  Feasibility assessment of heroin-assisted treatment in Liège, BelgiumDemaret, Isabelle  ; Herné, Patrick ; Lemaître, André et alin Acta Psychiatrica Belgica (2011), 111(1), 3-8 A new heroin-assisted treatment, TADAM, has begun in Liège, Belgium. With the number of methadone patients (n=2046) in 2007, we estimated the geographical distribution of methadone treatments in the ... [more ▼] A new heroin-assisted treatment, TADAM, has begun in Liège, Belgium. With the number of methadone patients (n=2046) in 2007, we estimated the geographical distribution of methadone treatments in the province of Liège, of heroin addicts and of potential participants for TADAM. The methadone treatments were unequally distributed. Some urban areas showed a signifi cant number of heroin addicts: more than 14/1000 of the population aged 15-64. As a conclusion, the trial is appropriately targeted to those high-density addiction areas. [less ▲] Detailed reference viewed: 54 (22 ULg)Staff concerns in heroin-assisted treatment centresDemaret, Isabelle ; Lemaître, André ; ANSSEAU, Marc in Journal of Psychiatric & Mental Health Nursing (2011) Heroin-assisted treatment (HAT) is a solution for improving the condition of treatmentresistant heroin addicts. Since 1994, six randomized controlled trials have concluded that HAT is more efficacious ... [more ▼] Heroin-assisted treatment (HAT) is a solution for improving the condition of treatmentresistant heroin addicts. Since 1994, six randomized controlled trials have concluded that HAT is more efficacious than oral methadone for severe heroin addicts.We visited seven HAT treatment centres in four countries in order to observe diacetylmorphine (DAM) administration and to study the main concerns of the staff. Nurses were concerned by the risk taken if a previously intoxicated patient received his dose of DAM. Another concern was the smuggling of DAM doses. The HAT centres face a dilemma: treating patients while at the same time allowing their risky street habits in the centre. [less ▲] Detailed reference viewed: 12 (7 ULg) L’efficacité du traitement assisté par diacétylmorphine (héroïne pharmaceutique) à l’étrangerDemaret, Isabelle ; Lemaître, André ; Ansseau, Marc in Revue Médicale de Liège (2010), 65(12), 681-687 Before implementing the TADAM project in Belgium (a heroin-assisted treatment trial), our research team studied the trials in other countries. Since 1994, six randomised controlled trials have been ... [more ▼] Before implementing the TADAM project in Belgium (a heroin-assisted treatment trial), our research team studied the trials in other countries. Since 1994, six randomised controlled trials have been developed using the same treatment model of heroin-assisted treatment (HAT). Each trial concluded that HAT had more efficacy than methadone treatment. We analysed those trials in order to find on which levels patients in a HAT treatment are expected to improve. Improvements appeared after at least six months on the level of street heroin use, (physical and mental) health and criminal behaviour. In the longer term, the continuation of treatment had positive but limited effects on the social level. Due to his higher cost, this treatment should remain a second-line treatment for this special target group: severe heroin addicts, using continuously street heroin in spite of a methadone treatment. [less ▲] Detailed reference viewed: 71 (24 ULg)Les effets sociaux du cannabisDemaret, Isabelle ; Born, Michel ; Lemaître, André in Seutin, Vincent; Scuvée, Jacqueline; Quertemont, Etienne (Eds.) Regards croisés sur le cannabis (2010) Detailed reference viewed: 140 (26 ULg) |
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