Wishing for a more sober society: A scoping review on addiction problems and treatment in Greenland preceding the 2016 national treatment strategy.

Abstract

Introduction: The per capita intake of alcohol in Greenland has risen rapidly since it became commercially available, leading to a corresponding increase in addiction problems and demands for treatment services. Despite efforts to establish addiction treatment services, none were deemed adequate. In response, the Greenlandic parliament initiated a new treatment service strategy in 2015. The aim of this study was to explore the pre-implementation process of this national service by examining literature on addiction problems and treatment services. Methods: Using a scoping review and document analysis methodology, we focused on documents related to alcohol, cannabis, gambling, addiction and treatment within the context of Greenland. Data were sourced from parliamentary records, governmental publications and academic literature in the period 2010-2016, leading up to the decision on the new treatment service. A total of 54 documents were identified and organised into three main themes: the national discourse on addiction problems; strategies and action plans addressing addiction; and demographic mapping of addiction issues within the population. Notably, addiction problems emerged as a significant public concern across all themes. Results: Three key documents emerged as pivotal in the implementation of the new treatment service: a government report from 2012; a parliamentary inquiry in spring 2013; and an agenda item in fall 2013. These documents played a crucial role in shaping discussions and decisions. Conclusion: The findings underscore the widespread recognition of addiction problems as a pressing issue in Greenland, as evidenced by the prominence of relevant documents in shaping policy discussions and the implementation of new treatment initiatives.