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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) 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 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 • 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 • 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 • 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.) • 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) 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 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) • 1 full year on methadone maintenance th.: app. USD 4,700 • 1 full year in the prison: app. USD 18,400
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