Mendelevich

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70 thousands kilometers of advocacy for substitution treatment in Russia - results and perspectives : 

70 thousands kilometers of advocacy for substitution treatment in Russia - results and perspectives Prof. Vladimir Mendelevich Methadone Amsterdam, 13-15 Nov 2006

THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: 

THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “Because the effect of drug-free therapy in Russia is between 35%-60%” (T.Dmitrieva, 2006)

Chief narcologist Nikolaj Ivanec (2006): 

«AIDS has left the drug scene» (?!) Chief narcologist Nikolaj Ivanec (2006) THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL

Slide4: 

“HIV is found only in 12% of people with opioid addiction” ?! (N.Ivanec, 2005)

THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: 

THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “BECAUSE WE WILL AND WE CAN CURE EVERYBODY” (position of Russian narcologists)

Memorandum “Say No to Methadone Programs in the Russian Federation” (2005): 

Memorandum “Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05

“Say No to Methadone Programs in the Russian Federation” (2005): 

“Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05

Slide8: 

Bad and good news THE SUBSTITUTION THERAPY IN RUSSIA 2006 THE ST IS STILL ILLIGAL MORE INFORMATION ABOUT ST

Slide9: 

* * * * * * * * * * * * * * * * * * * * * 70 thousands kilometers of advocacy for substitution treatment in Russia Methadone *

Regions: 

Regions Perm Penza Orenburg N.Novgorod Voronezh Lipeck Ivanovo Iaroslavl Тоmsk Novosibirsk Kazan Ufa Cheliabinsk Krasnoiarsk Arkhangelsk Тver Кursk Barnaul Samara Ulianovsk Volgograd 2004 – 2006 22 regions of Russia 1500 psychiatrists and narcologists

2004 The attitude to the substitution therapy : 

2004 The attitude to the substitution therapy yes no Yes-no !

Slide12: 

2004 – 2006 Supporters to ST

Slide13: 

2004 – 2006 Opponents to ST

Slide14: 

Supporters - opponents (2004 - 2006)

Opposition to substitution therapy (narcologists) %: 

Opposition to substitution therapy (narcologists) %

Attitude to substitution therapy (IDU’s) %: 

Attitude to substitution therapy (IDU’s) % V.Mendelevich (2006)

Advocacy ST in Russia: 

Advocacy ST in Russia The main results – open discussion

Advocacy ST in Russia: 

Advocacy ST in Russia The main results – ST in the handbooks for students

Results:: 

Results: the number of opponents of ST are growing rapidly than growing of supporters of ST. there are more and more supporters of ST in the group of narcologists (drug addiction specialists) most rapidly growing up the number of opponents ST in the group of IDU’s and there relatives the most interest in introduction ST in Russia is in a group of HIV positive IDU’s

problems and perspectives: 

problems and perspectives We don’t have any information about attitudes to ST doctors-infectionists (chef - prof.Pokrovskij is against ST) We don’t have supports from groups of relatives of IDU’s We want to make a conferences, round tables, seminars on ST including doctors-infectionists and psychiatrists-narcologists

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