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

5.3.3.2 Clients in Opiate Substitution Treatment
In 2010 there were 2,113 persons in treatment (1,500 males and 613 females) aged 17 to 58 and registered in the
Substitution Treatment Register. The oldest patients were males. The trend since 2000 is presented in detail in Table
5-19. In comparison to 2009, the number of patients in treatment in the Substitution Treatment Register increased by
565 clients (+37%). Over half of the people treated in 2010 were aged 30–39, and nearly 38% were aged 20–29. In
the study year there was also an increase in the number of people aged 30–39 (up nearly 4%) and a decline in the
number of people aged 20–29. Less than 1% of patients were under 20. The average age of people in treatment
was 31.1 in the study year, with males being an average of 2.5 years older than females (32.0 and 29.5 years old,
respectively). The average duration of treatment (treatment episode) in 2010 was 690 days, which was the same for
both males and females. The largest number of people in treatment was reported by Remedis, s.r.o., a facility based
in Prague (440 people, a fifth of the total number of people in treatment in the Czech Republic), followed by the
Masaryk Hospital in Ústí nad Labem (343 people, i.e. over 16%), Drop-In (235 people, 11%), Podané ruce
association (181 people, 9%), and a psychiatric outpatient facility and alcohol/drug treatment outpatient facility in
Prague (176 people, 8%).
In 2010 nearly two thirds of the persons in treatment recorded in the Substitution Treatment Register were treated
with buprenorphine (1,369 people), with nearly three quarters receiving Subutex ® (1,054 people) and one quarter
receiving Suboxone ® (315 people). The remaining 744 people received methadone; see Table 5-19.
Substitution treatment was started 1,160 times among a total of 1,023 people in 2010, with 631 (61.7%) of these
entering substitution treatment for the first time in their lives 81 . In total, treatment was terminated 615 times among a
total of 507 people (364 males and 143 females) in 2010, which is a fifth more than in 2009; see Table 5-19. The
average duration of all terminated treatments was 499 days, being 517 days among males and 453 days among
females (Nechanská et al. 2011; Nechanská, 2011g).
The number of patients in substitution treatment rose in all regions. The greatest absolute growth was among people
residing in Prague, Central Bohemia, and South Moravia. The greatest percentage growth was among people
residing in the Pilsen region, up nearly fivefold from 2009 (from 12 to 58 people). The most likely main cause of this
was the introduction of substitution treatment at a new methadone centre in Pilsen. The figure also more than
doubled for people residing in South Bohemia (from 43 to 88 people); see Figure 5-9.
Table 5-19: Trends in persons in treatment, reported and terminated treatment cases in the Substitution Treatment
Register by gender, 2000–2010 (Nechanská et al. 2011; Nechanská, 2011g)
Number of
Number of new
Number of persons in treatment
terminated
treatment cases
Year
treatment cases
Males Fem. Total
Treated with
Methadone Buprenorphine
Males Fem. Total Males Fem. Total
2000 173 72 245 245 0 207 86 293 72 30 102
2001 369 164 533 510 23 374 167 541 261 107 368
2002 393 167 560 511 49 265 106 371 265 110 375
2003 557 232 789 520 269 499 183 682 345 115 460
2004 605 261 866 546 320 375 136 511 430 159 589
2005 578 247 825 571 254 438 150 588 395 135 530
2006 652 286 938 586 352 455 175 630 378 145 523
2007 719 319 1,038 605 433 403 157 560 378 143 521
2008 949 407 1,356 689 667 621 266 887 389 179 568
2009 1,089 466 1,555 686 869 530 225 755 354 154 508
2010 1,500 613 2,113 744 1,369 830 330 1,160 445 170 615
81
Patients entering substitution treatment more than once is no exception. Of the 1,023 people who entered a treatment programme in
2010, two reported treatments in the year under monitoring were on record among 91 people (9%), 15 people had reported entering
treatment three times, four people entered treatment four times, one client entered five times, and the remaining 912 people (89%) had
only one commencement of treatment on record. There was an average of 1.2 attempts at treatment per person in 2010.
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