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Economic Issues & Substitution Treatment (Slovak Perspective). Lubomir Okruhlica, MD, PhD Seminar on Substitution Treatment in V4 Bratislava, March 13.-14., 2003. Demand for Treatment Due to Use of Opioid Drugs (Slovakia 2002). Estimated Number of People with Opiate Dependence.

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Economic Issues & Substitution Treatment (Slovak Perspective)

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Economic issues substitution treatment slovak perspective
Economic Issues & Substitution Treatment(Slovak Perspective)

Lubomir Okruhlica, MD, PhD

Seminar on Substitution Treatment in V4

Bratislava, March 13.-14., 2003



Estimated number of people with opiate dependence
Estimated Number of People with Opiate Dependence

Expert estimations calculated from UZIS survey in population, 2000.

Slovakia: app. 3,500 - 8,000 with opiate dependence

Bratislava: app. 3,500 heroin users

app. 1,200 - 1,500 with opiate depend.


Estimations
Estimations

  • If we apply “principle of thirds”, based on previous epidemiological findings and the out-comes of follow-up, estimated No. Of people who might benefit from ST is as it follows:

  • app. 1,700 - 4,000 in Slovakia

  • app. 500 - 700 in Bratislava city (currently about 450)


Costs for treatment based on cttd bratislava no in 2000
Costs for Treatment(based on CTTD Bratislava No.)in 2000

  • Drug-Free Medical In-Patient:

    - 1 day: app. Euro 40

    - 24 days average: Euro 720

    - 90 days full therapy.: Euro 2,700

  • Methadone Maintenance Treatment:

    - 1 day:app. Euro 1.75

    - 1 year: Euro 638.75

    Note: based on average exchange rates Euro/Skk. In 2000


Costs for treatment based on cttd bratislava no in 2001
Costs for Treatment(based on CTTD Bratislava No.)in 2001

  • Drug-Free Medical In-Patient:

    - 1 day: Euro 31

    - 90 days full therapy.: Euro 2,830

  • Methadone Maintenance Treatment:

    - 1 day: Euro 2.50

    - 1 year: Euro 918

    Note: based on average exchange rates Euro/Skk. In 2001


Costs for treatment based on cttd bratislava no
Costs for Treatment(based on CTTD Bratislava No.)

  • Buprenorphine Substitution Treatment:

    - 1 day: app. Euro 6.20

    - 1 year: app. Euro 2,250.00


Costs for treatment based on uzis numbers from 2002
Costs for Treatment(based on UZIS Numbers from 2002)

No. of opiate addicts (F11.2) in prisons - 440

estimated costs per year: app. Euro 3,070,000


Costs for treatment based on uzis numbers from 20021
Costs for Treatment(based on UZIS Numbers from 2002)

No. of opiate addicts (F11.2) in health sector - 843

estimated costs per year in drug-free in-patient th.:

app. Euro 2,386,000

estimated costs per year in MMT:

app. Euro 774,000

estimated costs per year in buprenorphine ST 8 mg:

app. Euro: 1,900,000


Costs for treatment based on nida numbers from usa
Costs for Treatment(based on NIDA Numbers from USA)

  • 1 full year on methadone maintenance th.:

    app. USD 4,700

  • 1 full year in the prison:

    app. USD 18,400


Costs for treatment if all were one year in
Costs for Treatmentif all were one year in ....

  • prison :Euro 8,900,000

  • drug-free th.:Euro 3,600,000

  • on buprenorphine:Euro 2,900,000

  • on methadone: Euro 1,200,000



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