Transcript by Dr David Otiashvili, Director Addiction Research Centre (Georgia)

Addiction services in Georgian
prisons
David Otiashvili, M.D.
Addiction Research Center
Alternative Georgia
MENTAL HEALTH AND ADDICTION IN PRISONS
Bucharest, 27 Feb 2013
Brief information on Georgia
Indicator
Info for 2011
Surface area
69.700 sq km
Population
4.497.6 m
GDP per capita in
PPS
2549.09 euro
Unemployment rate 15.1%
Prison Population
Rate (per 100.000)
524
Drug use
• General population
No data
• Problem drug use
40,000 (95% CI: 39,000-41,000)
prevalence 1,5% among 15-64 years old
• Drugs injected
shift from traditional opium, heroine and
buprenorphine to home-made ATS (“vint”, “jef”) and
opioids (desomorphine, “krokodile”)
New HIV cases, 1990-2011
Drug treatment
3000
2500
2000
1500
2118
285
1000
552
2352
1200
OST
130
detox
8
500
911
0
306
0
300
609
1082
841
584
338
0
2003 2004
2005 2006 2007 2008 2009 2010
270
2011
Drug legislation
• Drug use (trace of controlled substance in urine) is punishable under
the Administrative Code
• Repeated drug use is punishable under the Criminal Code (up to 1
year imprisonment)
• Possession of ANY amount of drugs, regardless of purpose, is
punishable under the Criminal Code
• Tables of quantities of drugs (any amount of amphetamine – 7 to 14
years)
6
Prison population
30000
25000
20000
15000
10000
5000
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Drug related imprisonment
• December 2012 – more than 2,000 prisoners for
drug related offences
• Majority release following the amnesty
Drug use in prisons
• No drug use (!?)
• Use of prescription psychotropic drugs common
Addiction services in prisons
• Short term methadone treatment (detox) in 2 prisons
(Tbilisi and Kutaisi)
• VCT in all prisons
• Condom distribution
Plans for the near future:
• Detox in women’s prison
• Treatment and rehabilitation in separate institution
Thank you
[email protected]
[email protected]