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Lisbon, TDI Annual Expert Meeting, 22.-24. September 2004

Regular and intensive use of cannabis and related problems: Some results from literature and from the 2002 REITOX reports (CT.2003.103.P1) Roland Simon. Lisbon, TDI Annual Expert Meeting, 22.-24. September 2004. Contents. Problematic use of cannabis is defined in different studies through:

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Lisbon, TDI Annual Expert Meeting, 22.-24. September 2004

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  1. Regular and intensive use of cannabis and related problems: Some results from literature and from the 2002 REITOX reports (CT.2003.103.P1) Roland Simon Lisbon, TDI Annual Expert Meeting, 22.-24. September 2004

  2. Contents Problematic use of cannabis is defined in different studies through: • Concept “Frequent or regular use” • Some results from recent research: framework • Results from NFP Reports 2002: Prevalence, Treatment • Conclusions 2/14

  3. Antecedentfactors of PCU 3/14

  4. Chronic effects of PCU 4/14

  5. Secondary effects of PCU 5/14

  6. Prevalence 6/14

  7. Clients characteristics I 7/14

  8. Clients characteristics II 8/14

  9. Overview: Situation • Prevalence:- Dependence: 0,2-3% - Misuse 3% - Frequent Use 1-6% - Regular Use 4-10% • Characteristics- Msle - 28-24 years old - problems with school and social achievements - psychiatric comorbidity: anxiety, depression, psychosis - multiple drug use 9/14

  10. Treatment demands 10/14

  11. Treatment needs and referrals 11/14

  12. Special treatments offered 12/14

  13. Overview Treatment • Referrals:- Justice plays a big role: 20-25% - Majority is self-referred, partly motivated by the family - Frequent Use 1-6% - Regular Use 4-10% • Trends - Up to 50% ( most countries: 10-20%) of out-patiente clients come mainly for cannabis - Increase in most of the Member States over the last years • Treatment needs- No mix with opiate addicts - Little specific treatment programmes, additional elements very important 13/14

  14. Conclusions In relation to the topic cannabis in treatment - there seem to be a relevant and increasing number of clients asking for help - while cannabis is the main substance in these cases, often other drugs are used as well - additional aspects (school achievements, psychiatric problems ..) play a import role in treating this group - treatment offered in most countries looks less developed and sophisticated than for heroin addicts In relation to TDI and “Problematic drug use” - common definitions needed for this client group - possible basis: frequency of use, consequences of use 14/14

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