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Gervasoni, Jean-Pierre; Zobel, Frank; Kellerhals, Christophe; Dubois-Arber, Françoise; Spencer, Brenda; Jeannin, André; Benninghoff, Fabienne; Paccaud, Fred |
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Title |
Evaluation of the Federal measures to reduce the problem related to drug use : third synthesis report 1997-1999 |
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Report |
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2000 |
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142, appendices |
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Keywords |
government and politics; Switzerland |
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Abstract |
This evaluation report covers the period between 1997 and 1999. It is aimed at several types of reader: the Federal Office of Public Health (FOPH), decisionmakers, managers of institutions, etc. To facilitate access to more detailed information, footnotes and Appendices refer to the complete reports of the studies carried out during this phase of the evaluation. In addition, references are given at the end of each chapter. Priority in this report has been given to answers toevaluation questions. Chapter 1 (pp. 7-10) contains a brief recapitulation of the Confederation’s programme of public health measures to reduce drug-related problems (ProMeDro). The mandate and objectives of the overall evaluation are described in chapter 2 (pp.11-14). Chapter 3 (pp.15-42) covers the design & planning of the study. Chapter 4 (pp.43-82) presents an evaluation of the implementation and outcome of ProMeDro’s actions. Chapter 5 (pp. 83-90) deals with the study of the FOPH’s modes of delegation. Chapter6 (pp.91-98) presents the main results of a study of the FOPH’s partners. Chapter 7 (pp.99-108) describes and analyses health-related efforts carried out by the police among drug users. Chapter 8 (pp.109-120) covers the main epidemiological aspects of drug abuse in Switzerland, and compares them with some European data. Chapter 9 (pp.121-125), presents the general conclusions and the recommendations. Many projects, programmes and institutions are mentioned in this report: a lexicon of the main acronyms used can be found in appendix 5a. Definitions of the main categories used are presented in appendix 1a. |
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Institut universitaire de médecine sociale et préventive (IUMSP) |
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Lausanne |
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English |
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Auch auf Deutsch vorhanden; aussi disponible en français |
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no |
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50-05846 |
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56243 |
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International Narcotics Control Board |
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International Narcotics Control Board : report 2010 |
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2011 |
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xii, 141 |
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government and politics; international area |
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United Nations (UN), International Narcotics Control Board (INCB) |
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Vienna |
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English |
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Aussi disponible en français: 50-11710 |
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50-11709 |
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50830 |
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San, Luis; Camí, Jordi; Peri, José M.; Mata, Rosa; Porta, Miquel |
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Title |
Efficacy of clonidine, guanfacine and methadone in the rapid detoxification of heroin addicts : a controlled clinical trial |
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1990 |
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British journal of addiction |
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85 |
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1; 01/1990 |
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141-147 |
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treatment and maintenance; inpatient care; detoxification; heroin; clonidine; guanfacine; methadone |
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The efficacy of clonidine, methadone, and guanfacine in rapid detoxification of heroin inpatients was assessed in a randomized controlled clinical trial. Signs and symptoms of abstinence and of side effects were analysed in 90 heroin addicts successfully completing a 12–day inpatient trial, all patients fit DSM-III criteria for opioid dependence, the age range being 18 to 36 years. All three drugs were effective in controlling abstinence; however, the course of abstinence was different in the methadone group as compared to the adrenergic agonists, the latter showing limitations in their ability to suppress withdrawal manifestations. While mean number of withdrawal signs and symptoms was significantly tower during days 2 to 5 in the methadone group (p < 0.01), adrenergic agonists were slightly more effective at the end of the trial. Incidence of side effects was closely related to the dose administered. Hypotensive action of adrenergic agonists was more marked in orthostatic position. The present results suggest that methadone is superior to adrenergic agonists. Between these drugs clonidine appears to be less effective than guanfacine in controlling some withdrawal manifestations, and causes more side effects, mainly of cardiovascular nature. |
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0952-0481 |
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50-00433 |
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59639 |
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für stationäre Suchtkrankenhilfe, Bundesverband; Wessel, Bernd; Koch, Andreas |
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Title |
Suchtkrankheit mehrdimensional : Ethik, Leistungsfähigkeit und soziale Funktion als Eckpfeiler der Therapie |
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Book Whole |
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2010 |
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141 |
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treatment and maintenance; addiction; outpatient care; medical treatment method; attention deficit disorder with hyperactivity; diagnosis; social integration; gender; female; male |
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Dieser Band vereint Beiträge, die höchst verschiedene Teilaspekte der Suchtkrankenhlife beleuchten, denen aber eins gemeinsam ist: Sie stellen grundsätzliche und zeitlose Aussagen dar, die es wert sind, in die weitere Entwicklung der Suchtarbeit einbezogen zu werden und die Urteils- und Meinungsbildung der in der Suchtkrankenhilfe Tätigen zu beeinflussen. Der Bogen der behandelten Themen spannt sich vom Menschenrecht auf Gesundheit über Fragen der emanzipativen Kraft von Suchttherapien bis hin zum Einsatz von Medikamenten und Psychotherapien oder der beruflichen Integration von Suchtkranken. Darüber hinaus werden Fragen des Zusammenhanges von ADHS und Sucht ebenso diskutiert wie die, die sich aus dem Zusammenhang von Gender, Arbeit und Sucht ergeben. |
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Neuland |
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Geesthacht |
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Wessel, Bernd; Koch, Andreas; Rau, Gerhard; Kiefer, Falk; Reinert, Thomas; Buschmann-Steinhage, Rolf; Schwarting, Frauke; Vosshagen, Arnulf |
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German |
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01.00-DOKUZIMMER_aufTisch |
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55046 |
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Grisenti, Walter; Dahinden, Janine; Delli, Chantal |
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Title |
Nationale Machbarkeitsstudie Projektmodell “Migration und Sucht” |
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2005 |
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141 |
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AOD dependence; addiction care; migration; evaluation; statistical data; Switzerland |
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Swiss Forum for Migration and Population Studies (SFM) |
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Neuchâtel |
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German |
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Résumé officiel de l’étude disponible en français: 50-11805 |
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50-00940 |
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56160 |
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Audet, Chantale; St-Laurent, Danielle; Chevalier, Serge; Allard, Denis; Hamel, Denis; Crépin, Michèle |
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Title |
Evaluation du programme expérimental sur le jeu pathologique : Rapport 7 : Monitorage évaluatif : indicateurs d'implantation : données rétrospectives |
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Report |
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2003 |
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viii, 141 |
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pathological gambling |
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Ce document présente les résultats préliminaires du volet quantitatif du monitorage évaluatif du Programme expérimental sur le jeu pathologique. Il prend appui sur des données recueillies, de mai 2001 à octobre 2002, dans les 23 organismes de traitement du jeu pathologique choisis dans quatre sites-pilotes : (1 Montréal, Laval et Montérégie, (2 Québec et Chaudière-Appalaches, (3 Outaouais, (4 Bas-St-Laurent, Gaspésie et les Iles-de-la-Madeleine. Un total de 2030 dossiers ont été transmis à l’INSPQ pour cette période. Une partie de ces dossiers ont été complétés dès les débuts de la mise en oeuvre des services avant que nous ne proposions notre démarche de collecte de données. Il y a donc plusieurs données manquantes. Il ressort de l’analyse de ces données que 68 % des personnes inscrites au programme de traitement sont de sexe masculin et près des deux tiers sont âgés entre 35 et 54 ans. Trois personnes sur quatre possèdent l’équivalent d’un diplôme secondaire ou moins et 71 % des joueurs inscrits occupent un emploi. Les jeux auxquels s’adonnent majoritairement les joueurs en traitement sont les appareils électroniques de jeu (AÉJ). L’utilisation des outils diagnostiques du jeu pathologique (le SOGS et le DSM-IV) montre que le score moyen des participants est près de 12 sur 20 au SOGS et de 7 sur 10 au DSM-IV,ce qui dans les deux cas témoignent d’un problème de jeu pathologique. Par ailleurs, la proportion des joueurs qui souffrent d’un problème de jeu pathologique à l’arrivée, selon leur score au DSM-IV, est de 91 %. Ce qui signifierait que, 9 % de la clientèle inscrite serait une clientèle non visée par le programme. Les données pouvant expliquer ce constat sont insuffisantes pour l’instant. Des hypothèses peuvent toutefois être formulées. L’utilisation de ce test n’est pas homogène : il est utilisé à divers moment de la thérapie (à l’arrivée ou après quelques rencontres, par exemple), il est administré de façon très variée (le client peut, par exemple, le remplir par lui-même dans la salle d’attente, à la maison, ou encore avec le thérapeute lors d’une séance) et l’interprétation que les cliniciens en font diffère. Ces disparités dans l’utilisation peuvent influencer le score obtenu. Une différence notable est observée entre le taux de complétion du traitement par les joueurs inscrits aux organismes qui offrent des services à l’externe (33 %) et ceux qui offrent des services à l’interne (95 %). Des 66 % qui abandonnent le traitement en externe, le tiers le font en le signifiant à leur thérapeute. Ces données corroborent les constats déjà publiés dans la littérature sur la difficulté de maintenir la fréquentation et la motivation des joueurs en traitement externe parce qu’ils ne sont pas isolés de leur environnement d’obligations et de risques. Il faudra se pencher davantage sur les motifs d’abandon des clients en externe puisqu’une majorité de la clientèle s’y retrouve. Il faudra aussi questionner ce que le client en retire puisque la durée moyenne de traitement équivaut à plus de la moitié (environ 65 jours)de celle d’un traitement complété et le nombre moyen de rencontres de thérapie à plus du quart (de 5 à 6 rencontres). Un abandon n’est pas forcément un échec pour le programme si on tient compte du fait que l’ancrage dans un processus de traitement peut nécessiter pour certains quelques tentatives. This document presents the preliminary results of the quantitative component of monitoring and assessment of the Québec Experimental for pathological Gambling. It draws on data gathered from May 2001 to October 2002 in 23 pathological gambling treatment facilities selected in four pilot regions: (1) Montréal, Laval, and Montérégie, (2) Québec and Chaudière-Appalaches, (3) Outaouais, (4) Bas-St-Laurent and Gaspésie–Îles-de-la-Madeleine. A total of 2,030 files were sent to the INSPQ for this period, but since some had already been wound up before we began our information gathering, certain data is missing. Analysis of this data shows that 68% of treatment program participants were male, and nearly two-thirds were 35 to 54 years old. Three out of four participants had the equivalent of a high school diploma or less, and 71% of gamblers in the program were employed. The games in which the majority of gamblers in treatment engaged were electronic gaming devices (EGDs). Pathological gambling diagnostic tools (SOGS and DSM-IV) show that the average participant scored nearly 12 out of 20 on the SOGS and 7 out of 10 on the DSM-IV, which in both cases indicates a pathological gambling problem. In addition, 91% of program participants had a pathological gambling problem at the time of arrival, according to their DSM-IV score. This suggests that 9% of the registered clientele was not the clientele targeted by the program. However, this interpretation must be treated with caution due to a problem with the consistency of test conditions. Additional data and analyses will be necessary to support this conclusion. A marked difference was observed between the treatment completion rate of gamblers registered with organizations offering outpatient services (33%) and those offering inpatient services (95%). Of the 66% of clients who dropped out of outpatient treatment, one-third notified their therapist. These figures support what is already mentioned in the literature regarding the difficulty of getting gamblers in outpatient treatment to continue attending and stay motivated because they are not separated from their daily responsibilities and risks. Further examination of the reasons for outpatient client dropout is also necessary, since most clients fall under this group. It is also important to investigate what clients gain, since the average length of treatment (approximately 65 days) is over half that of full treatment, and the average number of therapy sessions (5 to 6 sessions) is over one-fourth. Dropping out does not necessarily signify program failure, given that anchoring in a treatment process may require a number of attempts for some people. |
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Institut national de santé publique du Québec |
Place of Publication |
Québec |
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French |
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50-13195 |
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56637 |
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Author |
Chevalier, Serge; Allard, Denis; Kimpton, Marie-Anne; Audet, Chantale; Hamel, Denis; St-Laurent, Danielle |
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Title |
Evaluation du programme expérimental sur le jeu pathologique : Monitorage évaluatif : indicateurs d'implantation, mai 2001-décembre 2003 |
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Report |
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2005 |
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xii, 141 |
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Keywords |
pathological gambling |
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Les données de monitorage du présent rapport tentent de cerner la participation et les caractéristiques de la clientèle, et les résultats obtenus par le traitement des joueurs pathologiques dans 23 organismes publics, communautaires et privés subventionnés par le MSSS. Elles couvrent 4 310 inscriptions sur une période allant de mai 2001 à décembre 2003. Les deux tiers des dossiers traités proviennent de la grande région de Montréal. La moyenne mensuelle des inscriptions se situe à 139 joueurs. Cette moyenne a eu tendance à baisser avec le temps. Tous facteurs pris en considération, le taux de couverture (proportion de la clientèle prévue rejointe) se situe aux alentours du 3 % qui avait été fixé comme objectif par le MSSS. |
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Institut national de santé publique du Québec |
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Québec |
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French |
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50-13323 |
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56645 |
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Wettach, Ralph; Frei, Adrian; Dobler-Mikola, Anja; Uchtenhagen, Ambros |
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Title |
Qualité du traitement résidentiel : recensement et analyse nationale des critères de qualité sélectionnés relatifs aux programmes thérapeutiques résidentiels pour toxicomanes (QUAFOS) : rapport final |
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2000 |
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140 |
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quality control |
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Institut de recherche sur les addictions et la santé (ISGF) |
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Zurich |
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Forschungsverbund stationäre Suchttherapie |
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French |
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Auch auf Deutsch vorhanden: 11.00.004 |
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11.00-005 |
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50396 |
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Author |
Späth, Hansueli |
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Title |
Information importante : nouvelles positions TARMED à partir du 1er avril 2006 |
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Journal Article |
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2006 |
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PrimaryCare |
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6 |
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7-8; 02/2006 |
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140 |
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general practitioner; treatment cost; health care administration; health care costs; medical fee; health insurance; legal regulation; Switzerland |
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Auch auf Deutsch vorhanden |
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50-l |
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59489 |
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Späth, Hansueli |
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Wichtige Information : neue TARMED-Positionen ab 1.4.2006 |
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2006 |
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PrimaryCare |
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6 |
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7-8; 02/2006 |
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140 |
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general practitioner; treatment cost; health care administration; health care costs; medical fee; health insurance; legal regulation; Switzerland |
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German |
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1424-3806 |
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Aussi disponible en français |
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no |
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Call Number |
50-k |
Serial |
59488 |
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