Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic
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Transcript of Social and medical care of intravenous drug users in the Central Bohemian Region Czech Republic
Social and medical care of intravenous drug Social and medical care of intravenous drug users in the Central Bohemian Region users in the Central Bohemian Region
Czech RepublicCzech Republic
PhDr. Pavla Doležalová regional anti-drug coordinator
ContentContent
Demographic figures from CBR Social and health care network facilities for
drug users Mobility of services A model of the spectrum of services in a
low-threshold center Intravenous drug users with HIV in the
services network Harm reduction program Conclusion
Some demographic figures of CBSome demographic figures of CBRR
• The CBR region comprises 14% area of the CR, have 12 districts
• Population Central Bohemia Region:
1 144 071.• Population Prague: 1 170 571.• Population Czech Republic: 10 220 577.• Source: ČSÚ 2004
Social and health care facilities network Social and health care facilities network for drug usersfor drug users
Policy of the Basic Network of Health and Social Services for Drug Addicted Persons in the CB Region
Key document – financial analysis and schedule
Approved by political representation of CBR
Coordination at regional level- committee and working group focusing on HIV/AIDS, education programs, co-financed by respective ministries, region, municipalities.
Mobility of servicesMobility of services Interconnecting K-C and psychiatric care services with a Interconnecting K-C and psychiatric care services with a focus on ATfocus on AT
Based on following principles:
Increase and maintain quality of life of IDU
The aim is to ensure:Proficiency
AccessibilityInterconnection
Complexity Low-threshold principle
Model of the spectrum of services in Model of the spectrum of services in low-threshold centerlow-threshold centerss K-centrum: outreached programs– HR,
university, secondary school, social workers- social care, counseling etc.
Psychiatrist-AT specialist - diagnosis, pharmacotherapy, substitution, psychotherapy, family therapy
Clinical psychologist - diagnosis, psychotherapy, family therapy etc.
Intravenous drug users with HIV in the services Intravenous drug users with HIV in the services networknetwork Harm reduction program Crisis intervention Information, nutrition and hygienic services, counseling,
education Laboratory tests and after care Reduction of the demand Diagnostic filter and referral to consequent services Individual and group psychotherapy Family therapy Relapse prevention Pharmacotherapy Substitution Counseling Expertises
Harm reduction program-Harm reduction program-HIV HIV preventionpreventionbyby ID IDUU as a as a part of part of the the prevention of prevention of public public health carehealth care-KC-KC In 12 districts of CBR, the program is fully
accessible starting in 2007 Always less expensive than after
treatment or repression, it increases the interest for treatment.
It reduces the risks especially of hepatitis, HIV/AIDS and other infections diseases IDU (CBR-prevalence of HIV/AIDS in IDU in 2006: 8,5% from in total 82 persons).
HIV monitoring, KC- preliminary tests in collaboration with National Reference Laboratories
Consequences: HowConsequences: How to improve efficiency of to improve efficiency of care for Icare for IDUDU??
Analysis of needs, research studies, financial analysis, monitoring, concept, human resources…
Obtain Political support Obtain Financial sources Networking Interconnect social and health services, to
increase the quality of life To ensure high quality and complex,
accessible care, high- skilled professionals Evaluation
Thank you for your attention