Schmidt Martin, Cranach Michael V, Egger Stefan
Suchtmedizinische Ambulanz, Bezirkskrankenhaus Kaufbeuren, Kaufbeuren, Germany.
Wien Med Wochenschr. 2006 Feb;156(3-4):102-10. doi: 10.1007/s10354-005-0256-3.
Modern services for persons with disorders resulting from psychoactive drug abuse must conform to the complexity of their needs. Low threshold access, standards for the prescription of opiates, out-patient, in-patient and day-hospital detoxification, rehabilitation and abstinence oriented strategies are fundamental prerequisites. The quality of services for drug dependent patients is defined by the percentage finding access to the service, the percentage of those continuing in the service, the easy and rapid transition between the different elements of the service, the degree of abstinence, decriminalization, physical comorbidity and mortality. Finally the cost of treated and untreated drug dependence should be considered.
为因滥用精神活性药物而患病的人提供的现代服务必须符合他们需求的复杂性。低门槛准入、阿片类药物处方标准、门诊、住院和日间医院戒毒、康复以及以戒断为导向的策略是基本前提条件。为药物依赖患者提供的服务质量由获得该服务的比例、继续接受该服务的比例、在服务的不同环节之间轻松快速转换的程度、戒断程度、非刑事化、身体合并症和死亡率来界定。最后,应考虑治疗和未治疗药物依赖的成本。