STRATEGY OF DRUG AND HIV/AIDS PREVENTION IN THE CITY AND

DISTRICTS OF TALLINN

Ene Tomberg

Department of Social Welfare and Health Care of Tallinn

PREVENTION AND TREATMENT OF DRUG

ADDICTION IN TALLINN

NON-PROFIT ORGANIZATIONS (ca. 40)

C ITY DISTRICTS GOVERNM ENTS(8) PREVENTION COUNCILS

HEALTH CARE INSTITUTIONS

TALLINN CITY DEPARTMENT OF SOCIAL W ELFARE AND HEALTH CARE

TALLINN C ITY G O VERNM ENT CO M M ITTEE O F DRUG ANDAIDS PREVENTIO N

BASE DOCUMENTS

• NATIONAL STRATEGY OF DRUG PREVENTION FOR 2002 TO 2012

• NATIONAL PROGRAMME FOR THE PREVENTION OF HIV/AIDS FOR 2002 TO 2006

• STRATEGY OF DRUG PREVENTION IN TALLINN FOR 2002 TO 2007

OBJECTIVES OF THE TALLINN STRATEGY:

1. REDUCE THE REQUEST FOR ILLEGAL SUBSTANCES

INDICATORS FOR RESULT MEASUREMENT:*INITIAL PREVENTION AT SCHOOLS - PROJECTS,

TRAININGS, ALLOCATED RESOURCES, ASSESSMENT OF PROJECT EFFECTIVENESS;

*INITIAL PREVENTION IN CITY DISTRICTS - PROJECTS, TRAININGS, FINANCIAL RESOURCES, ACTIVITIES OF PREVENTION COUNCILS

……………..

2. TO INCREASE THE NUMBER OF SUCCESSFULLY TREATED FORMER ADDICTS:

*AVAILABILITY OF TREATMENT/ REHABILITATION - NUMBER OF BEDS IN HOSPITALS AND REHABILITATION

CENTRES,

*COVERAGE OF CITY DISTRICTS, *DEVELOPMENT OF NEW TREATMENT MODELS:METADONE REPLACEMENT TREATMENT BY GPs???

……………...

3. REDUCE THE AVAILABILITY OF NARCOTIC SUBSTANCES:

*AVAILABILITY OF DRUGS ON THE STREETS

*GENERAL AVAILABILITY OF DRUGS.

MAIN PRINCIPLES:MONITORING THE SITUATION -

DATA COLLECTION ON FOUR INDICATORS:

• SCOPE OF DRUG USE AMONG POPULATION,

• INFECTIONS RELATED TO DRUG USE,

• DRUG RELATED FATALITIES,• NEED FOR TREATMENT.

DRUG PREVENTION ACTIVITIES:

DOES NOT MEAN ONLY THE PREVENTION OF USE OF ILLEGAL SUBSTANCES. INITIAL EXPERIENCE OF DRUG ABUSERS IS USUALLY RELATED TO ALCOHOL AND TOBACCO.

THEREFORE DRUG PREVENTION INCLUDES ALSO LEGAL SUBSTANCES SUCH AS ALCOHOL AND TOBACCO.

PRIORITIES FOR 2005

1. EXPANSION OF DRUG USE PREVENTION ON LOCAL GOVERNMENT LEVEL.

2. FACILITATING SUPPORTIVE ENVIRONMENT.

3. DEVELOPMENT OF HARM REDUCTION, DRUG ADDICTS TREATMENT AND REHABILITATION.

DRUG AND HIV/AIDS PREVENTION IN 2004

• FINANCED 34 PROJECTS FOR THE TOTAL OF 4,400,000 EEK

PROJECTS SUPPORTED:

• PREVENTION ACTIVITIES 19

• COUNCELLING 3

• LEGAL AID 1

• REHABILITATION 9

• OTHERS 2

OTHER DONORS:

• NATIONAL STRATEGY OF DRUG PREVENTION

• THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA (since beginning of 2004)

• etc.

TREATMENT OF DRUG ADDICTS:

• DURATION OF TREATMENT: 1 TO 6 MONTHS

• FOLLOWED BY A SELF- HELP GROUP AT REHABILITATION CENTRE