Strained patient-provider relationship, unmotivated workforce, financial constraints, and stigma: Multiple challenges in integrating mental health care within Vietnam's methadone clinics.
Nguyen Thu Trang, Nguyen Huu Anh, Han Dinh Hoe, Dinh Thi Thanh Thuy, Le Minh Giang, Le Sao Mai, Duong Thi Huong, Hoang Thi Giang, Philippe Trouiller, Laurent Michel
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引用次数: 0
Abstract
This study examined current mental health practices in methadone treatment in Vietnam. We conducted 23 interviews with participants with methadone experiences (n = 12), methadone physicians (n = 6), counselors (n = 5), and one focus group with family members. Mental health issues were primarily identified through casual observation, on-site support was limited, and referrals to psychiatric care were rarely pursued. Four factors shaped this situation: (1) a strained patient-provider relationship; (2) an inadequately trained, unstable, unmotivated workforce; (3) participants' financial constraints; and (4) mental health stigma and misconception. Addressing system-level factors to enforce treatment guidelines and improve provider working conditions is critical to improving care quality.
期刊介绍：
The Journal of Ethnicity in Substance Abuse presents rigorous new studies and research on ethnicity and cultural variation in alcohol, tobacco, licit and illicit forms of substance use and abuse. The research is drawn from many disciplines and interdisciplinary areas in the social and behavioral sciences, public health, and helping professions. The Journal of Ethnicity in Substance Abuse is an international forum for identification of emergent and culturally diverse substance use and abuse trends, and the implementation of culturally competent strategies in harm reduction, individual, group, and family treatment of substance abuse. The Journal systematically investigates the beliefs, attitudes, and values of substance abusers, searching for the answers to the origins of drug use and abuse for different ethnic groups. The Journal publishes research papers, review papers, policy commentaries, and conference proceedings. The Journal welcomes submissions from across the globe, and strives to ensure efficient review and publication outcomes.
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