Nguyen Thu Trang, Dinh Thi Thanh Thuy, Busse Anja, Kashino Wataru, Suhartono Sanita, Le Minh Giang
Centre for Training and Research on Substance Use and HIV, Hanoi Medical University, Viet Nam.
Prevention, Treatment and Rehabilitation Section, Drug Prevention and Health Branch, United Nations Office on Drugs and Crime, Vienna, Austria.
Addict Behav Rep. 2021 Oct 7;14:100382. doi: 10.1016/j.abrep.2021.100382. eCollection 2021 Dec.
Adolescent substance use is a leading risk factor of medical and social problems in adults. However, evidence-based interventions for substance use disorders (SUD) among youth in resource-limited countries are lacking. Treatnet Family (TF), developed by United Nations Office on Drugs and Crime (UNODC), aims to make youth SUD care more affordable and accessible in low- and middle-income countries. This study explores the suitability of TF in Vietnam.
Twenty interviews were conducted with eight adolescents and their family members who participated in TF, and four practitioners who delivered TF. Questions centred on their experiences with the intervention and suggestions for improvement. Thematic analysis was used to evaluate the data.
All adolescents were male with an average age of 19.3. Seven of them had left school. Most caregivers were female. Both family members and adolescents expressed a great demand for support, and both groups appreciated the immediate improvement in parent-child communication. However, the impact of TF could be compromised due challenges in recruiting families, possibly arising from the novelty of a family-based intervention in Vietnam and drug-related stigma. The perception of drug use as an acute condition instead of a chronic disorder, and the lack of a continuing care system, also made it difficult to retain participants.
Vietnamese adolescents with SUD and their family members were in great need of support and access to evidence-based interventions. Building a comprehensive, health-centred substance use disorder treatment and care system would enhance treatment impact.
青少年药物使用是成人医学和社会问题的主要风险因素。然而，资源有限国家缺乏针对青少年药物使用障碍（SUD）的循证干预措施。联合国毒品和犯罪问题办公室（UNODC）开发的Treatnet Family（TF）旨在使低收入和中等收入国家的青少年SUD护理更经济实惠且易于获得。本研究探讨TF在越南的适用性。
对八名参与TF的青少年及其家庭成员以及四名提供TF服务的从业者进行了20次访谈。问题集中在他们对干预措施的体验以及改进建议。采用主题分析法对数据进行评估。
所有青少年均为男性，平均年龄19.3岁。其中七人已辍学。大多数照顾者为女性。家庭成员和青少年都表达了对支持的强烈需求，两组都对亲子沟通的即时改善表示赞赏。然而，由于招募家庭方面的挑战，TF的影响可能会受到损害，这可能源于越南基于家庭的干预措施的新颖性以及与毒品相关的污名。将药物使用视为急性病症而非慢性疾病的观念，以及缺乏持续护理系统，也使得难以留住参与者。
患有SUD的越南青少年及其家庭成员非常需要支持并获得循证干预措施。建立一个全面的、以健康为中心的药物使用障碍治疗和护理系统将增强治疗效果。
