Collaborative Approaches to Addressing Mental Health and Addiction Care in the Middle East

  • Patricia A. FindleyEmail author
Part of the Advances in Mental Health and Addiction book series (AMHA)


Treating mental health issues with comorbid addiction issues is challenging, but is gaining more attention globally and is referred to as integrated care. However, this type of practice or even movement toward working more collaboratively is difficult to find in the Middle East for this client population. This chapter provides an overview of the cultural issues related to substance abuse and mental health, including an exploration of the collective trauma that underpins the development of such disorders, that impact collaborative practice. It also considers the use of the community in interventions and concludes with recommendations for the future such as partnering with Western providers and researchers, as well as policy makers, which could help advance the efforts more quickly.


Saudi Arabia Middle East Substance Abuse Treatment Arab Country Chronic Care Model 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Al Ghaferi, H., Osman, O. T., Matheson, C., Wanigaratne, S., & Bond, C. (2013). Editorial 3 Substance misuse in Arabic countries: The need for published research. International Journal of Prevention and Treatment of Substance Use Disorders, 1, 7–11.Google Scholar
  2. Al-Haqwi, A. I., Tamim, H., & Asery, A. (2010). Knowledge, attitude and practice of tobacco smoking by medical students in Riyadh, Saudi Arabia. Annals of Thoracic Medicine, 5(3), 145–148. doi: 10.4103/1817-1737.65044 CrossRefPubMedPubMedCentralGoogle Scholar
  3. Al-Mohamed, H. I., & Amin, T. T. (2010). Pattern and prevalence of smoking among students at King Faisal University, Al Hassa, Saudi Arabia. Eastern Mediterranean Health Journal, 16, 56–64.PubMedGoogle Scholar
  4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  5. Asfar, T., Weg, M. V., Maziak, W., Hammal, F., Eissenberg, T., & Ward, K. D. (2008). Outcomes and adherence in Syria’s first smoking cessation trial. American Journal of Health Behavior, 32(2), 146–156.CrossRefPubMedGoogle Scholar
  6. Badr, L. K., Taha, A., & Dee, V. (2014). Substance abuse in Middle Eastern adolescents living in two different countries: Spiritual, cultural, family and personal factors. Journal of Religion and Health, 53(4), 1060–1074.CrossRefPubMedGoogle Scholar
  7. Bailey, R. K., & Dfapa, R. K. B. M. (2013). A Doctor’s prescription for health care reform: The National Medical Association Tackles Disparities, Stigma, and the Status Quo. Bloomington, Indiana: WestBow Press.Google Scholar
  8. Brabban, A., McGonagle, I., & Brooker, C. (2006). The 10 Essential Shared Capabilities: A framework for mental health practice. The Journal of Mental Health Training, Education and Practice, 1(3), 4–15.CrossRefGoogle Scholar
  9. Broyles, L. M., Conley, J. W., Harding, J. D., Jr., & Gordon, A. J. (2013). A scoping review of interdisciplinary collaboration in addictions education and training. Journal of Addictions Nursing, 24(1), 29–36.CrossRefPubMedGoogle Scholar
  10. Courser, M., Johnson, K., Abadi, M. H., Shamblen, S. R., Young, L., Thompson, K., et al., (2013). Building an evidence base for drug abuse treatment in Afghanistan: Lessons learned and implications for future research. International Journal of Prevention and Treatment of Substance Use Disorders, 1, 12–27.CrossRefGoogle Scholar
  11. De Jong, J. (2002). Trauma, war, and violence. New York: Springer.Google Scholar
  12. European Monitoring Centre for Drugs and Drug Addiction. (2010). The state of the drugs problem in Europe. Luxembourg: Office for Official Publications of the European Communities.Google Scholar
  13. Finney, J. W., Wilbourne, P. L., & Moos, R. H. (2007). Psychosocial treatments for substance use disorders. In P. E. Nathan & J. M. Gorman (Eds.), A guide to treatments that work. New York: Oxford University Press.Google Scholar
  14. Firestone, T. (2014). Trauma legacies in the Middle East. Tikkun, 29, 6–10.CrossRefGoogle Scholar
  15. Hafeiz, H. B. (1995). Socio-demographic correlates and pattern of drug abuse in eastern Saudi Arabia. Drug and Alcohol Dependence, 38(3), 255–259.CrossRefPubMedGoogle Scholar
  16. Isralowitz, R. (2002). Drugs and terrorism: The need for immediate policy change. Journal of Social Work Practice in the Addictions, 2(2), 97–99.CrossRefGoogle Scholar
  17. Isralowitz, R., & Afifi, M. (2016). Drug Abuse in the Middle East: Promoting Mutual Interests through Resistance and Resilience. In R. Isralowitz & P. A. Findley (Eds.), Mental health and addiction in the Middle East (pp. 9–18). New York: Springer.Google Scholar
  18. Isralowitz, R., & Rawson, R. (2006). Gender differences in prevalence of drug use among high risk adolescents in Israel. Addictive Behaviors, 31(2), 355–358.CrossRefPubMedGoogle Scholar
  19. Isralowitz, R., & Reznik, A. (2014). Russian speaking immigrants: Drug use, infectious disease and related health behavior. Journal of Immigrant and Minority Health, 16(6), 1311–1315.CrossRefPubMedGoogle Scholar
  20. Isralowitz, R., Sussman, G., Afifi, M., Rawson, R., Babor, T., & Monteiro, M. (2001). Substance abuse policy and peace in the Middle East: A Palestinian and Israeli partnership. Addiction, 96(7), 973–980.CrossRefPubMedGoogle Scholar
  21. Kodner, D., & Spreeuwenberg, C. (2002). Integrated care: Meaning, logic, applications, and implications—A discussion paper. International Journal of Integrated Care, 2002;2(4). DOI:
  22. Lev-Ran, S., Adler, L., Nitzan, U., & Fennig, S. (2013). Attitudes towards nicotine, alcohol and drug dependence among physicians in Israel. Journal of Substance Abuse Treatment, 44(1), 84–89.CrossRefPubMedGoogle Scholar
  23. Loewenthal, K. M. (2014). Addiction: Alcohol and substance abuse in Judaism. Religions, 5(4), 972–984.CrossRefGoogle Scholar
  24. Loxley, A. (1997). Collaboration in health and welfare: Working with difference. London: Jessica Kingsley.Google Scholar
  25. Minkoff, K. (2001). Best practices: Developing standards of care for individuals with co-occurring psychiatric and substance use disorders. Psychiatric Services, 52, 597–599.CrossRefPubMedGoogle Scholar
  26. Nakash, O., Razon, L., & Levav, I. (2015). Primary mental health prevention themes in published research and academic programs in Israel. Israel Journal of Health Policy Research, 4(1), 1–16.CrossRefGoogle Scholar
  27. Patient Protection and Affordable Care Act, 42 U.S.C. § 18001. (2010).Google Scholar
  28. Progler, Y. (2010). Drug addiction in Gaza and the illicit trafficking of tramadol. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 15(3), 185–188.Google Scholar
  29. Reznik, A., & Isralowitz, R. (2016). Immigration, acculturation and drug use. In R. Isralowitz & P. A. Findley (Eds.), Mental health and addiction in the Middle East (pp. 109–121). New York: Springer.Google Scholar
  30. Shamsalina, A., Norouzi, K., Khoshknab, M. F., & Farhoudian, A. (2014). Recovery based on spirituality in substance abusers in Iran. Global Journal of Health Science, 6(6), 154–162.CrossRefPubMedGoogle Scholar
  31. Shawahin, L., & Çiftçi, A. (2012). Counseling and mental health care in Palestine. Journal of Counseling and Development, 90(3), 378–382.CrossRefGoogle Scholar
  32. Somasundaram, D. J. (1996). Post-traumatic responses to aerial bombing. Social Science & Medicine, 42(11), 1465–1471.CrossRefGoogle Scholar
  33. Somasundaram, D. (1998). Scarred minds: The psychological impact of war on Sri Lankan Tamils. New Delhi: Sage.Google Scholar
  34. Somasundaram, D., & Jamunanantha, C. S. (2002). Psychosocial consequences of war. In J. De Jong (Ed.), Trauma, war, and violence: Public mental health in socio-cultural context (pp. 205–258). New York: Kluwer Academic/Plenum Publishers.CrossRefGoogle Scholar
  35. Straussner, S. L. A. (Ed.). (2012). Ethnocultural factors in substance abuse treatment. New York: Guilford.Google Scholar
  36. Sweileh, W. M., Zyoud, S. E. H., Al-Jabi, S. W., & Sawalha, A. F. (2014). Substance use disorders in Arab countries: Research activity and bibliometric analysis. Substance Abuse Treatment, Prevention, and Policy, 9(33), 597X–599X.Google Scholar
  37. Thabet, A. A., Tawahina, A. A., Sarraj, E. E., & Vostanis, P. (2013). Death anxiety, PTSD, trauma, grief, and mental health of Palestinians victims of War on Gaza. Health Care Current Reviews, 1(112), 2–8.Google Scholar
  38. Thomas, K. V., Bijlsma, L., Castiglioni, S., Covaci, A., Emke, E., Grabic, R., et al., (2012). Comparing illicit drug use in 19 European cities through sewage analysis. Science of the Total Environment, 432, 432–439.CrossRefPubMedGoogle Scholar
  39. Thota, A. B., Sipe, T. A., Byard, G. J., Zometa, C. S., Hahn, R. A., McKnight-Eily, L. R., et al., (2012). Collaborative care to improve the management of depressive disorders: A community guide systematic review and meta-analysis. American Journal of Preventive Medicine, 42(5), 525–538.CrossRefPubMedGoogle Scholar
  40. United Nations Office on Drugs and Crime. (2011). World drug report 2011. Vienna: UNODC.Google Scholar
  41. Wagner, E. H., Austin, B. T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. The Milbank Quarterly, 74(4), 511–544.CrossRefPubMedGoogle Scholar
  42. World Health Organization (WHO). (1996). Integration of health care delivery: Report of a study group. Geneva: WHO. Technical Report series, No. 861.Google Scholar
  43. World Health Organization. (2010). Atlas on substance use (2010): Resources for the prevention and treatment of substance use disorders. Geneva: WHO.Google Scholar
  44. World Health Organization. (2011). Global status report on alcohol and health. Geneva: WHO.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.School of Social Work, Rutgers UniversityThe State University of New JerseyNew BrunswickUSA

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