Table 1 Gaps, challenges, and priorities for addressing substance use disorders in humanitarian settings
From: Priorities for addressing substance use disorder in humanitarian settings
Question | Priority | Responses |
|---|---|---|
1. Which interventions do you consider essential to addressing substance use disorder in humanitarian emergencies? [n = 33] | 1 | Increasing access to services and referrals |
2 | Awareness raising and psychoeducation | |
3 | Low-threshold services | |
Needs/situational assessments and treatment planning | ||
2. What information is needed to plan a substance use disorder treatment intervention or program in a humanitarian setting? [n = 31] | 1 | Substance use patterns in the community |
2 | Community norms and attitudes toward substance use | |
3 | Available services and referral options for substance use services | |
Capacity of existing health facilities and staff to provide substance use services | ||
3. For each of the following types of activities, what additional guidance would be most helpful to support the delivery of substance use disorder treatment in humanitarian settings? | ||
3a. Needs and situational assessment methods [n = 30] | 1 | Rapid needs and situational assessment |
2 | Key informant interviews | |
3 | Community observations | |
Resource mapping | ||
Surveillance and quantitative survey methodologies | ||
3b. Program planning [n = 29] | 1 | Service provider training and capacity building |
2 | Coordinated care pathways | |
Clinical supervision | ||
3 | Accessing to essential medicines | |
3c. Adaptations of tools and activities [n = 31] | 1 | Adapted needs assessment and situation analysis tools |
Adapted interventions according to patterns of substance use | ||
Adapted interventions according to the culture | ||
2 | Adapted case identification and diagnostic tools | |
3 | Adapted implementation plans to operate within available resources | |
3d. Interventions [n = 29] | 1 | Awareness raising and psychoeducation |
2 | Low-threshold services | |
Evidence-based psychosocial interventions | ||
3 | Evidence-based pharmacological interventions | |
Overdose identification and emergency management | ||
3e. Implementation processes [n = 31] | 1 | Guidance for adapting interventions |
Guidance for implementing interventions | ||
Guidance on capacity building materials to implement interventions | ||
2 | Links/access to existing clinical guidelines for these interventions | |
Development of context-specific guidelines | ||
3 | Brief reference sheets summarizing clinical guidelines | |
3f. Monitoring and evaluation [n = 24] | 1 | Designing program objectives and indicators |
2 | Selection of means of verification (measures) to assess indicators | |
3 | Data collection methods for monitoring treatment outcomes | |