Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach
Compulsory drug detention centers (CDDCs) are common throughout Asia. However, medical treatments for substance use disorders, such as opioid agonist treatment (OAT), are generally unavailable in these settings. In this report, the authors compare...
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World Bank, Washington, DC
2018
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| Online Access: | http://documents.worldbank.org/curated/en/444171526625911078/Making-drug-treatment-work-opportunities-and-challenges-towards-an-evidence-and-rights-based-approach http://hdl.handle.net/10986/29964 |
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okr-10986-299642021-05-25T09:14:58Z Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach Wegman, Martin P. Altice, Frederick L. Kaur, Sangeeth Rajandaran, Vanesa Osornprasop, Sutayut Wilson, David Wilson, David P. Kamarulzaman, Adeeba SUBSTANCE ABUSE TREATMENT DRUG TREATMENT CENTERS DRUG DEPENDENCE WORLD HEALTH ORGANIZATION DRUG ABUSE ADDICTIVE BEHAVIORS OPIOID ADDICTION Compulsory drug detention centers (CDDCs) are common throughout Asia. However, medical treatments for substance use disorders, such as opioid agonist treatment (OAT), are generally unavailable in these settings. In this report, the authors compare the effectiveness of CDDCs with voluntary drug treatment centers (VTCs) offering OAT in Malaysia. Positive urine drug testing (UDT) after release confirmed opioid relapse in both groups. Specifically, the authors measure the timing of relapse, that is, the authors compare when patients that have been discharged from CDDCs and VTCs relapse to opioid. The authors conducted a study on opioid dependent individuals from Malaysian CDDCs and VTCs from August 2012 to September 2014. Baseline (at the starting point of the study) and semi-monthly behavioral assessments and UDTs were conducted for up to one year after release and discharge. Relapse rates between the groups were compared using advanced statistical analysis. Screening occurred in 168 CDDC attendees and 113 VTC in-patients, with 89 (CDDC), and 95 (VTC) of these individuals, respectively, having a baseline interview and at least one UDT. The authors found that opioid-dependent persons that have been released from CDDCs relapse to opioid use significantly faster than those from VTC services. This suggests the services provided by CDDCs have little role in the treatment of opioid use disorders. 2018-07-12T16:23:44Z 2018-07-12T16:23:44Z 2018 Report http://documents.worldbank.org/curated/en/444171526625911078/Making-drug-treatment-work-opportunities-and-challenges-towards-an-evidence-and-rights-based-approach http://hdl.handle.net/10986/29964 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work East Asia and Pacific Malaysia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
SUBSTANCE ABUSE TREATMENT DRUG TREATMENT CENTERS DRUG DEPENDENCE WORLD HEALTH ORGANIZATION DRUG ABUSE ADDICTIVE BEHAVIORS OPIOID ADDICTION |
| spellingShingle |
SUBSTANCE ABUSE TREATMENT DRUG TREATMENT CENTERS DRUG DEPENDENCE WORLD HEALTH ORGANIZATION DRUG ABUSE ADDICTIVE BEHAVIORS OPIOID ADDICTION Wegman, Martin P. Altice, Frederick L. Kaur, Sangeeth Rajandaran, Vanesa Osornprasop, Sutayut Wilson, David Wilson, David P. Kamarulzaman, Adeeba Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| geographic_facet |
East Asia and Pacific Malaysia |
| description |
Compulsory drug detention centers
(CDDCs) are common throughout Asia. However, medical
treatments for substance use disorders, such as opioid
agonist treatment (OAT), are generally unavailable in these
settings. In this report, the authors compare the
effectiveness of CDDCs with voluntary drug treatment centers
(VTCs) offering OAT in Malaysia. Positive urine drug testing
(UDT) after release confirmed opioid relapse in both groups.
Specifically, the authors measure the timing of relapse,
that is, the authors compare when patients that have been
discharged from CDDCs and VTCs relapse to opioid. The
authors conducted a study on opioid dependent individuals
from Malaysian CDDCs and VTCs from August 2012 to September
2014. Baseline (at the starting point of the study) and
semi-monthly behavioral assessments and UDTs were conducted
for up to one year after release and discharge. Relapse
rates between the groups were compared using advanced
statistical analysis. Screening occurred in 168 CDDC
attendees and 113 VTC in-patients, with 89 (CDDC), and 95
(VTC) of these individuals, respectively, having a baseline
interview and at least one UDT. The authors found that
opioid-dependent persons that have been released from CDDCs
relapse to opioid use significantly faster than those from
VTC services. This suggests the services provided by CDDCs
have little role in the treatment of opioid use disorders. |
| format |
Report |
| author |
Wegman, Martin P. Altice, Frederick L. Kaur, Sangeeth Rajandaran, Vanesa Osornprasop, Sutayut Wilson, David Wilson, David P. Kamarulzaman, Adeeba |
| author_facet |
Wegman, Martin P. Altice, Frederick L. Kaur, Sangeeth Rajandaran, Vanesa Osornprasop, Sutayut Wilson, David Wilson, David P. Kamarulzaman, Adeeba |
| author_sort |
Wegman, Martin P. |
| title |
Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| title_short |
Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| title_full |
Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| title_fullStr |
Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| title_full_unstemmed |
Making Drug Treatment Work : Opportunities and Challenges towards an Evidence- and Rights-Based Approach |
| title_sort |
making drug treatment work : opportunities and challenges towards an evidence- and rights-based approach |
| publisher |
World Bank, Washington, DC |
| publishDate |
2018 |
| url |
http://documents.worldbank.org/curated/en/444171526625911078/Making-drug-treatment-work-opportunities-and-challenges-towards-an-evidence-and-rights-based-approach http://hdl.handle.net/10986/29964 |
| _version_ |
1764470733200687104 |