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NATIONAL DRUG PROGRAMME 200 3 - 2008

NATIONAL DRUG PROGRAMME 200 3 - 2008. Jože Hre n Advisor to the Director Republic of Slovenia Government Office for Drugs. Map. Basic data. At least 137 HIV infected people (reported cases ) ; Of those 30 with AIDS; HIV Prevalence: approx. one per 10.000 people;

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NATIONAL DRUG PROGRAMME 200 3 - 2008

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  1. NATIONAL DRUG PROGRAMME 2003 - 2008 Jože Hren Advisor to the Director Republic of Slovenia Government Office for Drugs

  2. Map

  3. Basicdata • At least 137 HIV infected people(reported cases); • Of those 30 with AIDS; • HIV Prevalence: approx. one per 10.000 people; • At greatest risk: male homosexuals; • IDU with AIDS: 7 reported cases; • Hepatitis C prevalence around 20%; HBV less than 10%; • Funds from the state budget did not exceed 10 million Euros last year.

  4. Pyramid of Drug Use - Slovenia 2.000.000 Inhabitants Primary Prevention Whole population, various target groups 10.000 problem drug users Hidden population, highest social costs - crime, health, social status Out-reach work Harm Reduction ??? Intravenous DUs Treatment Social Reintegration 2000in treatment Population we can influence

  5. Model of Drug Co-ordination in Slovenia National Assembly Government National Drug Commission 7 ministers + 7 experts National Programme Justice Defence Finance Interior Education Health Social Affairs Association of Drug NGOs National Focal Point Drug Co-ordination Office for Drugs Variety of Public Organisations (Centres for Social Work, Centres for Prevention and Treatment, Health Centres, Schools) NGOs Local Action Groups (32)

  6. The Pillars of the Policy for Illegal Drugs Traditionally: • Multidisciplinary approach; • Information and education; • Restrictive drug control policy; • International co-operation – also international pressure; • Voluntary, drug-free rehabilitation.

  7. More recent developments - Reorganised national drug and (alcohol) prevention field - Low threshold for help- Methadone assisted rehabilitation- Buprenorphine - Injection rooms?

  8. Main Drug Policy Models

  9. Mediterranean policy • Catholic tradition; alcohol widely used; antiauthoritarian trends – particularly after Franco in Spain; Tito in Yugoslavia; political problems in Italy; traditions for family responsibility; tolerance and integration but also hard punishments; • Liberalising trends - liberal laws in Spain (not in Italy); • High emphasis on methadone; • Very important are TCs and Communes (Le Patriarche, Communita D’incontro, San Pertignano).

  10. Drug Policy development in Slovenia • Almost nothing until 1990; • The first National Drug Programme in 1992; • Drug Legislation in 1999 and 2000; • Second National Drug Programme 2003; • Methadone programme has the highest priority.

  11. The number of people in substitution treatment Year No. of patients in MMP No. of patients in therapy 1995 530 - 1996 729 - 1997 926 1414 1998 1034 2599 1999 1198 3000 2000 1348 2540 2001 1347 2264 2002 1559 2617 31.1.2003 1814 2463

  12. Structure of theNational Drug Programme • National Drug Strategy-approved by the National Assembly • Action Plan - every two years, according to the adoption of the National Budget in the Parliament. The action Plan is presented to and approved by the Government.

  13. Principles of the National Programme • Protection of the human rights; • Integrated, multidisciplinary and holistic approach; • Equal support to all programmes; • International co-operation; • Decentralization; • Attention to the most vulnerable groups.

  14. Goals of the National Programme ) General goals; b) Mid-term goals (from 2005-2006); c) Priorities (untill 2004).

  15. General goals • Equal attention to the drug problem in relation to other issues; • Improved co-ordination at the state level; • To stimulate prevention for the reduction of new drug users (youth); • Maintenance or reduction of HIV/AIDS cases and overdose deaths; • Larger number of treatment facilities;

  16. General goals - cont. • Strengthening of Drug Supply Reduction activities; • Alternative sentences to imprisonment; • Precursors control; • Activities against organized crime; • International cooperation; • Political and financial support for implementation of National Programme.

  17. Mid-term goals • Operational Focal point; • Implementation of the first Action Plan - based on Drug Strategy and data from FP; • Strengthening of the role of civil society; • Improved supply and demand reduction programmes; • Educational programmes for experts working in the field of drugs.

  18. Content • Information system; • Drug Demand reduction: • Primary prevention; • Harm reduction; • Health care; • Social care;

  19. Drug Supply Reduction; • Penal policy; • Correctional facilities; • Money laundering; • Precursors control; • New synthetic drugs; • Research, Evaluation and Education.

  20. Priority Goals • To prepare the first Action Plan; • Functional Focal Point; • To increase the number of drug users involved in different programmes; • Evaluation of verified programes; • To establish a system of regular qualitative and quantitative research; • To improve programmes in prisons; • To improve thedynamics of Local Action Groups.

  21. Financial resources • State budget; • Local municipalities budgets; • Other domestic financing: • Donations; • Resources from a lottery (FIHO Foundation); • Confiscation of criminal assets; • International funding;

  22. Legislation: Drug classification - heroin on prescription, safe rooms, „marijuana as a medicine“; Confiscation of drug related assets; Treatment as an alternative to punishment; Co-ordination: Influencing politicians and public opinion; Creating partnership - Association of Drug NGOs; Local Action Groups; Data Collection/ Evaluation: Focal Point; Institutionalisation of Evaluation; Treatment About 200 people from Slovenia are in treatment abroad; Confusion with terminology: Methadone programe is health treatment, TC is not; Primary prevention: Programmes for elementary schools and secondary schools Identified Weaknesses

  23. Risks and assumptions • Unstable budget; • Lack of co-ordination of the budget due to particular interests of various funding ministries (Health, Education, Social Affairs, Interior); • Lack of consequences for unfulfiled ministry tasks; • Office for Drugs – as a unit of Ministry of Health – weaknesses and strenghts; • Low concern of politicians.

  24. References: • Slovene National Programme http://www.uradzadroge.gov.si • Slovene epidemiologyhttp://www.gov.si/ivz/

  25. THANK YOU! HVALA!

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