Viewpoint of Care Providers and Self-Reported Substance Drug Addicts Referring to Withdrawal Centers About Etiology of Re-Addiction in Khoramabad, 2010

Substance drug abuse and re-addiction is one of the most important problems in the community. The objectives of this study was to assess the viewpoints of care providers and self-reported substance drug addicts referring to centers for addiction treatment in Khoramabad about etiology of re-addiction. This study was conducted based on the results of a community assessment study. At the beginning، a focus group discussion (FGD) was held to determine health problems and priority by Hanlon method. Re-addiction was identified as the most important problem. After that، a cross-sectional study was performed on 200 substance drug addicts with a history of at least one relapse referring to centers for addiction treatment in Khoramabad in July 2010 and 24 health care providers in these centers. Data collection was performed by structured interview. Informed consent was obtained from all the patients. Easy access to substance drugs، unemployment and having addicted friends were said to be the major factors of re-addiction in addicts’ views. Health care providers'' views showed that having addicted friends، unemployment and emotional problems have the most important roles in re-addiction. Based on our findings، we suggest planning and intervening based on identified problems including easy access to substance drugs، unemployment and emotional problems. Further and more focused research with higher standards is needed to investigate applied methods in order to reduce re-addiction rate.