Transcript arash-ghodousi-islamic-azad-university-iran

Addiction Therapy 2015
Florida, USA
August 03-08, 2015
Arash Ghodousi
Common addiction
treatment in IRAN
Arash Ghodousi MD
Assistant professor of forensic medicine
Addiction therapist
ISFAHAN…
An overview
• Opium use has a long history in
Iran. For treatment, Antidote
or abuse.
Overview of use
• Opium(various forms), heroin,
concentrated (in Iran called crack!),
Methamphetamine(called Shishe),
various kind of THC( called hashish in
extract form),Alcohol… are found in
Iran.
• The percentage of use is based on the
age, accessibility, cost, socioeconomic
status of user and the place of use.
• For example Ritalin is common between
university student or MDMA use in rave
parties.
Legal treatments
• The main decision-maker is
government by Iran Drug Control
Headquarters. And then this decision
referred to other governmental or
nongovernmental organization.
• They work on all field of drug use
control; from struggle with smugglers
to rehabilitation centers for addicts
• So the treatments is also under
governmental supervision.
Licensed clinics
• There is two organization that
allow running a treatment clinic:
1- ministry of health
2- state welfare organization of Iran
clinics
• Outpatient treatment clinics:
• Private
• State
• Inpatient wards
• residential centers
(accommodation centers)
• harm reduction centers
• …
Common Treatments for opioid addiction
• There is “ outpatient addiction treatment centers”. License issued
by the Ministry of Health and Social Welfare
• Private
• state
• Both of them under supervision of government. and they have
Quota of Methadone, buprenorphine and opium tincture .
• For maintenance therapy and detoxification either
Opioids treatment centers
• The usage of this drugs Carefully
evaluated and monitored by
inspection teams.
• Also the must have a therapy
team include:
•
•
•
•
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A trained physician
A trained psychologist
A trained nurse
A trained social worker
For psychiatric problem, a part time
psychiatrist
Methadone
Methadone
tab.
Opium
tincture
Buprenorphine
Treatment protocol
• We have a “treatment protocol” sent from
ministry of health and following this protocol in
some part of treatment is mandatory. For
example in :
• Minimum patient visits in a month by each member of
team
• Minimum and maximum administered by physician
• How to write and records the patients documents
The main idea for running theses centers is to
hazard prevention specially for HIV/AIDS and
based on statistics, the progression of this
disease is stopped.
But detoxification is also done in
these centers
It starts from about 12 years ago
Other treatments for opium addiction
• Inpatient camps
• For detoxification
• TC (therapeutic community)
With several programs for
rehabilitation
• URD: Ultra rapid
detoxification: today it is
forbidden in Iran
• NA
Other treatments for opium addiction… con
• N.A.: Its meetings are
held in many cities and
their activities are
legal in Iran
Other treatments for opium addiction… con
Unscientific or unapproved Methods
• With administration of naltrexone and
physical activities based on religious
rituals, they try to detox patients.
• Unauthorized drugs for treatment. We
call them “satellite drugs”
• Acupuncture
• Energy therapy
• Traditional medicine
For methamphetamine treatment
• In outpatient clinic or in
consultant clinics
• A modified version of “matrix
Method” were used for
treatment of meth. addiction
Matrix Method For Meth. Addicts
Meth. Addiction treatment…con
• Now, neuro feedback and
TMS(Transcranial magnetic
stimulation) is available in
Iran for meth treatment
but there is serious
discussion about it’s
effectiveness
Alcohol addiction
Drinking alcohol is forbidden and
illegal in Iran. But we have alcohol
addiction.
From one year latter, an state
alcohol addiction treatment center
was started in Tehran
The government decide to founding
such clinics in other cities
Thanks for attention
Dolphins of Persian golf
Meet the eminent gathering once again at
Addiction Therapy 2016
Miami, USA
October 06-08, 2016
Addiction Therapy 2016
Website: addictiontherapy.conferenceseries.com