Table 3 Core interventions to minimize substance-related harms in populations displaced by conflict (adapted from [81, 90])
From: Six rapid assessments of alcohol and other substance use in populations displaced by conflict
Phase | Intervention |
|---|---|
Minimum | Screening and brief intervention for high risk alcohol use Referral of severe mental illness Targeted provision of condoms and needles and syringes Management of withdrawal and other acute problems Continuation of opioid substitution therapy for those who commenced pre-displacement |
Expanded | Targeted behaviour change communication for HIV/STI/blood-borne virus prevention Expanded needle and syringe programmes through outreach and hepatitis B vaccination programmes for injection drug users Thiamine provision for heavy alcohol drinkers Community mobilisation programmes to promote uptake of interventions and to decrease stigma |
Complex | Substance use treatment services (including cognitive-behavioural and opioid substitution therapy) Incorporation of substance use treatment into: comprehensive mental health services (particularly depression); integrated chronic disease management (particularly hypertension/cardiovascular disease and TB); and HIV/STI programmes Incorporation of substance use prevention and management into gender-based violence prevention programmes |