Arash Ghodousi Addiction Therapy 2015 Florida, USA August 03-08, 2015

Common addiction treatment in IRAN Arash Ghodousi MD Assistant professor of forensic medicine Addiction therapist

ISFAHAN…

An overview Opium use has a long history in Iran. For treatment, Antidote or abuse.

Overview of use Opium(various forms), heroin, concentrated (in Iran called crack!), Methamphetamine(called Shishe), various kind of THC( called hashish in extract form),Alcohol… are found in Iran. The percentage of use is based on the age, accessibility, cost, socioeconomic status of user and the place of use. For example Ritalin is common between university student or MDMA use in rave parties.

Legal treatments The main decision-maker is government by Iran Drug Control Headquarters. And then this decision referred to other governmental or nongovernmental organization. They work on all field of drug use control; from struggle with smugglers to rehabilitation centers for addicts So the treatments is also under governmental supervision.

Licensed clinics There is two organization that allow running a treatment clinic: 1- ministry of health 2- state welfare organization of Iran

clinics Outpatient treatment clinics: Private State Inpatient wards residential centers (accommodation centers) harm reduction centers …

Common Treatments for opioid addiction There is “ outpatient addiction treatment centers”. License issued by the Ministry of Health and Social Welfare Private state Both of them under supervision of government. and they have Quota of Methadone, buprenorphine and opium tincture. For maintenance therapy and detoxification either

Opioids treatment centers The usage of this drugs Carefully evaluated and monitored by inspection teams. Also the must have a therapy team include: A trained physician A trained psychologist A trained nurse A trained social worker For psychiatric problem, a part time psychiatrist

Methadone Opium tincture Methadone tab. Buprenorphine

Treatment protocol We have a “treatment protocol” sent from ministry of health and following this protocol in some part of treatment is mandatory. For example in : Minimum patient visits in a month by each member of team Minimum and maximum administered by physician How to write and records the patients documents

The main idea for running theses centers is to hazard prevention specially for HIV/AIDS and based on statistics, the progression of this disease is stopped. But detoxification is also done in these centers It starts from about 12 years ago

Other treatments for opium addiction Inpatient camps For detoxification TC (therapeutic community) With several programs for rehabilitation URD: Ultra rapid detoxification: today it is forbidden in Iran NA

Other treatments for opium addiction… con N.A.: Its meetings are held in many cities and their activities are legal in Iran

Other treatments for opium addiction… con Unscientific or unapproved Methods With administration of naltrexone and physical activities based on religious rituals, they try to detox patients. Unauthorized drugs for treatment. We call them “satellite drugs” Acupuncture Energy therapy Traditional medicine

For methamphetamine treatment In outpatient clinic or in consultant clinics A modified version of “matrix Method” were used for treatment of meth. addiction

Matrix Method For Meth. Addicts

Meth. Addiction treatment…con

Now, neuro feedback and TMS(Transcranial magnetic stimulation) is available in Iran for meth treatment but there is serious discussion about it’s effectiveness

Alcohol addiction Drinking alcohol is forbidden and illegal in Iran. But we have alcohol addiction. From one year latter, an state alcohol addiction treatment center was started in Tehran The government decide to founding such clinics in other cities

Thanks for attention Dolphins of Persian golf

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