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Netherlands National Drug Monitor - Research and Documentation ...

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• In some two-thirds of cases opiates or crack/cocaine are the primary problem<br />

substance; in 5% of cases the problem drug is cannabis. There was a decline in the<br />

percentage that had a primary problem with opiates, whereas cocaine/crack <strong>and</strong><br />

cannabis were more frequently the primary problem.<br />

The decline in overall crime in the <strong>Netherl<strong>and</strong>s</strong>, in particular the marked drop in property<br />

crimes appears to be partly attributable to the drop in criminality among primary opiate<br />

users (Van Ooyen, 2009).<br />

<strong>Drug</strong> problems among detainees<br />

• <strong>Research</strong> from 2007 shows that 38% of detainees reported problem drug use in the<br />

year prior to custody (Oliemeulen et al., 2007). One third are risk users of cannabis,<br />

19% are problem cocaine users <strong>and</strong> 12% are problem opiate users. The use of<br />

(unprescribed) sedatives was also often problematic (in 15% of cases).<br />

• More recently, Bulten & Nijman (2009) published the results of research conducted<br />

among 191 r<strong>and</strong>omly selected adult male detainees in a penitentiary institution<br />

in Vught. The Mini international neuropsychiatric interview was used to establish<br />

conditions such as the prevalence of drug addiction in the past year. Detainees were<br />

examined during the initial phase after arrival in custody. It was established that<br />

29.8% (within a margin of 23.3 to 36.3 percent) of the detainees had battled a drug<br />

addiction during the past year. The type of drug was not specified.<br />

• A comparison with research conducted among representative samples of detainees in<br />

the period from 1997 to 2007 suggests that the percentage of detainees with a drug<br />

problem remains unchanged (Van Ooyen, 2009).<br />

10.3 Interventions for drug users in<br />

the criminal justice system<br />

In this section the following are discussed:<br />

• The clients <strong>and</strong> activities within probationary aftercare<br />

• Behavioural interventions during detention<br />

• Treatment as an alternative to prosecution <strong>and</strong> sanctions<br />

• The measure ‘Placement in an Institution for Prolific Offenders’ (ISD).<br />

Probationary Aftercare of addicts<br />

Since 2002 information has been available from the Patient <strong>Monitor</strong>ing System (CVS)<br />

of the Probationary Aftercare Service for Addicts.<br />

• In 2007, there were over 17,000 addicts in probationary after care, <strong>and</strong> in 2008 over<br />

18,000. The number is increasing (table 10.1).<br />

• The average age is 37.6 <strong>and</strong> 92% are male.<br />

• Nearly three-quarters were born in the <strong>Netherl<strong>and</strong>s</strong>. A large proportion (over 70%<br />

have no steady job, half are single or have no stable living situation. 4% did not<br />

216 <strong>Netherl<strong>and</strong>s</strong> <strong>National</strong> <strong>Drug</strong> <strong>Monitor</strong> - NDM Annual Report 2009

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