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The Information System on Treatment D emand in EU EMCDDA. Linda Montanari, Buenos Aires, 22-24 October 2003 CICAD/OAS, Demand Reduction Experts Group Meeting. Mission of the EMCDDA.

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the information system on treatment d emand in eu emcdda
The Information Systemon Treatment Demand in EUEMCDDA

Linda Montanari, Buenos Aires, 22-24 October 2003

CICAD/OAS, Demand Reduction Experts Group Meeting

mission of the emcdda
Mission of the EMCDDA
  • To provide the Community and the EU Member States with objective, reliable and comparable information concerning drugs and drug addiction and their consequences 
  • Further information: http://www.emcdda.eu.int/
slide3

Tasks

Areas

Collecting and analysing existing data Improving data-comparison methods Disseminating data and information

Situation

Responses

Impact

s ituation analysis working methods
Situation analysis: Working methods
  • Key indicators
  • Core data and developing areas
  • Expert groups
  • Reporting guidelines
  • Analytical project groups
key indicators a common language for describing the drug situation
Key indicatorsA common language for describing the drug situation
  • Extent and patterns of drug use in the general population
  • Prevalence of problem drug use
  • Drug-related deaths and mortality among drug users
  • Treatment demand
  • Drug-related infectious diseases
core data and developing areas
Core data and developing areas
  • Crime
    • Arrest Data
    • Drug Related Crime
  • Drug Markets & Availability
    • Perceived availability
    • Seizures
    • Price & Purity
  • Social Exclusion
  • Youth and vulnerability
  • New Trends
treatment demand indicator tdi
Treatment Demand IndicatorTDI
  • One of the 5 key Indicators at the EMCDDA
  • Provide information on the people demanding treatment in the specialised drug services in Europe
  • Further information:
  • http://www.emcdda.eu.int/situation/themes/demand_treatment.shtml
what is the o bjective
What is the objective?
  • To provide comparable, reliable and anonymous information on:
    • Number of people treated for their drug use
    • Characteristicsand Profile of clients
    • Patterns of use
    • Trends over time
what is the p urpose
What is the purpose?
  • Indirect indicator of trends in problem drug use
  • Identification of patterns of drug use
  • Basis for other methodologies on problemdrug useprevalence estimation
  • Identify patterns of use of services and plan and

evaluation of services 

which questions the tdi answer to

Information in TDI: 20 items

Which questions the TDI answer to?

What drug treatment?

  • Treatment contact details
    • centre type, time of treatment, source of referral
  • Socio-demographic information
    • gender, age, living and labour status, education, nationality
  • Drug related information
    • primary and secondary drug, substitution treatment, route of administration, frequency of use, age at first use

What characteristics of clients?

Which substances /

Patterns of use?

guidelines
Guidelines
  • A joint EMCDDA/Pompidou Group protocol (TDI protocol), with definitions and guidelines for data collection

TDI Protocol

http://www.emcdda.org/multimedia/project_reports/situation/treatment_indicator_report.pdf

how data are collected
How data are collected?
  • 23 excel sheets (cross tabulations) inserted in a central EMCDDA database (EISDD)
  • By centre type: outpatient, inpatient, low threshold, GPs, prison, others
  • By each country (29):

15 Member States

+ Norway

+ 10 acceding countries

+ 3 candidate countries

what are the main resources
What are the main resources?
  • Network: one expert identified in each country by the NFP
  • Working group in most of the countries involving professionals from the treatment centres at national level
  • European annual expert meeting: the state of progress and future perspectives
  • Small thematic working group (e.g. data coverage and cannabis data in 2003)
percent of new clients admitted to treatment by main drug in 2001
Percent of new clients admitted to treatmentby main drug in 2001

Source: 2002 Reitox National Reports; Standard Table 3; 2001 data

All Centre Types; N.cases: 34 768 (new clients)

Countries included: Dk, Ge, Gr, Sp, IR (2000 data), Nl, FI, Sw

Weighted average on the total numbers of new clients by country

percent of new clients by main drug
Percent of new clients by main drug

Source: REITOX National Reports - Standard Table 3 –2001 data

(*) 2000 data – All centre types

slide18
% of new clients admitted to treatment for opiates, cocaine, cannnabis in some EU countries- 1996 to 2001 -

Source: Reitox National Reports; Standard Table 4; All Centre Types

Countries included: Dk, Ge, Gr, Sp, Nl, Sw

Average weighted on the number of clients by country

percent of new outpatient clients in some country by source of referral
Percent of new outpatient clients in some country by source of referral

(n. 689)

(n. 488)

(n. 4700)

*

(n. 1258)

(n. 831)

(n. 5970)

Source: Reitox National Reports 2002 – TDI data -Outpatient Treatment Centres –

Valid per cent, n = 13 936 cases, new clients - * Ireland: 2000 data

mean age of clients in treatment in 2001

Opiates and Cocaine between 20-29 and 30-39

  • Stimulants and cannabis between 15-19 and 20-29
Mean age of clients in treatment in 2001

New clientsAll clients

(n = 83571) (n.337842)

Denmark 27.8 31.1

Germany 24.0 26.8

Greece 26.6 27.8

Spain 29.3 31.5

Italy 29.0 32.3

Luxembourg 21.8 30.7

The Netherlands 30.7 32.8

Finland 22.9 25.5

Sweden 31.0 31.8

United Kingdom n.a. 28.3

Source: REITOX National Reports - Standard Table 3 – 2001 data

All centre types

gender distribution among new clients in 2001
Gender distribution among new clientsin 2001
  • Mainly males: 79.2 males / 20.8 females
  • Differences between drugs:
    • Opiates: 81.2 males / 18.8 females
    • Cocaine: 85.0 males / 15.0 females
    • Stimulants: 67.5 males / 32.5 females
    • Cannabis: 85.8 males / 14.2 females
  • Highest proportion of males in Spain (84.9), lowest in Sweden (69.1)

Source: Reitox National Reports -Outpatient Treatment Centres

N. Cases: n. 29 133

Countries: Dk, Ge, Gr, Sp, Nl, Fi, Sw

percent of new outpatient clients by l evel of education in 2001
Percent of new outpatient clients by level of education in 2001

Source: Reitox National Reports 2002 – TDI data -Outpatient Treatment Centres

Valid per cent, n = 29 493 cases, new clients

Countries: Dk, Ge, Gr, Nl, Sp, Fin, Sw

percent of new outpatient clients by l abour status among in 2001
Percent of new outpatient clients by labour status among in 2001

8.2% in general population

Source: Reitox National Reports 2002 – TDI data -Outpatient Treatment Centres

Valid per cent, n = 29 596 cases, new clients

Countries: Dk, Ge, Gr, Nl, Sp, Fin, Sw

age at first use of main drug among new clients in some countries
Age at first use of main drug among new clients in some countries

Source: 2002 Reitox National Reports – Outpatient Treatment Centres

Year covered: 2001

Countries covered: Dk, Ge, Gr, Sp, Fin, Sw

frequency of use of main drug new clients in 2001 l ast 30 days before starting treatment
Frequency of use of main drug:% new clients in 2001 (last 30 days before starting treatment)

%

Source: 2002 Reitox National Reports – TDI data – Outpatient Treatment Centres

Year covered: 2001

Countries covered: 2001: Dk, Ge, Gr, Nl, Fin, Sw

route of administration among all and new clients in some country in 2001
Route of administration among all and new clients in some country in 2001

Source: Reitox National Reports 2002 – TDI data -Outpatient Treatment Centres

Countries: Dk, Ge, Gr, Ir (2000 data), Nl, Sp, Fin, Sw, Uk (all clients)

m ost used secondary drugs among new clients in 2001 in some countries
Most used secondary drugs among new clients in 2001 in some countries

85.1% use more than one drug

%

Source: Reitox National Reports 2002 – TDI data -Outpatient Treatment Centres

Valid per cent, n. 25 824 using a secondar drug (n =30 344 total new clients)

Countries: Dk, Ge, Gr, Nl, Sp, Fin, Sw

conclusions 1
Conclusions (1)
  • Opiates main substance, followed by cannabis and cocaine
  • Decrease of opiates users, increase cannabis and cocaine
  • Clients are males in their 20s or 30s
  • Clients demand treatment spontaneously or through family
  • Social conditions are worsening than general population
  • Clients start to use in the adolescence: earlier for cannabis
conclusions 2
Conclusions (2)
  • Polarization of frequency of use for opiates and cocaine graduation for stimulants and especially cannabis
  • Clients tend to inject opiates, sniff cocaine, eat stimulants: less injection among new clients
  • Polydrug use is apparent, with cannabis as main secondary drug, followed by cocaine
  • Relevant differences between countries
further information on the 2003 eu drug situation
Further information on the 2003 EU drug situation:
  • http://annualreport.emcdda.eu.int/
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