The Netherlands Drug Situation 2010 - Trimbos-instituut

mated 250 to 1,150 detainees in the prison system with triple problems. A personwith triple problems will enter the prison system 920 to 4,300 times annually.Characteristics cannot be given accurately either. But from the literature and the expertsit follows that this group usually also has problems in areas of housing andwork, relationships and finance. The criminal career is often extensive. The motivationto accept care and supervision is often low.Clients themselves often have a need for practical support in, for example, housingand finance. According to care providers, however, the primary need for care lies withaddiction and psychiatric problems.The desired care offer should contain the following elements:o Sound diagnostics at an early stage, with instruments adjusted to the level ofclients and to the complexity of the problem. Diagnostic tests should be regularlyrepeated in order to deal with changes.o A sustained support structure is necessary because of the largely chronic nature ofthe problems.o There should be intensive and continuous supervision; the care should have a 24-hour nature.o It is important to continuously seek alignment with the motivation and the possibilitiesof the clients.o Integrated treatment or care should be offered, whereby the various problems aredealt with simultanuously.o There should be a safety net in the event of a crisis or relapse to substance abuse.The current offer of care is not sufficient. Several existing forms of intervention arecurrently being adjusted for the target group. Some programmes are promising, butmost of the programmes are far from fully developed.9.3.2 Other interventions in the criminal justice systemBesides alternatives to imprisonment and forensic care, the following services and judicialmeasures are applicable for drug users (and other offenders) in the criminal justice systemin 2009/2010: Addiction probation services; (Reintegration) programs and facilities in prisons, amongst which basic medical andmental health care; The Measure of Placement in an Institution for Prolific Offenders (ISD); Aftercare.Addiction Probation ServicesAddiction Probation Services registered 18,878 clients in 2009. On December 31 2009,they had more than 15,800 clients in their files (www.svg.nl). The mean age of these clients is 37.6 years. 92% is male. Most (83%) have the Dutch nationality.For the majority of clients more specific data are available, among other things abouttheir primary problem drug and their use of addiction care or addiction probation (table9.3.2) Most of the clients have a primary alcohol problem. This proportion is increasing. Of the clients with a primary drugs problem, cocaine is the main problem. Opiates is second – and decreasing.134