ANNUAL REPORTS QUESTIONNAIRE FOR 1992

PART II: DRUG ABUSE: SECTION 3

                      TREATMENT AND REHABILITATION

            Please provide the name, address, telephone and telex numbers of the person responsible for national drug abuse data in your country.

Name:                                                                                                        

Title/Position:                                                                                             

Organization:                                                                                              

Address:                                                                                                     

Telephone:                                  Telex:                          Telefax:                    

Cable address:                                                                                              

            Please provide the name, position, address, telephone number and telex number of the technical person responsible for the completion of Section 3.

Name:                                                                                                        

Title/Position:                                                                                              

Address:                                                                                                     

Telephone:                                 Telex:                          Telefax:                     

                                Target 29.  Towards a policy of treatment

1.         Is there a national body responsible for coordinating treatment programmes for drug addiction?                                                                                                      Yes   ¨   No   ¨

            If Yes, please give details.

            Name: ______________________________________________________________________

            Year  of  establishment: _______________________________________________________

            Membership:  ________________________________________________________________

            ____________________________________________________________________________

            ____________________________________________________________________________

            Terms   of   reference: ________________________________________________________

            ____________________________________________________________________________

2.         Please outline briefly the treatment and rehabilitation policy  followed in your country.

3.         Has international assistance in formulating a national policy been provided?
                                                                                                                        Yes   ¨   No   ¨

            If Yes, please provide the following information.

4.         If international assistance were available what form should this take to enable you to fulfill Target 29?

5.         Detail the practical difficulties experienced in fulfilling Target 29.

                   Target 30.  Inventory of available modalities and techniques
                                         of treatment and rehabilitation

1.         Do you have an inventory of treatment facilities (including their capacities and locations) at the following levels?  Please also state to whom this inventory is distributed.

2.         Are there standardized record keeping systems in treatment facilities? Yes  ¨  No   ¨

3.         Indicate the number of treatment facilities and the number of patients treated for drug abuse in those facilities. If treatment data are not classified by facility type, please use the Totals row.  If 1992 treatment data are not available, use data for the most recent year and indicate the year in the space provided.  Data are for Year ______

            If data are not available at a national level please extrapolate from data which are available.

4.         Do you have an inventory of rehabilitation programmes (including their capacities and locations) at the following levels? Please also state to whom this inventory is distributed.

5.         Are there standardized record keeping systems for rehabilitation programmes?
                                                                                                                        Yes   ¨   No   ¨

            If Yes, please enclose an example.

6.         Please fill in the following table with statistics on treatment and rehabilitation of drug abusers.  Count each individual only once for his/her primary drug of abuse.

7.         Are any treatment outcome studies conducted?                                  Yes   ¨   No   ¨

            If Yes, will you please provide the following information? (Use a new page for each study)

Survey/Study Title  _____________________________________________________________

Carried  out  by  _______________________________________________________________

Objectives:  ___________________________________________________________________

Type of treatment service studied _________________________________________________

Methodology (e.g. interview, self report study) ______________________________________

Sample Size  __________________________  Sample Type  ___________________________

Characteristics of Subjects (e.g., heroin addicts)  ____________________________________

Main   Conclusions   ____________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

8.         What criteria have been used or are considered appropriate to use, as measures of treatment and rehabilitation success? (Please, if possible, indicate order of importance.)

9.         Has international assistance in establishing the nature, extent and effectiveness of treatment programmes been provided?                                                        Yes    ¨   No   ¨

            If Yes, please give details.

10.       If international assistance were available what form should this take to enable you to fulfill Target 30?

11.       Detail the practical difficulties experienced in fulfilling Target 30.

                     Target 31.  Selection of appropriate treatment programmes

1.         Indicate which of the following programmes are available to drug abusers in your country, and for which specific groups of people they are most appropriate.

2.         If maintenance or detoxification programmes are available, please describe briefly the regime (length of time in the programme, to whom available, approximate numbers treated each year, effectiveness of the programme).

3.         Have recent treatment approaches changed or modified according to changed patterns of drug abuse?                                                                                                            Yes  ¨   No   ¨

            If Yes, please provide details

4.         Do you have any estimates of the costs to the country of the treatment of drug addicts?
                                                                                                                          Yes    ¨   No   ¨

            If Yes, please give details.

5.         Does your country have any health insurance schemes which cover the expenses of treatment and rehabilitation?                                                                                        Yes    ¨    No   ¨

6.         Please indicate which categories or groups of people are not eligible for either free treatment, or covered by insurance schemes.

7.         Has international assistance been provided in assessing the appropriateness of various treatment programmes?                                                                              Yes   ¨   No   ¨

            If Yes, please give details.

8.         If international assistance were available what form should this take to enable you to fulfill Target 31?

9.         Detail the practical difficulties experienced in fulfilling Target 31.

                    Target 32.  Training for personnel working with drug addicts

1.         Which kind of medical/paramedical and social service staff deal with drug addicts?  Which of these groups are provided with post training programmes?

2.         Has international assistance in fulfilling this target been provided?  Yes ¨  No ¨

            If Yes, please give details

3.         If international assistance were available what form should this take to enable you to fulfill Target 32?

4.         Detail the practical difficulties experienced in fulfilling Target 32.

                      Target 33.  Reduction of the incidence of diseases and the
                      number of infections transmitted through drug-using habits

1.         If data are available, what is the proportion of intravenous drug abusers among the drug addicts in your country? ___________%.

2.         Are drug related morbidity data reported at the following levels? If Yes, please provide the year when the reporting system was established, and the bases of the reports.

            If data are not reported at a national level, please extrapolate from data that are available, but state the base from which it is made _______________________________

3.         Indicate the total number of cases ever recorded for the diseases listed. Please also indicate the number of new cases of each disease for the past calendar year and the percentage of new cases that were due to injected intravenous drug abuse (IVDA) both directly -- needle sharing, and indirectly -- transmission by sexual contact with an IVDA.  For these new cases indicate the injected drugs most frequently associated with the morbidity, and the percentage distribution of cases by sex. 

            If data are not available for 1992, use data for the most recent year and list that year in the space provided.  Data are for year ___________

(*)           People recorded as suffering from the acquired immunodeficiency syndrome (AIDS), which is stage IV of the human immunodeficiency virus (HIV), should not be included in the figures for those with HIV infection.  The results will be analysed and submitted to the Commission at its next session.

4.         Briefly describe and indicate the incidence of any other types of drug-related morbidity.

5.         Briefly describe patterns of behaviour associated with intravenous drug use (needle hygiene, needle sharing).

6.         Are drug related mortality data reported at the following levels? If Yes, please provide the year when the reporting system was established, and the bases of the reports.

            If data are not reported at a national level, please extrapolate from data that are available, but state the base from which it is made _______________________________

7.         What was the total number of drug-related deaths for the last year for which figures are available?

            Total deaths _______________           Year___________

            Deaths are classified by age:   Yes   ¨    No   ¨    by sex:  Yes   ¨  No ¨

8.         Indicate the number of drug related deaths during the year under review by drug subcategory, age, and sex of the deceased.  If drug categories are not available please classify drugs by the Drug-Type.  If age breakdowns are not available, please use the Unknown category and if the sex category is unavailable, use the Males category.

            Finally, if data on drug‑related mortality do not conform to this table, please attach a copy of drug‑related mortality data with the questionnaire.

Indicate the number of drug related deaths during the year under review by drug subcategory, age, and sex of the deceased.  If these are not available please classify drugs by the Drug-Type, if age breakdowns are not available, please use the Unknown category.

9.         Has international assistance in reducing the incidence of diseases and infections transmitted through drug using habits been provided?
                                                                                                                        Yes   ¨   No   ¨

            If Yes, give details.

10.       If international assistance were available what form should this take to enable you to fulfill Target 33?

11.       Detail the practical difficulties experienced in fulfilling Target 33.

                        Target 34.  Care for drug-addicted offenders within the
                                       criminal justice and prison system

1.         What proportion of the prison population are drug abusers.  If data are not reported nationally, extrapolate available data to national levels.

            ______________% total prison population.

            Of these abusers what proportion are  _____%  female  _____% male.

2.         Are drug addicted offenders provided with any of the following treatment and/or care programmes.  If Yes, please provide further information.

3.         Has international assistance for care of drug addicted offenders been provided?
                                                                                                                        Yes   ¨   No  ¨

If Yes, give details.

4.         If international assistance were available what form should this take to enable you to fulfill Target 34?

5.         Detail the practical difficulties experienced in fulfilling Target 34.

                  Target 35.  Social reintegration of persons who have undergone
                                    programmes for treatment and rehabilitation

1.         Are any of the following services available during/after treatment and rehabilitation programmes?  Please also indicate the type of organization or groups involved (such as parents groups, religious groups, charities professional organizations, sports clubs or government run or sponsored programmes).

2.         Has international assistance for the social reintegration of persons who have undergone programmes for treatment and rehabilitation?                              Yes   ¨   No  ¨

            If Yes, please give details.

3.         If international assistance were available what form should this take to enable you to fulfill Target 35?

4.         Detail the practical difficulties experienced in fulfilling Target 35.