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首页> 外文期刊>Indian journal of psychiatry >Strategy for the management of substance use disorders in the State of Punjab: Developing a structural model of state-level de-addiction services in the health sector (the “Punjab model”)
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Strategy for the management of substance use disorders in the State of Punjab: Developing a structural model of state-level de-addiction services in the health sector (the “Punjab model”)

机译：旁遮普邦药物滥用疾病管理策略：建立卫生部门州级戒毒服务的结构模型（“旁遮普模型”）

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Background:Substance use disorders are believed to have become rampant in the State of Punjab, causing substantive loss to the person, the family, the society, and the state. The situation is likely to worsen further if a structured, government-level, state-wide de-addiction service is not put into place.Aims:The aim was to describe a comprehensive structural model of de-addiction service in the State of Punjab (the “Pyramid model” or “Punjab model”), which is primarily concerned with demand reduction, particularly that part which is concerned with identification, treatment, and aftercare of substance users.Materials and Methods:At the behest of the Punjab Government, this model was developed by the authors after a detailed study of the current scenario, critical and exhaustive look at the existing guidelines, policies, books, web resources, government documents, and the like in this area, a check of the ground reality in terms of existing infrastructural and manpower resources, and keeping pragmatism and practicability in mind. Several rounds of meetings with the government officials and other important stakeholders helped to refine the model further.Results:Our model envisages structural innovation and renovations within the existing state healthcare infrastructure. We formulated a “Pyramid model,” later renamed as “Punjab model,” where there is a broad community base for early identification and outpatient level treatment at the primary care level, both outpatient and inpatient care at the secondary care level, and comprehensive management for more difficult cases at the tertiary care level. A separate de-addiction system for the prisons was also developed. Each of these structural elements was described and refined in details, with the aim of uniform, standardized, and easily accessible care across the state.Conclusions:If the “Punjab model” succeeds, it can provide useful models for other states or even at the national level.
机译：背景：人们认为物质使用障碍在旁遮普邦已经很普遍，给人，家庭，社会和国家造成了重大损失。如果没有建立结构化的政府级，全州范围内的戒毒服务，情况可能会进一步恶化。目的：目的是描述旁遮普邦的全面的戒毒服务结构模型（ “金字塔模型”或“旁遮普模型”），它主要与减少需求有关，尤其是与毒品使用者的识别，治疗和后期护理有关的部分。材料和方法：根据旁遮普政府的要求，该模型是由作者在对当前情况进行了详细研究之后开发的，并对该领域的现有指南，政策，书籍，网络资源，政府文件等进行了详尽而详尽的考察，从以下方面对地面现实进行了检查：现有的基础设施和人力资源，并牢记实用主义和实用性。与政府官员和其他重要利益相关者的几轮会议帮助进一步完善了该模型。结果：我们的模型设想在现有的州医疗基础设施中进行结构创新和翻新。我们制定了“金字塔模型”，后来将其更名为“旁遮普模型”，那里有广泛的社区基础，可以在初级保健级别进行早期识别和门诊治疗，在二级保健级别进行门诊和住院治疗，并进行综合管理在三级医疗机构中处理更困难的案件。还为监狱开发了单独的戒毒系统。对这些结构要素中的每一个进行了详细描述和完善，目的是在整个州范围内提供统一，标准化且易于获得的护理。结论：如果“旁遮普模型”成功，则可以为其他州甚至在美国提供有用的模型。全国水平。

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