Titre : | Towards the integration of treatment systems for substance abusers : report on the second international symposium on substance abuse and special target groups |
Titre traduit : | (Vers une unification des systèmes de traitement pour les toxicomanes : rapport sur le 2ème congrès international sur les traitements de désintoxication et les groupes cibles spécifiques) |
Auteurs : | E. BROEKAERT ; W. VANDERPLASSCHEN |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 237-245 |
Note générale : |
Journal of Psychoactive Drugs, 2003, 35, (2), 237-245 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés TRAITEMENT ; TRAITEMENT INTEGRE ; COMMUNAUTE THERAPEUTIQUE ; REDUCTION DES RISQUES ET DES DOMMAGES ; SUBSTITUTION ; ABSTINENCE ; CONCEPTThésaurus géographique ETATS-UNIS ; EUROPE |
Résumé : |
ENGLISH : The central ideas of this article are the result of intensive discussions during a symposium that was organized following structural changes in European substance abuse treatment. Therapeutic communities were concerned about their approach being replaced by other treatment modalities. Participants focused on the question of whether the emerging harm reduction paradigm could be combined with the principle of recovery and how its integration in a comprehensive treatment system could be beneficial or detrimental to therapeutic communities. This article defines integrated treatment systems for substance abusers from a conceptual, etymological, ethical and ideological point of view. In addition, it focuses on old but ongoing contradictions and discussions between drug-free, methadone-maintenance and harm reduction approaches. Several prerequisites for the integration of treatment systems are discussed, and parallels and discrepancies between the American and European situation are explored. An integrated and comprehensive system of treatment services is put forward as an alternative to the present-day gap between conventional abstinence-oriented programs and harm reduction initiatives. Participants maintain that collaboration between these apparently incompatible treatment paradigms will depend on mutual respect, the introduction of a common language and a thorough analysis of clients' treatment demands. (Review's abstract.) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 87 |
Affiliation : |
Ghent Univ., Dept Orthopedagogics, Dunantlaan 2, B-9000, Ghent eric.broekaertugent.be Belgique. Belgium. |
Numéro Toxibase : | 102528 |
Centre Emetteur : | 01 Pey Berland |
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