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Article
Publication date: 26 August 2022

Jérôme Antoine, Michaël Hogge, Else De Donder, Geert Verstuyf, Els Plettinckx and Lies Gremeaux

The opioid epidemic in the USA, the new psychoactive substances emerging on the market and the recent increase in cocaine treatment demands in Western Europe, all emphasise the…

877

Abstract

Purpose

The opioid epidemic in the USA, the new psychoactive substances emerging on the market and the recent increase in cocaine treatment demands in Western Europe, all emphasise the importance of monitoring the use and harms of drugs over time. To be informed about new consumption patterns, this study aims to study the trends among people entering treatment for substance use in Belgium.

Design/methodology/approach

Belgian data from the Treatment Demand Indicator collected between 2015 and 2019 were used. A reference group of treatment units was selected to allow for comparisons between the different years. Trend analysis was performed by using a joinpoint regression among different regions and groups of clients.

Findings

The drugs of choice that were most frequently mentioned among the 23,000 analysed treatment episodes were alcohol and cannabis. Both remained relatively stable over time. Heroin seemed to be decreasing significantly at the national level, but increased in Brussels. Benzodiazepines decreased significantly in Flanders and Brussels, but not in Wallonia. On the other hand, reports of crack cocaine increased significantly in the three regions with a more pronounced trend in Wallonia and Brussels. Substances such as fentanyl, methamphetamine, ketamine or volatile inhalants have been mentioned significantly more by people entering treatment in 2019, although their contribution to the total number is still limited.

Originality/value

To the best of the authors’ knowledge, this study is the first to evaluate trends for all drugs of choice at a national and regional level. These results might not only benefit national policymakers but also other countries with similar alcohol or drug use patterns.

Details

Drugs, Habits and Social Policy, vol. 23 no. 2
Type: Research Article
ISSN: 2752-6739

Keywords

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Article
Publication date: 10 July 2020

Charlotte De Kock, Eva Blomme and Jérôme Antoine

Substance use treatment (SUT) among migrants and ethnic minorities is an underresearched domain in European countries, although preliminary studies point out disparities in…

46

Abstract

Purpose

Substance use treatment (SUT) among migrants and ethnic minorities is an underresearched domain in European countries, although preliminary studies point out disparities in treatment use and access compared to general populations. This paper aims to identify the main characteristics of and the types of services solicited by non-nationals in Belgium.

Design/methodology/approach

This paper compares the types of SUT services used by Belgian and non-national clients. Second, the referral source for Belgian and non-national clients is considered. Third, the study compares the client characteristics of Belgian and non-national clients. This descriptive analysis is based on aggregated data sets in the European treatment demand indicator (TDI) registry including all Belgian treatment episodes between 2012 and 2014.

Findings

Non-national clients were more often located in outpatient SUT and were less often referred by general practitioners and hospitals, compared to Belgian clients. Third-country clients appear to have lower socioeconomic statuses (education, employment, housing) than Belgian clients. Non-national youngsters and third-country females appear to be underrepresented in Belgian SUT compared to their presence in the general population. The gender gap is larger among third-country clients than among Belgian clients.

Research limitations/implications

These associations between nationality and solicited services, gender, education, employment, housing and referral document treatment gaps among some non-nationals that require special attention in targeted treatment. In the European context, further research is needed on better monitoring migration background in the European TDI registries.

Practical implications

The overrepresentation of non-nationals in low-threshold opioid substitution treatment services and their underrepresentation in high-threshold residential services requires an in-depth analysis of the core goals of these respective services. Residential services, for instance, should consider how a dominant focus on speech therapy hampers access to treatment for these populations and how access for these populations could be enhanced by modifying or diversifying methods in treatment.

Originality/value

To the best of the authors’ knowledge, this is the first paper that analyses the national indicator in a European TDI data set.

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Article
Publication date: 1 December 2004

Ovidiu Tinca

Looks in depth at Romania’s Labour Code and lists out in more detail all the relevant points, to show how employees and employers may work better together without conflict, Using…

232

Abstract

Looks in depth at Romania’s Labour Code and lists out in more detail all the relevant points, to show how employees and employers may work better together without conflict, Using guidelines from the European Union. Uses countries as a flagstaff for what could be done to improve matters for temporary employees.

Details

Managerial Law, vol. 46 no. 6
Type: Research Article
ISSN: 0309-0558

Keywords

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Book part
Publication date: 18 May 2021

Judy Rollins

Abstract

Details

‘Purpose-built’ Art in Hospitals: Art with Intent
Type: Book
ISBN: 978-1-83909-681-5

Available. Content available
Book part
Publication date: 9 March 2022

Piero Formica

Free Access. Free Access

Abstract

Details

Ideators
Type: Book
ISBN: 978-1-80262-830-2

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Article
Publication date: 1 August 1913

BOURNEMOUTH lies in one of the most beautiful parts of South‐west England; and all the world knows how this region has been immortalised by Thomas Hardy, who by his romances and…

33

Abstract

BOURNEMOUTH lies in one of the most beautiful parts of South‐west England; and all the world knows how this region has been immortalised by Thomas Hardy, who by his romances and poems has introduced to the public of England and America the ancient land of Wessex.

Details

New Library World, vol. 16 no. 2
Type: Research Article
ISSN: 0307-4803

Available. Content available
Book part
Publication date: 29 August 2017

Abstract

Details

Work-Integrated Learning in the 21st Century
Type: Book
ISBN: 978-1-78714-859-8

Available. Content available
Book part
Publication date: 18 May 2021

Judy Rollins

Abstract

Details

‘Purpose-built’ Art in Hospitals: Art with Intent
Type: Book
ISBN: 978-1-83909-681-5

Available. Content available
Book part
Publication date: 1 April 2007

Abstract

Details

The Political Economy of Antitrust
Type: Book
ISBN: 978-0-44453-093-6

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Book part
Publication date: 29 August 2017

Abstract

Details

Work-Integrated Learning in the 21st Century
Type: Book
ISBN: 978-1-78714-859-8

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