FIVE YEAR FOLLOW UP OF 100 HEROIN ADDICTS IN PESHAWAR

Authors

  • Khalid A Mufti
  • Samina Said
  • Saeed Farooq
  • Asad Haroon
  • Abida Nazeer
  • Sher Naeem
  • Iqbal Hussain

Abstract

Background: Drug addiction has increased rapidly during the last 2 decades in Pakistan, however little has been done to explore and evaluate different treatments which are available locally. This paper describes five years follow up of heroin addicts from Peshawar, Pakistan, after an extended period of in patient detoxification. Methods: This was a longitudinal cohort study of 100 clients who were followed up for 5 years. The main interventions included; an extended in patient detoxification for 30 days, Motivational Interview, and training in coping strategies. Patients participated in both in-patient, and then after discharge, community based group therapy, as well as indigenous self-help groups as an integral part of the treatment. A modified version of Addiction Severity Index (ASI) was used along with urine analysis, to assess substance misuse in clients. Improvement was defined as being drug and crime free and being in purposeful employment. Results: At the end of the study period, out of a total of 70 clients, 16(23%) had improved, 54(77%) had relapsed, while 04(5%) had dropped out of the programme. As far as abstinence from drugs and crimes was concerned, 28% were abstinent at the end of 5 years follow up. Conclusions: An integrated community based indigenous approach can had good effect on outcome of heroin addiction in a medium term follow up.Keywords: Heroin, Drug Addiction, Follow up, Addicts

References

Gerstein DR, Harwood HJ, editors. Treating drug problems, Volume 1. A study of the evolution, effectiveness and financing of public and private drug treatment systems. Committee for the substance abuse coverage study. Division of health care services. Institute of Medicine. Washington, DC: National academic press. 1990

Gossop M, Marsden J, Stewart D, Kidd T.The National Treatment Outcome Research Study NTORS): 4-5 year follow-up results. Addiction 2003;98(3):291-303.

Morino U, Nobili M, Vivalda L (1991). Detoxification from opiates through hospitalization: the long-term results. A longitudinal study of 104 admissions in 1982-1986] Minerva Med;82(4):201-5 (Italian)

Vaillant GE. A 12 years follow up of newyork narcotic addicts.3.Some social and psychiatric characteristics. Arch Gen Psychiatry 1966;15(6):599-609.

Tobutt C, Oppenheimer E, Laranjeira R. Health of Cohort of heroin addicts from London clinics: 22 year follow up. BMJ 1996;312(7044):1458.

Caplehorn JR. A comparison of abstinence-oriented and indefinite methadone maintenance treatment. Int J Addict. 1994 Sep;29(11):1361-75.

McLellan AT, Luborsky L, Woody GE, O'Brien CP. An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. J Nerv Ment Dis 1980;168(1):26-33.

Hser YI, Anglin D, Powers K. A24 years follow up of california narcotic addicts. Arch Gen Psychiatry 1993;50(7):577-84.

Downloads

Most read articles by the same author(s)