Report on the Drug Situation 2010 - Bundesministerium fÃ¼r ...

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ISBN-13 978-3-85159-153-8 Owner, editor and publisher: Gesundheit Österreich GmbH, Stubenring 6, 1010 Vienna, Austria. Phone +43 1 515 61; fax 513 84 72; e-mail: firstname.lastname@goeg.at; website: www.goeg.at Environmentally friendly publication: this report has been printed on paper bleached without chlorine and without optical brighteners.
Summary National reports on the drug situation in Austria are drawn up annually for the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) and the Federal Ministry responsible for health affairs. They deal with the subject of illicit drugs. This report gives an overview of current developments regarding the political and legal framework, the epidemiological situation and demand reduction interventions in the reporting period 2009/10. Every year specific issues are also highlighted; for this report, the history, methods and implementation of national treatment guidelines as well as the cost of drug-related treatment in Europe have been selected. Summary and discussion of the most important trends Drug Policy: Legislation, Strategies and Economic Analysis In 2009 the Narcotic Drugs Decree was amended in order to modify the framework of opioid substitution treatment on the basis of the recommendations made last year. The amendments primarily relate to diagnosing and indication as well as take-home substitution medicines. The Further Training Decree also saw an amendment: now a distinction is made between doctors responsible for indication and doctors who deliver subsequent treatment, and the Austrian Medical Association is in charge of organising further training. Once again, prevention of drug-related deaths and opioid substitution treatment were among the focal themes of the drug policy discussion. Funding of drug treatment and support centres was another important topic. In several provinces, new addiction plans or programmes are under preparation but have not been adopted yet. Drug Use in the General Population and Specific Target Groups No new data on estimates of drug use are available, but more details can be given of the representative study on drug use in the general population carried out in 2008 as well as the ESPAD school survey of 2007: experience of illicit drug use differs according to gender and region, with above-average lifetime prevalence rates among men in urban areas with more than 50 000 inhabitants. The quitting rate is considerably higher for all illicit substances than for alcohol and nicotine, which confirms that use of illicit substances is a temporary phenomenon limited to certain stages in life. A qualitative survey carried out for validation shows that the questionnaire of the ESPAD survey needs to be revised (shortened, restructured and rephrased). Summary III
Page 1: Report on the Drug
Page 6 and 7: Prevention The trend towards drawin
Page 8 and 9: hardly known. This makes it impossi
Page 10 and 11: 6 Health Correlates and Consequence
Page 12 and 13: Tables and Figures Tables Table 6.1
Page 14 and 15: Table A22 Table A23 Table A24 Table
Page 16 and 17: Figure 9.1 Figure 9.2 Figure 9.3 Fi
Page 19: Part A New Developments and Trends
Page 22 and 23: The amendment to the Narcotic Drugs
Page 24 and 25: deaths (see GÖG/ÖBIG 2009b) conti
Page 26 and 27: In the reporting period, no new dev
Page 28 and 29: 2.1 Drug use in the general populat
Page 30 and 31: The quitting rate 3 is considerably
Page 32 and 33: Figure 2.2 Experience of cannabis u
Page 34 and 35: described on the individual website
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Page 38 and 39: theme of the Gesunde Gemeinden (hea
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Page 42 and 43: support if needed. The project is i
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Page 48 and 49: 5 Drug-related Treatment: Treatment
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Map 5.2 Specialised providers of ou
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cooperation structures linking the
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events are organised, and on the ot
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5.3 Characteristics of treated clie
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play the most important role in the
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existing treatment system who do no
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5.4 Trends of clients in treatment
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Figure 5.7 First substitution treat
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6 Health Correlates and Consequence
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Table 6.1 Data on hepatitis B, hepa
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ange from affective disorders (e.g.
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Figure 6.1 Share of directly drug-r
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In the EMCDDA working group on coho
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7 Responses to Health Correlates an
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7.2 Prevention and treatment of dru
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distribution of condoms) is provide
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information on the risks of additio
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While smaller shares of women state
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Map 8.1 Specialised providers of in
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The Lighthouse housing project of M
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empowerment that had been aimed at,
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handling of drugs: Section 27 of th
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also shows regarding prison sentenc
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Stadtpark, and Westbahnhof station.
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mation on final convictions because
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practitioners and psychiatrists). I
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10 Drug Markets The substance most
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head shop in Graz (Styria) in Augus
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(from 2005 to 2008, the correspondi
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Part B Selected Issues
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national quality standards for medi
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Also, both at federal and provincia
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Table 11.1, continued Title and yea
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Plans for new guidelines and standa
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12 Cost of Drug-related Treatment T
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centres so far (Schweizer Haus Hade
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greatest percentage of the respecti
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(e.g., days of hospital stay becaus
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Bibliography APA 2010. AIDS 2010. W
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EMCDDA 2000. Treatment demand indic
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Haas, S. (2005). Problembewusste Fr
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Pont, J.; Wool, R. (2006). Ein Leit
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VIVID 2010. Jahresbericht 2009. VIV
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Personal Communications (alphabetic
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Caritas Marienambulanz. Drug relate
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Low threshold service Ganslwirt (Ve
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Viennese pilot project “Pregnancy
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Lower Austria: Fachstelle für Such
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Caritas Innsbruck http://www.carita
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Otto-Wagner-Spital — Drogeninstit
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Annex A. Tables, Map B. List of Abb
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Table A1 Overview of selected gener
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Table A2, continued Study (author(s
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Table A5 Number of directly drug-re
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Table A7 Distribution of directly d
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Table A11 Distribution of reports o
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Table A15 Final convictions under t
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Table A18 Seizures of narcotic drug
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Table A22 Persons starting drug tre
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Table A29 Current health problems o
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The programme plus is implemented i
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Proven regional interventions run f
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Table A34 Austrian population stati
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Annex B List of Abbreviations
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HCV HCV-Ab HCV-RNA HIV ICD-10 IFES
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List of Standard Tables of 2010 and
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