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

Czech RepublicCzech Republic

PhDr. Pavla Doležalová regional anti-drug coordinator

ContentContent

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

Some demographic figures of CBSome demographic figures of CBRR

• 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

Social and health care facilities network Social and health care facilities network for drug usersfor 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.

Mobility of servicesMobility of services Interconnecting K-C and psychiatric care services with a Interconnecting K-C and psychiatric care services with a focus on ATfocus on AT

Based on following principles:

Increase and maintain quality of life of IDU

The aim is to ensure:Proficiency

AccessibilityInterconnection

Complexity Low-threshold principle

Model of the spectrum of services in Model of the spectrum of services in low-threshold centerlow-threshold centerss 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.

Intravenous drug users with HIV in the services Intravenous drug users with HIV in the services networknetwork 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

Harm reduction program-Harm reduction program-HIV HIV preventionpreventionbyby ID IDUU as a as a part of part of the the prevention of prevention of public public health carehealth care-KC-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 Reference Laboratories

Consequences: HowConsequences: How to improve efficiency of to improve efficiency of care for Icare for IDUDU??

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

Thank you for your attention

dolezalova@kr-s.cz