The Netherlands Drug Situation 2010 - Trimbos-instituut

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Figure 4.1.1: Estimated number of problem opiate users in Amsterdam by country oforigin10000800060004000200001985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009Born in the NetherlandsBorn in Surinam, the Netherlands Antilles, Morocco or TurkeyBorn elsewhereTotalProblem opiate users: those users who have medical and/or judicial problems and/or have difficulties controllingtheir addiction. The estimates are based on a 2-sample capture-recapture analysis applied to data from theCentral Methadone Register (CMR). Source: Municipal Health Service Amsterdam.4.2 Data on problem drug users from non-treatment sourcesParagraph 4.1 above already introduced the data base about a field sample of 572 sociallymarginalized problem hard drug users. This data base is officially called the "Data baseproblem hard drug users 2008" (in Dutch: "Database problematische harddrugsgebruikers2008"). The data base is operated by the Trimbos Institute, and is a compilation ofunderlying data bases. The Municipal Health Service Amsterdam (GGD Amsterdam) suppliedthe data for the city of Amsterdam (Buster et al. 2009), the Addiction Research InstituteRotterdam (IVO) supplied the data for the cities of Rotterdam (Schoenmakers etal. 2009b) and The Hague (Schoenmakers et al. 2009a), and finally Bureau INTRAVALdelivered the data for the cities of Utrecht, Groningen, Enschede, Eindhoven, and Heerlen(Biesma et al. 2009).It was found that from the 572 problem drug users, a majority of 441 problem drug users(77.1%) had been in treatment during the past year at an institute for addiction carethat delivers data to the National Alcohol and Drugs Information System (LADIS). The55
emaining 131 problem hard drug users (22.9%) did not receive such addiction care duringthe past year. To avoid any misunderstanding, almost all these problem drug userswill have received some form of social relief at low-threshold services, but those servicesdo not yet deliver data to the LADIS. Compared to the Treatment Demand Indicator(TDI), the data from these 131 problem drug users therewith offer additional data from anon-treatment source.By means of variables like "substance", "gender", "age group", and so forth, differentgroups of problem drug users can be distinguished. For some different groups of drugusers, table 4.2.1 gives the respective proportions that have received addiction care duringthe past year.56
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Margriet van Laar, Guus Cruts, Andr
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ColophonThis National Report was su
Page 6: PREFACEThe Report on the Drug Situa
Page 9 and 10: 9.6 New developments 14110 Drug mar
Page 11 and 12: these groups are relatively scarce.
Page 13 and 14: oasted by means of programs to prev
Page 16: Part A: New developments and trends
Page 19 and 20: Regulation Opium Act Exemptions (mi
Page 21 and 22: Medicinal cannabisOn 6 October 2009
Page 23 and 24: The Public Administration Probity S
Page 25 and 26: local circumstances into account. T
Page 27 and 28: The police district of West and Cen
Page 29 and 30: treatment for drug addiction. "Labe
Page 32 and 33: 2 Drug use in the population2.1 Dru
Page 34 and 35: Table 2.1.3Annual prevalence and nu
Page 36 and 37: Cannabis and age (of onset)Figure 2
Page 38 and 39: ment of regular cannabis use (4 or
Page 40 and 41: Table 2.3.1Prevalence (%) of substa
Page 42 and 43: the ecstasy (see also § 10.3), som
Page 44 and 45: Table 2.3.2Prevalence of substance
Page 46 and 47: 3 PreventionIntroductionIn the Neth
Page 48 and 49: CVGU). this Centre will support loc
Page 50 and 51: friends list in Windows live Messen
Page 52: entiate for group characteristics l
Page 55: in the number of problem opiate use
Page 59 and 60: The largest difference in the propo
Page 61 and 62: Logistic regression analysis showed
Page 64 and 65: 5 Drug-related treatment: treatment
Page 66 and 67: National performance indicatorsAn i
Page 68 and 69: From May 2010 FACT will be offered
Page 70 and 71: using cannabis, it is developed by
Page 72 and 73: clients received treatment in Amste
Page 74 and 75: Figure 5.3.1: Distribution of new c
Page 76 and 77: Figure 5.3.3: Gender distribution b
Page 78: Table 5.3.1: Clinical admissions to
Page 81 and 82: In 2009, 692 new HIV diagnoses were
Page 83 and 84: Other risk behaviour included tatto
Page 85 and 86: Of the 168 new AIDS diagnoses in 20
Page 87 and 88: The Municipal Health Service (GGD)
Page 89 and 90: addiction care centre (hepatitis B
Page 91 and 92: o Chronic carriership was found in
Page 93 and 94: (4%), and hallucinogenic mushrooms
Page 95 and 96: Table 6.2.2: Information requests r
Page 97 and 98: 6.3 Drug-related deaths and mortali
Page 99: Figure 6.3.2: Trends in age distrib
Page 103 and 104: Figure 7.2.1 Number of syringes exc
Page 105 and 106: The expert group also discussed the
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Iriszorg is further experimenting w
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In line with the national policy th
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"The proportions of non-Western eth
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drugs. However, there is a narrow b
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Table 8.2.1: Programs for social re
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Evaluation researchFor the city of
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and 2009 has found that hostels rol
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against money laundering and other
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Table 9.1.1: Investigations into mo
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amounts, which are considered as me
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Opium Act offenders in prisons (fig
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cases is increasing. The proportion
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property crimes is decreasing, wher
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country. They offer a combination o
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mated 250 to 1,150 detainees in the
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Table 9.3.3: Types of assistance of
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Figure 9.3.1: Number of persons per
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It is important that detainees are
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The coming Law on Compulsory Mental
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Over half (53%) of the coffee shops
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Research on organised crime shows t
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Table 10.2.1: Number of dismantleme
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Table 10.3.2: Content of tablets so
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caine samples solely contained anot
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nabidiol (CBD) - in contributing to
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156
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11 History, methods and implementat
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diction care was published in 1997
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example, there may be a climate in
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tion transfer between physicians an
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methadone treatment, and guidelines
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11.3.1 Implementation of guidelines
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Institute for Quality in Health Car
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For most guidelines, the rate of im
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The question has remained how to im
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Name of Assessors: André van Gagel
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WHO guidelines coherence: only to b
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Figure 12.1.1:Number of deaths amon
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were about 341 deaths among the pro
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Part C: Bibliography and annexes185
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13 Bibliography13.1 ReferencesAarts
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Burns, T., Fioritti, A., Holloway,
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De Jong I, Dijkstra M, Van der Poel
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Ganpat, S., Wits, E., Schoenmakers,
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Ivens, Y. and Wittenberg, S. (2008)
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Malmberg, M., Overbeek, G., Monshou
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RIEC (2009). Bestuurlijke aanpak va
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Smolders, M., Laurant, M., Van Duin
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T.K.24077-255. Tweede Kamer der Sta
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T.K.32159-5. Tweede Kamer der State
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Van den Berg C, et al. (2007). Majo
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Van Veldhuizen, J.R. (2007). FACT:
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13.2 Alphabetic list of relevant da
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LMR, Landelijke Medische Registrati
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13.3 List of relevant internet addr
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http://www.tactus.nl/http://www.ggz
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Table 9.1.1: Investigations into mo
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14.3 List of abbreviations used in
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PPCRIOBRIScRIVMROMSCPSHMSOVSRMSTISV
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The Netherlands Drug Situation 2010 - Trimbos-instituut

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