Titre : | The costs and consequences of three policy options for reducing heroin dependency (2007) |
Titre traduit : | (Coûts et conséquences de trois projets politiques de réduction de la dépendance à l'héroïne) |
Auteurs : | T. J. MOORE ; A. RITTER ; J. P. CAULKINS |
Type de document : | Article : Périodique |
Dans : | Drug and Alcohol Review (Vol.26 n°4, 2007) |
Article en page(s) : | 369-378 |
Note générale : |
Drug and Alcohol Review, 2007, 26, (4), 369-378 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés COUT SOCIAL ; POLITIQUE ; PREVENTION ; TRAITEMENT DE MAINTENANCE ; PRISON ; COMMUNAUTE THERAPEUTIQUE ; COMPARAISON ; ENQUETE ; EVALUATION ; HEROINE |
Résumé : |
ENGLISH : INTRODUCTION AND AIMS: This study compares the costs and consequences of three interventions for reducing heroin dependency: pharmacotherapy maintenance, residential rehabilitation and prison. DESIGN AND METHODS: Using Australian data, the interventions' cost - consequence ratio was estimated, taking into consideration reduction in heroin use during the intervention; the length of intervention; and post-intervention effects (as measured by abstinence rates). Sensitivity analyses were conducted, including varying the magnitude and duration of treatment effects, and ascribing positive outcomes only to treatment completers. A hybrid model that combined pharmacotherapy maintenance with a prison term was also considered. RESULTS: If the post-programme abstinence rates are sustained for 2 years, then for an average heroin user the cost of averting a year of heroin use is approximately AUD$5000 for pharmacotherapy maintenance, AUD$11,000 for residential rehabilitation and AUD$52 000 for prison. Varying the parameters does not change the ranking of the programmes. If the completion rate in pharmacotherapy maintenance was raised above 95% (by the threat of prison for non-completers), the combined model of treatment plus prison may become the most cost-effective option. DISCUSSION AND CONCLUSIONS: Relative performance in terms of costs and consequences is an important consideration in the policy decision-making process, and quantitative data such as those reported herein can provide insights pertinent to evidence-based policy. (Author' s abstract) |
Note de contenu : | graph. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 33 |
Affiliation : |
Turning Point Alcohol and Drug Centre. Fitzroy, VIC, Australia. Australie. Australia. |
Numéro Toxibase : | 1302092 |
Centre Emetteur : | 13 OFDT |
Cote : | Abonnement |
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