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Slide 1

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Blättler et al. 2002…read more

Slide 2

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· To investigate whether supply heroin
through a medical programme, along side
counselling, with reduce the use of
cocaine.…read more

Slide 3

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· 266 addicts on a drug treatment
programme in Switzerland. Participants
had a mean age of 30. 97 female and 168
males. They were examined of drug use
over an 18 month period.…read more

Slide 4

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· The programme: Supplied narcotic drugs at a clinic, a
daily injection of heroin, counselling, and social and
medial care.
· In return they agreed not to sell drugs, mix the with illicit
cocaine, not to smuggle drugs out, and there was no
violence, Counselling sessions were compulsory.
· Participants had an interview every 6 months to see if
there was a reduction in drug use. The interview asked
questions about mental health problems, seriousness of
addiction, and how addicts responded to behaviour and
emotion over the last 30 days. This information was
cross checked with urine studies, which showed the
amount of illegal drug intake. This occurred twice a
month. They were also examined for HIV and hepatitis.…read more

Slide 5

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· After 18 months on the programme,
cocaine use had reduced by 48% (from
84%), which for daily users was a
reduction of 30% to only 6%.
· The change in the number of non-users
went up from 16% to 52%.
· 75% tested negative for cocaine in the
urine tests.…read more

Slide 6

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· Those who injected both cocaine and
heroin at the initial interview, were more
likely to continue to use cocaine.
· Cocaine use was linked to prostitution,
illicit heroin use and contact within the
drugs scene. However, this did decrease
over the 18 month period so there was
some effect on other behaviour as well as
drug use.…read more

Slide 7

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