C65. Overview of substance use and dependence in Nigeria: A nursing perspective

About The Event

Learning category:


Learning objectives:

  • Participants will distinguish World Health Organization (WHO) international classifications of disease (ICD-10) vs. American Psychiatric Association (APA) classifications for substance use disorders (DSM-5);
  •  Participants will identify the commonly used substances in Nigeria;
  • Participants will state the associated impacts of substance use and dependence in Nigeria;
  • Participants will discuss risk factors and mechanisms for substance use disorders;
  • Participants will explain the current prevention & treatment practices in Nigeria; and
  • Participants will describe best practices for substance dependence treatment


Addictions nursing practice and care has a rich history since the advent of formal services for the treatment of substance use disorders, yet there is still no universally agreed role definition, standard scope of practice, or certification process in the UK. Despite multiple accounts of how nurses innovated, broke down barriers, and advanced the treatment and recovery agenda, the value of the addictions nurse specialist role has in recent times been threaten, as NHS addiction services are decommissioned, or transferred into nontraditional non-statutory sectors. This presentation will discuss the challenges currently facing addictions nurses as they seek to identify, protect, and advocate for their place within the pull and push of policy and structural changes. The authors will present highlights from a qualitative survey of ‘expert addiction nurses’ on factors which may have accounted for how addiction nursing is currently perceived, and invite participants to engage in a wider piece of work that is currently exploring the experience of nurses in relation to their preparation and engagement in working with problematic substance use in their respective countries.


Oluremi Adejumo, DNP, MSc., RN
Assistant Professor, University of Maryland, School of Nursing; and Assistant Professor, Johns Hopkins School of Nursing, Baltimore Dr. Oluremi Adejumo’s primary goal is to help strengthen the nursing capacity in the U.S. and abroad – making prevention a priority, most specifically in Nigeria and other African nations. As a translational leader she has facilitated many community-based programs’ development, even in a complex adaptive system. Her expertise lies in translation of evidence-based research to practice. To share her expertise, she mentors other nurses to be more effective and efficient in their practice delivery, as they perform patient-centered care. As a proactive leader, her aim to empower other nurses is evidenced in her engagements in nursing activities that foster professional growth. When Dr. Adejumo recognized the threat being posed by substance misuse to the citizens of Nigeria, within a short duration of her membership and engagements with the International Nurses Society on Addictions (IntNSA), she facilitated the establishment of the first chapter in Africa – IntNSA-Nigeria, as she works collaboratively with her nursing colleagues and healthcare professionals from other disciplines.
Katherine Fornili, DNP, MPH, RN, CARN, FIAAN
Professor of Health Policy at Middlesex University where she is a codirector of the Drugs and Alcohol Research Centre Katherine Fornili has been on the full-time faculty at the University of Maryland School of Nursing since 2005. She holds a baccalaureate degree in nursing, a masters’ degree in public health, and a Doctor of Nursing Practice (DNP) degree in community/public health nursing with an emphasis on addictions nursing. Dr. Fornili currently teaches in the DNP program, as well as an undergraduate clinical in community/public health nursing and is a co-developer of several addictions nursing and motivational interviewing courses. A public health nurse for 36 years, Dr. Fornili has served in leadership roles at the city, state and national levels since 1993, and has been certified in addictions registered nursing (CARN) since 1999. She has served in doctoral internships at SAMHSA and the White House Office of National Drug Control Policy (ONDCP). She has extensive state agency experience leading grant-writing teams for communitybased substance use disorder prevention and treatment programs. Dr. Fornili is an Associate Editor of the Journal of Addictions Nursing, and editor of the Policy Watch column. She co-authored SAMHSA’s Technical Assistance Publication (TAP) Number 30: Buprenorphine: A Guide for Nurses and was a Field Reviewer for Treatment Improvement Protocol (TIP) Number 63: Medications for Opioid Use Disorder. She has served four previous terms on the IntNSA Board of Directors and as Chair of the IntNSA Health Policy Task Force and is the President of IntNSA for 2018-2020. Her interests include addictions nursing curriculum development, substance screening and brief intervention, pharmacological therapies (specifically buprenorphine), stigma, health policy, public health and health disparities.

Our Speakers

Dr Katherine Fornili
Dr Oluremi Adejumo
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