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Literature review: Obstacles to substance use disorder prevention and treatment in Syria: Lessons from neighboring
Andres Barkil-Oteo1, Diana Rayes2, Aala El-Khani3
1Department of Psychiatry, Georgetown University Medical Center, Washington, DC, USA.
Abstract:
This literature review examines the significant barriers to effective Substance Use Disorder (SUD) prevention and treatment in conflict-affected Syria. The analysis identifies a punitive legal framework, a decimated healthcare system, and profound social stigma as primary obstacles. In contrast, the review highlights progressive policy adaptations in neighboring countries-including Lebanon, Turkey, and Iran-that have shifted toward public health-oriented models. By synthesizing these comparative lessons, this review offers evidence-based recommendations for reforming Syria's approach to SUD, advocating a transition from criminalization to a health-centered strategy that prioritizes human rights, public health outcomes, harm reduction reforms, and resilience-building interventions to reduce substance use initiation in conflict-affected settings.
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