Addictive disorders: Edited by John B. Saunders and Linda B. CottlerDrug and alcohol services in middle-income countriesPerngparn, Usaneyaa; Assanangkornchai, Sawitrib; Pilley, Catherinec; Aramrattana, ApinundAuthor Information aDrug Dependence Research Center, WHO Collaborating Centre for Research and Training in Drug Dependence, College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand bDepartment of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand cUniversity of Aberdeen, Aberdeen, UK dDepartment of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Correspondence to Usaneya Perngparn, Drug Dependence Research Center (WHOCCR), College of Public Health Sciences, Chulalongkorn University, Bangkok 10330, Thailand E-mail: [email protected] Current Opinion in Psychiatry: May 2008 - Volume 21 - Issue 3 - p 229-233 doi: 10.1097/YCO.0b013e3282fc1ea3 Buy Metrics Abstract Purpose of review The present review summarizes current research in middle-income countries on drug and alcohol services for prevention, screening, treatment, care and rehabilitation between June 2006 and December 2007. Recent findings There is a dearth of scientific literature on prevention, treatment and rehabilitation in middle-income countries and no novel effective approaches reported during the review period. The Lancet Series on Global Mental Health showed only 0.7% of all papers reviewed were on low-income and middle-income countries. Several studies in these countries confirmed the effectiveness of brief interventions in treating alcohol use disorders at a primary care level. One study on alcohol screening in Brazil produced a promising screening tool. Other studies reported the availability of pharmacological and nonpharmacological treatments for alcohol and drug use disorders. Overall, poor accessibility to services and delayed onset of treatment persist. Political and cultural environments play a crucial role in providing services to fulfill treatment needs. Summary During the review period, reports from middle-income countries on alcohol and drug services were very limited. A few studies in some countries confirm the effectiveness of brief interventions in primary care settings. There is an obvious need for more research on alcohol and drug treatment services in middle-income countries. © 2008 Lippincott Williams & Wilkins, Inc.