Harm reduction and abstinence-based models for treatment of substance use disorders during the COVID-19 pandemic: a global perspective

BJPsych International

article

Venkata Lakshmi Narasimha¹  JL Butner²  Enjeline Hanafi³  Mehdi Farokhnia⁴  Roshan Bhad⁵  Fatemeh Chalabianloo⁶  Christos Kouimtsidis⁷  Alexander Baldacchino⁸  Shalini Arunogiri⁹ 

[1] Department of Psychiatry, All India Institute of Medical Sciences ,(AIIMS);Addiction Medicine Specialist, Yale University School of Medicine;Department of Psychiatry, Addiction Psychiatry Division, Faculty of Medicine, Universitas Indonesia, Dr Cipto Mangunkusumo General Hospital;Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University;National Drug Dependence Treatment Centre, Department of Psychiatry, All India Institute of Medical Sciences;Senior Consultant in Addiction Medicine and PhD Fellow, Department of Addiction Medicine, Haukeland University Hospital;Honorary Senior Lecturer in Addictions, Department of Medicine, Division of Brain Sciences, Imperial College London;Medicine, Psychiatry and Addictions Professor, Division of Population and Behavior Sciences, Medical School, University of St Andrews;Monash Addiction Research Centre and Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University

关键词: Abstinence;    addiction;    COVID-19;    harm reduction;    substance use;    treatment;   

DOI  :  10.1192/bji.2022.1

学科分类：神经外科学

来源: Canadian Science Publishing

【 摘 要 】

The COVID-19 pandemic has significantly affected treatment services for people with substance use disorders (SUDs). Based on the perspectives of service providers from eight countries, we discuss the impact of the pandemic on SUD treatment services. Although many countries quickly adapted in provision of harm reduction services by changes in policy and service delivery, some went into a forced abstinence-based strategy. Similarly, disruption of abstinence-based approaches such as therapeutic communities has been reported. Global awareness is crucial for responsible management of SUDs during the pandemic, and the development of international health policy guidelines is an urgent need in this area.

【 授权许可】

CC BY|CC BY-NC-SA|CC BY-NC-ND