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Indholdsfortegnelse
Forord .................................................................................................................................................................................................... 2
Indholdsfortegnelse ......................................................................................................................................................................... 3
Sammenfatning .................................................................................................................................................................................. 6
1 Trends og nye udviklinger inden for narkotikapolitikken ....................................................................................... 9
1.1 Overblik og sammendrag ........................................................................................................................................... 9
1.2 Nationale strategier på narkotikaområdet .......................................................................................................... 9
1.3 Ny lovgivning ..................................................................................................................................................................10
1.4 Økonomi og finansieringsordninger ......................................................................................................................12
1.5 Narkotikapolitikken i social og kulturel sammenhæng ................................................................................. 13
2 Brugen af illegale stoffer i befolkningen .......................................................................................................................15
2.1 Overblik og sammendrag ..........................................................................................................................................15
2.2 Forbruget af illegale stoffer blandt de unge ......................................................................................................15
2.3 Samvariation i brug af rusmidler .............................................................................................................................18
2.4 Regionale høringer .......................................................................................................................................................18
2.5 Holdninger til stoffer og til stofbrugere .............................................................................................................19
3 Forebyggelse .............................................................................................................................................................................21
3.1 Overblik og sammendrag ..........................................................................................................................................21
3.2 Universel forebyggelse ................................................................................................................................................21
3.3 Indsatser i lokalsamfundet .......................................................................................................................................22
3.4 Selektiv og indikeret forebyggelse ........................................................................................................................25
4 Stofmisbrug .............................................................................................................................................................................26
4.1 Overblik og sammendrag .........................................................................................................................................26
4.2 Stofmisbrugere i behandling ...................................................................................................................................26
4.3 Metadonbehandling og -ordination .....................................................................................................................29
5 Stofrelateret behandling ..................................................................................................................................................... 31
5.1 Overblik og sammendrag .......................................................................................................................................... 31
5.2 Behandlingssystemet ................................................................................................................................................... 31
5.3 Døgnbehandling ............................................................................................................................................................ 31
5.4 Ambulant stoffri behandling ...................................................................................................................................34
5.5 Substitutionsbehandling og den ambulante psykosociale indsats ..........................................................34
5.6 Indsatsen over for børn og unge med misbrugsproblemer ........................................................................36
6 Sundhedsmæssige konsekvenser ved stofmisbrug .................................................................................................. 37
6.1 Overblik og sammendrag ......................................................................................................................................... 37
6.2 Narkotikarelaterede dødsfald og dødelighed blandt stofmisbrugere .................................................... 37
6.3 Forgiftninger med illegale stoffer ..........................................................................................................................40
6.4 Narkotikarelaterede infektionssygdomme ........................................................................................................42
6.5 Dobbelt diagnoser og stofmisbrugere i psykiatrisk behandling ................................................................42
6.6 Graviditeter og fødsler blandt stofmisbrugere i Danmark .......................................................................... 43
7 Indsatser i relation til sundhedsmæssige konsekvenser ved stofmisbrug ......................................................45
7.1 Overblik og sammendrag .........................................................................................................................................45
7.2 Særlig skadereducerende tiltag i ”Kampen mod Narko” .............................................................................45
7.3 Forebyggelse af narkotikarelaterede dødsfald .................................................................................................45
7.4 Forebyggelse og behandling af narkotikarelaterede infektionssygdomme- Sprøjteprogrammer .. 46
7.5 Indsatser relateret til personer med dobbeltdiagnose .................................................................................46
8 Kriminalitet, stofbrug og sociale konsekvenser ........................................................................................................48
8.1 Overblik og sammendrag .........................................................................................................................................48
8.2 Social eksklusion og problemer .............................................................................................................................48
8.3 Kriminalitet i forbindelse med narkotika ...........................................................................................................48
8.4 Økonomi og omkostninger vedr. de sociale tiltag .........................................................................................49
9 Indsatser i relation til sociale konsekvenser ved stofmisbrug .............................................................................50
9.1 Overblik og sammendrag .........................................................................................................................................50
9.2 Social reintegration .....................................................................................................................................................50
9.3 Forebyggelse af narkotikarelateret kriminalitet ............................................................................................... 53
Narkotikasituationen i Danmark 2004 5