Substance use disorders (SUDs) are increasingly recognized as chronic, relapsing medical conditions with significant social, economic, and health consequences. Although historically characterized by low prevalence due to cultural, religious, and legal deterrents, recent evidence indicates rising misuse of prescription medications, synthetic substances, and alcohol in the United Arab Emirates (UAE). Over the past decade, the UAE has implemented major reforms, including rehabilitative legal pathways and expansion of specialized treatment services. Despite these advances, persistent challenges remain, including stigma, workforce shortages, fragmented care pathways, and limited aftercare. This review synthesizes current epidemiological trends, policy developments, treatment infrastructure, and systemic barriers, and proposes evidence-based recommendations aligned with international standards to support a comprehensive, culturally responsive addiction care framework.
Keywords: Substance Use Disorders; United Arab Emirates; Addiction Services; Drug Rehabilitation; Addiction Policy; Mental Health; Stigma; Recovery-Oriented Care
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