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Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers
Alexandra A Deac1,2, Irina Zaviryukha3, Julia Rozanova2,4,5
1Department of Health Service and Population Research, King's College London, London, UK.
Substance Use & Misuse
|June 15, 2023
Summary
Healthcare workers in Ukraine experienced increased burnout due to the war, facing challenges like heavy workloads and lack of support. Sustainable capacity building and tailored strategies are crucial for their wellbeing and public health.
Area of Science:
- Public Health
- Mental Health Services
- Addiction Services
Background:
- The war in Ukraine significantly disrupted healthcare, impacting HIV/AIDS, addiction, and mental health services.
- Expert consultations occurred from December 2022 to February 2023, following a May 2022 panel on global mental health in humanitarian crises.
Purpose of the Study:
- To document frontline healthcare workers' experiences and adaptations in Ukraine.
- To identify challenges and local solutions for increased mental health needs among providers.
- To analyze changes in vulnerabilities and lessons learned within addiction healthcare.
Main Methods:
- Expert consultations and a panel discussion were utilized.
- Qualitative analysis of frontline experiences and service delivery adaptations.
Main Results:
- Healthcare provider burnout became more pronounced in the latter half of 2022.
- Key challenges included increased workload, contextual threats, and inadequate relocation strategies.
- Money-follow-the-patient policies presented additional difficulties.
Conclusions:
- Lessons from Ukraine's first year of war offer generalizable insights for humanitarian contexts.
- Bottom-up approaches and provider empowerment are vital for effective service adaptation.
- Sustainable capacity building, incentives, and tailored support are essential for healthcare worker wellbeing and public health.
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