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Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic

Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic. PhDr. Pavla Doležalová regional anti-drug coordinator. Content. Demographic figures from CB R Social and health care network facilities for drug users Mobility of services

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Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic

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  1. Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic PhDr. Pavla Doležalová regional anti-drug coordinator

  2. Content • Demographic figures from CBR • Social and health care network facilities for drug users • Mobility of services • A model of the spectrum of services in a low-threshold center • Intravenous drug users with HIV in the services network • Harm reduction program • Conclusion

  3. Some demographic figures of CBR • The CBR region comprises 14% area of the CR, have 12 districts • Population Central Bohemia Region: 1 144 071. • Population Prague: 1 170 571. • Population Czech Republic: 10 220 577. • Source: ČSÚ 2004

  4. Social and health care facilities network for drug users • Policy of the Basic Network of Health and Social Services for Drug Addicted Persons in the CB Region • Key document – financial analysis and schedule • Approved by political representation of CBR • Coordination at regional level- committee and working group focusing on HIV/AIDS, education programs, co-financed by respective ministries, region, municipalities.

  5. Mobility of servicesInterconnecting K-C and psychiatric care services with a focus on AT Based on following principles: Increase and maintain quality of life of IDU The aim is to ensure: Proficiency Accessibility Interconnection Complexity Low-threshold principle

  6. Model of the spectrum of services in low-threshold centers • K-centrum: outreached programs– HR, university, secondary school, social workers- social care, counseling etc. • Psychiatrist-AT specialist - diagnosis, pharmacotherapy, substitution, psychotherapy, family therapy • Clinical psychologist - diagnosis, psychotherapy, family therapy etc.

  7. Intravenous drug users with HIV in the services network • Harm reduction program • Crisis intervention • Information, nutrition and hygienic services, counseling, education • Laboratory tests and after care • Reduction of the demand • Diagnostic filter and referral to consequent services • Individual and group psychotherapy • Family therapy • Relapse prevention • Pharmacotherapy • Substitution • Counseling • Expertises

  8. Harm reduction program-HIV preventionby IDUas a part of the prevention of public health care-KC • In 12 districts of CBR, the program is fully accessible starting in 2007 • Always less expensive than after treatment or repression, it increases the interest for treatment. • It reduces the risks especially of hepatitis, HIV/AIDS and other infections diseases IDU (CBR-prevalence of HIV/AIDS in IDU in 2006: 8,5% from in total 82 persons). • HIV monitoring, KC- preliminary tests in collaboration with National ReferenceLaboratories

  9. Consequences: How to improve efficiency of care for IDU? • Analysis of needs, research studies, financial analysis, monitoring, concept, human resources… • Obtain Political support • Obtain Financial sources • Networking • Interconnect social and health services, to increase the quality of life • To ensure high quality and complex, accessible care, high- skilled professionals • Evaluation

  10. Thank you for your attention dolezalova@kr-s.cz

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