NPS Current situation in Czech Republic. RICHTER Jiri, SANANIM

Transcription

1 NPS Current situation in Czech Republic RICHTER Jiri, SANANIM

2 Data based on - Annual Report: The Czech Republic 2012 Drug Situation, Prague, September 2013, NFP The estimated number of problem drug users recorded a slight increase in According to the estimates, there were approximately 41.3 thousand problem drug users. From that 30.7 thousand pervitin users, 4.3 thousand heroin users, and 6.3 thousand buprenorphine users In addition to pervitin, heroin, and buprenorphine, some use of raw opium and an increase in the misuse of analgesics containing opiates/opioids, such as fentanyl, codeine, and morphine, have been recorded among problem drug users. The number of injecting drug users was estimated at 38.7 thousand.

3 Pervitin Methamphetamine; already on the market before 1989 on most places in CR is primary drug of i.v. PDU; Produced traditionally in various cooking settings and conditions; Opiates in opposite mostly local issue NPS (National Country Report) Recent years were marked by the emergence of new synthetic drugs of the cathinone or phenetylamine group. The past-year prevalence of their use has been at the 10% level among problem drug users, but only a fraction of problem drug users are currently reporting them as their primary drug, and there are also dramatic regional differences in this respect. In last years NPS (cathinons MDPBP, MPPP) appears typically in so called smart shops and in internet shops.

4 As regards the new synthetic drugs, clients most often reported Funky, mephedrone, Cocolino, El Padrino, and Magico (all of them very probably contain cathinones).

5 Pervitin Problem drug users mostly injecting, long-term use with quite a few psychological, social and health problems Youngsters in nightlife settings / dancing scene use Pervitin used non i.v. way In some workplaces /settings (waiter, cook, IT, business, night work) use as stimulant to help complete tasks, survive New synthetic drugs Psychonauts and experimenters e.g. in relation to source in smartshops prs. using cannabis (shops frequently offer also equipment for growing) Problem drug users substances interesting cause of price and legality

6 Pervitin Injecting: Problem drug users frequently in few days trips In Prague often use in combination with opioids (Heroin, buprenorfin). Some reporting to use Pervitin for morning kick out Sniffing, swallowing: in nightlife settings use as stimulant for dancing, sex, performance... In some workplaces /settings - use as stimulant to complete tasks, kick of, long (complicated, overnight ) workload,

7 New synthetic drugs Injecting - Problem drug users Less expensive substitution of pervitin, At the moment NSD are under testing on drug scene lack of more information Sniffing, swallowing, vaporization: rather use as experiment, Legality increase attractiveness

8 Pervitin Produced traditionally in various home cooking settings, now also in more sophisticated conditions; often could contain toxic or various other dangerous dash/substances Psychical painfulness (toxic psychosis, aggressive behaviour) Within long-term i.v. use possible social consequences / impacts (homelessness, family breakdown) Spread of infectious diseases in relation to i.v. use After trip impoverishment, collapse Injuries and car accidents under the influence of pervitin combination of pervitin and pathological gambling financially/socially destructive Risky sexual behaviour (nightlife, dancing scene).

9 New synthetic drugs (MDPBP, MPPP) Currently still under screening, missing basic information Users reporting / talk about Total impoverishment collapsing Skin troubles, difficulties, diseases Spread of infectious diseases in relation of i.v. use legality attractive also for new/potential users and experimentations

10 Pervitin long-term country approaches: Outreach work as the service of first contact and linking up with other services motivation, relation building Outreach and Drop in / in frame of HR Needle exchange, Testing, warning system education, information forwarding, Motivation training. Use of capsules as alternative to i.v. use Attempts for substitution treatment (RITALIN) Treatment in traditional facilities (psychiatric clinics), outpatient centres or therapeutic communities

11 New synthetic drugs SANANIM Outreach Program Attempts to monitor information about MDPBP / MPPP, Samples send for examination, Analyses of users experiences, Creating of informative materials; their distribution Education of peer workers, info for services (specialised web) Early warning testing for drug type is not as standard, mandatory, periodical ; as well as information sharing for clients or services use

12 After boom of smart shop in 2010 / 2011 Low n. 167/ change initiated Significant government, MP support short tome to approve Extension of list of controlled substances 33 new ones Valid since Most of shops closed