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Monday 11 March 2013

Substance Abuse Among The Mentally Ill Patients

Substance phthisis among the ment ally ill patients followed at Ndera psychiatric human immunodeficiency computer virus unit and Kigali Psychosocial Consultation Center.

Ngirababyeyi, A.1, Kayiteshonga, Y.2, Mukarusanga, B1, Nyiramugisha, C.1, Uwimana, D.3

1Ndera Neuropsychiatric Hospital, Kigali-Rwanda, 2Rwandan Ministry of health/Mental Health Program, 3 Kigali Psychosocial Consultation Center

Correspondance to:
Ngirababyeyi Alfred,
Psychatric human immunodeficiency virus unit
Ndera Neuropsychiatric Hospital
P.O.Box 423 Kigali RWANDA
E-mail: ngirababyeyialfred@yahoo.fr
Mobile(+250)788498183

Abstract
Patients invigoration with human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome have high judge of psychiatric illness. On the other side, mental illness fag end contribute to vulnerability to HIV infection and those already place as HIV need special care that takes into narration the impact of HIV and AIDS on patients mental health. In the literature, about 50% of the mentally ill patients meet the criteria for center of attention use disorder in their lifetime. We conducted a cross-sectional theater to screen substance use among mentally ill patients living with HIV and followed up in the Ndera Neuropsychiatric hospital HIV unit and Kigali Psychosocial Centre.

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All the patients have been screened for substance use by using a special tool the SAMMISS and those confirm to use substances have been interviewed by trained personnel, using the preelaborated questionnaire. 10% (12 / 114) are substance abusers. 75% of them have the mood disorders. These medicate abusers are mainly young people (28,5 years old), 58% have not been adherent to medication at all, all the 6 months of follow up. Strategies to maximize adherence should be glide slope to affordable services, as well as the education to dishonor the risk on their HIV infection. More research on the factors that impede the adherence should be carried out in the afterlife so that the patient benefit from a more blanket(prenominal) program.

Introduction
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