Addiction Rehab: ASAM Magazine: The Voice of Addiction Medicine.

ASAM Magazine: The Voice of Addiction Medicine.

Filed under: Addiction Rehab

J Addict Med. 2013 Jan; 7(1): 85-6

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Needs assessment and treatment compliance at state opioid substitution treatment programes in georgia.

Filed under: Addiction Rehab

Georgian Med News. 2013 Jan; 28-32
Piralishvili G, Gamkrelidze I, Nikolaishvili N, Chavchanidze M

Aims – conduct needs assessments and treatment compliance evaluations in MMT and Suboxone Substitution State Programs in Georgia (Republic of). 506 patients (2 females) were surveyed (92% on Methadone, 8% on Suboxone) from 6 Tbilisi and 4 regional State Programs in 2011 November. Mean age – 40±8,56 (22-65) year; 254 (51.4%) were in treatment for 1-3 year. Evaluation was carried out on the base of structured self-questionnaire that covers demographics, drug use history, general drug use trends, psychotherapeutic sessions’ acceptance and open label question regarding treatment challenges and satisfaction. 305 (60.3%) attended individual and 57 (11.3%) group psychotherapy sessions with 50.79% attending once/month or rare. The main reason given for therapy non-attendance – no needs for it (29.48%); the main drugs before admission – heroin (80.04%), buprenorphine (53.49%); Main drugs used in Georgia nowadays – desomorphine (“crocodile”), alcohol and marihuana. Commonly used drugs by program patients (136 positive answers) – alcohol-13.62%, marihuana-10.39%, pregabalin – 8.17%, opioids- 6.62% (mostly-“crocodile”), home-made stimulants-6.23%, sedatives -5.45%. 55.4% are extremely satisfied with treatment, 82.4% – with program staff. Patients’ main wishes- free of charge programs (46.4%) and provide take-home doses (22.07%). Methadone and Suboxone ST are being well accepted in Georgia and appear to be reducing illegal opioid use. However, the psychotherapeutic sessions’ attendance is very low.;
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Impact du sentiment de dépendance aux benzodiazépines sur l’utilisation des services de santé : Étude sur la santé des aînés.

Filed under: Addiction Rehab

Can J Aging. 2013 Feb 7; 1-10
Mengue PG, Abdous B, Berbiche D, Préville M, Voyer P

ABSTRACT Background: The use of benzodiazepines is common among seniors. This consumption can cause an addiction whose criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition revised (DSM-IV-TR) do not always apply to the situation of the elderly. This research seeks to examine the link between the feeling of benzodiazepine dependence and the use of health services by seniors. A secondary objective is to describe the use of benzodiazepines among seniors living in the community. Method: Data derive from a survey conducted in Quebec in 2005-2006 from a representative sample of 707 Francophones aged 65 and over living in the community. The feeling of benzodiazepine dependence was measured by a composite variable incorporating two questions inspired by the DSM-IV-TR. The use of health services was measured through the cumulative impact of consultation with health care professionals during a 12- month period. Results: Older adults consumed a total of 745 benzodiazepines, including 117 (16.5%) which had a half-long life. The proportion of seniors who reported a feeling of dependence on benzodiazepines was estimated at 35.1 %. These seniors did not significantly make further use of health services for their addiction to benzodiazepines. Conclusion: The results of this study suggest that the use of benzodiazepines among seniors in Quebec is far from optimal. Moreover, the perceived need in addiction is not a significant factor in inducing seniors to use health services for the management of addiction. There is, therefore, a need for research to better understand the barriers associated with the use of health services by seniors addicted to benzodiazepines.
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