Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations

Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict set...
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Autor*in:	Greene, M. Claire [verfasserIn] Kane, Jeremy C. Khoshnood, Kaveh Ventevogel, Peter Tol, Wietse A.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Substance misuse Alcohol misuse Conflict Displacement Implementation

Anmerkung:	© The Author(s). 2018

Übergeordnetes Werk:	Enthalten in: Harm reduction journal - London : BioMed Central, 2004, 15(2018), 1 vom: 28. Nov.
Übergeordnetes Werk:	volume:15 ; year:2018 ; number:1 ; day:28 ; month:11

Links:	Volltext

DOI / URN:	10.1186/s12954-018-0267-1

Katalog-ID:	SPR028777050

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allfields	10.1186/s12954-018-0267-1 doi (DE-627)SPR028777050 (SPR)s12954-018-0267-1-e DE-627 ger DE-627 rakwb eng Greene, M. Claire verfasserin (orcid)0000-0002-4631-4764 aut Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213 Kane, Jeremy C. aut Khoshnood, Kaveh aut Ventevogel, Peter aut Tol, Wietse A. aut Enthalten in Harm reduction journal London : BioMed Central, 2004 15(2018), 1 vom: 28. Nov. (DE-627)388089350 (DE-600)2146691-9 1477-7517 nnns volume:15 year:2018 number:1 day:28 month:11 https://dx.doi.org/10.1186/s12954-018-0267-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 28 11
spelling	10.1186/s12954-018-0267-1 doi (DE-627)SPR028777050 (SPR)s12954-018-0267-1-e DE-627 ger DE-627 rakwb eng Greene, M. Claire verfasserin (orcid)0000-0002-4631-4764 aut Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213 Kane, Jeremy C. aut Khoshnood, Kaveh aut Ventevogel, Peter aut Tol, Wietse A. aut Enthalten in Harm reduction journal London : BioMed Central, 2004 15(2018), 1 vom: 28. Nov. (DE-627)388089350 (DE-600)2146691-9 1477-7517 nnns volume:15 year:2018 number:1 day:28 month:11 https://dx.doi.org/10.1186/s12954-018-0267-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 28 11
allfields_unstemmed	10.1186/s12954-018-0267-1 doi (DE-627)SPR028777050 (SPR)s12954-018-0267-1-e DE-627 ger DE-627 rakwb eng Greene, M. Claire verfasserin (orcid)0000-0002-4631-4764 aut Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213 Kane, Jeremy C. aut Khoshnood, Kaveh aut Ventevogel, Peter aut Tol, Wietse A. aut Enthalten in Harm reduction journal London : BioMed Central, 2004 15(2018), 1 vom: 28. Nov. (DE-627)388089350 (DE-600)2146691-9 1477-7517 nnns volume:15 year:2018 number:1 day:28 month:11 https://dx.doi.org/10.1186/s12954-018-0267-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 28 11
allfieldsGer	10.1186/s12954-018-0267-1 doi (DE-627)SPR028777050 (SPR)s12954-018-0267-1-e DE-627 ger DE-627 rakwb eng Greene, M. Claire verfasserin (orcid)0000-0002-4631-4764 aut Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213 Kane, Jeremy C. aut Khoshnood, Kaveh aut Ventevogel, Peter aut Tol, Wietse A. aut Enthalten in Harm reduction journal London : BioMed Central, 2004 15(2018), 1 vom: 28. Nov. (DE-627)388089350 (DE-600)2146691-9 1477-7517 nnns volume:15 year:2018 number:1 day:28 month:11 https://dx.doi.org/10.1186/s12954-018-0267-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 28 11
allfieldsSound	10.1186/s12954-018-0267-1 doi (DE-627)SPR028777050 (SPR)s12954-018-0267-1-e DE-627 ger DE-627 rakwb eng Greene, M. Claire verfasserin (orcid)0000-0002-4631-4764 aut Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213 Kane, Jeremy C. aut Khoshnood, Kaveh aut Ventevogel, Peter aut Tol, Wietse A. aut Enthalten in Harm reduction journal London : BioMed Central, 2004 15(2018), 1 vom: 28. Nov. (DE-627)388089350 (DE-600)2146691-9 1477-7517 nnns volume:15 year:2018 number:1 day:28 month:11 https://dx.doi.org/10.1186/s12954-018-0267-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 28 11
language	English
source	Enthalten in Harm reduction journal 15(2018), 1 vom: 28. Nov. volume:15 year:2018 number:1 day:28 month:11
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topic_facet	Substance misuse Alcohol misuse Conflict Displacement Implementation
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authorswithroles_txt_mv	Greene, M. Claire @@aut@@ Kane, Jeremy C. @@aut@@ Khoshnood, Kaveh @@aut@@ Ventevogel, Peter @@aut@@ Tol, Wietse A. @@aut@@
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author	Greene, M. Claire
spellingShingle	Greene, M. Claire misc Substance misuse misc Alcohol misuse misc Conflict misc Displacement misc Implementation Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations
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topic_title	Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations Substance misuse (dpeaa)DE-He213 Alcohol misuse (dpeaa)DE-He213 Conflict (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Implementation (dpeaa)DE-He213
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title	Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations
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title_sort	challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations
title_auth	Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations
abstract	Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. © The Author(s). 2018
abstractGer	Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. © The Author(s). 2018
abstract_unstemmed	Abstract Alcohol and other drug misuse are significant but neglected public health issues in conflict-affected populations. In this article, we review the literature on the challenges and strategies for implementing substance misuse treatment and prevention services in conflict and post-conflict settings in low- and middle-income countries. We identified nine studies describing interventions in conflict-affected populations residing in Afghanistan, Croatia, India, Kenya, Kosovo, Pakistan, and Thailand. Six of these nine studies focused on refugee populations. Reports revealed challenges to intervention implementation, as well as promising practices and recommendations for future implementation that we characterized as existing in the inner and outer contexts of an implementing organization. Challenges existing in the outer context included low political prioritization, lack of coordination and integration, and limited advocacy for access to substance misuse services. Challenges within the inner context related to competing priorities and a shortage of providers. Resource limitations existed in both the inner and outer contexts. Stigma was a challenge that threatened implementation and utilization of substance use services in situations when substance use interventions were not congruent with the roles, structure, values, and authority of the system or implementing organization. Future research should focus on developing, applying, and evaluating strategies for overcoming these challenges in order to make progress toward meeting the need for substance misuse services in conflict-affected populations. © The Author(s). 2018
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Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations

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