The Netherlands Drug Situation 2010 - Trimbos-instituut

Cannabis ranks third and seems to be rising slowly.The problems have existed for a long time for most of the clients; 36% suffered fromalcohol or drug problems for more than 10 years. It should be noted that this informationis not available for 23% of the clients – this percentage is much higher than inthe years before.More than one third of the clients make alternating use of voluntary addiction care oraddiction probation services.Table 9.3.2: Clients of addiction probation services 2002-2009Clients: 2002 2003 2004 2005 2006 2007 2008 2009Total number of clientsI 12,356 13,635 14,100 13,234 16,385 15,914 14,674 14,816Primary problem is alcohol38% 40% 42% 46% 47% 47% 48% 50%Primary problem is opiates24% 21 19% 16% 15% 14% 14% 12%Primary problem iscocaine/crack27% 27% 26% 24% 23% 23% 23% 22%Primary problem is cannabis6% 7% 7% 8% 8% 9% 9% 9%Duration of problems ≥10 years44% 43% 43% 43% 43% 42% 41% 36%Alternating use voluntarycare/probation services35% 36% 36% 36% 37% 37% 38% 38%Source: Information Services for Addiction Care/SIVZ, 2010.The activities of Addiction Probation Services 2002-2009 are shown in table 9.3.3. Overall,there is a rising number of activities and client contacts.Most remarkable findings are: Supervision of clients, diagnoses of clients and the writing of advisory reports werecarried out most often in 2009, as was the case in 2008. Diagnoses are carried out (partly) by using the standard instrument RISc (Risk AssessmentScales, Risico Inschattings Schalen). A RISc-assessment was carried outmore than 5,700 times in 2009. In addition, more detailed and deeper screening canbe carried out, in order to come to an adequate indication for care or cure. With regardsto this, a new instrument (MATE-Crimi) was piloted (Zeegers et al. 2009). Thisinstrument aims at improved indications of drug users in the criminal justice system.Implementation is continued in 5 addiction care institutions.135