The Czech Republic has experienced meth use as the major drug problem in the country since as early as 1983. As a consequence, drugs services in the Czech Republic are well tuned in to meth users as the main client group. What is the Czech experience indicating? The differences between methamphetamine and opiates use are considerable. Methamphetamine users often suffer metal health difficulties such as paranoia, severe sleeping disorders, anxieties, and induced psychosis, emotional instability and engage themselves in different kinds of risk behaviour to heroin users. In contrast with opiate use, application is less frequent. It is a close drug scene, users often do not go out in the day, needles are in some groups exchanged once every two weeks in larger amounts by a „group agent“, who is also a user. These patterns of behaviour make work difficult for outreach services as the contact has to be done in the evening and it often involves visiting the users in their homes. It also indicates a need to build the trust of the „agent“, and even consider employing him or her to do needle exchange and to carry out some basic HR education among other users. Regarding treatment, both outpatient and residential, a key question is whether a specialised treatment services should be in place for the meth users, or whether treatment programs should simply be adapted. In any case, it is an imperative that service staff is trained to be able to deal with paranoia, induced psychosis and other mental health related issues. The debate at hand is what is more effective and feasible in methampheta- mine treatment: to develop specialised serv ices or to adapt current ones by training the teams to become truly multidisciplinary. Jindrich Voboril is the founder and Chief Executive of the 2nd largest NGO in the Czech Republic working in drug use treatment and prevention. He has been in this line of work for over 20 years and has played an active role at developing and realizing national drug strategies with the Czech National Drug Commission. He counts with an MA in Education from the University of Olomouc and a Pg Dip on Drug Use and Addictions from the Liver pool John Moores University, as well as counseling and psychotherapeutic training and experience. He is currently a lecturer in Drug Interventions at the Masarykova University in Brno and on Adictology at the Medical Faculty of the Charles University in Prague. Jindrich has worked for the Soros Foundation and for the European Commission as an international consultant in Afghanistan, where he prepared and delivered a training course on HR for medical and other professionals, and carried out an in-depth feasibility study on Social Protection.

Chief Executive Podané ruce

First global conference on methamphetamine science, strategy and response, Prague, 15-16 September 2008

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