24 Elisad annual meeting Arezzo October 2012

Size: px
Start display at page:

Download "24 Elisad annual meeting Arezzo 11-13 October 2012"

Transcription

1 24 Elisad annual meeting Arezzo October 2012 From addiction to consumption: The evolution of the phenomenon and the interventions of services

2 The big change:back to the late 90 and the zero decade On the side of the demand: The new drug scene in southern Europe and in Italy: - -The roof of intravenous heroin users - Aids and 1996 anti retroviral survival therapy - The fall of the heroin user in youth s imagery - The substituition of opiates with performance drugs - The normalization of consumption On the side of the offer: The choice of narco-trafficking: - Cocaine: from elite users to mass consumption

3 That means : Heroin intravenous users have not disappeared (i.e. in Emilia-Romagna 63% of the clients treated in drug health services are I.D.U.) Cocaine problematic users have progressively increased the percentage of people in treatment ( about 15%) Polydrug consumption and abuse have become the new treatment area

4 What is the real extension of illicit drug use? Controversial data: the hard decrease of the 25% of the drug consumers in 2009 in Italy, (from 32% to 22% for cannabis users at least once in their life ),as suggested by DNPA (Antidrug National Policy Department) and confirmed in 2011, is not a reliable datum. The significant decrease seems mainly due to the change in the survey method. Generally, the trend of consumption, since 2008 (the top period of high consumption),has been slowly decreased ( heroin and cocaine) has been slowly increased (ketamina), has not significantly varied (LSD, other drugs).

5 Prevalence of cannabis consumption in general population in Italy Age range una tantum year month % 14,3% 6,9% ,3% 9,9% ,3% 11% Source:OEDT,2011

6 Prevalence of cocaine consumption in general polulation Age-range una tantum year month % 2,1% 0,7% ,1% Source: EMCDDA,2011

7 Prevalence of intravenous opium consumers in general population: 4,9 persons : 1000 inhabitants Primary drugs of choice of clients in treatment are: - heroin 69,3% - cocaine 15,3% -cannabis 9,2%

8 First evidence: the big three -Alcohol, tabacco and cannabis are the psychoactive substances which are most used among population, mainly years. -The percentage of their consumption vary from 11% (last month) for cannabis to 60% for alcohol - Overlapping: cannabis alcohol (+90%),cannabistabacco (+60%) -The fidelity to the big three is estimated about 80% of the consumers

9 Second evidence: licit drugs Among non illicit drug consumers in the last year: - 68% used alcohol - 20% smoked tobacco daily

10 Four different sets Alcohol tobacco consumers Alcohol, tobacco and cannabis consumers Poly-illicit-drug (non IDU)consumers (+ alcohol,tobacco and cannabis) IDUs

11 Compatible consumptions Qualitative research in cocaine use: Cohen,Decorte,Zuffa on self-controlled and out of control consumption - Different kinds of self- controlled consumption are reported - Every cocaine consumer develops his own way to self-regulation learning by trials and errors - Out of control cocaine consumers and selfcontrolled are not separated populations, because the experience of loss of control is common to both of them

12 Rootlessness of young users New phenomenon of continuative travellers Squatting and survival strategies Drug consumption: - Ketamine (+ 4,1%), - LSD -.

13 The change in the methods of consumption Sniffing Smoking Injecting

14 Risks connected with consumption Acute Chronic Behavioural: Three V -velocity (driving ) - violence ( fight ) - virus ( TSD )

15 Outreach interventions Night-life : loisir, rave-parties, Hooligans and different kinds of risk-groups. Drug scene But: - temporary projects (based on occasional funding) and not services - differently located in North and South of Italy - cuts in public expenditure

16 2011 Treatment Addicted people in treatment : ( in 2010) New addicted people asking for treatment: (-2,7% compared to 2010) People estimated eligible to treatment (hidden phenomenon): for opioids for cocaine for cannabis

17 Different kinds of treatment Substitution treatment: 64,4% -methadone 75,1% -buprenorphine 13,6% -others 11,0% Psycho-social treatment: 33,4% -social interventions 58,3% -psychological support 30,5% -psychotherapy 11,2% ( T.C. : 5-7%)

18 Harm reduction has been stopped Law does not allow: - drug injecting consumption rooms - heroin medical prescription - pill-testing Significant experiences of connection between health harm reduction and social harm reduction

19 The graying of intravenous drug users Italian record: number of older users in treatment (over 39 years) Average of new clients : 31,6 years Number of years before asking for treatment: 8,9 years ( range: 4,4-11,0) -opioids 7,7 years -cocaine 10,8 -cannabis 9,2

20 HIV,HCV,HBV prevalence National average of non-tested treated users: 69,5% Increasing percentage of HIV infection among new service-clients since 2009 Prevalence of infections among treated users : -HCV positive: 62,4% -HBV : 36,5% -Hiv : 8,8% But: Prevalence of infections among 2011 new clients: -HCV positive: 22,8% -HBV : 14,5% -HIV : 6,0%

21 Drug use related death Since 1999 decreasing trend of drug use related deaths: 1999 : 1002 deaths 2011 : 362 Average age of death: 37 years

22 Law and imprisonment Fini-Giovanardi law 2006 hardened conditions for consumers: - no difference between cannabis and hard drugs - diminished threshold between personal consumption and dealing - Increased penal punishments for small and big dealing

23 Prison conditions Overcrowding: prisoners vs officially provided Loss of rights (health, study,work, privacy,safety ) Diagnosed drug addicts in prison: 9845 people ( 19% of prisoners) Drug consumers in prison: people ( 27,7% of prisoners). Drug addicted prisoners who benefit from detention alternatives : 895 people. Increasing number of underaged entering prison

24 Drug addicted migrants Increasing number in jail since 15 years De facto,different laws and different application of the same law Stricter measures for the sans papiers Difficulties in treatment and mainly in posttreatment rehabilitation

25 More cuts in services Slow decreasing of services and their staff Some T.C were dismissed Less investment in rehab: -2,5% from 11,9 million (2010) to 9,4 (2011) Notwithstanding: -estimated social cost of addiction of 31,2 billions 2011= 2,0% PIL

National Campaign Against Drug Abuse (NACADA) Authority in Kenya. Center for Substance Abuse Treatment

National Campaign Against Drug Abuse (NACADA) Authority in Kenya. Center for Substance Abuse Treatment National Campaign Against Drug Abuse (NACADA) Authority in Kenya Center for Substance Abuse Treatment t C t f S b t Ab T t t Center for Substance Abuse Treatment Substance Abuse Mental Health Services

More information

Drugs and Addiction Policy in the Federal Republic of Germany

Drugs and Addiction Policy in the Federal Republic of Germany DRUG POLICY TODAY AND TOMORROW The Action Plan on Drugs & Addiction and its Implementation Finnish-German Media Seminar on Prescription Drugs as Addictions and Remedies September 5, 2008 Berlin, Germany

More information

Drug treatment in East and SE Asia: - the need for effective approaches

Drug treatment in East and SE Asia: - the need for effective approaches Drug treatment in East and SE Asia: - the need for effective approaches Professor Nick Crofts Director, Turning Point Alcohol and Drug Centre Director, UNODC Technical Resource Centre for Drug Treatment

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/5 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Context - Psychoactive drugs such as tobacco, alcohol,

More information

7% fewer Basque youths began drug addiction treatments between 2009 and 2010

7% fewer Basque youths began drug addiction treatments between 2009 and 2010 7% fewer Basque youths began drug addiction treatments between 29 and 21 In 21, two in every thousand young people aged 15 to 29 started drug dependence treatments and, for the first time, the number of

More information

Annual report 2009: the state of the drugs problem in Europe

Annual report 2009: the state of the drugs problem in Europe Annual report 2009: the state of the drugs problem in Europe International Conference: New trends in drug use: facts and solutions, Parliament of the Republic of Vilnius - 5 November 2009 Dagmar Hedrich

More information

Clinical Priorities for Alcohol and Drugs in Public Health

Clinical Priorities for Alcohol and Drugs in Public Health Clinical Priorities for Alcohol and Drugs in Public Health What do we need to Measure up to? Dr Michael Kelleher Clinical Lead Alcohol and Drugs Team, Health and Wellbeing Directorate SMMGP 8 th Primary

More information

The prevalence of use of psychotropic drugs, buprenorphine and methadone on the streets, the polyuse of substances in Finland

The prevalence of use of psychotropic drugs, buprenorphine and methadone on the streets, the polyuse of substances in Finland The prevalence of use of psychotropic drugs, buprenorphine and methadone on the streets, the polyuse of substances in Finland Hannu Alho, Professor Unit on Prevention and Treatment of Addictions, National

More information

Non medical use of prescription medicines existing WHO advice

Non medical use of prescription medicines existing WHO advice Non medical use of prescription medicines existing WHO advice Nicolas Clark Management of Substance Abuse Team WHO, Geneva Vienna, June 2010 clarkn@who.int Medical and Pharmaceutical role Recommendations

More information

Jennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry

Jennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry Buprenorphine/Naloxone and Methadone Maintenance Treatment Outcomes for Opioid Analgesic, Heroin, and Combined Users: Findings From Starting Treatment With Agonist Replacement Therapies (START) Jennifer

More information

Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP

Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP Habit is habit, and not to be flung out of the window by any man, but coaxed down-stairs one step at a time. Samuel Langhorne Clemens

More information

Module 6 Alcoholism, Drug Abuse and Corruption

Module 6 Alcoholism, Drug Abuse and Corruption Module 6 Alcoholism, Drug Abuse and Corruption Lecture 36 Drug Abuse: Concept, Extent and Nature Concept Any substance (usually chemical) which influences our bodies or emotions when consumed may be called

More information

Resources for the Prevention and Treatment of Substance Use Disorders

Resources for the Prevention and Treatment of Substance Use Disorders Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug

More information

Cost Analysis in Drug Addiction: methods and results

Cost Analysis in Drug Addiction: methods and results Cost Analysis in Drug Addiction: methods and results Giovanni Serpelloni, Elisabetta Simeoni, Bruno Genetti Presidency of the Council of Ministers Department for Anti-drug Policies ZAGREB 14-15 MAY 2013

More information

FACT SHEET SERBIA (REPUBLIC OF)

FACT SHEET SERBIA (REPUBLIC OF) FACT SHEET SERBIA (REPUBLIC OF) Territory: Borders: 88,509 sq. km 2,362 km (total) Hungary: 175 km, Romania: 548 km, Bulgaria: 361 km, FYR of Macedonia: 283 km, Albania: 114 km, Montenegro: 249 km, Bosnia

More information

Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions

Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions Maritt Kirst, PhD Centre for Research on Inner City Health, St. Michael s Hospital OTC Summer Institute

More information

Powder speed, whiz, velocity - Usually snorted, ingested or injected

Powder speed, whiz, velocity - Usually snorted, ingested or injected Dr Christine Watson Powder speed, whiz, velocity - Usually snorted, ingested or injected -most common -Approximately 10% purity -Generally produced locally Sticky/oily/waxy form Base, paste, point, pure,

More information

Drug Associated Deaths

Drug Associated Deaths Drug Associated Deaths Dr. Caryl Beynon Reader in Substance Use Epidemiology Centre for Public Health, Liverpool John Moores University Email: c.m.beynon@ljmu.ac.uk Web: www.cph.org.uk Overview 1. Define

More information

DMRI Drug Misuse Research Initiative

DMRI Drug Misuse Research Initiative DMRI Drug Misuse Research Initiative Executive Summary Dexamphetamine Substitution as a Treatment of Amphetamine Dependence: a Two-Centre Randomised Controlled Trial Final Report submitted to the Department

More information

Alcohol and drugs JSNA support pack

Alcohol and drugs JSNA support pack Alcohol and drugs JSNA support pack Key data to support planning for effective drugs prevention, and recovery MILTON KEYNES MILTON KEYNES J8B SUPPORTING INFORMATION This pack provides key performance and

More information

We include a series of recommended questions for the Swedish delegation at the end of our letter.

We include a series of recommended questions for the Swedish delegation at the end of our letter. United Nations Committee on Economic Social and Cultural Rights Palais Wilson CH 1211 Geneva 10 Switzerland 2 October 2008 Re: Review of Sweden s fifth periodic report, 41 st Session of the Committee on

More information

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS 1. INTRODUCTION 1.1 Review Process A Partnership for a Better Scotland committed the Scottish Executive to reviewing and investing

More information

Shaun Stevenson. Substance Misuse Practitioner Cygnet Hospital Wyke Cygnet Lodge - Brighouse

Shaun Stevenson. Substance Misuse Practitioner Cygnet Hospital Wyke Cygnet Lodge - Brighouse Shaun Stevenson Substance Misuse Practitioner Cygnet Hospital Wyke Cygnet Lodge - Brighouse Presentation Aims Identify what works in drug treatment services Highlight the challenges faced in delivering

More information

OVERVIEW WHAT IS POLyDRUG USE? Different examples of polydrug use

OVERVIEW WHAT IS POLyDRUG USE?  Different examples of polydrug use Petrol, paint and other Polydrug inhalants use 237 11 Polydrug use Overview What is polydrug use? Reasons for polydrug use What are the harms of polydrug use? How to assess a person who uses several drugs

More information

Our work in CONNECTIONS

Our work in CONNECTIONS Our work in CONNECTIONS Collating good practices on drug treatment and harm reduction in the criminal justice system in Europe experiences from the CONNECTIONS project Cinzia Brentari EMCDDA, Lisbon, 1

More information

Developing the Guernsey treatment system for substance misusers: Phases One and Two. Helen Baldwin Linda Prickett Adam Marr Jim McVeigh

Developing the Guernsey treatment system for substance misusers: Phases One and Two. Helen Baldwin Linda Prickett Adam Marr Jim McVeigh Developing the Guernsey treatment system for substance misusers: Phases One and Two Helen Baldwin Linda Prickett Adam Marr Jim McVeigh Roles and responsibilities of the LJMU research team Helen Baldwin

More information

POWDER COCAINE: HOW THE TREATMENT SYSTEM IS RESPONDING TO A GROWING PROBLEM

POWDER COCAINE: HOW THE TREATMENT SYSTEM IS RESPONDING TO A GROWING PROBLEM Effective treatment is available for people who have a powder-cocaine problem seven in ten of those who come into treatment either stop using or reduce their use substantially within six months POWDER

More information

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse Attachment B NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE Psychosocial interventions in drug misuse On 16 th June 2004 the Department of Health

More information

EPIDEMIOLOGY OF OPIATE USE

EPIDEMIOLOGY OF OPIATE USE Opiate Dependence EPIDEMIOLOGY OF OPIATE USE Difficult to estimate true extent of opiate dependence Based on National Survey of Health and Mental Well Being: 1.2% sample used opiates in last 12 months

More information

DRUG PROBLEM IN THE ARAB REGION. Prof. Mehdi PAES

DRUG PROBLEM IN THE ARAB REGION. Prof. Mehdi PAES DRUG PROBLEM IN THE ARAB REGION Prof. Mehdi PAES Introduction The Arab region, with about 300 million inhabitants, is composed of 21 countries covering a large geographic area located essentially in North

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32

THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32 THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32 THIS SUPPORTING INFORMATION This pack sets out the investment in drug in your area. It also gives key performance information about your

More information

European report on drug consumption rooms Executive summary

European report on drug consumption rooms Executive summary Page 1 of 7 European report on drug consumption rooms Executive summary June 2004 Dagmar Hedrich, Project Manager, P2 - Responses General public Introduction The European report on drug consumption rooms

More information

THE DRUG DETOX UNIT AT MOUNTJOY PRISON A REVIEW

THE DRUG DETOX UNIT AT MOUNTJOY PRISON A REVIEW 1 THE DRUG DETOX UNIT AT MOUNTJOY PRISON A REVIEW By Dr. Des Crowley, General Practitioner INTRODUCTION The Drug Detox Unit was opened in July 1996 at Mountjoy Prison in response to the escalating drug

More information

Chapter 2 The scale of the problem: illicit drug use in the UK

Chapter 2 The scale of the problem: illicit drug use in the UK Chapter 2 The scale of the problem: illicit drug use in the UK Case study: The financial pressure of illicit drug use The defendant was a 32-year-old man. As a teenager, he had been in a gang and had previous

More information

Treatment of opioid use disorders

Treatment of opioid use disorders Treatment of opioid use disorders Gerardo Gonzalez, MD Associate Professor of Psychiatry Director, Division of Addiction Psychiatry Disclosures I have no financial conflicts to disclose I will review evidence

More information

Impact of Systematic Review on Health Services: The US Experience

Impact of Systematic Review on Health Services: The US Experience Impact of Systematic Review on Health Services: The US Experience Walter Ling MD Integrated Substance Abuse Programs (ISAP) UCLA The effectiveness of interventions for addictions: The Drug and Alcohol

More information

Treatments for drug misuse

Treatments for drug misuse Understanding NICE guidance Information for people who use NHS services Treatments for drug misuse NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and

More information

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics . City.Country. Official responsible for providing this information (mandatory) a. Name b. Position Official title c. Institution Name of the institution where you work d. Address Complete postal address

More information

Community Cohesion and Safety Scrutiny Commission Tuesday 20 th September 2011

Community Cohesion and Safety Scrutiny Commission Tuesday 20 th September 2011 AGENDA ITEM NO. 11 Community Cohesion and Safety Scrutiny Commission Tuesday 20 th September 2011 Drugs Supply Briefing Note (to support powerpoint presentation) Officer Reporting: Chris Luke, Safer Bristol

More information

Capital City of Warsaw Prevention of drug addiction policy. SOCIAL POLICY OFFICE WARSAW, May 29th, 2008

Capital City of Warsaw Prevention of drug addiction policy. SOCIAL POLICY OFFICE WARSAW, May 29th, 2008 Capital City of Warsaw Prevention of drug addiction policy SOCIAL POLICY OFFICE WARSAW, May 29th, 2008 City organisation structure GENERAL CITY LEVEL MAYOR OF THE CAPITAL CITY OF WARSAW CITY COUNCIL SOCIAL

More information

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013 Hulpverleningsmodellen bij opiaatverslaving Frieda Matthys 6 juni 2013 Prevalence The average prevalence of problem opioid use among adults (15 64) is estimated at 0.41%, the equivalent of 1.4 million

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

drug dependence treatment and care

drug dependence treatment and care UNODC-WHO Joint Programme on drug dependence treatment and care The vision Effective and humane treatment for all people with drug use disorders. Nothing less than would be expected for any other disease.

More information

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas David Lakey, MD Commissioner, Department of State Health Services Lauren Lacefield Lewis Assistant Commissioner,

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

Quasi-Coerced Treatment and Treatment of Drug Abuse: 12 Month Outcomes

Quasi-Coerced Treatment and Treatment of Drug Abuse: 12 Month Outcomes Quasi-Coerced Treatment and Treatment of Drug Abuse: Month Outcomes D. Duran e M. Vasconcelos The Quasi-Coerced Treatment (QCT) for users of illegal substances is viewed as a form of motivating treatment

More information

STRATEGY OF MONTENEGRO FOR THE PREVENTION OF DRUG ABUSE 2013-2020

STRATEGY OF MONTENEGRO FOR THE PREVENTION OF DRUG ABUSE 2013-2020 Montenegro Ministry of Health STRATEGY OF MONTENEGRO FOR THE PREVENTION OF DRUG ABUSE 2013-2020 and the Action Plan 2013-2016 Podgorica, February 2013 Contents INTRODUCTION... 7 Principles... 13 Objectives...

More information

Effective Treatment Strategies for Adolescent Heroin and Opiate Use. Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County

Effective Treatment Strategies for Adolescent Heroin and Opiate Use. Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County Effective Treatment Strategies for Adolescent Heroin and Opiate Use Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County Learning Objectives The unique challenges related to clinical work

More information

The story of drug treatment

The story of drug treatment EFFECTIVE TREATMENT CHANGING LIVES www.nta.nhs.uk www.nta.nhs.uk 1 The story of drug treatment The use of illicit drugs is declining in England; more and more people who need help with drug dependency

More information

UNODC World Drug Report 2016:

UNODC World Drug Report 2016: UNODC World Drug Report 2016: Launch in Geneva on 23 June 2016 Briefing to the Member States and Civil Society Organizations Remarks by Aldo Lale-Demoz, Deputy Executive Director, UNODC UNODC is honoured

More information

Polydrug use. EMCDDA 2002 selected issue. In EMCDDA 2002 Annual report on the state of the drugs problem in the European Union and Norway

Polydrug use. EMCDDA 2002 selected issue. In EMCDDA 2002 Annual report on the state of the drugs problem in the European Union and Norway Polydrug use EMCDDA 2002 selected issue In EMCDDA 2002 Annual report on the state of the drugs problem in the European Union and Norway Chapter 3 Selected issues This chapter highlights three specific

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Medical Prescription of Heroin the Dutch trial in the context of a developing treatment system

Medical Prescription of Heroin the Dutch trial in the context of a developing treatment system Medical Prescription of Heroin the Dutch trial in the context of a developing treatment system Wim van den Brink, MD PhD Vincent M Hendriks, PhD Peter Blanken, MA Jan M van Ree, MSc PhD Central Committee

More information

Do we need special programs for aging drug users?

Do we need special programs for aging drug users? High risk drug use and drug treatment in Europe 2014 EMCDDA event: Continuity and Change Lisbon, 24-26 September 2014 Do we need special programs for aging drug users? Andrej Kastelic EUROPAD General Secretary

More information

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System. New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high

More information

Protecting and improving the nation s health. Specialist substance misuse treatment for young people in England 2013-14

Protecting and improving the nation s health. Specialist substance misuse treatment for young people in England 2013-14 Protecting and improving the nation s health Specialist substance misuse treatment for young people in England 2013-14 January 2015 About Public Health England Public Health England exists to protect and

More information

DRUG, TOBACCO AND ALCOHOL CONTROL POLICY IN LITHUANIA. Zenius Martinkus, Director of Drug, Tobacco and Alcohol Control Department

DRUG, TOBACCO AND ALCOHOL CONTROL POLICY IN LITHUANIA. Zenius Martinkus, Director of Drug, Tobacco and Alcohol Control Department DRUG, TOBACCO AND ALCOHOL CONTROL POLICY IN LITHUANIA Zenius Martinkus, Director of Drug, Tobacco and Alcohol Control Department Lithuania Territory: 65 303 km2 Population: ~3,28 million. Capital: Vilnius

More information

EN 1 EN COMMUNICATION FROM THE COMMISSION. to the European Parliament and the Council on a EU Drugs Action Plan (2005-2008) Introduction

EN 1 EN COMMUNICATION FROM THE COMMISSION. to the European Parliament and the Council on a EU Drugs Action Plan (2005-2008) Introduction MUNICATION FROM THE MISSION to the European Parliament and the Council on a EU Drugs Action Plan (2005-2008) Introduction The drugs phenomenon is one of the major concerns of the citizens of Europe and

More information

Substance Misuse. See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.

Substance Misuse. See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets. Substance Misuse See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.aspx Problematic drug use Kensington and Chelsea has a similar

More information

Queensland Corrective Services Drug and Alcohol Policy

Queensland Corrective Services Drug and Alcohol Policy Queensland Corrective Services Drug and Alcohol Policy 2727QCS Commissioner s Foreword Drug and alcohol abuse is a significant issue confronting not only Queensland Corrective Services (QCS), but the entire

More information

Phoenix Futures Prison Treatment programmes

Phoenix Futures Prison Treatment programmes Phoenix Futures Prison Treatment programmes Karen Biggs Chief Executive, Phoenix Futures Overview of Presentation Political and Strategic context in England Overview of some of our programmes. Outcomes

More information

HEROIN AND RELATED OPIATES

HEROIN AND RELATED OPIATES HEROIN AND RELATED OPIATES DAVID J. NUTT Psychopharmacology Unit, Bristol University Heroin is a derivative of morphine and both belong to a large family of drugs called the opiates, that were originally

More information

Testimony of The New York City Department of Health and Mental Hygiene. before the

Testimony of The New York City Department of Health and Mental Hygiene. before the Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid

More information

Drug Abuse Trends in the Seattle/King County Area: 2013

Drug Abuse Trends in the Seattle/King County Area: 2013 Drug Abuse Trends in the Seattle/King County Area: 2013 Caleb Banta-Green 1, T. Ron Jackson 2, Steve Freng 3, Michael Hanrahan 4, Cynthia Graff 5, John Ohta 6, Mary Taylor 7, Richard Harruff 8, Robyn Smith

More information

WHO Library Cataloguing-in-Publication Data

WHO Library Cataloguing-in-Publication Data alcohol & drugs Report on the meeting on indicators for monitoring alcohol, drugs and other psychoactive substance use, substanceattributable harm and societal responses Valencia, Spain, 19 21 October

More information

Drug Situation in Vancouver UHRI. Report prepared by the Urban Health Research Initiative of the British Columbia Centre for Excellence in HIV/AIDS

Drug Situation in Vancouver UHRI. Report prepared by the Urban Health Research Initiative of the British Columbia Centre for Excellence in HIV/AIDS Drug Situation in Vancouver Report prepared by the Urban Health Research Initiative of the British Columbia Centre for Excellence in HIV/AIDS Second edition June 2013 UHRI U R BAN H EALTH R ESEARCH I NITIATIVE

More information

Paola D'Acapito, Cinthia Menel Lemos. European Commission Executive Agency for Health and Consumers, EAHC. Health Unit.

Paola D'Acapito, Cinthia Menel Lemos. European Commission Executive Agency for Health and Consumers, EAHC. Health Unit. Health Programme (HP): funding projects for alcohol and drug addiction prevention and reduction of health related harm an overview of results, best practice and coverage Paola D'Acapito, Cinthia Menel

More information

Re-Thinking Addiction Treatment: Have We Been Thinking Correctly?

Re-Thinking Addiction Treatment: Have We Been Thinking Correctly? Re-Thinking Addiction Treatment: Have We Been Thinking Correctly? Scope of Substance Use in the US Alcohol, Illicit & non-prescribed drugs Very Frequent Use In Specialty Treat. ~ 2,300,000 Addiction Dx

More information

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio Governor s Cabinet Opiate Action Team Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio November 14,

More information

13. Substance Misuse

13. Substance Misuse 13. Substance Misuse Definitions Misuse or abuse this is the taking of something with the intention of producing pleasurable mind-altering effects, intoxication or altered body image. The mind-altering

More information

Foundations Recovery Network (FRN) Announces Groundbreaking Opiate Research Study Which Yields Compelling Results

Foundations Recovery Network (FRN) Announces Groundbreaking Opiate Research Study Which Yields Compelling Results Foundations Recovery Network (FRN) Announces Groundbreaking Opiate Research Study Which Yields Compelling Results Results validate FRN s system of care approach through patient satisfaction Siobhan A.

More information

drug treatment in england: the road to recovery

drug treatment in england: the road to recovery The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

Tobacco Smoking and Illicit Drug Use in Australia. Wayne Hall, Doug Fraser, and Coral Gartner University of Queensland Centre for Clinical Research

Tobacco Smoking and Illicit Drug Use in Australia. Wayne Hall, Doug Fraser, and Coral Gartner University of Queensland Centre for Clinical Research Tobacco Smoking and Illicit Drug Use in Australia Wayne Hall, Doug Fraser, and Coral Gartner University of Queensland Centre for Clinical Research Outline of Talk Long term smoking trends: 1945-2010 Recent

More information

THE STORY OF DRUG TREATMENT

THE STORY OF DRUG TREATMENT THE STORY OF DRUG TREATMENT EFFECTIVE TREATMENT CHANGING LIVES The story of drug treatment The goal of all treatment is for drug users to achieve abstinence from their drug or drugs of dependency. For

More information

John R. Kasich, Governor Orman Hall, Director

John R. Kasich, Governor Orman Hall, Director John R. Kasich, Governor Orman Hall, Director 2 3 Epidemics of unintentional drug overdoses in Ohio, 1979-2011 1,2,3 1800 1600 1400 1200 1000 800 Prescription drugs are causing a larger overdose epidemic

More information

Developments in the Norwegian overdose situation

Developments in the Norwegian overdose situation Developments in the Norwegian overdose situation Thomas Clausen Professor (Dr. med) thomas.clausen@medisin.uio.no 16.-18. October 2013 Agenda The overdose-situation Development and trends National responses

More information

MORTALITY AMONGST ILLICIT DRUG USERS

MORTALITY AMONGST ILLICIT DRUG USERS MORTALITY AMONGST ILLICIT DRUG USERS Over the past 40 years the rate of illicit drug use worldwide has risen dramatically, and with it the number of deaths reported among drug-using populations. What are

More information

Treatment and Rehabilitation

Treatment and Rehabilitation Treatment and Rehabilitation Treatment and rehabilitation process aims to help drug addicts from taking drugs and be able to live in the society like ordinary people. This year the ONCB has focused on

More information

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,

More information

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction.

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction. Understanding Pharmacology and Physiology Knowledge of Pharmacology and Physiology is Crucial SAMHSA s Counselor Competencies What is Addiction? NIDA: Why Do People Use Drugs? From Abuse to Addiction Desired

More information

EU Progress in Fighting Drink Driving and the Use of Alcohol Interlock Devices

EU Progress in Fighting Drink Driving and the Use of Alcohol Interlock Devices EU Progress in Fighting Drink Driving and the Use of Alcohol Interlock Devices Mircea Steriu ETSC Communications and PIN Project Officer Washington DC 16 May 2012 Presentation outline 1. Introduction to

More information

(Mis)use of Benzodiazepines among High Risk Drug Users Lisbon, 25 September 2014

(Mis)use of Benzodiazepines among High Risk Drug Users Lisbon, 25 September 2014 + Felice Nava, MD, PhD Chief Penitentiary Medicine Padua Vice-Preident Italian Society of Addiction Medicine (FeDerSerD) (Mis)use of Benzodiazepines among High Risk Drug Users Lisbon, 25 September 2014

More information

Injecting Drug Use and Youth: PSI s Programs. Shimon Prohow HIV Department Population Services International

Injecting Drug Use and Youth: PSI s Programs. Shimon Prohow HIV Department Population Services International Injecting Drug Use and Youth: PSI s Programs Shimon Prohow HIV Department Population Services International PSI and HIV Male and Female Condoms HIV Counseling and Testing Male Circumcision Tuberculosis

More information

Offender Drug and Alcohol Strategy 2010 2014

Offender Drug and Alcohol Strategy 2010 2014 Offender Drug and Alcohol Strategy 2010 2014 Making a positive difference. CONTENTS EXECUTIVE SUMMARY...3 BACKGROUND...5 PURPOSE...6 GUIDING PRINCIPLES...6 OBJECTIVES...7 PRIORITY AREAS...8 Injecting Drug

More information

+ + + + + ECSTASY. Trends in Drug Use and Related Harms in Australia, 2001 to 2013. National Drug and Alcohol Research Centre

+ + + + + ECSTASY. Trends in Drug Use and Related Harms in Australia, 2001 to 2013. National Drug and Alcohol Research Centre ALCOHOL PHARMACEUTICAL OPIOIDS HEROIN 21-212 COCAINE DRUG TRENDS CANNABIS + + + + + + ECSTASY Trends in Drug Use and Related Harms in Australia, 21 to 213 Medicine APC POP- UP STAND National Drug and Alcohol

More information

"BARRIERS TO HIV PREVENTION AND CARE DUE TO CONSUMER SUBSTANCE ABUSE AND CHEMICAL DEPENDENCE PART II.

BARRIERS TO HIV PREVENTION AND CARE DUE TO CONSUMER SUBSTANCE ABUSE AND CHEMICAL DEPENDENCE PART II. "BARRIERS TO HIV PREVENTION AND CARE DUE TO CONSUMER SUBSTANCE ABUSE AND CHEMICAL DEPENDENCE PART II. BY PROFESSOR TERENCE MCPHAUL PSYCHOLOGY TELEVISION NETWORK (PSYCHTV ) Distinct Populations of Youth

More information

What is Addiction? DSM-IV-TR Substance Abuse Criteria

What is Addiction? DSM-IV-TR Substance Abuse Criteria Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.

More information

WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention

WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention World Health Organization WHO Library Cataloguing-in-Publication Data Substitution

More information

Developing Medications to Treat Addiction: Implications for Policy and Practice. Nora D. Volkow, M.D. Director National Institute on Drug Abuse

Developing Medications to Treat Addiction: Implications for Policy and Practice. Nora D. Volkow, M.D. Director National Institute on Drug Abuse Developing Medications to Treat Addiction: Implications for Policy and Practice Nora D. Volkow, M.D. Director National Institute on Drug Abuse Medications Currently Available For Nicotine Addiction Nicotine

More information

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year.

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year. 1. Youth Drug Use More than 4% of Maryland high school seniors used an illicit drug in the past year. Any Illicit Drug Alcohol Marijuana Ecstasy Cocaine Percentage of Maryland and U.S. high school seniors

More information

Mindfulness-based approaches in substance abuse: a meta-analysis - preliminary results

Mindfulness-based approaches in substance abuse: a meta-analysis - preliminary results This work was supported by a grant of the Romanian National Authority for Scientific Research, CNCS UEFISCDI, project number PN-II-ID-PCE-2012-4-0621. Mindfulness-based approaches in substance abuse: a

More information

ISSN 1830-7957 SELECTED ISSUE

ISSN 1830-7957 SELECTED ISSUE ISSN 1830-7957 SELECTED ISSUE TREATMENT AND CARE FOR OLDER DRUG USERS2010 SELECTED ISSUE TREATMENT AND CARE FOR OLDER DRUG USERS2010 Legal notice This publication of the European Monitoring Centre for

More information

Bringing Hepatitis C Treatment into the Medical Home

Bringing Hepatitis C Treatment into the Medical Home Bringing Hepatitis C Treatment into the Medical Home Dr. Joanna Eveland MS, MD, Clinical Chief for Special Populations Mission Neighborhood Health Center, San Francisco, CA The Challenge: Hepatitis C Virus

More information

The Four Pillar Drug Policy in Switzerland 20 years after

The Four Pillar Drug Policy in Switzerland 20 years after The Four Pillar Drug Policy in Switzerland 20 years after Hans Koeppel, M.D. Physician Scientific and Advisory Board of EURAD (Europe Against drugs) Board Member, Swiss Physicians against Drugs Board Member,

More information

The Current State of Drug Abuse Across the Nation. December 12, 2015

The Current State of Drug Abuse Across the Nation. December 12, 2015 The Current State of Drug Abuse Across the Nation December 12, 2015 Agenda The Partnership for Drug-Free Kids The macro picture Opioid abuse and addiction What can we do about it? Moving upstream: connecting

More information

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities Establishment: HMP Belmarsh Drugs partnership: Greenwich Primary Care Trust: Greenwich Integrated drug treatment system Treatment plan 2009/10 Part 1: Strategic summary, needs assessment and key priorities

More information