Written answers

Tuesday, 25 November 2008

Department of Health and Children

National Drugs Strategy

10:00 pm

Photo of Brian O'SheaBrian O'Shea (Waterford, Labour)
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Question 98: To ask the Minister for Health and Children if her attention has been drawn to the growing number of people here who are dependent on methadone programmes; if she has plans to provide more alternatives for those who are addicted to illegal drugs; and if she will make a statement on the matter. [42443/08]

Photo of Mary HarneyMary Harney (Dublin Mid West, Progressive Democrats)
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A methadone protocol was introduced in Ireland in 1998 to address the problem of opiate addiction, particularly addiction to heroin. Methadone maintenance is internationally recognised as a valid and successful part of an integrated response to the drug problem. At the end of September 2008 there were 8,670 opiate users on the Central Treatment List (CTL) for methadone substitution treatment compared to 8,398 clients in September 2007.

The HSE has been working to increase the number of places available for treatment, in order to reduce the waiting time for those seeking treatment in line with a recommendation in the Mid Term Review of the National Drugs Strategy 2001-2008. For example, the HSE has been seeking to increase the number of general practitioners (GPs) and pharmacists involved in the methadone treatment protocol in order to provide a locally based client centred service. Currently, there are 255 GPs and 456 pharmacists involved in the delivery of services under the methadone treatment protocol compared to 242 GPs and 425 pharmacists involved in September 2007.

The drugs Subutex and Suboxone, which contain buprenorphine, can be used as alternatives to methadone for the treatment of opiate dependency. A feasibility study on the prescribing and dispensing of these drugs in certain specialist addiction clinics and in a selected number of community settings will commence shortly. Prescribing and dispensing at the study sites will be evaluated before a decision is made on whether to extend the use of these drugs to the entire community.

In line with recommendations in the Report of the Working Group on Drugs Rehabilitation published by the Department of Community, Rural and Gaeltacht Affairs, the HSE is in the process of appointing a national rehabilitation co-ordinator who will chair the National Drug Rehabilitation Implementation Committee which is being established. These developments will facilitate the roll-out of further actions in the Rehabilitation Strategy to support drug users along their care pathway towards re-integration into their community.

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