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Dáil Éireann debate -
Tuesday, 17 Dec 1996

Vol. 473 No. 1

Written Answers. - Drug Treatment Centres.

Godfrey Timmins

Question:

33 Mr. Timmins asked the Minister for Health if he will make provision for meaningful treatment of drug addicts in provincial centres in view of the fact that the current facilities seem to be totally inadequate; and if he will examine the case of a person (details supplied) in County Waterford. [21599/96]

Limerick East): The provision of treatment services for drug misusers is a matter for the regional health boards in the first instance. Apart from the Eastern Health Board area, where there are waiting lists for treatment, all other health boards have adequate facilities for the treatment of drug misuse.

Treatment may be provided on an out-patient or an in-patient basis, depending on the clincial assessment. In the case of the person referred to by the Deputy, the South-Eastern Health Board has informed my Department that he has treated for his drug addiction as an in-patient in Waterford Regional Hospital, but discharged himself before completion of the programme. He was subsequently referred to out-patient services, but has maintained only occasional contact, despite ongoing offers of service.

I understand that, in addition, this person had been in receipt of methadone treatment from a general practitioner in the Eastern Health Board area. He was also assessed in the Drug Treatment Centre, Trinity Court, Pearse Street and admitted to Beaumont Hospital Detoxification Unit in January 1996, but discharged himself against medical advice. On the advice of the psychiatric services in Waterford the South-Eastern Health Board is not prepared to provide financial support for in-patient treatment in a private facility in this case, in the light of non-compliance and non-completion of the services provided by the health board.

This case demonstrates the difficulties which can arise in providing appropriate treatment for drug misusers. The drug misuser must decide to break his or her drug taking habit and remain committed to this during detoxification and treatment. The sad fact is that a number of misusers relapse into their drug-taking habit. This is one of the major issues addressed in the first report of the ministerial task force on drugs which was published in October last and which recommends the expansion of drug rehabilitation services, to provide a range of options which will assist drug misusers to remain drug-free and to resume a normal life, following treatment.
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