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Year : 2019  |  Volume : 16  |  Issue : 1  |  Page : 43-48

Community-based management of opioid use disorder: Role of nursing professionals and paramedical workers

1 Senior Resident, Department of Psychiatry and NDDTC, AIIMS, New Delhi, India
2 Assistant Professor, Department of Psychiatry and NDDTC, AIIMS, New Delhi, India
3 Associate Professor, Department of Psychiatry and NDDTC, AIIMS, New Delhi, India

Correspondence Address:
Dr. Roshan Bhad
Department of Psychiatry, NDDTC, AIIMS, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IOPN.IOPN_14_19

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Magnitude of the opioid use problem is high globally, as well as in the India, as has been reported in various global and national epidemiological surveys on substance use disorder. There is a marked gap between the burden of substance use problems, particularly opioid use-related problems, and treatment services. Many international organizations have recommended an integrated model of treatment to overcome this gap. Community-based treatment services help in catering to the large population of the opioid using individuals, especially the hidden, marginalized population. The newer model of low threshold approach to treatment has gained popularity among the opioid using population. Further, it plays a significant role in reducing stigma attached to opioid users and also enhances treatment seeking. Community opioid use treatment setups, being located in the community itself, are in unique position to promote community participation and integrate local resources. Such treatment centers play a crucial role in promotive, preventive, therapeutic, and rehabilitative services for individuals with opioid use problems. Paramedical staff/nursing staff play a significant role in providing opioid use treatment services such as supervised dispensing, observing signs of opioid withdrawal and also of intoxication, intervening in case of opioid overdose, and also acting as bridge between the treatment-seeking population and the specialist doctor.

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