Presentation on theme: "Experiences of Drug Consumption Rooms in Europe"— Presentation transcript:
1 Experiences of Drug Consumption Rooms in Europe Cedric CharvetCoordinator DCR
2 INTRODUCTION Drug Consumption Room definition DCR in context / Drug policiesDCR goalsPros and Cons of DCRFrom Theory to PracticeDCR around the worldThe Dutch experienceDCR standardsDCR styles / examples of DCRSet up a DCRDCR approach – a job like no otherConclusion
3 DEFINITIONDrug Consumption Rooms (DCRs) are professionally supervised healthcare facilities where drug users can use drugs in safer and more hygienic conditions.
6 Drug Consumption Rooms in context Drug policies; the 4 pillars:PreventionRepressionTherapyHarm Reduction → Drug Consumption Rooms (DCR)
7 DCR GOALSDCRs aim to establish contact with difficult-to-reach populations of drug usersDCRs provide an environment for more hygienic drug use; reduce morbidity and mortality risks associated with drug useDCRs promote drug users’ access to other social, health and drug treatment services.DCRs also aim to reduce public drug use and public nuisances.
8 PROS AND CONS PROS decrease in high-risk drug use; decrease in morbidity and mortality among the target population;increase in uptake of health and social care including drug treatment;reduction in public drug use and neighborhood nuisance.CONSmay encourage increased drug use or even initiate new users;make drug use more acceptable and comfortable, delaying initiation to treatment;increase public order problems by attracting drug users and drug dealers from other areas.(Based on the EMCDDA Report/European Monitoring Centre on Drugs and Drug Addiction/www.emcdda.europa.eu)
10 FROM THEORY TO PRACTICE Because DCRs are facilities where drug users can use drugs in safer and more hygienic conditions, let’s talk about it. DRUGS + SAFETY HYGIENE STRESS FREE
11 DCRs AROUND THE WORLDExisting DCRs = Switzerland , Netherlands, Germany, Spain, Luxemburg, Norway, Australia, CanadaSince 1986, more then 90 DCRs have been set up around the world, including 36 European citiesPortugal, France, Romania, Finland could be next
12 AMOC, Amsterdam, the Netherlands, before 2007 THE DUTCH EXPERIENCEAMOC, Amsterdam, the Netherlands, before 2007
14 DCR STANDARDS Being homeless Being hard drug user for 5 years or more Basic criteria’s to access DCRBeing homelessBeing hard drug user for 5 years or moreBeing 18 years of ageUnderstanding and agreeing on the DCR policiesNot allowed in the DCR (but very difficult to apply)StressInappropriate and/or Dangerous behaviorsIllegal activities
23 SET UP A DCR KNOW YOUR SCENE LISTEN TO THE NEEDS OF THE CLIENTS GATHER KNOWLEDGEESTABLISH PARTNERSHIPS
24 HUMANISTIC APPROACHAllow users space and time to use and think Use without pressure Use without judgment Use without stress (Rat Park) Reward responsible use Allow users to be
25 CONCLUSION Think globally / Act locally Keep it simple (hygiene / safety / stress free)Listen to the local drug sceneEvery material given to users is an act of preventionEvery service given by DCR is to implement the quality of life of users and the society as a whole
26 Thank you for your attention! For further information feel free to contact me:
27 SOURCESEmcdda , European report on Drug Consumption Rooms, 2004, Dagmar Hedrich.Emcdda, Harm Reduction Monograph, 2010, Chapter 11: Drug consumption facilities in Europe and beyond Dagmar Hedrich, Thomas Kerr and Françoise Dubois-Arber.Indcr, "Setting up a drug consumption room - Legal issues", Paper F of the Independent Working Group on Drug Consumption Rooms, offers evidence supporting their Report. Forston, R Joseph Rowntree Foundation.Correlation Project, “Drug Consumption Rooms. Evidence and Practice”, Schatz, E. & Nougier, M. London,International Drug policy Consortium.De Regenboog Groep, DCR, Jubileum 35 years, 2011, Ins and Outs of Harm Reduction Board.