Early-onset heroin use and its link to conduct disorder: Clinical and management challenges :Shobhit Jain, Raman Deep Pattanayak, Rachna Bhargava, Anju Dhawan, Journal of Mental Health and Human Behaviour

CLINICAL CASE CONFERENCE
Year : 2016 | Volume : 21 | Issue : 2 | Page : 129--133

Early-onset heroin use and its link to conduct disorder: Clinical and management challenges

Shobhit Jain¹, Raman Deep Pattanayak², Rachna Bhargava², Anju Dhawan³
¹ Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
² Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
³ Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Anju Dhawan
Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India

Childhood substance abuse and delinquency often progress to harder substances and antisocial personality disorder and carries deleterious consequences for self, family and community at large. Early management of such cases poses several clinical and management challenges, as highlighted in the present case. The treatment seeking for this sub-population is very low in spite of community surveys showing a worrisome pattern of substance use among younger population. Further, very few specialty clinics and trained manpower exist in the country to manage early onset substance use. Whether conduct disorder be cause or consequence for drug use is debatable, in view of shared risk factors. The present case helps to understand need for comprehensive assessment for identifying risk factors and comorbid conditions. Only pharmacological management does not help, psychosocial management must be delivered. Several prevention strategies may also help if these risk factors are identified before progression to illicit substance use disorder.

How to cite this article:
Jain S, Pattanayak RD, Bhargava R, Dhawan A. Early-onset heroin use and its link to conduct disorder: Clinical and management challenges.J Mental Health Hum Behav 2016;21:129-133

How to cite this URL:
Jain S, Pattanayak RD, Bhargava R, Dhawan A. Early-onset heroin use and its link to conduct disorder: Clinical and management challenges. J Mental Health Hum Behav [serial online] 2016 [cited 2023 Mar 26 ];21:129-133
Available from: https://www.jmhhb.org/article.asp?issn=0971-8990;year=2016;volume=21;issue=2;spage=129;epage=133;aulast=Jain;type=0