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It works in some countries > Heroin assisted treatment is fully a part of the national health system in Switzerland, Germany, the Netherlands, Denmark and the

by yread 10y ago

It works in some countries > Heroin assisted treatment is fully a part of the national health system in Switzerland, Germany, the Netherlands, Denmark and the United Kingdom. https://en.wikipedia.org/wiki/Heroin-assisted_treatment https://en.wikipedia.org/wiki/Heroin-assisted_treatment

hackermailman 10y ago
There's about 200 chronic addicts doing a heroin treatment study in Vancouver too http://www.theglobeandmail.com/news/british-columbia/vancouver-study-finds-new-treatment-path-for-chronic-heroin-addiction/article29537912/ http://www.theglobeandmail.com/news/british-columbia/vancouv... They found using pharma grade heroin worked better than methadone in weening addicts off heroin but it is difficult to get from Europe, so they did another study to see if hydromorphone worked just as well and it did, effectively cutting costs for any prescribed opiate treatment program. They also found by prescribing it, the addicts no longer were getting arrested everyday or participating in the black market, and made long term goals like savings since they no longer needed to live day to day committing crimes to support the addiction. As for injection sites I hope Seattle doesn't make the mistake of not making sure treatment is also available or else they'll end up like Vancouver with a growing number of injection sites because of the months long waiting list to get into treatment. These facilities are majority used by street addicts too so you still have a large amount of fentanyl overdoses since it's casual users dropping dead in their houses who don't frequent the clinics. Another issue with these facilities is there's constantly a crowd of gangsters out front ready to sell you drugs on your way in or collect debts from addicts in the lineup so some addicts don't go to the injection sites. Patrick K Kroupa of LoD/Cult of Dead Cow managed to clean himself up with ibogaine doses and a lot of self discipline http://ibogaine.mindvox.com/articles/heroin-ibogaine-patrick-kroupa/ http://ibogaine.mindvox.com/articles/heroin-ibogaine-patrick...
- trome 10y ago
  Its a step in the right direction for Seattle, and hopefully we will go further to treat this epidemic.
- cnp 10y ago
  Ibogaine is a miracle. If only more people knew about it.
- meowface 10y ago
  His telling of his experience with ibogaine is pretty crazy.
DanBC 10y ago
https://www.gov.uk/government/publications/21824-licenses-to-prescribe-diamorphine-for-the-treatment-of-addiction-issued-by-the-home-office-in-each-of-the-last-10-years https://www.gov.uk/government/publications/21824-licenses-to... There are only about 300 doctors with the correct licence to prescribe diamorphine to addicts. http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf > Drug treatment in the UK encompasses a range of available treatments and services including community (and primary-care) based prescribing, community one-to-one and group-based psychosocial interventions to support recovery, inpatient treatment, day programmes, and quasi and fully residential drug treatment and rehabilitation support. Prescribing (principally methadone) for drug dependence is provided for stabilisation, detoxification, maintenance and relapse prevention. The National Institute for Health and Care Excellence (NICE)107 also provides guidance on a number of drug-treatment related topics and these are reviewed and updated regularly based on the latest evidence. Treatment interventions in any given area are expected to include advice and information, care planning, psychosocial interventions, community prescribing, inpatient drug treatment and residential rehabilitation. In addition, drug misusers should be offered relapse-prevention and aftercare programmes; hepatitis B vaccinations; testing for hepatitis B and C and HIV; access to hepatitis and HIV treatment; and needle exchange. Oral opioid substitution treatment (OST) with methadone is the most common pharmacological treatment used in treating heroin addiction; buprenorphine is also prescribed and injectable opioids, such as injectable methadone and injectable diamorphine, are also available but are not commonly used. Naltrexone108 is recommended as a treatment option to prevent relapse in detoxified formerly opioid- dependent people who are highly motivated to remain in an abstinence-based programme There's some guidance available: https://www.evidence.nhs.uk/formulary/bnf/current/guidance-on-prescribing/controlled-drugs-and-drug-dependence/prescribing-of-diamorphine-heroin-dipipanone-and-cocaine-for-addicts https://www.evidence.nhs.uk/formulary/bnf/current/guidance-o... Here's some statistics about numbers of people going into treatment. Frustratingly they don't appear to break it down by treatment type. https://www.ndtms.net/Publications/downloads/Adult%20Substance%20Misuse/adult-statistics-from-the-national-drug-treatment-monitoring-system-2015-2016.pdf https://www.ndtms.net/Publications/downloads/Adult%20Substan...

by yread 10y ago

hackermailman 10y ago

There's about 200 chronic addicts doing a heroin treatment study in Vancouver too http://www.theglobeandmail.com/news/british-columbia/vancouver-study-finds-new-treatment-path-for-chronic-heroin-addiction/article29537912/ http://www.theglobeandmail.com/news/british-columbia/vancouv... They found using pharma grade heroin worked better than methadone in weening addicts off heroin but it is difficult to get from Europe, so they did another study to see if hydromorphone worked just as well and it did, effectively cutting costs for any prescribed opiate treatment program. They also found by prescribing it, the addicts no longer were getting arrested everyday or participating in the black market, and made long term goals like savings since they no longer needed to live day to day committing crimes to support the addiction. As for injection sites I hope Seattle doesn't make the mistake of not making sure treatment is also available or else they'll end up like Vancouver with a growing number of injection sites because of the months long waiting list to get into treatment. These facilities are majority used by street addicts too so you still have a large amount of fentanyl overdoses since it's casual users dropping dead in their houses who don't frequent the clinics. Another issue with these facilities is there's constantly a crowd of gangsters out front ready to sell you drugs on your way in or collect debts from addicts in the lineup so some addicts don't go to the injection sites. Patrick K Kroupa of LoD/Cult of Dead Cow managed to clean himself up with ibogaine doses and a lot of self discipline http://ibogaine.mindvox.com/articles/heroin-ibogaine-patrick-kroupa/ http://ibogaine.mindvox.com/articles/heroin-ibogaine-patrick...

trome 10y ago
Its a step in the right direction for Seattle, and hopefully we will go further to treat this epidemic.
cnp 10y ago
Ibogaine is a miracle. If only more people knew about it.
meowface 10y ago
His telling of his experience with ibogaine is pretty crazy.

DanBC 10y ago

https://www.gov.uk/government/publications/21824-licenses-to-prescribe-diamorphine-for-the-treatment-of-addiction-issued-by-the-home-office-in-each-of-the-last-10-years https://www.gov.uk/government/publications/21824-licenses-to... There are only about 300 doctors with the correct licence to prescribe diamorphine to addicts. http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf > Drug treatment in the UK encompasses a range of available treatments and services including community (and primary-care) based prescribing, community one-to-one and group-based psychosocial interventions to support recovery, inpatient treatment, day programmes, and quasi and fully residential drug treatment and rehabilitation support. Prescribing (principally methadone) for drug dependence is provided for stabilisation, detoxification, maintenance and relapse prevention. The National Institute for Health and Care Excellence (NICE)107 also provides guidance on a number of drug-treatment related topics and these are reviewed and updated regularly based on the latest evidence. Treatment interventions in any given area are expected to include advice and information, care planning, psychosocial interventions, community prescribing, inpatient drug treatment and residential rehabilitation. In addition, drug misusers should be offered relapse-prevention and aftercare programmes; hepatitis B vaccinations; testing for hepatitis B and C and HIV; access to hepatitis and HIV treatment; and needle exchange. Oral opioid substitution treatment (OST) with methadone is the most common pharmacological treatment used in treating heroin addiction; buprenorphine is also prescribed and injectable opioids, such as injectable methadone and injectable diamorphine, are also available but are not commonly used. Naltrexone108 is recommended as a treatment option to prevent relapse in detoxified formerly opioid- dependent people who are highly motivated to remain in an abstinence-based programme There's some guidance available: https://www.evidence.nhs.uk/formulary/bnf/current/guidance-on-prescribing/controlled-drugs-and-drug-dependence/prescribing-of-diamorphine-heroin-dipipanone-and-cocaine-for-addicts https://www.evidence.nhs.uk/formulary/bnf/current/guidance-o... Here's some statistics about numbers of people going into treatment. Frustratingly they don't appear to break it down by treatment type. https://www.ndtms.net/Publications/downloads/Adult%20Substance%20Misuse/adult-statistics-from-the-national-drug-treatment-monitoring-system-2015-2016.pdf https://www.ndtms.net/Publications/downloads/Adult%20Substan...