|Titre :||Six-month process evaluation report on the medically supervised injecting centre (MSIC)|
|Auteurs :||R. P. MATTICK ; J. KIMBER ; J. KALDOR ; M. MACDONALD ; D. WEATHERBURN ; H. LAPSLEY|
|Type de document :||Rapport|
|Editeur :||Sydney : NDARC (National Drug and Alcohol Research Centre), 2001|
|Collection :||Technical Reports, num. No. 124|
|Format :||17 p. / tabl.|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASESTRUCTURE DE PROXIMITE ; EVALUATION ; REDUCTION DES RISQUES ET DES DOMMAGES ; COCAINE ; HEROINE ; ETUDE PROSPECTIVE
• During the first six months of operation, 1503 individuals were assessed and registered to use the services at the Medically Supervised Injecting Centre.
• Registered clients made 11,237 visits to the MSIC during which their injection of drugs was supervised.
• The majority of clients were male (68%), and approximately one-third was female (31%). Male clients accounted for majority of visits (57%).
• Cocaine was the drug most frequently used at the MSIC (injected on 47% of the visits) followed closely by heroin (injected on 45% of the visits).
• The clients made an average of eight visits in the six months (range = 1 to 335). The average time spent in the MSIC per visit was approximately 30 minutes.
• On approximately one in every three visits, a health care service was provided to the clients (in addition to the supervision of their injecting), and one in 18 visits resulted in a referral for further assistance. Half of the occasions of service were injecting and vein-care advice (49%). Among the 610 referrals for further assistance, 42% were to treatment for drug dependence, 33% were to primary health-care and 25% were to social welfare services.
• Eighty-seven drug-related clinical incidents occurred at the MSIC requiring medical management (0.8% of visits). These were 50 heroin overdoses, which were managed by the administration of oxygen (naloxone was administered in eight cases), 28 cases of cocaine-related toxicity, and five benzodiazepine and four non-heroin opioid overdoses respectively.
• Eighty-eight individuals who sought use of the MSIC were not registered. Twenty-six of these individuals did not meet the registration criteria, and 62 individuals expressed the wish to use the MSIC but did not proceed to register at that time.
|Domaine :||Drogues illicites / Illicit drugs|
|Affiliation :||National Drug and Alcohol Research Centre, University of New South Wales, Australia / Australie|