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

Abstract

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.

Depression as a Risk Factor for Relapse After Inpatient Opioid Detoxification: 1-Year Follow-Up Study

“…A high number of young males in both groups represented a pattern of drug abuse in the population, in general. The was no female admitted for detoxification in the current study, which might be due to high stigma associated with substance abuse; however, females have been reported at a significant number depending on city and geographical location, in other studies (11). Young age has been found to be associated with a high risk of relapse after inpatient detoxification (12,13), yet the current study did not show any relationship between age and relapse.…”

Predictors of Relapse after Inpatient Opioid Detoxification during 1-Year Follow-Up

“…High number of young males in both groups represent pattern of drug abuse in population, in general. No female getting admitted for detoxification in our study might be due to high stigma associated with substance abuse; however females have been reported in a significant number depending on city and geographical location, in other studies [ 9 ]. Young age has been found to have high risk of relapse after inpatient detoxification [ 3 , 10 ] but our study did not show any relation of age with relapse.…”

Pathways to Care of Alcohol -Dependent Patients: An Exploratory Study From a Tertiary Care Substance Use Disorder Treatment Center

“…Therefore, integration of substance use disorder treatment to primary health care services seems to be a better option. Effectiveness and feasibility of community-based service delivery for substance use disorder has been documented in the Indian setting previously (14-16). …”