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“Problem, intensive drug use and polydrug use” Introduction

“Problem, intensive drug use and polydrug use” Introduction. Danica Klempova, Scientific Committee meeting, Lisbon, 17 November. The traditional Problem drug use key indicator. To look at the most harmful, heavy forms of drug use

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“Problem, intensive drug use and polydrug use” Introduction

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  1. “Problem, intensive drug use and polydrug use”Introduction Danica Klempova, Scientific Committee meeting, Lisbon, 17 November

  2. The traditional Problem drug use key indicator • To look at the most harmful, heavy forms of drug use • Traditionally using indirect statistical methods (multipiers, CRC, MIM) to estimate the sizes of these – largely hidden – populations • To assess needs and coverage of interventions • Defined by (umbrella definition) • drug-type (opioids, cocaine and amphetamines) • and a broadly described behavioural pattern (injecting and/or long-term and/or regular) • NOT BY PROBLEMS!

  3. Changes in the drug situation and reaction to them • Changing patterns of drug use in the past 15 years (stimulants, cannabis TDI) • 2004 focused small expert meeting in Sintra • Reporting by drug (POU, PSU) and IDU - overlapping categories • Applying instruments within general population surveys (cannabis abuse and dependence)

  4. Discussions about concepts… • Traditional PDU – trends uninterrupted • Intensive, frequent, long-term, dependent, harmful, abuse…(by drug and pattern of use) • Polydrug use yes, but what kind (+question of alcohol) • Substitution medication – distinguished

  5. …have to be closely related to data sources • Traditional data sources for the indirect estimates; improvement of data quality • Novel data sources for indirect estimates (e.g. emergency room data, …) • Out-of-treatment populations – focused studies in different settings (street, LTS, ..) – e.g. RDS • General population surveys for cannabis intensive/long-term/dependent use (other substances with high prevalence and lower stigmatisation of use)

  6. Starting from data sources Starting from concepts

  7. Injecting drug users PDU Problem opioid users Problem cocaine users Problem amphetamine users

  8. Injecting drug users “Problem, intensive and polydrug use” e.g. Intensive, long-term or otherwise harmful cocaine users (ILH) Problem opioid users Problem cocaine users Heavy/long-term cannabis users Problem amphetamine users And, and, and…

  9. Injecting drug users “Problem, intensive and polydrug use” e.g. Intensive, long-term or otherwise harmful cocaine users (ILH) Problem opioid users Problem cocaine users Heavy/long-term cannabis users Problem amphetamine users And, and, and…

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