aging drug users in spain › wp-content › uploads › 2017 › 11 › 5_fsc_spain.pdf · better...

Better Treatment for Ageing Drug User

2nd Meeting, Barcelona, June 1st and 2nd June, 2017

organized by

Aging drug users in Spain

Xavier FerrerExecutive Director

FSC, Found. Health & Community



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Index

1. DGPNSD –SEIT data of 2014

2. Some epidemiological figures

3. Some settings where aging drug users

can be found in Spain.

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1. DGPNSD –SEIT data of 2014 (last available ones)

3



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Number of treatment demands (TOTAL)

Until 39 y.o. there are 34.216 demands; since 40 y.o. there are

14,706 (30%). All drugs included (except alcohol)

5

154

4506

64017193

80827880

6440

4674

2376

856231 129



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Table of (n) treatment admissions (excl. Cannabis)

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Age group:Opioids Cocaine Other

Stimulants

Hypno-

sedatives

Less than 15 1 0 1 0

15-19 27 195 40 31

20-24 279 1285 154 115

25-29 908 2990 158 147

30-34 1498 4319 176 168

35.39 2203 3995 172 171

40-44 (17,6%) 2758 2644 77 142

45-49 (13,1%) 2508 1470 48 149

50-54 ( 6,6%) 1325 647 24 103

55-59 ( 2,2%) 394 240 6 72

60-64 ( 0,6%) 100 58 4 34

>=65 ( 0,3%) 29 20 0 60



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% of treatment demands

7

0% 0%2%

8%

12%

18%

23%21%

11%

3%1% 0%

Lessthan 15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Opioids



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Heroine (trends)

Average age: admission to

treatment

Average age: 1st use



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9

0% 1%

7%

17%

24%22%

15%

8%

4%1% 0% 0%

Lessthan15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Cocaine



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Cocaine (trends)

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Average age: admission to

treatment

Average age: 1st use



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0%

5%

18% 18%20% 20%

9%6%

3%1% 0% 0%

Lessthan 15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Other Stimulants



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0%3%

10%12%

14% 14%12% 13%

9%6%

3%5%

Lessthan15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Sedative-hypnotics



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13

0%

5%

26%

38%

4%

12%10%

4%1% 1% 0% 0%

Lessthan 15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

HallucinogensSmall

sample: 82

cases of

48922



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14

0%

40%

5% 5%

10%

5%

25%

5% 5%

0% 0% 0%

Lessthan 15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Volatile substancesSmall

sample: 20

cases of

48922



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15

1%

25%27%

18%

11%

8%5%

3%1% 1% 0% 0%

Lessthan 15

15-19 20-24 25-29 30-34 35.39 40-44 45-49 50-54 55-59 60-64 >=65

Cannabis



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2. Some selected

epidemiological figures

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The population is aging…

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Drug consumption (Spain, 2013)

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15-24 25-34 35-44 45-54 55-64 Women Men TOTAL

Alcohol 81,3 81,3 78,1 77,3 73,9 73,4 83,2 78,3

Tobacco 40,7 45,3 41,2 43,7 30,7 37,2 44,2 40,7

Hypnosedatives

(prescribed or not) 4,4 7,8 11,1 16,6 20,5 16 8,5 12,2

Cannabis 21 14,3 7,2 4,5 1,8 5,4 12,9 9,2

Cocaine 2,7 3,7 2,7 1,1 0,4 1 3,3 2,2

Heroine 0,1 0,1 0,1 0 0 0 0,1 0,1

Prevalence of psychoactive substance use almost once last year in the

population aged 15-64, by sex and age (percentages). National survey



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High Risk Users (cannabis)



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High Risk Users (cocaine)

18,6% are Aging Drug Users (+/- 18,3% from 40 y.o. to 44 y.o.)

% men

Average age



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Mortality (substances)



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Mortality (substances): Total N deaths



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Mortality

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Nº deaths

Men

Women

Average age



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3. Different settings where

aging drug users can be

found (FSC experience)

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1st setting: Harm reduction services

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Average age

Total período 43,77

-20

20/24

25/29

30/34

35/39

40/44

45/49

50/54

55/59

60/64

65

HOMBRES MUJERES

-

Age Range F M Total

-20 1 1 2

20 a 24 4 6 10

25 a 29 12 18 30

30 a 34 14 37 51

35 a 39 37 73 110

40 a 44 45 86 131

45 a 49 19 103 122

50 a 54 15 68 83

55 a 59 7 34 41

60 a 64 3 9 12

+ 65 1 2 3

TOTAL 158 437 595

FSC Harm Reduction Center Valencia



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26

24%

17%

7%

3%1% 0%

40-44 45-49 50-54 55-59 60-64 65 y más

PRISON BRIANS (Barcelona): 52% inmates > 40 y.o.(service run by FSC)

PRISON BRIANS

(2016)

N %40-44 191 24%

45-49 140 17%

50-54 59 7%

55-59 24 3%

60-64 9 1%

65 and > 0 0%

TOTAL 801

2nd setting: Prison Drug Programmes



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2nd setting: Prison Drug Programmes

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The total number of patients who have been seen, according to

age and sex groups during the year 2016:



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3rd setting: Outpatient centres

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CAS – Prat de Llobregat (Barcelona) (Run by FSC and other

specialist NGOs) Patients starting treatment by age.



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4th setting: FSC Therapeutic Communities

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18

13

14

4

3

37

56

41

19

4

18 to 30

31 to 40

41 to 50

51 to 60

More than 61

Patients cared in 2016, by age and sex (%)

Men Women



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5th setting: another challenge?

Residences and Day Centers for the elderly and the

mentally ill

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NO DATA AVAILABLE, BUT THERE ARE CASES

Examples:

• Residence Francesc Layret (Barcelona): (previously

run by FSC) drug users from the drug-trafficking

neighborhood

• Residence Yécora (Alava): mentally-ill residents, some

of them former drug dependents

• FSC Tutelary Services for mentally ill people: high

percent of (former) drug dependents plus VIH+, implying

high mortality



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THANKS FOR YOUR

ATTENTION

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