Substance Use Aftercare Services in Nigeria: Proposing Oxford House Model
AbstractThe most commonly used drugs in Nigeria are cannabis, sedatives, stimulants, heroin, and cocaine. Other drugs of abuse are volatile substances, cigarettes and alcohol. Regarding alcohol consumption, in Lagos, alcohol was the most used licit substances in most communities in 32 Lagos communities, with the exception of Shitta community in Surulere, where illicit drugs such as cannabis is more commonly used. In the southsouth and southeast areas, ogogoro, a locally brewed gin is the most commonly abused form of alcohol. Despite the high prevalence rates of substance abuse disorders (SUDs) in Nigeria, there is a lack of effective treatment and recovery programmes for SUDs. Stigmatization, lack of professionals and treatment settings, lack of social support and supportive settings, and the formative nature of SUD treatment and recovery medicine in Nigeria form complex barriers for people with substance abuse problems. A self-governed recovery home, Oxford House, might be a good alternative for ensuring sobriety among persons who use substances.
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