changsha. The Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (SCID-I/P) and the Structured Clinical Interview for DSM-IV-TR Axis II personality Disorders (SCID-II) were used. Results Mental health disorders were highly prevalent among study participants: 29.6% had at least one lifetime DSM-IV Axis I and 19.5% had at least one current (past month) Axis I mental health disorder. Antisocial (40.7%) and Borderline (22.6%) Personality Disorders were most prevalent DSM-IV Axis II lifetime diagnoses and a mood disorder (19.1%) was the most prevalent Axis I lifetime disorder; 57.8% had other substance use disorder in addition to opioid dependence. Study results indicate that females in compulsory settings have lower socio-economic status than males in compulsory settings, and that males in compulsory settings have higher rates of co-morbidities, including personality, mood disorders, substance use co-morbidities, and lower socio-economic status than males in the voluntary setting. Conclusions The study findings suggest an urgent need to expand and improve diagnostic and treatment capabilities in compulsory rehabilitation settings in China and a need for additional services and interventions specific for female rehabilitants.

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Section: Discussionmentioning

confidence: 99%

Profiles of psychiatric disorders among heroin dependent individuals in Changsha, China

Yang

Liao

Wang

et al. 2015

Drug and Alcohol Dependence

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“…There are 300 voluntary detoxification clinics, 700 CRCs, and 200 REWCs across China. Each can accommodate between 100 and 3000 patients 61,62 . While this treatment is sometimes offered free of charge by the government, the cost of treatment in both compulsory and voluntary detoxification center is not covered by the social health insurance.…”

Section: Treatment Of Illegal Drug Abuse In Chinamentioning

confidence: 99%

“…Since a high proportion of opiate addicts suffer from anxiety, affective disorders, or personality disorders, they would benefit from cognitive‐behavioral psychotherapy 87 . Unfortunately, in China, psychotherapy has been offered to only a small portion of patients at maintenance treatment clinics and rehabilitation centers 62 . Moreover, few studies have discussed the effect of psychotherapy in the treatment of opiate addiction.…”

Section: Treatment Of Illegal Drug Abuse In Chinamentioning

confidence: 99%

Drug Addiction in China

Lü¹,

Xi²

2008

Annals of the New York Academy of Sciences

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Drug addiction in China began with the importation of Indian opium by the British in the 16th century and brought severe social and health problems. While drug abuse abated following the establishment of People's Republic of China, modernization and Westernization in the 1980s led to the reemergence of this problem. Drug abuse in China became epidemic, facilitating the spread of HIV/AIDS. The Chinese government has made great efforts to address these problems, focusing both on treatments of drug addiction and on harm-reduction programs. Although the new trends of drug addiction in China pose great public health challenges, these government interventions are likely to successfully stem the problem of drug abuse in the future.

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“…However, with the establishment of China's open-door policy in the late 1980s, the drug problem reappeared. At that time, most drug abusers were young, poor farmers from the southwest and rural areas in the northwest [23] . However, in the early 1990s, drug abuse in China quickly spread to epidemic proportions.…”

Section: Drug Abuse and Harm Reduction In Chinamentioning

confidence: 99%

“…Recent years have seen a rapid increase in the popularity of amphetaminetype stimulants and MDMA in nightclubs in southeastern cities and business-centered cities [23] . However, heroin remains the primary abused drug which causes the most severe health and social problems.…”

Section: Drug Abuse and Harm Reduction In Chinamentioning

confidence: 99%

Harm reduction for injecting opiate users: an update and implications in China

et al. 2009

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The harm associated with high-risk injected opiate use and the threat of the HIV epidemic among injecting drug users has become a worldwide problem. Twenty years ago, in the face of a rapid increase in mortality rates among injecting drug users and the upcoming threat of HIV, the first harm-reduction programs were implemented in the Western world. This paper is a literature review describing four forms of harm reduction currently in use in Europe, North America, and Australia. Each represents a reasonable counterapproach to the threat of increased prevalence of HIV among injecting drug users in transitional and developing countries. The paper attempts to explain the concepts behind the most commonly used types of harm reduction and provides a brief overview of the advantages and disadvantages of each and the reasons for their implementation. The main focus of the review is on the definition and the practical aspects of harm reduction; it includes a brief introduction of Chinese harm-reduction efforts and their implications.

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Drug abuse and its treatment in China

Cited by 7 publications

References 32 publications

Profiles of psychiatric disorders among heroin dependent individuals in Changsha, China

Profiles of psychiatric disorders among heroin dependent individuals in Changsha, China

Drug Addiction in China

Harm reduction for injecting opiate users: an update and implications in China

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