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

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Figure 5.1<br />

Number of people entering drug treatment in 2009, by age and type of service<br />

Number of clients since 2009<br />

1 950<br />

1 800<br />

1 650<br />

1 500<br />

1 350<br />

1 200<br />

1 050<br />

900<br />

750<br />

600<br />

450<br />

300<br />

150<br />

0<br />

56<br />

18<br />

33<br />

6<br />

1 645<br />

1 474<br />

1 259<br />

1213<br />

1 010<br />

957<br />

789<br />

753<br />

701<br />

562<br />

530<br />

442<br />

257 262<br />

160<br />

116 133<br />

138 106 125<br />

14 or younger 15-19 years 20-24 years 25-29 years 30-34 years 35 or older<br />

Short-term c<strong>on</strong>tacts (n = 6 233) Low-threshold services (n = 663)<br />

L<strong>on</strong>g-term outpatient treatment (n = 4 187) L<strong>on</strong>g-term inpatient treatment (n = 1 662)<br />

Source: GÖG/ÖBIG <strong>2010</strong>a, DOKLI analysis of client year 2009; representati<strong>on</strong> by GÖG/ÖBIG<br />

In <strong>the</strong> traditi<strong>on</strong>al treatment settings (l<strong>on</strong>g-term outpatient or inpatient treatment),<br />

opioids predominate as primary drugs 24 . Cocaine c<strong>on</strong>tinues to be irrelevant as far as<br />

primary drugs are c<strong>on</strong>cerned (see Figure 5.2 and Table A26 in Annex A). This shows<br />

that in Austria, different to a number of o<strong>the</strong>r countries of <strong>the</strong> European Uni<strong>on</strong>, opioids<br />

24<br />

For compiling <strong>the</strong> DOKLI case history, clients are first asked to name all drugs <strong>the</strong>y have ever taken. Then <strong>the</strong><br />

drugs menti<strong>on</strong>ed are classified according to current patterns of use, as primary drugs, additi<strong>on</strong>al drugs, drugs<br />

<strong>on</strong>ly taken in <strong>the</strong> c<strong>on</strong>text of experimental use and drugs not relevant for treatment. The primary drug is <strong>the</strong><br />

drug which causes <strong>the</strong> greatest problems from <strong>the</strong> pers<strong>on</strong>al point of view of <strong>the</strong> client. Here, problems – <strong>on</strong> <strong>the</strong><br />

basis of ICD 10 – are understood as psychosocial and health-related problems and not solely legal problem<br />

situati<strong>on</strong>s. As a rule, <strong>the</strong> primary drug is <strong>the</strong> drug because of which <strong>the</strong> client has started <strong>the</strong> current treatment.<br />

If a client cannot decide which drug is <strong>the</strong> primary drug, several drugs may be named. Additi<strong>on</strong>al drugs are<br />

drugs which <strong>the</strong> client has used in additi<strong>on</strong> to <strong>the</strong> primary drug in <strong>the</strong> past six m<strong>on</strong>ths and which also c<strong>on</strong>stitute<br />

a problem for <strong>the</strong> client. Experimental drug use refers to intermittent use of <strong>the</strong> corresp<strong>on</strong>ding drug in <strong>the</strong> past<br />

six m<strong>on</strong>ths without harmful use or manifest addicti<strong>on</strong> problems. <strong>Drug</strong> use not relevant for treatment means<br />

that <strong>the</strong> drug in questi<strong>on</strong> has occasi<strong>on</strong>ally been taken over a period of more than half a year but no harmful use<br />

or manifest addicti<strong>on</strong> problems show, or that <strong>the</strong> drug was used in <strong>the</strong> past but not during <strong>the</strong> six-m<strong>on</strong>th<br />

period preceding treatment (GÖG/ÖBIG <strong>2010</strong>a).<br />

Chapter 5 / <strong>Drug</strong>-related Treatment: Treatment Demand and Treatment Availability 45

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