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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
Indicator Info for 2011
Surface area 69.700 sq km
Population 4.497.6 m
GDP per capita in PPS
2549.09 euro
Unemployment rate 15.1%
Prison Population Rate (per 100.000)
524
Drug use
• General population
No data
• Problem drug use40,000 (95% CI: 39,000-41,000)
prevalence 1,5% among 15-64 years old
• Drugs injectedshift from traditional opium, heroine and
buprenorphine to home-made ATS (“vint”, “jef”) and opioids (desomorphine, “krokodile”)
New HIV cases, 1990-2011
Drug treatment
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 ANY amount of drugs, regardless of purpose, is punishable under the Criminal Code
• Tables of quantities of drugs (any amount of amphetamine – 7 to 14 years)
6
Prison population
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
5000
10000
15000
20000
25000
30000
Drug related imprisonment
• December 2012 – more than 2,000 prisoners for drug related offences
• Majority release following the amnesty
Drug use in prisons
• No drug use (!?)
• Use of prescription psychotropic drugs common
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