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Community-based drug treatment clinics (CB-DTC) aim to reduce the barriers to treatment-seeking among substance users. Literature is lacking in assessing the change in the profile of the clients seeking treatment from the CB-DTC over time. The current study aimed to assess the change in the profile of the service utilizers of a CB-DTC located in an urban slum in the northern part of India. A retrospective chart review of the profile of the patients (n = 631) who were enrolled at a CB-DTC at two different periods (n = 330, 2003; n = 301, 2017). As compared to 2003, enrolees of 2017 had better socio-demographic profiles; earlier age of initiation of substance use and early treatment-seeking ( p  &lt; .0001); relatively higher prevalence of alcohol ( p  &lt; .0001) and volatile substance-dependence ( p  &lt; .001); lower prevalence of opioid dependence ( p  &lt; .0001); and lower prevalence of substance-related complications (injection drug use, illegal activities, and broken families) ( p  &lt; .001). However, there was no difference in prevalence of high-risk sexual behaviors (HRSB) and polysubstance use. Changing profile of the service utilizers of the CB-DTC reflect the changing dynamics of the substance use pattern and the putative role a CB-DTC can play. Interventions need to be tailored to address these changing requirements.

Change in the profile of the service utilizers of a community-based drug treatment clinic: a retrospective study from India