Nordlie Egil, Vøyvik Tom, Aasland Olaf G
Incognito Klinikk Apalløkkvn. 8 0956 Oslo.
Tidsskr Nor Laegeforen. 2002 Oct 20;122(25):2455-7.
Information on treatment facilities for legal drug dependence in Norway is not readily available.
In 2001 a questionnaire on the treatment of legal drug dependence was mailed to 254 psychiatric and substance abuse inpatient and outpatient clinics.
Of the 189 respondents, 25 psychiatric and 37 substance abuse clinics had treated patients with legal drug dependence in 1999-2000. Several clinics had insufficient registration systems. 34 out of 39 outpatient and 14 out of 35 inpatient clinics used gradual, as opposed to immediate, discontinuation of drug use. Abstention from all addictive drugs was a more common treatment goal for the substance abuse clinics than for the psychiatric clinics. Use of other drugs in the treatment was inconsistent between the different clinics. Half of the clinics claimed to base their treatment on scientific evidence. Only nine of 60 clinics had made systematic evaluations of treatment efficiency.
Institutional treatment for legal drug dependence in Norway in 1999-2000 was not well organised, and treatment ideologies and goals were diverse. We recommend one specialised clinic in this field in each of the five regional health administrations.
挪威合法药物依赖治疗机构的信息难以获取。
2001年,一份关于合法药物依赖治疗的调查问卷被邮寄给254家精神科和药物滥用住院及门诊诊所。
在189名受访者中,有25家精神科诊所和37家药物滥用诊所于1999 - 2000年治疗过合法药物依赖患者。几家诊所的登记系统不完善。39家门诊诊所中的34家以及35家住院诊所中的14家采用逐渐停药而非立即停药的方式。与精神科诊所相比,戒除所有成瘾药物在药物滥用诊所中是更常见的治疗目标。不同诊所治疗中使用其他药物的情况不一致。一半的诊所声称其治疗基于科学证据。60家诊所中只有9家对治疗效果进行了系统评估。
1999 - 2000年挪威合法药物依赖的机构治疗组织不善,治疗理念和目标多样。我们建议在五个地区卫生管理部门各设立一家该领域的专业诊所。