ArticleConflict and health2021
Priorities for addressing substance use disorder in humanitarian settings.
Article in Conflict and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine.SSM. Mental health · 2025Article
- Prevalence and patterns of substance use in conflict-affected settings: findings of a cross-sectional study from south-central Somalia.Frontiers in psychiatry · 2025Article
- Moving from feasible to essential: Progress and future directions for promoting the implementation of substance use services for forcibly displaced populations in humanitarian settings.Addiction (Abingdon, England) · 2024Article
- Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda: a cluster-randomized feasibility trial.Global mental health (Cambridge, England) · 2024Article
- Health services for substance use disorders: challenges and future perspectives.BMC health services research · 2023Article
- Alcohol and other drug use patterns and services in an integrated refugee settlement in Northern Zambia: a formative research study.Conflict and health · 2023Article
- Commentary on Saleh et al: The triple burden of stigma experienced by forcibly displaced people with substance use disorder - considerations for research and practice.Addiction (Abingdon, England) · 2023Article
- Substance (mis)use among refugees as a matter of social ecology: insights into a multi-site rapid assessment in Germany.Conflict and health · 2023Article
- Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers.Substance use & misuse · 2023Article
- Tobacco prevention and control interventions in humanitarian settings: a scoping review protocol.BMJ open · 2022Article
- Substance Use Among Residents of Homeless Shelters During the COVID-19 Pandemic: Findings From France.International journal of public health · 2022Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 5 countries.
Funding
Abstract
backgroundPopulations affected by humanitarian emergencies are vulnerable to substance (alcohol and other drug) use disorders, yet treatment and prevention services are scarce. Delivering substance use disorder treatment services in humanitarian settings is hampered by limited guidance around the preparation, implementation, and evaluation of substance use disorder treatment programs. This study aims to identify and prioritize key gaps and opportunities for addressing substance use disorder in humanitarian settings.
methodsUNODC convened a consultation meeting (n = 110) in coordination with UNHCR and WHO and administered an online survey (n = 34) to, thirteen program administrators and policymakers, eleven service providers, nine researchers, and one person with lived experience to explore best practices and challenges to addressing substance use disorder in diverse populations and contexts. Participants presented best practices for addressing substance use disorder, identified and ranked challenges and opportunities for improving the delivery of substance use disorder treatment interventions, and provided recommendations for guidelines that would facilitate the delivery of substance use disorder treatment services in humanitarian emergencies.
resultsParticipants agreed on key principles for delivering substance use disorder treatment in humanitarian settings that centered on community engagement and building trust, integrated service delivery models, reducing stigma, considering culture and context in service delivery, and an ethical 'do no harm' approach. Specific gaps in knowledge that precluded the delivery of appropriate substance use disorder treatment include limited knowledge of the burden and patterns of substance use in humanitarian settings, the effectiveness of substance use disorder treatment services in humanitarian settings, and strategies for adapting and implementing interventions for a given population and humanitarian context. Participants emphasized the need to strengthen awareness and commitment related to the burden of substance use disorder treatment interventions among communities, practitioners, and policymakers in humanitarian settings.
conclusionsResults from this consultation process highlight existing gaps in knowledge related to the epidemiology and treatment of substance use disorders in humanitarian emergencies. Epidemiological, intervention, and implementation research as well as operational guidance are needed to fill these gaps and improve access to substance use treatment services in humanitarian settings.
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