treatment

Drug treatment

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Drug addiction is addiction to drugs: cannabis, heroin, cocaine… Medical care can be provided either on the initiative of the addict himself or following a report. A drug addict can benefit from a detoxification treatment.

At the request of a drug addict

Centers for care, support and prevention in addictology (CSAPA) allow you to take stock with a professional of the difficulties encountered.

The user can choose the accompaniment that suits him best. The support offered by the CSAPA can continue throughout the withdrawal period, including hospitalization, and beyond. Indeed, the weaned person can continue to be received in the context of interviews or specific workshops aimed at consolidating their cessation.

There is also outpatient care in hospital structures (hospital addictology units). These structures are of greater or lesser importance. They offer external consultations, of the type offered by the CSAPAs.

Specialized addiction services

arud)Reception and support centers for risk reduction of drug users (CAARUD) provide collective and individual reception.

They offer personalized information and advice for drug users.

They also provide support to users in access to care, access to rights, access to housing and professional integration or reintegration.

They also provide infection prevention materials.

They develop social mediation actions with a view to ensuring good integration into the neighborhood and preventing nuisances linked to drug use.

They can deliver certain medications:

Naloxone-based medicinal product indicated for the emergency treatment of known or suspected opioid overdoses, manifested by respiratory depression and while awaiting treatment by an emergency structure, and subject to medical prescription optional

Water for injections.

They are located within the CSAPAs and CAARUDs themselves or in separate premises.

Objective

The goal is to help major drug users who want advice to reduce the risks (examples: overdose, infection…).

Consume in safe conditions

Be accompanied for questions related to health (examples: search for a doctor, psychiatric help, benefit from withdrawal).

Less addiction treatment centers that exist in Paris (within the grounds of the Lariboisière hospital) and in Strasbourg (within the grounds of the civil hospital), known as shoot rooms , are being tested until December 31, 2025. They offer a protected sanitary space and allow users in precarious situations to come into contact with professionals (individual and confidential reception).

At the request of a professional

A doctor or a social worker can report the case of a drug addict to the Regional Health Agency (ARS).

The ARS orders an investigation into the family, professional and social life of the person and requests a medical examination.

If the examination reveals an addiction, the person must follow a detoxification treatment in the establishment of his choice. Otherwise, the ARS can designate one ex officio.

If the medical examination does not reveal dependence, the person is invited to remain under medical supervision. This surveillance will be carried out either by a doctor chosen by the Director General of the ARS, a social hygiene dispensary or an approved establishment, public or private.

Ordered by the court (therapeutic injunction)

Criminal justice can ask a drug addict to seek treatment. This care is called therapeutic injunction (or care injunction ). They may include drug rehab.

The injunction may be ordered as part of an alternative measure to criminal proceedings , an additional sentence or a suspended sentence with probation .

The magistrate or court that issued the therapeutic injunction sends the drug addict to a relay doctor, authorized by the Regional Health Agency (ARS), after consulting the public prosecutor at the court of appeal.

This doctor performs a first examination to determine the need for the measure pronounced. If the need for the measure is confirmed, another doctor chosen by the person concerned will ensure the implementation of the care. The relay doctor will monitor the smooth running of the measure and will inform the courts of the evolution of the dependence of the person concerned.

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