The Czech Republic Annual Report 2010 Drug ... - Drogy-info.cz

More documents

Recommendations

Info

Table 5-1: Treatment programmes providing services to drug users in the Czech Republic in 2010 Type of programme Number of facilities / programmes Total 1 Alcohol and non-alcohol drugs Illegal drugs Alcohol Capacity (persons, beds) Occupancy (number of persons) Number of facilities / programmes Occupancy (number of persons) Number of facilities / programmes Occupancy (number of persons) Outpatient psychiatric facilities 453 – 40,198 2 370 15,187 428 24,182 Outpatient (non-healthcare) programmes operated by NGOs 13 5 5 – 1,813 Non-alcohol (illegal) drug users are the main target group for these facilities Day care centres 1 10 40 Non-alcohol (illegal) drug users are the main target group for these facilities Registered healthcare facilities providing substitution treatment 45 – 2,113 Opiate users are the target group for these facilities Alcohol users are the main target group for these facilities. Separate data for Sobering-up stations 16 157 30,487 alcohol and illegal drugs are not available. Non-alcohol (illegal) drug users, specifically problem (injecting) drug users, are Low-threshold (drop-in) centres and outreach programmes 96 – 32,374 the main target group for these facilities Detoxification units in inpatient healthcare facilities 16 6 (28 7 ) 163 2 6,650 – 3,091 – 3,558 Psychiatric institutes for adults 17 9,058 3 (1,354 4 ) 10,835 2 – 3,550 – 7,285 Psychiatric department in hospitals 31 1,374 3 2 4,024 – 1,644 – 2,378 Psychiatric institutes for children 3 260 3 2 33 – 31 – 2 Other inpatient facilities with psychiatric department 3 126 469 2 – 131 – 338 Therapeutic communities 15–20 160 5 5 408 Non-alcohol (illegal) drug users are the main target group for these facilities Specialised departments in residential special education facilities for children at risk of drug addiction 5 68 137 Non-alcohol (illegal) drug users are the main target group for these facilities After-care programmes 25–30 127 5 5 987 Non-alcohol (illegal) drug users are the main target group for these facilities Detoxification units in prisons 5 n/a 686 This regards data on non-alcohol (illegal) drug detoxification Substitution treatment in prisons 8 n/a 67 Opiate users are the target group for these programmes Departments for differentiated service of a sentence (voluntary treatment) 7 300 437 This regards data on the treatment of non-alcohol (illegal) drug users Departments for undergoing compulsory substance use 3 treatment in prisons 109 128 This regards data on the treatment of non-alcohol (illegal) drug users Drug-free zones in prisons 33 8 2 075 3,443 Non-alcohol (illegal) drug users are the main target group for these facilities NGO programmes in prisons 15/32 9 – 707 10 Non-alcohol (illegal) drug users are the main target group for these programmes Note: 1 This is the total capacity and total number of users of all addictive substances; if available, data for alcohol and non-alcohol drugs are given in the subsequent columns. 2 This is the number of patients with the primary dg. F10–F19. 3 Number of all psychiatric beds. 4 Number of beds in all facilities treating AT patients. 5 Data from programmes supported by grants from the Government Council for Drug Policy Coordination in 2010 (13 outpatient programmes,10 therapeutic communities, and a total of 16 after-care programmes, 13 of which are intensive after-care programmes that provide sheltered housing). 6 7 Number of detoxification units with dedicated beds. Total number of inpatient facilities providing detoxification to AT patients, including 12 facilities providing detoxification in various wards and departments without dedicated beds. 8 In principle, drug-free zones are not a treatment programme, but rather a safe, motivating environment for prisoners who are prepared to abstain; that said, four drug-free zones have a therapy programme. 9 Number of programmes/prisons in which these operated. 10 Number of visits to prisons. page 57
5.2.1 Professional Competency of Services and Quality Assurance Detailed information about the system for securing professional competences for drug services (certification system) is provided in the Selected Issue on History, Methods, and Implementation of National Treatment Guidelines in the 2009 Annual Report. In May 2011, a total of 155 programmes had valid certificates of professional competency; see Table 5-2. Table 5-2: Overview of certified programmes by type as of 16 May 2011 Type of service Number of programmes Detoxification 2 Outreach programmes 49 Low-threshold and counselling services 52 Outpatient treatment 15 Day care programmes 1 Short- and medium-term residential treatment 2 Inpatient treatment in therapeutic communities 10 Outpatient after-care programmes 16 Substitution treatment 8 Total 155 In October 2010, the Government Council for Drug Policy Coordination approved changes to the basic certification process documents – the Certification Rules and the Local Audit Methodology. As part of the operational programme Human Resources and Employment, announced by the Ministry of Labour and Social Affairs, the Exchange of Experience and Dissemination of Best Practice in Drug Service Quality Management project has been implemented since 2009. The aim of this project is to develop best practices of services and evaluate the quality of these services; for more information see the 2009 Annual Report. An expert group for innovating the standards of professional competency also worked in the project. 5.2.2 Outpatient Treatment 5.2.2.1 Psychiatric Facilities Outpatient medical treatment for alcohol and drug users is currently provided primarily at outpatient psychiatric facilities and at AT (alcohol/drug treatment) facilities specialised in treating addiction; these were formerly alcohol addiction counselling services. The number of these specialised facilities ranged from 165 to 180 between 1963 and 1993. In recent years the network of AT outpatient facilities has not been centrally administrated and their number is not monitored. It is estimated that there are currently between 50 and 70 psychiatric outpatient facilitiesspecialising in addiction treatment in the Czech Republic (Mravčík et al. 2011a). In 2010 a total of 453 outpatient psychiatric departments and units reported having patients who used legal or illegal drugs. As these wards and facilities include all outpatient facilities that treated at least one patient, these are not solely specialised AT clinics. Compared to 2009, the number of these healthcare facilities increased by 107 (i.e. nearly 31%); see Table 5-3. This high increase is mainly due to the thorough collection of data from facilities that treated even just a single patient with the primary diagnosis of F10–F19. Growth was especially evident among outpatient facilities that treated a maximum of 50 patients in 2010 (from 147 in 2009 to 258 in 2010); see Table 5-4. A total of 428 outpatient facilities had patients using alcohol on record. Nearly 79% of these facilities were specialised psychiatric services, while 10% of the facilities were located in the outpatient areas of a hospital. A total of 370 outpatient facilities cared for users of illegal addictive substances, with nearly 78% of these being psychiatric clinics and almost 10% being located in the outpatient areas of a university hospital or emergency care hospital; see Table 5-5. The greatest percentage of out-patient facilities caring for addictive substance users were in Prague (17%), South Moravia (13%), and Moravia-Silesia (12%). Clinics with over 300 patients on record were predominantly located in Prague (11 out of 29 clinics) and in the Moravia-Silesia region (6 clinics); see Table 5-6 (Nechanská, 2011c). page 58
Page 1:
Annual Report The Czech Republic 20
Page 5 and 6:
Annual Report: The Czech Republic -
Page 7 and 8:
PART B: SELECTED ISSUES............
Page 9 and 10:
In 2010 the very first representati
Page 11 and 12:
In the Czech Republic, the treatmen
Page 13 and 14: PART A: NEW DEVELOPMENTS AND TRENDS
Page 15 and 16: ange applies to addictologists who
Page 17 and 18: Republic has been reporting the hig
Page 19 and 20: Wenceslas Square and in the surroun
Page 21 and 22: Regions of the Czech Republic to ca
Page 23 and 24: Region Pardubice Vysočina South Mo
Page 25 and 26: educe drug supply (particularly to
Page 27 and 28: Map 1-1: 2010 drug policy expenditu
Page 29 and 30: Total state budget Regions Table 1-
Page 31 and 32: 1.3.2 Drug Treatment Costs Incurred
Page 33 and 34: Table 1-9: Costs incurred by health
Page 35 and 36: 2 Drug Use in the General Populatio
Page 37 and 38: Table 2-2: Prevalence rates of use
Page 39 and 40: The M-CIDI questionnaire, containin
Page 41 and 42: Table 2-6: Prevalence rates of use
Page 43 and 44: Figure 2-2: Attitudes towards crimi
Page 45 and 46: Table 2-7: Prevalence of use of can
Page 47 and 48: Table 2-8: 2010 Safer Party clients
Page 49 and 50: school curriculum and school rules;
Page 51 and 52: partly also by regional public heal
Page 53 and 54: 3.4 Indicated prevention Indicated
Page 55 and 56: 4 Problem Drug Use The EMCDDA defin
Page 57 and 58: Table 4-2: Prevalence estimates of
Page 59 and 60: Table 4-4: Prevalence estimates of
Page 61 and 62: The general population studies (see
Page 63: Information on treatment and counse
Page 67 and 68: Table 5-6: Number of outpatient hea
Page 69 and 70: Table 5-8: Number of healthcare fac
Page 71 and 72: The proportions found for prescribi
Page 73 and 74: Map 5-2: Sobering-up station networ
Page 75 and 76: Table 5-14: Network of inpatient fa
Page 77 and 78: care centres report to diagnostic i
Page 79 and 80: cannabis, especially among adolesce
Page 81 and 82: Map 5-4: Number of all treatment de
Page 83 and 84: Figure 5-8: Selected characteristic
Page 85 and 86: 5.3.3.2 Clients in Opiate Substitut
Page 87 and 88: Figure 5-10: Trends in the capacity
Page 89 and 90: Table 5-23: Number of hospitalisati
Page 91 and 92: Table 6-1: Number of newly detected
Page 93 and 94: Figure 6-5: Reported incidence of s
Page 95 and 96: The monitoring of testing for infec
Page 97 and 98: Table 6-8: Results of testing for H
Page 99 and 100: Table 6-9: Sharing of needles and s
Page 101 and 102: tests for cannabis; see Table 6-12.
Page 103 and 104: Pervitin was the cause of a fatal o
Page 105 and 106: Table 6-15: Deaths with the presenc
Page 107 and 108: Table 6-17: Fatal drug overdoses in
Page 109 and 110: Figure 6-13: Comparison of trends i
Page 111 and 112: 7 Responses to Health Correlates an
Page 113 and 114: Table 7-2: Selected services of low
Page 115 and 116:
Map 7-2: Number of needles and syri
Page 117 and 118:
Table 7-8: History of HBV, HCV, and
Page 119 and 120:
8 Social Correlates and Social Rein
Page 121 and 122:
Altogether, 987 clients (610 of the
Page 123 and 124:
9 Drug-Related Crime, Prevention of
Page 125 and 126:
Table 9-2: Number of persons arrest
Page 127 and 128:
Figure 9-1: Total number of persons
Page 129 and 130:
Table 9-7: Sentences and other meas
Page 131 and 132:
Table 9-9: Drug-related misdemeanou
Page 133 and 134:
in custody, and 8 being the inmates
Page 135 and 136:
(approximately 0.5%). However, only
Page 137 and 138:
Table 9-15: NGOs providing drug ser
Page 139 and 140:
Supported by the National Focal Poi
Page 141 and 142:
was rather bizarre. For example, th
Page 143 and 144:
shut down by the authorities. The l
Page 145 and 146:
the regional police headquarters on
Page 147 and 148:
conduct research in the area of pen
Page 149 and 150:
Republic for the Period 2011-2012 f
Page 151 and 152:
departments) or by the external pro
Page 153 and 154:
more than 10 clients, etc. This is
Page 155 and 156:
12 Drug Users with Children The aim
Page 157 and 158:
Childbirth and the National Registe
Page 159 and 160:
Table 12-2: Total number of mothers
Page 161 and 162:
(diagnostic institutions), and reha
Page 163 and 164:
12.3.2 Helping Services Help to chi
Page 165 and 166:
13 Cross-border Travel, Drug Use, a
Page 167 and 168:
ethnic minorities in the Czech Repu
Page 169 and 170:
LIST OF TABLES Table 1-1: Overview
Page 171 and 172:
Table 9-10: Criminal offences commi
Page 173 and 174:
SELECTED DRUG-RELATED WEB PAGES ON
Page 175 and 176:
2005-2009 National Strategy - Natio
Page 177 and 178:
ministry, 18, 41, 42, 115 ministry
Page 179 and 180:
Generální ředitelství Vězeňsk
Page 181 and 182:
Mravčík, V., Zábranský, T., Kor
Page 183 and 184:
Policie ČR (2011) Statistické př
Page 185 and 186:
Van den Berg, C., Smit, C., Van Bru
show all

The Czech Republic Annual Report 2010 Drug ... - Drogy-info.cz

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?