Professionals' Perspectives on Substance Use among Refugees in Shared Accommodations: A Qualitative Study.

Refugees are at a higher risk of hazardous substance use due to their traumatic experiences in their country of origin, their flight, and the difficult situation of arriving in the host country. The professionals interviewed in this study describe both the heightened vulnerability and the circumstances refugees live in after arriving in Germany. Evidence was collected by interviewing five professionals who work for and with refugees in the context of a qualitative study. Interviews were conducted with a semistructured interview guideline and analyzed for thematic content. Based on the interview data, the authors identified risk factors for hazardous substance use and possible solutions to improve the situation in shared accommodations for refugees and asylum seekers who see substance use as a resource for coping. In addition, existing barriers impede refugees from finding prevention measures and intervention programs. There is a need for specialized addiction aid with culturally appropriate programs and preventive measures to reach refugees who live in shared accommodations in Germany. Furthermore, interdisciplinary cooperation in the areas of addiction aid, refugee support, and mental healthcare should be improved.