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Addressing Treatment Challenges in Addiction: Insights from the EURO-TC Initiative

The EURO-TC initiative, led by Dr. Thomas Legl, focuses on identifying contemporary challenges in addiction treatment across Europe. This initiative aims to tailor strategies to local consumption patterns and enhance accessibility to treatment for those in need. By promoting collaboration among stakeholders, developing flexible therapeutic programs, and sharing best practices, the initiative seeks to foster effective treatment approaches for diverse populations. Key objectives include workshops, scientific exchanges, and the creation of guidelines to improve treatment outcomes.

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Addressing Treatment Challenges in Addiction: Insights from the EURO-TC Initiative

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  1. WORK PACKAGE TREATMENT CHALLENGES Dr.Thomas Legl Member of Executive Committee EURO –TC Director Kur- und Gesundheitszentrum Knappenhof/Austria ICAA,, Vienna NGO Committe on Narcotic Drugs DEMOCRACY CITIES AND DRUGS II Kick-off Seminar Paris, 20-21 June 2008

  2. OBJECTIVES • To identify actual challenges in treatment • To find responses to local specifities and actual consumption patterns • To develop best strategy for the local city level • To promote exchange to other stakeholders • To make treatment easier accessible and more attractive to the persons in need

  3. PLATFORM LEADER - EURO-TC • Network of addiction treatment centers • Covers 9 european countries • Special promotion of: • Flexible therapeutic programmes fitting the patients needs • Integrated treatment programmes for special target groups • Exchange on the scientific level as well as on the level of clients activities

  4. WORK AGENDA • Implementation seminar Bucharest / establishment of scientific group and work plan • Development of a questionnaire to evaluate a status quo • Analyze the questionnaire • 2 workshops organized by the scientific group • 5 refinement meetings • Development of guidelines

  5. BACKGROUND/GENERAL GUIDELINES WITHIN THE EU • Integrative Approach • Different Problems – Different Strategies • Punishment for Trafficking & Treatment for Dependant Persons • Counseling Consumers • Decriminalization vs. Legalization

  6. SITUATION • Rapid Development of Substitution Programmes • Traditional Abstinent Treatment / Need for flexible interventions

  7. Co-Morbidity - Flow Pattern Outpatient Facility Psychiatric Hospital High Co-Morbitity Low Co-Morbitity TC High Co-Morbitity Substitution Programme Low Co-Morbitity

  8. SUBSTIUTION TREATMENT • Italy 27-29% • Spain 41-86% • 90% Methadone – 300.000 Methadone patients in Europe BEST PRACTICE • Long term basis and effective dosage • Psychosocial treatment • Excellent experience in combination with residential treatment

  9. Substitution drugs • Very different legal situation within European countries • Methadone – Buprenorphine • Heroine maintenance – “perfect administration” • Matching treatment towards clients needs special target groups / Vienna experience

  10. MATCHING TREATMENT TO THE PATIENTS NEEDS SPECIAL PROGRAMMES • Parents and Children • Dual Diagnosis • Adolescents • Gender Oriented Treatment • Ethnic Approach • Geriatric Communities

  11. CHANGE IN CONSUMPTION PATTERNS WHAT IST THE ANSWER TO • Increasing consumption of cocaine • Increasing consumption of methamphetamines • Parallel -consumption of alcohol and stimulants in substitution programs

  12. NECESSITIES • Different settings for different types • Anonymity essential • Time factor needs focusing on behavioral aspects

  13. CHALLENGES • ADAPTING TREATMENT TO PATIENTS NEEDS • Needs emerge during therapy • Matching needs as they emerge • Treatment not limited to a single inpatient intervention very clear for non-addiction diagnoses • Making treatment attractive

  14. THANK YOU FOR YOUR ATTENTION

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