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Jeannin, André; So-Barazetti, Barbara; Spencer, Brenda; Zobel, Frank; Morency, Patrick |
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Ancrage/institutionnalisation des actions de l'OFSP visant à la réduction des problèmes liés à la toxicomanie : l'appréciation des responsables des programmes |
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2002 |
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112 |
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government and politics; public policy on AOD; program evaluation; school-based prevention; community-based prevention; health promotion; sports; harm reduction; Switzerland |
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Institut universitaire de médecine sociale et préventive (IUMSP) |
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Lausanne |
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French |
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Raisons de santé |
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Rutter, Scott; Dolan, Kate; Wodak, Alex; Heilpern, Hans |
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Title |
Prison-based syringe exchange programs : a review of international research and program development |
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2001 |
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57 |
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harm reduction; needle distribution and exchange; prison; research; knowledge, attitudes, and practices; HIV infection; viral hepatitis; hepatitis B; hepatitis C; prison guard; international area; Switzerland; Germany; Spain; Italy; Portugal; Greece |
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The Government of the Australian Capital Territory commissioned this review. Few papers have been published reporting evaluation of Prison Syringe Exchange Programs. Only some of this material has been published in English or has been previously translated into English. This review has been based on a comprehensive search of electronic databases, contact with experts in this field to identify any missed publications and the existing published literature and material which was translated specially for this review. Some of this review is based on the ‘grey literature’ of reports and other official documents. The first prison syringe exchange program in the world was established in Switzerland in 1992. A total of 19 prison syringe exchange programs were operating as of December 2000 (7 in Switzerland, 7 in Germany and 5 in Spain). A further three countries (Italy, Portugal and Greece) were also seriously considering the introduction of prison syringe exchange programs. Prison regulations have been modified to allow these facilities to operate under certain conditions. Most programs are in small prisons with fewer than 200 inmates. Programs operate in both male and female prisons. In some prisons, injecting equipment is provided by health professionals while in other prisons, automatic vending machines exchange sterile injecting equipment for used needles and syringes. Evaluation of pilot prison syringe exchange programs in Switzerland, Germany and Spain has been favourable in all cases. Drug use patterns reported at interview were stable or decreased over time (six prisons). Reported syringe sharing declined dramatically and was virtually non-existent at the conclusion of most pilot studies. No cases of inmates seroconverting for HIV, hepatitis B or hepatitis C have been reported in any prison with a prison syringe exchange program. No serious unintended negative consequences have been reported. There have been no reported instances of initiation of injecting. The use of needles or syringes as weapons has not been reported. One inmate (in Germany) is reported to have been injured by a discarded used needle. The number of needles and syringes distributed correlated with increased quantities of drugs detected in prisons and also when inmates receive payment. Staff attitudes were generally positive but response rates to these surveys varied. Attempts were made in all prisons to involve staff in planning. Staff from prisons where programs had been successfully established were involved in planning new programs in different prisons. In each country, negative attitudes of prisons staff to these programs reflected similar attitudes to harm reduction programs in the community. The rationale for establishing syringe exchange programs in prisons is even stronger than in communities. This rationale is accepted by an impressive number of prestigious bodies. Because of the rapid turnover of inmate populations, spread of blood borne viral infections among prisoners cannot be considered to remain for long within the confines of correctional facilities. There is increasing evidence that experience of incarceration is a strong predictor of HIV and hepatitis C infection. Overall, this review confirms that prison syringe exchange programs are feasible. Based on the data available and extrapolating from the vast literature on community-based programs, prison syringe exchange programs appear to be effective in reducing blood borne viral infections. At this stage, there is no evidence to suggest that these programs have serious unintended negative consequences. |
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University of New South Wales, National Drug and alcohol Research Centre |
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Sydney |
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English |
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56053 |
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Author |
René, Marie-Claude |
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Title |
Gestion de l'accès au matériel d'injection et de la récupération des seringues sur les plans canadien et international : revue de littérature |
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2001 |
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ix, 59, annexes |
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harm reduction; needle distribution and exchange; international area; Canada; literature review |
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Ce document présente une revue de littérature sur les plans canadien et international, décrivant les modalités d’accès au matériel d’injection et de récupération des seringues ainsi que les divers éléments qui, dans le contexte de la prévention du VIH et des hépatites B et C, sont recommandés pour la distribution du matériel d’injection stérile auprès des UDI. |
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Institut national de santé public du Québec (INSPQ) |
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Québec |
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French |
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Attention : annexes dans le deuxième fichier PDF |
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50-ab |
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56055 |
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Hüsler, Gebhard; Werlen, Egon |
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Supra-f : ein Sucht-Präventions-Forschungsprogramm : Schlussbericht |
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2007 |
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ii, 61 |
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prevention program; prevention outcome; prevention research; early identification; Switzerland |
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Das Suchtpräventions-Forschungsprogramm supra-f ging – zumindest für schweizerische Verhältnisse – neue Wege. Ähnlich wie in der bekannten Studie zur kontrollierten Verschreibung von Heroin wurde ein Multizenter-Ansatz mit einer Längsschnittanalyse eingerichtet. So entstanden an 12 Orten ambulante Präventionsprogramme, die von 2000–2003 um die 900 gefährdete Jugendliche betreut haben. An jedem Ort wurde zudem eine Vergleichsgruppe von ähnlich gefährdeten Jugendlichen mitbeforscht. Der Schlussbericht fasst auf 50 Seiten einige Ergebnisse zusammen, die insgesamt ein ermutigendes Bild über die Machbarkeit einer Begleitforschung in der Sekundärprävention abgeben. Erfreulich sind nicht nur die – wenn auch nur mässig – positiven Wirkungen der Interventionen auf die Jugendlichen, sondern auch die Hinweise, welche Angebote sich für welche Jugendlichen als besonders günstig erweisen. So gesehen gibt die supra-f Forschung konkrete Anregungen sowohl für Entscheidungsträger und Fachleute für die Prävention und Früherfassung, wie auch für weitere Forschungsprojekte. Comparativement aux autres programmes suisses, supra-f – le programme de recherche en prévention des dépendances – s’orientait vers une autre direction. En même temps que l’étude connue sur la prescription contrôlée d’héroïne, une approche multicentriste avec analyse longitudinale a été instaurée. Ainsi, 12 centres avec programmes de prévention ambulatoires ont été créés, qui ont traités environ 900 jeunes en situation de risque sur la période allant de 2000 à 2003. Pour chaque centre, la recherche s’est appuyée sur deux groupes : un groupe de jeunes en situation de risque et un groupe de comparaison (sans difficulté). Le rapport final résume sur 50 pages certains résultats qui, ensemble, donnent une image encourageante de la faisabilité d’une recherche d’accompagnement dans la prévention secondaire. Ne sont pas uniquement réjouissants les impacts positifs des interventions sur les jeunes – même s’ils sont modérés – mais également les informations pour savoir quelle offre est plus particulièrement appropriée pour quels jeunes. Considérée ainsi, la recherche supra-f donne des recommandations et suggestions concrètes non seulement aux décideurs et spécialistes pour la prévention et l’intervention précoce, mais aussi pour d’autres projets de recherche. |
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Universität Fribourg, Zentrum für Rehabilitations- und Gesundheitspsychologie |
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Granges-Paccot |
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German |
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50-am |
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56066 |
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Minet, S.; Mejias, S.; Druine, C.; Servais, L.; De Smet, S.; Delmarcelle, C.; Joris, L. |
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Le jeu dans tous ses états : un état des lieux en matière de jeux en Belgique |
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2004 |
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258 |
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nonchemical addiction; pathological gambling; social costs and benefits; assessment; history; legislation; risk factors; treatment and maintenance; prevention; Belgium |
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Bien que le jeu soit pour la plupart un agréable passe-temps, certains ne parviennent plus à maîtriser leur comportement de jeu. Les coûts sociaux et économiques de la dépendance au jeu pour la société sont très élevés. Dans ce tour d’horizon, les auteurs se sont concentrés principalement sur les aspects négatifs liés au jeu, en s’attachant essentiellement à la situation en Belgique. |
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Rodin Foundation |
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Bruxelles |
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French |
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Minet, S.; Mejias, S.; Druine, C.; Somers, W.; Hoffmann, E.; Servais, L.; De Smet, S.; Delmarcelle, C.; Joris, L.; Patesson, R.; Steinberg, P. |
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Du plaisir du jeu à la souffrance : une enquête sur le jeu et la dépendance au jeu |
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2004 |
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103 |
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pathological gambling; research; AOD use; disorder classification; comorbidity; risk-taking behavior; interview; Belgium |
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Rodin Foundation |
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Bruxelles |
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French |
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56080 |
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Wapf, Bettina; Peters, Matthias |
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Evaluation der Regionalärztlichen Dienste (RAD) : Bericht im Rahmen des mehrjährigen Forschungsprogramms zu Invalidität und Behinderung (FoP-IV) |
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2007 |
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xxxi, 98 |
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program planning, implementation, and evaluation; insurance; AODR disability; medical examiner; Switzerland |
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Anfang der 1990er Jahre führte eine starke Zunahme der IV-Leistungsbezügerinnen und IV-Leistungsbezüger und damit verbunden eine zunehmend Verschlechterung der finanziellen Situation der IV zur 4. IVG-Revision. Im Rahmen dieser Revision wurden unter anderem die regionalen ärztlichen Dienste (RAD) mit eigener Untersuchungskompetenz eingeführt. Das Ziel dieser Evaluation besteht darin, die RAD und das Zusammenspiel zwischen RAD und IV-Stelle umfassend zu evaluieren. Schwerpunkte sind dabei zum einen die Aufbau- und Durchführungsprozesse, zum andern die Auswirkungen der RAD-Einführung. Neben Dokumentenanalysen wurden Interviews in den RAD und IV-Stellen durchgeführt. Zusammenfassend kommt die Evaluation zum Schluss, dass die Einführung der RAD die erwarteten Entwicklungen eingeleitet hat, wenn auch weiter daran gearbeitet werden muss und die Ziele noch nicht erreicht sind. Aufgrund der föderalistischen Struktur der IV-Organisation und damit auch der Umsetzung der RAD entwickelte sich eine grosse Vielfalt unterschiedlicher Erscheinungsformen von RAD, die nur beschränkt Gemeinsamkeiten aufweisen. Es lassen sich deshalb auch keine schlüssigen Zusammenhänge zwischen den Merkmalen der RAD bzw. der Zusammenarbeit von RAD und IV-Stelle auf die Tätigkeit der RAD feststellen. Zudem vermuten wir, dass Schlüsselgrössen wie die Berentungsquote und die daraus ableitbaren Folgegrössen durch eine Vielzahl, vor allem kontextueller Faktoren bestimmt werden und die Merkmale der IV-Organisation nur beschränkt von Bedeutung sind. Einer präzisen Analyse der oben erwähnten Zusammenhänge steht auch die schlechte Datenlage entgegen. Eine verlässliche Evaluation kann nur vorgenommen werden, wenn klar definierte Daten einheitlich und systematisch gesammelt werden, wie das die seinerzeitige Machbarkeitstudie vorschlug. Die von den RAD gelieferten Daten sind wenig hilfreich, da es zu viele Ungenauigkeiten in der Erfassung gibt. Au début des années 90, la forte augmentation du nombre de bénéficiaires de prestations AI et donc des coûts, entraînant une aggravation régulière de la situation financière de l’assurance, a abouti à la 4e révision de l’AI. Celle-ci prévoyait, entre autres, la création des services médicaux régionaux (SMR), dotés de la compétence de procéder eux-mêmes à des examens médicaux. L’objectif du présent mandat est d’évaluer de manière approfondie les SMR et la manière dont ils collaborent avec les offices AI. Nous avons mis l’accent, d’une part, sur les structures et les processus et, d’autre part, sur les conséquences de la création des SMR. Nous avons à cet effet analysé des documents et réalisé des entretiens dans les SMR et les offices AI. En résumé, l’évaluation conclut que la création des SMR a produit une partie des effets escomptés, même s’il reste des améliorations à apporter et que les objectifs ne sont pas encore atteints. La structure de l’AI étant fédéraliste, la mise en œuvre des SMR l’est aussi ; ceux-ci ont donc pris des formes très diverses sans guère de points communs. Il est par conséquent difficile de tirer des conclusions nettes sur le lien entre les caractéristiques des SMR ou de leur collaboration avec les offices AI d’un côté et l’activité des SMR de l’autre. Nous supposons en outre qu’une valeur clé comme le taux de rentes et les chiffres qui en découlent sont déterminés par de multiples facteurs, avant tout d’ordre contextuel, et que les caractéristiques organisationnelles de l’AI ne jouent qu’un rôle mineur. Par ailleurs, les données sont insuffisantes pour permettre une analyse précise de ces liens. Une évaluation fiable ne sera possible que lorsque les données seront recueillies d’une manière clairement définie, uniforme et systématique, comme l’étude de faisabilité l’avait proposé. Les données fournies par les SMR ne sont pas très utiles, car leur collecte comporte trop d’imprécisions. Il forte aumento del numero di beneficiari di prestazioni AI all’inizio degli anni Novanta e il conseguente peggioramento della situazione finanziaria dell’AI hanno portato alla 4a revisione AI. Una delle novità di quest’ultima è stata l’introduzione di Servizi medici regionali (SMR) dotati della competenza di svolgere propri esami. L’obiettivo di questo studio è di fornire un’ampia valutazione dei SMR e della loro collaborazione con gli uffici AI. L’analisi si concentra principalmente sulla costituzione dei SMR, sui processi esecutivi e sulle conseguenze dell’introduzione dei SMR. Oltre all’analisi della documentazione, gli autori dello studio hanno proceduto ad una serie di interviste presso i SMR e gli uffici AI. In sintesi, la valutazione giunge alla conclusione che l’introduzione dei SMR ha innescato gli sviluppi auspicati. Il lavoro non è però terminato e gli obiettivi non sono ancora raggiunti. A causa della struttura federalistica dell’organizzazione dell’AI e quindi anche dell’introduzione dei SMR, si è assistito allo sviluppo di una moltitudine di forme di SMR che si assomigliano solo parzialmente. Per questa ragione, non è possibile determinare l’influenza delle caratteristiche dei SMR o della collaborazione tra SMR e uffici AI sull’attività dei SMR. Si presume inoltre che alcuni indicatori chiave quali la quota delle nuove rendite e gli indicatori che ne derivano siano determinati da numerosi fattori, soprattutto contestuali, e che le caratteristiche dell’organizzazione dell’AI abbiano un’influenza marginale. Un altro fatto che impedisce un’analisi precisa delle summenzionate relazioni è la lacunosità dei dati disponibili. Per una valutazione attendibile è indispensabile raccogliere in modo uniforme e sistematico una serie ben definita di dati, come proposto a suo tempo nello studio di fattibilità. I dati forniti dai SMR sono di scarsa utilità, poiché sono stati rilevati con troppa imprecisione. In the early 1990s, a strong increase in DI (disability insurance) beneficiaries and the resulting deterioration of the DI system’s financial situation gave rise to the 4th revision of DI legislation. Among other things, this revision provided for the introduction of regional medical services (regionale ärztliche Dienste RAD) with their own evaluating competence. The aim of the present study is to assess RAD and the interplay between RAD and the DI office, with a special focus on introduction and implementation processes, as well as the impact of RAD implementation. It is based on a study of relevant documents, and interviews with RAD and DI representatives. The evaluation arrives at the conclusion that the introduction of RAD has launched the expected developments, although the ultimate goals have not yet been reached and further work is required. Due to the federal structure of the DI and consequently of RAD implementation, RAD assumed a variety of different forms, which make it impossible to establish binding similarities between RAD characteristics or the cooperation between RAD and DI offices. We also assume that key values such as pension recipients’ quotas and resulting other values are determined by a number of primarily contextual factors and that the characteristics of DI organisation have only limited significance. Moreover, a precise analysis of the above-mentioned relationships is rendered difficult by a poor data base. A reliable evaluation is only possible if clearly defined data are gathered in uniform and systematic manner, as suggested by the feasibility study. The data provided by RAD are not very helpful, since they are not precise enough. |
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Bundesamt für Sozialversicherungen (BSV) |
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Berne |
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German; French; Italian; English |
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Texte en allemand, avant-propos et résumé en français, italien et anglais; testo in tedesco, premessa e riassunto in francese, italiano ed inglese; text in German, foreword and summary in French, Italian, and English; aussi disponible en français |
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56082 |
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Klingemann, Harald; Gomez, Veronica; Eggli, Peter; Schlüsselberger, Monika |
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Geschlechtsrollenorientierung und maskuline Identität : Dimensionalität und Therapierelevanz bei Patienten in der stationären Suchttherapie : Schlussbericht zuhanden der Schweizerischen Stiftung für Alkoholforschung (SSA) |
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2008 |
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109 |
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treatment and maintenance; inpatient care; addiction care; gender identity; man; AOD use, abuse, and dependence; alcohol; violence; sexuality; work; father; research; Switzerland |
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Alkoholismus Therapieforschung Schweiz (ATF Schweiz) |
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Kirchlindach; Ellikon an der Thur |
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German |
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56090 |
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Payne, Fred J. |
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An evidence-based review of needle exchange programs |
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2004 |
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13 |
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harm reduction; HIV infection; Aids |
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Children's AIDS Fund (CAF) |
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Washington |
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50-aap |
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56095 |
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Author |
Merki Frei, Monika |
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Title |
FiSu-FiDé : das leistungsbezogene Finanzierungssystem der Suchttherapie |
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Year |
2004 |
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10 |
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Keywords |
Aod; AOD dependence; AOD use, abuse, and dependence; health care costs; financial management; financing; managed care; Switzerland |
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Publisher |
Trovacon |
Place of Publication |
Zürich |
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German |
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Aussi disponible en français: 50-00361; anche disponibile in italiano: 50-00362 |
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Call Number |
50-00360 |
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56110 |
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