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Group therapy for problematic chemsex in Ngos community treatment settings in Spain

Published online by Cambridge University Press:  27 August 2024

J. Curto Ramos*
Affiliation:
1Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital 2Apoyo Positivo
N. Sanz Velasco
Affiliation:
3Department of Psychiatry, Hospital Clínico San Carlos
L. Carballeira
Affiliation:
4Department of Psychiatry, Hospital Doce de Octubre, Madrid
I. López Álvarez
Affiliation:
5Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Santander
P. Barrio
Affiliation:
2Apoyo Positivo
L. Ibarguchi
Affiliation:
2Apoyo Positivo
A. García
Affiliation:
2Apoyo Positivo
H. Dolengevich Segal
Affiliation:
6Dual Disorders Program. Department of Psychiatry, Henares University Hospital, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

The intentional use of drugs before or during sexual intercourse (chemsex) is a phenomenon of special importance in the MSM (men who have sex with men) population due to its impact on mental, physical and sexual health. Group therapy has been included in several programs for chemsex users.

Objectives

To describe and to compare the different group therapy treatments for problematic chemsex users in NGOs community treatment settings in Spain.

Methods

We conducted several interviews with key informants from 5 NGO in Spain. A qualitative analysis of the different group therapy treatments for problematic chemsex was performed.

Results

Different models of groups were described including: psychoeducational, support, interpersonal process, harm reduction and mindfulness-based cognitive groups. Most of the group interventions developed were support and psychoeducational based. There were fewer interpersonal group and relapse prevention group therapy. The different models of group intervention were considered useful and necessary for deliver information in a culturally sensitive context and for reducing drug use, social isolation and loneliness.

Conclusions

Chemsex is a phenomenon that needs a multidisciplinary approach, including individual and group therapy. Group therapy for problematic chemsex has several advantages over individual model treatments, including the reduction of sense of isolation, loneliness, information and feedback from peers. More research is needed to analyze the implementation and efficacy of group therapy for chemsex users in different contexts.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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