Tolerierte und verbotene Suchtmittel : unterschiedliche Einfluesse auf die Betreuung jugendlicher Abhaengiger

FRANÇAIS :
Etude portant sur 168 toxicomanes admis à la clinique psychiatrique de Zurich entre 1973 et 1979, dont 40 usaient de drogues tolérées et 97 de drogues prohibées. Le dernier groupe a fait plus souvent appel à des traitements ambulatoires. Les usagers de drogues illicites de sexe masculin purgeaient aussi souvent des peines d'incarcération qu'ils faisaient de séjours prolongés dans des cliniques spécialisées. La prise en charge des hommes jeunes toxicomanes en Suisse reste insatisfaisante. On y sous-estime les conséquences sociales de la toxicomanie aux drogues licites.
ENGLISH :
Of the 168 drug addicts admitted to the Zurich University Psychiatric Clinic between 1973 and 1979, 137 were followed up after an average period of five years, 40 of them dependent on legally tolerated drugs, 97 on prohibited drugs. The two groups were compared in terms of medical and social care, tutelary measures and arrests. Whereas the two groups were comparable as regards emergency inpatient treatment in general hospitals and psychiatric clinics, outpatient care was much more common among illegal-drug addicts. The men in this group were also hospitalized significantly more frequently and for longer periods in special therapeutic clinics. Surprisingly, there was no difference between the groups as regards the percentage of men imprisoned, whereas women dependent on illegal drugs were arrested more often than women dependent on legal drugs. Tutelary measures were significantly more frequent with legal drug addicts. These data suggest that those dependent on legal drugs, particularly young men, still receive insufficient treatment and that social consequences of addiction to legal drugs are underestimated. (Author's abstract)