F-ACTによるドラッグユーザー支援
- 徐淑子
- 2016年6月5日
- 読了時間: 2分
Trimbos Institut (2013) Harm Reduction in Nederland
第３部Deel C) Harm Reduction binnen (F)ACT-teamsより
Key findings: • Among the clients (F) ACT teams are also clients who are dealing with addiction or abuse of alcohol and drugs. • In a part of the surveyed teams used a large part of the clients hard drugs, but only a small number of them injecting drug users. • Methadone and buprenorphine are also prescribed by mental health teams, small numbers of clients. • The term Harm Reduction is very broadly interpreted by (F) ACT team leaders and drawn much broader than just limiting the negative effects of drugs use. • There is screened standard with all teams surveyed somatic problems. • There is hardly tested standard teams by mental health care for infectious diseases and STDs, even teams with a lot of hard drug users. Teams from addiction
(F) ACT teams focus on people with long-term or permanent severe mental illness. This means that clients with alcohol and drug addiction (or abuse) to the target group of this teams belong. (F) ACT teams focus on a very large group of customers bringing the total to more Specialist (F) ACT teams have emerged, which focus on forensic clients, young people, first psychosis or addicts. This specialization is one of the reasons that the percentage of clients who used hard drugs really can change a team. There are teams with no hard drug user, and there are teams whose half or more of the clients hard drugs used. Slightly less than a third of the total client population of the surveyed teams use hard drugs, but the number of injecting drug users is very small. Team leaders report that they never many injecting drug users have had among their clients ((F) ACT teams are a fairly recent construction) and they see further gradual reduction in the group. On the other hand, they show an increase of more complex (Inter alia dual diagnosis) problems, more young people and more young men (30-40 years) to hard drugs using clients. Clients increasingly use cocaine, amphetamine / speed, GHB and is seen an increase in poly-drug use. The execution of a opiaatonderhoudsbehandeling by (F) itself ACT-teams is not common but does of that. This involves methadone and buprenorphine, and the case of small numbers of clients (excluding the FACT team BoumanGGZ, which is organized by substance abuse). The guideline Opiaatonderhoudsbehandeling (RIOB) is hereby not always or only partially used and does not be well known outside of the addiction