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SUBSTANCE ABUSE AND TREATMENT: LEBANON EXPERIENCE

SUBSTANCE ABUSE AND TREATMENT: LEBANON EXPERIENCE. RAMZI HADDAD, M.D. SKOUN, BEIRUT. LEBANON (1). Capital : Beirut Frontiers : Syria and Palestine/Israël Estimated population : 4 millions Birth rate : 18.8 / 1000. LEBANON (2). Languages : Arabic, English, French

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SUBSTANCE ABUSE AND TREATMENT: LEBANON EXPERIENCE

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  1. SUBSTANCE ABUSE AND TREATMENT:LEBANON EXPERIENCE RAMZI HADDAD, M.D. SKOUN, BEIRUT

  2. LEBANON (1) • Capital : Beirut • Frontiers : Syria and Palestine/Israël • Estimated population : 4 millions • Birth rate : 18.8 / 1000

  3. LEBANON (2) • Languages : Arabic, English, French • Population who can read and write : 87% • Unemployment : 20% • Major resources : - services : 67% - industry : 21% - agriculture : 12%

  4. RELIGIONS • Muslim : 60 % • Christian : 39 % • Others : 1 % 18 religious communities

  5. HISTORY AND MILESTONES • 1947 : Antinarcotic legislation • 1975 : Beginningof lebanese war; increase of illicit cultivation and increase of substance abuse among militias • 1990 : End of war; decision of lebanese government to eradicate illicit cultivations • 1998 : Amendment of 1947 law • 1999 : Ecstasy introduced to lebanon • 2002 : Application of the law concerning BZD

  6. SUBSTANCE ABUSE SEVERITY • Heroin, Cannabis, Cocaine, Tobacco, BZD, Ecstasy, Alcohol ++/+++ • Prescription drugs ( Opioids, Trihexyphenidyl ..) ++/+++ • Inhalants, Amphetamines, +/++

  7. Substance abuse related problems • Living with HIV/AIDS : 2700 • HIV/AIDS related deaths : 200 ( Ministry of health,2003 ) Major issues : - psychiatric co-morbidity - adolescents

  8. TREATMENT FUNDS • In treatment ?? • Self Paid : 75% • Government : 20% • Faith/Religious organizations : 5% • Private insurance : 0%

  9. AVAILABLE SUBSTANCE ABUSE TREATMENT • Inpatient detoxification • Physician counseling • Outpatient counseling • Psychotherapy • Residential rehabilitation • Buprenorphine ?? • Other pharmaceuticals therapies : disulfiram, naltrexone, nicotine replacement

  10. FUTURE CHALLENGES • Implementation of a national healthcare system related to substance abuse treatment • Campaigns of awareness and education (adolescents ++) • Necessity of substitution treatment

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