Indian Journal of Community Medicine

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Year
: 2021  |  Volume : 46  |  Issue : 3  |  Page : 370--373

Improving treatment of substance use disorders through community drug treatment clinics: An experiential account


Ravindra Rao1, Anju Dhawan1, Arpit Parmar2, Deepak Yadav1, Roshan Bhad1 
1 Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India

Correspondence Address:
Dr. Ravindra Rao
4096, Department of Psychiatry, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India

India has a huge burden of substance use disorder (SUD). The national response to the problem of SUD has been to support addiction treatment centers either in government hospitals or in nongovernmental settings. The existing number of addiction treatment facilities is less compared to the burden of substance use in India. The existing models of treatment in India place undue emphasis on inpatient treatment of SUD. Community-based treatment aims to bring the treatment of SUD closer to the patients in their community. Community-based treatment of SUD utilizes existing services available in the community by establishing an integrated network of community-based services. There have been different models of community-based care for the management of SUD in India. Most of them, however, address short-term withdrawals and do not provide long-term treatment in community. National Drug Dependence Treatment Centre, AIIMS, New Delhi, has been providing community-based treatment for SUD since the 1990s. Two of the three community drug treatment clinics (CDTCs) are in operation for more than 5 years now and cater to the population residing within a defined catchment area. The CDTCs use infrastructure available in the community to operate the clinics. The clinics are run daily by a team of nursing staff, while the doctor is available only twice a week. A menu of options, ranging from short-term treatment to long-term agonist maintenance treatment is provided in the clinic. Both pharmacotherapy and psychosocial interventions are provided. Each clinic caters to hundreds of patients through these facilities. There is a need to expand CDTCs in India considering their cost-effectiveness, acceptability, and overall effectiveness, especially in urban colonies with higher substance-related problems.


How to cite this article:
Rao R, Dhawan A, Parmar A, Yadav D, Bhad R. Improving treatment of substance use disorders through community drug treatment clinics: An experiential account.Indian J Community Med 2021;46:370-373


How to cite this URL:
Rao R, Dhawan A, Parmar A, Yadav D, Bhad R. Improving treatment of substance use disorders through community drug treatment clinics: An experiential account. Indian J Community Med [serial online] 2021 [cited 2022 Jan 21 ];46:370-373
Available from: https://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=3;spage=370;epage=373;aulast=Rao;type=0