Ehab El Kharrat

It is estimated that more than 800 drug rehabilitation centres are operating in Egypt now, with a total of around forty thousand beds. Almost all of these centres apply a 12-Step Therapeutic Community Philosophy. The first steps of this approach can be traced to the year 1989 and along these 34 years, the estimate of clients who achieved stable abstinence is about 120 thousand clients who had a diagnosis of Substance Use Disorder (SUD), with or without a concomitant other psychiatric diagnosis. In this article we shall report on history, development, structure, processes and some highlights of published and original research, and the achievements, challenges and research gaps of this psychosocial approach in this country. Regional and international connections and contexts will also be mentioned.

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