Interventions for Decreasing Drug Abuse and Social Problem in Iran's Comprehensive Mental and Social Health Services
Abstract
Objective: Social problems and drug abuse, especially addiction, divorce, poverty, crime, violence, alcohol consumption, and substance abuse, have increased in Iran over the past two decades. The present study aims to determine an approach to decrease drug abuse and social problems in the Islamic Republic of Iran.
Method: A national program on providing comprehensive social and mental health services, entitled “SERAJ”, was developed and piloted in three districts of Iran. To compile this study, three types of data collection have been used: (1) review of the literature, (2) an in-depth interview with experts and stakeholders, (3) focused group discussions.
Results: In our proposed model for decreasing drug abuse and social problems, comprehensive mental and social health service are provided. Social care is integrated into the primary health care and six types of services, including social health education, screening for risk factors of social problems, and drug abuse, identifying underlying psychiatric, psychological, or social causes, short consultations, referral to social workers, and follow-up.
Conclusion: Theoretically, if mental disorders are reduced, social harm and addiction will also be reduced because it is one of the important risk factors for divorce, violence, crime, drug abuse, and alcohol consumption. SERAJ reduces mental disorders; therefore, it can reduce social problems and addiction.
2. damari B. Social Health Policy in Iran[in persian]: Publication of medicine and society; 2020.
3. Rössler W. The stigma of mental disorders: A millennia-long history of social exclusion and prejudices. EMBO Rep. 2016;17(9):1250-3.
4. Phillips LA, Shaw A. Substance use more stigmatized than smoking and obesity. Journal of Substance Use. 2013 Aug 1;18(4):247-53.
5. Cunningham JA, Sobell LC, Sobell MB, Agrawal S, Toneatto T. Barriers to treatment: why alcohol and drug abusers delay or never seek treatment. Addict Behav. 1993;18(3):347-53.
6. Wills TA. Social support and interpersonal relationships. Review of personality and social psychology.1991.
7. Jones SM, Bodie GD, Hughes SD. The impact of mindfulness on empathy, active listening, and perceived provisions of emotional support. Communication Research. 2019 Aug;46(6):838-65.
8. Harasemiw O, Newall N, Mackenzie CS, Shooshtari S, Menec V. Is the association between social network types, depressive symptoms and life satisfaction mediated by the perceived availability of social support? A cross-sectional analysis using the Canadian Longitudinal Study on Aging. Aging Ment Health. 2019;23(10):1413-22.
9. Wu JJ, Khan HA, Chien SH, Lee YP. Impact of Emotional Support, Informational Support, and Norms of Reciprocity on Trust Toward the Medical Aesthetic Community: The Moderating Effect of Core Self-Evaluations. Interact J Med Res. 2019;8(1):e11750.
10. Huang KY, Chengalur-Smith I, Pinsonneault A. Sharing is caring: social support provision and companionship activities in healthcare virtual support communities. MIS Quarterly. 2019 Jun 1;43(2):395-424.
11. O'Keefe E, Hogg C. Public participation and marginalized groups: the community development model. Health Expect. 1999;2(4):245-54.
12. Mitchell PF, Pattison PE. Organizational culture, intersectoral collaboration and mental health care. J Health Organ Manag. 2012;26(1):32-59.
Files | ||
Issue | Vol 16 No 2 (2021) | |
Section | Short Communication(s) | |
DOI | https://doi.org/10.18502/ijps.v16i2.5824 | |
Keywords | ||
Drug Abuse Mental Health Model Social Care Social Problem |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |