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Addiction services in Georgian prisons

Addiction services in Georgian prisons. David Otiashvili, M.D. Addiction Research Center Alternative Georgia MENTAL HEALTH AND ADDICTION IN PRISONS Bucharest, 27 Feb 2013. Brief information on Georgia. D rug use . General population No data Problem drug use

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Addiction services in Georgian prisons

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  1. Addiction services in Georgian prisons David Otiashvili, M.D. Addiction Research Center Alternative Georgia MENTAL HEALTH AND ADDICTION IN PRISONS Bucharest, 27 Feb 2013

  2. Brief information on Georgia

  3. Drug use • General population No data • Problem drug use 40,000 (95% CI: 39,000-41,000) prevalence 1,5% among 15-64 years old • Drugs injected shift from traditional opium, heroine and buprenorphine to home-made ATS (“vint”, “jef”) and opioids (desomorphine, “krokodile”)

  4. New HIV cases, 1990-2011

  5. Drug treatment

  6. Drug legislation • Drug use (trace of controlled substance in urine) is punishable under the Administrative Code • Repeated drug use is punishable under the Criminal Code (up to 1 year imprisonment) • Possession of ANYamount of drugs, regardless of purpose, is punishable under the Criminal Code • Tables of quantities of drugs(any amount of amphetamine – 7 to 14 years)

  7. Prison population

  8. Drug related imprisonment • December 2012 – more than 2,000 prisoners for drug related offences • Majority release following the amnesty

  9. Drug use in prisons • No drug use (!?) • Use of prescription psychotropic drugs common

  10. Addiction services in prisons • Short term methadone treatment (detox) in 2 prisons (Tbilisi and Kutaisi) • VCT in all prisons • Condom distribution Plans for the near future: • Detox in women’s prison • Treatment and rehabilitation in separate institution

  11. Thank youdato@altgeorgia.gedatohupo@yahoo.com

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