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卡塔尔物质使用障碍治疗政策的演变。

Evolution of policy for the treatment of substance use disorders in Qatar.

机构信息

Mental Health Services, Hamad Medical Corporation, PO Box: 3050, Doha, Qatar.

College of Medicine, Qatar University, Doha, Qatar.

出版信息

Subst Abuse Treat Prev Policy. 2022 Jan 8;17(1):3. doi: 10.1186/s13011-021-00428-0.

Abstract

There is a marked paucity of published evidence on the extent and nature of substance use disorders in the State of Qatar. This is mirrored by a dearth of information on the policy for the treatment of substance use disorders in the public domain. Between 2007 and 2017, substance use disorders have risen from the third to leading cause of disability in Qatar. More recently, Qatar has shifted from applying a punitive only paradigm in managing substance use problems to recognizing the role of treatment and care for people with substance use disorders. Recently published official documents in Qatar define addiction as a disease and as a chronic condition where people with substance use disorders should be treated as patients who need care and assistance. This shifts the onus of providing, and developing services, for individuals with substance use disorders with healthcare providers rather than purely with the criminal justice system. Following cabinet approval, the recently established Permanent Committee for Addiction Treatment headed by the Minister of Public Health, signals the need to institutionalize systems and structures to upscale demand reduction programmes in the country. This article is a descriptive examination of the shifts in substance abuse treatment policy in Qatar, the major factors influencing this evolution, and will utilise some of the policy science theories to describe and analyse policy outcomes. The article will also frame the substance use problem in Qatar for the first time, based on documents published by various government organisations.

摘要

卡塔尔的物质使用障碍的程度和性质的相关文献十分匮乏,这一点与公共领域中关于物质使用障碍治疗政策的信息缺乏形成了呼应。2007 年至 2017 年期间,物质使用障碍已从卡塔尔的第三大致残原因上升为首要原因。最近,卡塔尔已经从仅采用惩罚性方法来管理物质使用问题,转变为承认治疗和关爱物质使用障碍患者的作用。最近在卡塔尔发布的官方文件将成瘾定义为一种疾病和一种慢性疾病,患有物质使用障碍的人应被视为需要护理和帮助的患者。这将为物质使用障碍患者提供服务和制定服务的责任从单纯的刑事司法系统转移到医疗保健提供者身上。在获得内阁批准后,由公共卫生部部长领导的新成立的成瘾治疗常设委员会表明,需要将系统和结构制度化,以在该国扩大减少需求方案。本文将对卡塔尔物质滥用治疗政策的转变进行描述性检查,分析影响这一演变的主要因素,并利用一些政策科学理论来描述和分析政策结果。本文还将首次根据各政府组织发布的文件,阐述卡塔尔的物质使用问题。

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