EXAMINING OPIATE ADDICTION TREATMENT IN PRIMARY HEALTHCARE: A CASE STUDY OF THE SARAJEVO CANTON

Background: Primary healthcare plays a crucial role in addressing opiate addiction, aiming to provide treatment to approximately 80 percent of affected individuals, aligning with its approach to managing other chronic diseases. An optimal scenario involves the integration of opiate substitution therapy within primary healthcare settings, enhancing accessibility for individuals struggling with addiction. For effective treatment delivery, primary healthcare facilities must be equipped with knowledgeable staff, appropriate medical equipment, and diagnostic resources. In instances where primary healthcare cannot deliver services to full capacity,  referrals to secondary healthcare facilities, particularly addiction specialist, become necessary for comprehensive examination and treatment. Methods: This study adopts a retrospective qualitative approach. It encompasses an examination of pertinent laws and regulations, analysis of opiate addiction reports and treatment documentation, and the facilitation of focus group discussions. Results: Findings from the focus group sessions illuminate prevalent challenges within primary care, indicating difficulties in managing addicted individuals coupled with negative emotional responses among staff members, underscoring the need for enhanced support and training. Conclusion: Addressing the identified gaps necessitates collaborative efforts involving secondary healthcare education, systemic reforms, and increased involvement of psychiatrists in the treatment continuum. By integrating  these measures, primary healthcare systems can bolster their capacity to effectively address opiate addiction, thereby improving outcomes and overall  community well-being.