چکیده:
This study was designed with the purpose of providing organized instructions on how to improve the
psychological, medical, and social circumstances of street children with concurrent substance use
disorders. Due to the special vulnerabilities of these children, customized guidelines are required in order to maximize the treatment outcomes. Systemic review of literature was applied on a large number of national and international journal articles available on the phenomenon of substance use among street children. The literature review was followed by a qualitative study using in-depth interviews in order to record and analyze the experience of experts working in this field. The preliminary draft was reviewed by the experts and final modifications were applied. The ultimate guideline presents practical recommendations for different stages of providing service for the target population including case finding, motivational interventions, assessment, care and intervention planning, and follow-ups. Street children face various physical, psychological, and social complications. Substance use disorders can exacerbate their circumstances and add to the complexity of their problems. The current guideline is an
initial step to better understanding and treating street children who use drugs. Further research is required to investigate the effectiveness and long term results of this guideline .considering the fact that Iran is one of the many countries dealing with this phenomenon, adjustments should be made for application in different cultures.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 13, Issue 4, Winter 2015 Original Report Social Work Guidelines for Street Children with Substance Use Disorders Masoomeh Maarefvand; Reza Daneshmand; Schwann Shariatirad; Omid Massah; Alireza Noroozi; Seyed Sepehr Hashemian; Raha Peyravi*; Ali Farhoudian Substance abuse and dependence research center University of Social Welfare and Rehabilitation Sciences, Tehran, Iran This study was designed with the purpose of providing organized instructions on how to improve the psychological, medical, and social circumstances of street children with concurrent substance use disorders.
Even though previous guidelines developed by National Institute of Social Defense (NISD) and World Health Organization (WHO) have provided recommendations on treatment of substance use disorders and addressing other health needs of street children, there remains a lot of ambiguities on how social work services need to be planned and implemented for street children (5, 6).
To find relevant scientific documents we searched 1) international databases (Medline, Web of Science, CINAHL, PsycINFO), 2) international databases for indexing guidelines including National Institute for Health and Care Excellence (NICE) and National Guideline Clearinghouse (NCG), 3) Persian databases (Noormags, MagIran, Iranmedex, Iranpsych, SID), 4) websites of relevant international organizations including World Health Organization (WHO), United Nation Office on Drug and Crime (UNODC), and United Nation Children Fund (UNICEF) and European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), 5) websites of relevant national organizations including Ministry of Health and Medical Education, State Welfare Organization, Ministry of Education, Non- Governmental Organizations (NGOs) involved in providing service for street children, and State Prisons and Security and Corrective Measures Organization with following keywords in English and Persian: street, children, youth, adolescent, drug, addiction, substance, treatment, therapy, intervention, support, service, and protection.