ANNUAL REPORT ON THE STATE OF THE DRUGS PROBLEM IN THE

0,71
MB EUROPEAN UNION - France

98
stron

4638
ID European Monitoring Centre for Drugs and Drug Addiction

2003
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INTRODUCTION 4

PART I : NATIONAL POLICIES: LEGAL & ORGANISATIONAL FRAMEWORK 5

CHAPTER 1.OVERVIEW OF DRUG POLICY. 5

CHAPTER 2.SUMMARY OF RELEVANT LEGISLATION AND PENALTIES . 6

CHAPTER 3.KEY ADMINISTRATIVE AND ORGANISATIONAL ACTORS 6

3.1_Key actors, their roles and relationships between them 6

3.2_Budgets and funding arrangements 8

3.3_International cooperation 8

CHAPTER 4.NEW DEVELOPMENTS IN THE REPORTING YEAR (1996) 11

4.1_Changes in policy or legislation 11

4.2_Administrative and organisational changes 12

4.3_New information requirements regarding drug policy 12

PART II : DRUG MONITORING SYSTEMS AND SOURCES OF INFORMATION. 14

CHAPTER 5.NATIONAL MONITORING AND INFORMATION SYSTEMS 14

The existing system 14

CHAPTER 6.DESCRIPTION OF NATIONAL FOCAL POINT(S) 15

6.1_Organisation and operation. 15

6.2_Legal basis, rules and procedures, staffing, financing 15

6.3_Network of partners of the Focal Point. 16

6.4_Relationship to national monitoring and information systems 17

6.5_Use of Focal Points within the country . 18

CHAPTER 7.TYPES AND SOURCES OF INFORMATION AVAILABLE 18

7.1_Epidemiology . 18

7.2_Demand reduction 19

7.3_Documentation centres. 20

CHAPTER 8.ARRANGEMENTS FOR REPORTING TO OTHER INTERNATIONAL

ORGANISATIONS 21

National report produced by the co-operative group for the fight against drug use and trafficking

(Pompidou Group). 23

Epidemiological sub-groups (Pompidou Group) . 23

CHAPTER 9.NEW DEVELOPMENTS IN THE REPORTING YEAR (1996) 23

9.1_Changes in national monitoring systems. 23

9.2_Changes within the Focal Point 23

9.3_New data gathering priorities . 23

PART III EPIDEMIOLOGICAL SITUATION. 24

CHAPTER 10.HISTORICAL DEVELOPMENT OF DRUG USE AND ADDICTION (1960S - 1980S) .

24

CHAPTER 11.CURRENT SITUATION OF DRUG USE AND DRUG ADDICTION (PREVALENCE,

DIFFERENT DRUGS, PATTERNS, CHARACTERISTICS, TRENDS) 24

11.1_DRUG CONSUMPTION IN THE POPULATION (SURVEYS ETC.) . 24

A. Drug consumption among adults. 24

B. Drug consumption among adolescents 26

11.2_Problematic drug use (estimates, indirect indicators) 28

A. Drug users and drug addicts : estimations of prevalence 28

B. Drug addicts under treatment in health and social institutions. 30

11.3_Patterns of use and characteristics of users 31

A. Age 32

B. Gender, nationality, professional integration, and health coverage . 33

C. Ethnographic approach to cannabis consumption in France . 35

Epidemiological monitoring of patients on methadone . 37

11.4_Risk behaviours (e.g. injecting, sharing). 39

A. Administration intraveineuse 39

B. The attitudes and pratices of drug users who are confronted wiyh the risk of being contaminated

by aids and hepatitis viruses 40

11.5_Risk and protective factors 43

A. Drug consumption among adolescents 43

B. Getting over drug addiction 43

C. Alcohol, tobacco, and various illicit drugs use among young people . 45

11.6_Different drug profile . 46

A. Substances taken. 46

B. Polydrug consumption and intravenous administration 48

CHAPTER 12.SOCIAL AND CULTURAL ASPECTS 50

12.1_Social processes, cultural context . 50

12.2_Attitudes and public opinion . 50

CHAPTER 13.DRUG-RELATED PROBLEMS AND CONSEQUENCES. 50

13.1_Mortality. 50

13.2_Morbidity 52

13.3_Social problems : professionnal activity and social insurance . 54

13.4_Legal problems. 55

A. Arrests for illicit drug use 55

B. Convictions and incarcerations for drug use. 57

CHAPTER 14.AVAILABILITY AND SUPPLY. 59

14.1_Sources of supply and trafficking patterns in the country. 59

A. Drug-related money laundering 59

B. Arrets, sentencing, and improsonment for supplying and trafficking drugs 61

14.2_Illicit drug market indicators : drug seizures (number and quantity) . 63

CHAPTER 15.DISCUSSION 64

15.1-15.2_Main trends and new developments in drug use and consequences . 64

15.3-15.4_Methodological limitations and evaluation of data quality 66

15.5-15.6_ New information needs, gaps, and priorities for future work. . 67

PART IV : DEMAND REDUCTION INTERVENTIONS 68

CHAPTER 16.POLICY DIMENSION . 68

CHAPTER 17.THEMATIC DIMENSION - OUTLINE OF DEMAND REDUCTION . 69

17.1_First childhood intervention. 69

17.2_School programmes 69

17.3 _Youth programmes outside schools 71

17.4_Mass media campaigns . 72

17.5_Telephone help lines. 72

17.6_Community programmes . 72

17.7_Groups experimenting with drugs . 73

17.8_Outreach work 73

17.9_Low threshold services 73

17.10_Prevention of HIV infection among drug users. 74

17.11_Substitution programmes/Maintenance programmes 74

17.12_Detoxification. 75

17.13_Outpatient treatment . 75

17.14_Inpatient treatment . 76

17.15_Self help groups 76

17.16_General health care 77

17.17_Harm reduction 78

17.18_After-care . 79

17.19_Gender-specific issues 79

17.20_Parenthood and drug use - children of drug users . 79

17.21_Parents of drug users 79

17.22_Drug use in prisons 79

17.23_Drug use at the workplace 80

17.24_Other activities : documentation . 81

CHAPTER 18.EVALUATION, RESEARCH AND TRAINING 81

18.1_Evaluation 81

18.2_Research. 83

18.3_Training 85

CHAPTER 19.DEVELOPMENTS AND INFORMATION NEEDS 87

CONCLUSIONS. 88

ANNEXES. 89

MOBILIZED NETWORK . 90

CONTRIBUTIONS TO THIS REPORT . 91

Director of Publication . 91

Supervision and Writing 91

Thanks for their participation 91

GENERAL BIBLIOGRAPHY 92

ACRONYMS . 93