Drug-related treatment - referral and interventions
The limited data available suggest that pathways into drug-related treatment and the types of treatment vary between regions
Data from 61 countries suggest that pathways of referral vary by (sub)region: for example, in Africa, referral by friends and family or self-referral is most common, while in East and South-East Asia the criminal justice system plays a larger role.
The types of treatment delivered also vary between regions, based on data from 44 countries: in the Americas, patients predominantly receive psychosocial and behavioural interventions and rehabilitation and aftercare, pharmacological interventions dominate Asia and Europe, and Africa reports a balanced mix of both types.
Treatment approaches also depend on whether the primary drug of the treated person are opioids or not, with a higher proportion of pharmacological interventions among patients with primary drug opioids across all subregions with available data.
Based on limited available data from fewer than 30 countries (mainly in the Americas and Europe), the most common psychosocial interventions are motivational approaches, cognitive-behavioural therapy, and community reinforcement, and the most common pharmacological intervention is opioid agonist maintenance therapy, although withdrawal management is very frequent as well.