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Author |
Schirtz, Andrée; Hämmig, Robert; Broers, Barbara; Bösch, Lukas; Stohler, Rudolf |
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Title |
Suchtforschung des BAG |
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Book Chapter |
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Year |
2005 |
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Abbreviated Journal |
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Pages |
46-51 |
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Keywords |
treatment and maintenance; detoxification; randomized controlled trial; methadone maintenance; buprenorphine maintenance; Switzerland; drug substitution therapy |
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Abstract |
Within the Swiss Detoxification Coordination (SwiDeCo) framework, a number of randomised clinical trials on opiate detoxification took place, comparing different settings (in- and outpatient), medications (antagonists under anaesthesia, methadone, buprenorphine high/low dosage) and duration of treatment (fixed and flexible). A standard assessment with validated instruments and standard follow-up was used throughout all the studies. One study concerned neonatal opiate detoxification. The scientific framework offered by SwiDeCo provided an opportunity for links and exchange between different drug treatment centres (over 20 centres participated in the studies) and persons working in the field of substance abuse in Switzerland. Overall, 279 patients were included in the different trials, of whom three-quarters were male, on average 30 years old; multi substance abuse was frequent. All procedures to withdraw patients from opiates tested in the different trials resulted in an equally poor outcome regarding abstinence after 3 months (22%). There were no patient baseline characteristics predicting differences in outcome. However, in-patient detoxification resulted in higher short-term abstinence rates, but this advantage disappeared over time. Patients’ level of distress at baseline evaluation decreased independently of treatment outcome during the first three months. Therefore, there seems to be a beneficial, but outcome-independent, treatment initiation effect. Two patients died within 3 months of detoxification. Although we cannot formally conclude whether withdrawal treatment resulted in an excess mortality, this fact is disquieting. During the detoxification phase overdose prevention should be discussed. Finally, based on our study results and on similar results from other groups, we cannot recommend the UROD procedure for withdrawal. We would rather suggest engaging patients who insist on this treatment modality in outpatient treatment, where tapering of substitution opiates could be performed while monitoring resumption of heroin consumption or the consumption of other substances. Given the high relapse rates independent of the specific detoxification treatment offered, it is important to offer flexible treatment goals to patients undergoing withdrawal treatment, so that substitution treatment might be offered in case of failure. The technique is simple and can be applied by trained family doctors. |
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Bundesamt für Gesundheit (BAG) |
Place of Publication |
Berne |
Editor |
Bundesamt für Gesundheit |
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Language |
English |
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Notes |
Ganze Publikation auch vorhanden: 50-01048 |
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Call Number |
50-11778 |
Serial |
50196 |
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Author |
Deutsche Hauptstelle gegen die Suchtgefahren |
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Title |
Situation und Perspektiven der Suchtkrankenhilfe : Positionspapier 2001 |
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Book Chapter |
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Year |
2001 |
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Abbreviated Journal |
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Pages |
35-37 |
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Keywords |
quality control; Germany |
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Deutsche Hauptstelle gegen die Suchtgefahren (DHS) |
Place of Publication |
Hamm |
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German |
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Call Number |
50-13365 |
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50199 |
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Author |
Wessalowski, Petra |
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Title |
4000 Berner ziehen sich täglich eine Linie Kokain rein : eine neue Abwasser-Analyse liefert die bisher verlässlichsten Daten |
Type |
Newspaper Article |
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Year |
2010 |
Publication |
SonntagsZeitung |
Abbreviated Journal |
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23.05.2010 |
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2 |
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Keywords |
addiction; AOD dependence; chemical addiction; cocaine; prevalence; search and seizure; water pollution; study; Switzerland; Berne; Basel; Geneva; Lucerne; Zurich |
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Abstract |
Die Universität Bern hat erstmals in einem Pilotprojekt im Sommer 2009 systematisch den Kokaingehalt im Abwasser von fünf Schweizer Städten untersucht. Erste Hochrechnungen zeigen, dass knapp drei Prozent der 140 000 Berner im Alter zwischen 16 und 64 Jahren täglich eine Linie Kokain konsumi ren. Bisher wurde die Durchschnittszahl der Konsumenten aufgrund von Umfragen auf rund ein Prozent geschätzt. |
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German |
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no |
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Call Number |
50-11296 |
Serial |
58758 |
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Author |
Jecker, Nina |
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Title |
Kriminologe zeigt Auswege aus der Computergame-Falle |
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Newspaper Article |
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Year |
2010 |
Publication |
20 Minuten |
Abbreviated Journal |
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Issue |
15.04.2010 |
Pages |
3 |
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Keywords |
pathological gambling; computer technology; adolescent; gender differences; man; school; violence; Berne (canton) |
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Abstract |
Buben in der Krise: Immer weniger machen die Matur. Viele schwänzen und gamen stundenlang am PC. Ein Deutscher will jetzt in Bern Lösungen präsentieren. |
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German |
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no |
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Call Number |
50-11214 |
Serial |
58741 |
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Author |
Zubler, Valentine |
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Title |
Pascal Strupler, cent jours à la Santé publique et autant de questions ouvertes |
Type |
Newspaper Article |
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Year |
2010 |
Publication |
Le Temps |
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14.04.2010 |
Pages |
6 |
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Keywords |
government and politics; public health; health promotion; health insurance; prevention; law; quality; managed care; anamnesis; Switzerland |
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Abstract |
Le nouveau directeur de l’OFSP, en poste depuis janvier, était très attendu. Premier bilan sur fond de turbulences, alors que les discussions visant à améliorer la surveillance de l’assurance maladie se poursuivent. |
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Language |
French |
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no |
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Call Number |
50-11173 |
Serial |
58737 |
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Nj |
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Title |
Neue Homepage für weibliche Süffel : www.frauentalk.ch |
Type |
Newspaper Article |
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Year |
2010 |
Publication |
20 Minuten |
Abbreviated Journal |
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13.04.2010 |
Pages |
5 |
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Keywords |
addiction; AOD dependence; chemical addiction; alcohol; gender; woman; internet; German-speaking Switzerland |
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German |
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no |
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Call Number |
50-11142 |
Serial |
58729 |
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Author |
Thiriet, Maurice |
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Title |
Alkoholexzesse nehmen stark zu |
Type |
Newspaper Article |
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Year |
2010 |
Publication |
Tages-Anzeiger |
Abbreviated Journal |
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Volume |
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Issue |
13.03.2010 |
Pages |
1 |
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Keywords |
AOD overdose; alcohol; alcohol intoxication; alcohol poisoning; binge drinking; drug user; target group; adolescent; adult; Switzerland |
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Abstract |
Eine noch unveröffentlichte Studie des Berner Inselspitals zeigt: Koma-Trinken greift nicht nur bei jungen Menschen um sich. Die Zahl der Alkoholvergiftungen steigt auch bei Erwachsenen massiv an. |
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German |
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Vollständige Publikation auch vorhanden: 50-11114 |
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Call Number |
50-11115 |
Serial |
58726 |
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Author |
Thiriet, Maurice |
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Title |
Koma-Trinker sind immer älter |
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Newspaper Article |
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Year |
2010 |
Publication |
Tages-Anzeiger |
Abbreviated Journal |
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13.03.2010 |
Pages |
5 |
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Keywords |
AOD overdose; alcohol; alcohol intoxication; alcohol poisoning; binge drinking; drug user; target group; adolescent; adult; Switzerland |
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Eine Studie des Berner Inselspitals zeigt, dass vermehrt 25- bis 55-Jährige ambulant wegen Alkoholvergiftung behandelt werden müssen. |
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German |
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Titel Online-Ausgabe: Alkoholexzesse bis zum Umfallen |
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no |
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Call Number |
50-11114 |
Serial |
58725 |
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Author |
Gerstein, Dean R.; Johnson, Robert A.; Harwood, Henrick J.; Fountain, Douglas; Suter, Natalie; Malloy, Kathryn |
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Title |
Evaluating recovery services : the California drug and alcohol treatment assessment (CALDATA) : general report |
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Report |
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Year |
1994 |
Publication |
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Abbreviated Journal |
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Pages |
iv, 89 |
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Keywords |
treatment and maintenance |
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Abstract |
The cost of treating approximately 150,000 participants represented by the CALDATA study sample in 1992 was $209 million. Each day of treatment paid for itself on the day it was received, primarily through an avoidance of crime. The benefits of alcohol and other drug treatment outweighed the costs of treatment by ratios from 4:1 to greater than 12:1, depending on the type of treatment. Benefits after treatment persisted through the second year of follow-up for the limited number of participants followed for as long as 2 years. This suggests that projected cumulative lifetime benefits of treatment will be substantially higher than the shorter-term figures. The level of criminal activity declined by two-thirds from before treatment to after treatment. The greater the length of time spent in treatment, the greater the percentage of reduction in criminal activity. Declines of approximately two-fifths also occurred in the use of alcohol and other drugs from before treatment to after treatment. Approximately one-third reductions in hospitalizations were reported from before treatment to after treatment. For each type of treatment studied, there were slight or no differences in effectiveness based on gender, age, or ethnicity. Overall, treatment did not have a positive effect on the economic situation of the participants during the study period. 38 tables and 11 figures |
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California Department of alcohol and Drug Programs |
Place of Publication |
Sacramento |
Editor |
Center, National Opinion Research; Lewin-VHI, |
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English |
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Notes |
Recyclingpapier! |
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no |
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Call Number |
01.00-008 |
Serial |
50283 |
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Author |
Schweizerische Koordinationsstelle für stationäre Therapieangebote im Drogenbereich; Centrale de coordination nationale de l'offre de thérapies résidentielles pour les problèmes de drogue |
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Title |
Expertenhearing zum Thema UROD “Ultra rapid opiate detoxification” |
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Report |
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Year |
1997 |
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38 |
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treatment and maintenance |
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Schweizerische Koordinationsstelle für stationäre Therapieangebote im Drogenbereich (KOSTE); Centrale de coordination nationale de l'offre de thérapies résidentielles pour les problèmes de drogues (COSTE) |
Place of Publication |
Bern; Berne |
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German; French |
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Zweisprachiges Dokument Deutsch-Französisch; Document bilingue français-allemand |
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Call Number |
01.00-021 |
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50284 |
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