36 KB86 KB34 KB192920262001Ščuka, Viljemštevilka:11letnik:70str. 697-701ISSN:1318-0347COBISSID:14277081URN:URN:NBN:SI:doc-WGEHKPNGslSlovensko zdravniško društvoZdravniški vestnik(RS)-methadonesambulantebolezni odvisnostiHeroin dependenceHeroin, zasvojenostIlegalne drogejavno zdravstvoMetadonMethadoneNova GoricaSnov, zloraba, centri za zdravljenjeStreet drugsSubstance abuse treatment centersTherapyAmbulanta za bolezni odvisnosti Nova Gorica| kritični pregled dosedanje dejavnosti in možnosti razvoja v prihodnje| The critical view to the past activities and possibilities of development in the future|The author represents the Centre of prevention and treatment of an illegal drugs' addictions in Nova Gorica on the basis of analysis of the activities ofthe Centre in a first half-year of 2001. In that period the Centre treated 257 patients, among them 211 patients were addicted to heroin and just 68 of them (32%) were treated by methadone. The basic starting-point of the activities is an ambulant detoxification and participation of the patients andtheir relatives in the drugfree programmes, which are organised as an individual or group psychotherapyfora maintenance of the abstinence and personal development. In the last two years 110 patients were detoxificated from heroin, among them 22 are treated now for reappearance. There are 88 patients and 60 relatives (which is 42% of all treated by heroin addiction) included in the drug free programmes. The programme was medicamently supportedby naltrexon prophylaxis and sometimes by antidepresives for the period between half to one year. The author tries to introduce the successfulness of ambulant treatment of addictions under the condition of participation of clinical and psychotherapeutic approach and multidisciplinarity. He promotes the high-threshold programmes and criticises the lax and low-threshold use of methadone in the area of Northern Primorska regionAvtor predstavi Center za preprečevanje in zdravljenje odvisnosti od nedovoljenih drog v Novi Gorici na podlagi analize dejavnosti Centra v prvem polletju 2001, ko je bilo v obravnavi 257 oseb, od tega 211 zaradi zasvojenosti s heroinom, a jih le 68 (32%) obravnavajo z metadonom. Osnovno izhodišče dejavnosti je ambulantna detoksikacija in vključevanje detoksiciranih in njihovih svojcev v t.i. programe "brez droge", ki jih organizirajo kot individualno ali skupinsko psihoterapijo za vzdrževanje abstinence in osebnostno rast. V zadnjih dveh letih so detoksicirali 110 odvisnikov od heroina, od katerih je trenutno obravnavanih 22 zaradi recidiva.V programe drug free je vključenih 88 zdravljenih odvisnikov in 60 svojcev, tj. 42% vseh, ki so bili v tem obdobju obravnavani zaradi odvisnosti od heroina. Medikamentno podpirajo ta program z naltreksonsko profilakso in včasih z antidepresivi za obdobje pol do enega leta. Avtor želi prikazati uspešnost ambulantne obravnave odvisnosti, vendar pod pogojem, da vključuje poleg kliničnega tudi psihoterapevtski pristop in multidisciplinarnost. Pri svojem terapevtskem delu daje prednost visokopražnim programom in je kritičen do ohlapne in nizkopražne rabe metadona na območju severne PrimorskeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo