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THE RESULTS of STUDY: Mapping of Services for the Treatment of Adolescents with Substance Use Disorders

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THE RESULTS of STUDY: Mapping of Services for the Treatment of Adolescents with Substance Use Disorders THE RESULTS OF STUDY: Mapping of services for the treatment of adolescents with substance use disorders Authors: The National Expert Committee for Addiction Diseases; Republic of Serbia, Ministry of Health Prof. Michal Miovsky, Charles University in Prague Partners: United Nations Office on Drugs and Crime (UNODC) Serbia The Results of Study: Mapping of services for the treatment of adolescents with substance use disorders This report is an independent review of the consultants. The views expressed therein are those of the authors and do not necessarily represent the views of UNODC. Contents GLOSSARY OF TERMS ...........................................................................................................................................................4 INTRODUCTION ...................................................................................................................................................................... 5 EXECUTIVE SUMMARY .........................................................................................................................................................6 DRUG USE ................................................................................................................................................................................8 Prevalence and trends ..............................................................................................................................................................................8 High-risk drug use .......................................................................................................................................................................................8 DRUG HARMS .........................................................................................................................................................................9 Drug-related infectious diseases .......................................................................................................................................................9 Drug-related emergencies ..................................................................................................................................................................10 Drug-induced deaths ..............................................................................................................................................................................10 PREVENTION .........................................................................................................................................................................11 Prevention interventions .......................................................................................................................................................................11 REDUCTION OF THE NEGATIVE CONSEQUENCES OF DRUG USE ............................................................................12 THE TREATMENT OF SUBSTANCE USE DISORDERS ....................................................................................................13 The treatment system ..............................................................................................................................................................................13 Treatment provision ................................................................................................................................................................................. 14 DRUG RESPONSES IN PRISON .........................................................................................................................................14 THE NATIONAL DRUG STRATEGY ....................................................................................................................................16 RESEARCH METHODOLOGY ..............................................................................................................................................20 Introduction .................................................................................................................................................................................................. 20 Data collection process ..........................................................................................................................................................................21 Data collection instrument ...................................................................................................................................................................21 Legal and ethical issues ........................................................................................................................................................................22 An overview of results .............................................................................................................................................................................22 RESULTS .................................................................................................................................................................................23 Distribution by the type of institution ..........................................................................................................................................23 Regional distribution of treatment facilities ........................................................................................................................... 24 The institutions’ financing method ................................................................................................................................................ 26 Service availability for adult clients ............................................................................................................................................. 26 TREATMENT FACILITIES PROVIDING SERVICES TO ADOLESCENTS WITH SUBSTANCE USE DISORDERS .....29 Geographic distribution of treatment facilities and services for adolescents with substance use disorders .........................................................................................................................................................................................................31 Type of institution for treatment of adolescents with substance use disorders .................................................37 EVIDENCE-BASED PREVENTION AND TREATMENT INTERVENTIONS WITH SPECIAL FOCUS ON ADOLESCENT GROUPS WITH SUBSTANCE USE DISORDERS: A BRIEF OVERVIEW ..............................................40 Prevention measures and early diagnostics ........................................................................................................................... 42 Treatment and rehabilitation programs ...................................................................................................................................... 44 Suggested models .................................................................................................................................................................................... 44 2 Mapping of services for the treatment of adolescents with substance use disorders Implementation modality .................................................................................................................................................................... 45 RECOMMENDATIONS ..........................................................................................................................................................48 Public health perspective ....................................................................................................................................................................48 Clinical perspective: ...............................................................................................................................................................................49 ANNEX (ANNEXES) ..............................................................................................................................................................52 1.1 The mapping tool for substance abuse treatment facilities .....................................................................................52 1.2 The questionnaire for mapping the institutions for treatment of adolescents with substance use disorders, 2019. ............................................................................................................................................................................................67 1.3 Tab. A1. Types of service in health centers ..........................................................................................................................75 1.4 Tab. A2. Types of service in general hospitals ...................................................................................................................75 1.5 Tab. A3. Types of service in special hospitals .....................................................................................................................76 1.6 Tab. A4. Types of service in clinical centers .........................................................................................................................76 1.7 Tab. A5. Types of service at the Institute of Mental Health and in prisons.......................................................76 1.8 Tab. A6. Services provided to adolescents ...........................................................................................................................77
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