TY - JOUR KW - Adolescent KW - Adult KW - Attitude KW - Drug Users/psychology KW - Female KW - Humans KW - Male KW - Middle Aged KW - Opioid-Related Disorders/psychology/therapy KW - Primary Health Care/methods KW - Risk-Taking KW - Substance Abuse Treatment Centers/methods/statistics & numerical data KW - Substance-Related Disorders/psychology/therapy AU - N. Scherbaum AU - M. Specka AU - J. Bombeck AU - B. Marrziniak A1 - AB - BACKGROUND: To investigate whether users of a drug consumption facility (DCF) established as part of a health care centre for problem drug users fulfilled entry criteria, especially public drug consumption, risky drug-application and housing problems. We also investigated whether the drug consumption facility attracted hard-to-reach opiate users who usually do not use the health care system. METHODS: Structured interviews were carried out with 129 problem drug users beginning attendance at a drug consumption facility. RESULTS: Median length of the current episode of regular heroin use was 3 weeks. Sixty-seven per cent of clients had been in addiction specific treatment or had left prison during the previous 3 months. Regarding behaviour in the last month, 53% reported drug use in public, 53% use of non-sterile equipment or water, 22% needle sharing, 8% reported an emergency admission to hospital, and 43% were living in unstable accommodation. Only 10% of clients had never received treatment for their drug use and 87% were currently in contact with psychosocial services. CONCLUSIONS: The majority of clients were chronic opiate users with high rates of risk behaviour. However, they did have recent contact with the drug treatment system. DCFs may be particularly important for opiate users after prison or treatment and/or for those with unstable accommodation. BT - The International journal on drug policy C5 - Opioids & Substance Use CP - 5 CY - Netherlands DO - 10.1016/j.drugpo.2009.01.001 IS - 5 JF - The International journal on drug policy N2 - BACKGROUND: To investigate whether users of a drug consumption facility (DCF) established as part of a health care centre for problem drug users fulfilled entry criteria, especially public drug consumption, risky drug-application and housing problems. We also investigated whether the drug consumption facility attracted hard-to-reach opiate users who usually do not use the health care system. METHODS: Structured interviews were carried out with 129 problem drug users beginning attendance at a drug consumption facility. RESULTS: Median length of the current episode of regular heroin use was 3 weeks. Sixty-seven per cent of clients had been in addiction specific treatment or had left prison during the previous 3 months. Regarding behaviour in the last month, 53% reported drug use in public, 53% use of non-sterile equipment or water, 22% needle sharing, 8% reported an emergency admission to hospital, and 43% were living in unstable accommodation. Only 10% of clients had never received treatment for their drug use and 87% were currently in contact with psychosocial services. CONCLUSIONS: The majority of clients were chronic opiate users with high rates of risk behaviour. However, they did have recent contact with the drug treatment system. DCFs may be particularly important for opiate users after prison or treatment and/or for those with unstable accommodation. PP - Netherlands PY - 2009 SN - 1873-4758; 0955-3959 SP - 447 EP - 449 EP - T1 - Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted? T2 - The International journal on drug policy TI - Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted? U1 - Opioids & Substance Use U2 - 19269803 U3 - 10.1016/j.drugpo.2009.01.001 VL - 20 VO - 1873-4758; 0955-3959 Y1 - 2009 ER -