Historique
Périodique
Drug treatment on demand - Not
(La demande de traitement)
Auteur(s) :
L. D. WENGER ;
M. ROSENBAUM
Refs biblio. :
33
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
HEROINE
;
METHADONE
;
TRAITEMENT
;
PROGRAMME
;
DEMANDE
;
REDUCTION DES RISQUES ET DES DOMMAGES
Note générale :
Journal of Psychoactive Drugs, 1994, 26, (1), 1-11
Résumé :
FRANÇAIS :
L'accès au traitement sur demande n'est pas très aisé aux Etats-Unis. De multiples éléments y font obstacle, notamment les listes d'attente. 70 héroïnomanes ont été interrogés à ce sujet et détaillent les façons de se débrouiller pour accéder à ces programmes s'opposant ainsi davantage aux risques de contamination par le VIH. Une politique de réduction des risques, pour être efficace, doit supprimer le plus possible les obstacles à l'accès aux programmes méthadone à la demande.
ENGLISH :
Drug treatment on demand is not a reality in the United States. In fact, to funding cuts at federal, state, and local levels, entry into drug treatment programs has become increasingly more difficult over the past decade. In a NIDA-funded ethnographic study of methadone maintenance, IV drug use and AIDS, 70 heroin addicts who were out of treatment and actively seeking methadone maintenance were interviewed. In life-history interviews, the drug users described barriers to treatment, waiting-list experiences, and the impact of these experiences on their drug use, drug-using behavior, and emotional well-being. Respondents used many mechanisms to cope with the lack of availability of drug treatment slots, some of which have increased their risk of exposure to and spread of HIV. These findings indicate the need for an increase in the availability of subsidized methadone maintenance treatment slots "on demand" if individuals are to decrease their drug use and their high-risk behaviors. Drug treatment on demand is more than politically correct rhetoric. It is necessary ingredient in reducing the harm caused by the use of illegal drugs. (From the authors' abstract)
L'accès au traitement sur demande n'est pas très aisé aux Etats-Unis. De multiples éléments y font obstacle, notamment les listes d'attente. 70 héroïnomanes ont été interrogés à ce sujet et détaillent les façons de se débrouiller pour accéder à ces programmes s'opposant ainsi davantage aux risques de contamination par le VIH. Une politique de réduction des risques, pour être efficace, doit supprimer le plus possible les obstacles à l'accès aux programmes méthadone à la demande.
ENGLISH :
Drug treatment on demand is not a reality in the United States. In fact, to funding cuts at federal, state, and local levels, entry into drug treatment programs has become increasingly more difficult over the past decade. In a NIDA-funded ethnographic study of methadone maintenance, IV drug use and AIDS, 70 heroin addicts who were out of treatment and actively seeking methadone maintenance were interviewed. In life-history interviews, the drug users described barriers to treatment, waiting-list experiences, and the impact of these experiences on their drug use, drug-using behavior, and emotional well-being. Respondents used many mechanisms to cope with the lack of availability of drug treatment slots, some of which have increased their risk of exposure to and spread of HIV. These findings indicate the need for an increase in the availability of subsidized methadone maintenance treatment slots "on demand" if individuals are to decrease their drug use and their high-risk behaviors. Drug treatment on demand is more than politically correct rhetoric. It is necessary ingredient in reducing the harm caused by the use of illegal drugs. (From the authors' abstract)
Affiliation :
Inst. Scient. Anal., 2595 Mission St, Suite 300, San Francisco CA 94110
Etats-Unis. United States.
Etats-Unis. United States.
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