Young people <20 asking for

drug treatment in Europe in 2004

Linda Montanari, Valentina Bini, EMCDDA

2006 TDI Expert Meeting 26 September 2006 EMCDDA, Lisbon, Portugal

Structure of the presentation

• Trends 1999 -2004 among new drug clients <20 (in all treatment centres)

• Profile of young people in outpatient treatment centres in 2004

• Focus on young outpatient cannabis clients in 2004

• Limitations: • TDI use the age groups <15 and 15-19 – not more detailed breakdown• Breakdown by age is only included in some variables (by gender, first/all

clients, primary and secondary drug)• 8 countries have trend data from 1999 to 2004• 16 countries have a breakdown by age in 2004

Trend of young clients in all types of treatment

centres from 1999 to 2004 (8 countries)

Total numbers of new clients entering treatment

(all age groups) 1999 to 2004

6844067532

69412

70839

73538

76255

62000

64000

66000

68000

70000

72000

74000

76000

78000

1999 2000 2001 2002 2003 2004

Source: 2006 Stat. Bull. TDI-02 Total numbers of new clients entering treatment All Treatment centresCountries included: CZ, DK, DE, GR, IT, LV, LT, HU, MT, NL, AT, PT, SK, SI, FI, BG

New young clients entering treatment from 1999-2004 for

those countries supplying data

Source: ST.04 - 2005 REITOX National Reports All treatment centresCountries included: CZ, DK, IT, LV, MT, NL, SI, FI

0

1000

2000

3000

4000

5000

6000

7000

1999 2000 2001 2002 2003 2004

41000

42000

43000

44000

45000

46000

47000

48000

<15

15-19

Tot new clients

Profile of young clients in outpatient

treatment centres in 2004 (16 countries)

New clients entering outpatients treatment by age group in

2004 (%)

Tot new clients: 91199Source: 2006 Stat. Bull. TDI – 10 New clients entering outpatient treatment: age and primary drug at treatment in 2004 for those countries supplying data – TDI - Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT,CY, LV, HU, MT, NL, SK, SI, FI, SE,UK, BG

1,7

15,4

25,8

20,5

15,2

10,3

5,5 5,6

0,0

5,0

10,0

15,0

20,0

25,0

30,0

<15 15-19 20-24 25-29 30-34 35-39 40-44 > 45

17,1

New clients under 15 and 15-19 years old entering outpatients

treatment in 2004 by countries (%)

Source: 2005 REITOX National Reports – TDI- Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT,CY, LV, HU, MT, NL, SI, SK, FI, SE, UK, BG

0,0

5,0

10,0

15,0

20,0

25,0

30,0

35,0

40,0

45,0

< 15

15-19

New clients entering outpatient treatment by age group in

“new” and “old” Member States in 2004 (%)

Source: 2005 REITOX National Reports – TDI- Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT,CY, LV, HU, MT, NL, SK, SI, FI, SE,UK,BG

0,0

5,0

10,0

15,0

20,0

25,0

30,0

35,0

40,0

<15 15-19 20-24 25-29 30-34 35-39 40-44 > 45

"Old"MemberStates (n.83813)

"New" MemberStates (n.7386)

Age distribution by primary drug among new clients in

outpatient treatment centres in 2004

Source: 2006 Stat. Bull. Fig. TDI -06 - TDI Outpatient Treatment CentresCountries included: CZ, DK, DE, GR , IT, CY, LV, HU, MT, NL, SK, SI, FI, SE, UK, BG

0% 20% 40% 60% 80% 100%

Volatile

Cannabis

Stimulants

Hallucinogens

Opiates

Cocaine

Hypnotics+sedatives

Other substances

All drugs<15

15-19

20-24

25-29

30-34

35-39

40-44

45+

New outpatient clients (all age groups) by primary drug by

country in 2004 ordered by % of primary cannabis users

Source: 2006 Stat. Bull. TDI-19 - Outpatient Treatment Centres – New clients entering outpatient treatment: distribution by primary drug at treatment in 2004 for those countries supplying dataCountries included: CZ, DK, DE, GR, IT,CY, LV, HU, MT, NL, SK, SI, FI, SE,UK,BG

0% 20% 40% 60% 80% 100%

Malta (n.147)

Bulgaria (n.442)

Greece (n.1221)

United Kingdom (n.26990)

Slovenia (n.521)

Slovakia (n.306)

Italy (n.24768)

Czech Republic (n.1056)

Total

Cyprus (n.164)

Sweden (n.829)

Netherlands (n.4785)

Denmark (n.1143)

Finland (n.447)

Germany (n.13204)

Hungary (n.4398)

Cannabis

Volatile Inhalants

Stimulants

Cocaine

Opioids

HypnoticsSedatives

Hallucinogens

Gender distribution (ratio and %) of new outpatient clients

(total new clients, clients under 15 and 15-19 years old)

Source: 2005 REITOX National Reports – TDI- Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT,CY, LV, HU, MT, NL, SI, SK, FI, SE, UK, BGR = male to female ratio

0%

20%

40%

60%

80%

100%

total r:4,03 15-19 r:3,07 <15 r:2,33

♀ ♂

New young clients entering outpatient treatment:

age and primary drug at treatment in 2004

3,7%

1,6%

6,1%

1,7%

0,5%

8,7%

75,0%

2,8%

17,3%

5,2%

10,5%

1,1%

0,2%

1,3%

62,8%

1,6%

0,0% 10,0% 20,0% 30,0% 40,0% 50,0% 60,0% 70,0% 80,0%

Opiates

Cocaine

Stimulants

Hypnotics+sedatives

Hallucinogens

Volatile

Cannabis

Other substances

15-19; tot13263

<15; tot1548

Source: 2005 REITOX National Reports – TDI Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT, CY, LV, HU, MT, NL, SK, SI, FI, SE, UK, BG

Focus on cannabis

Comparison of two age groups (15-16 and 17-18) for ever

in lifetime use of cannabis (%)

0

15

30

45

60

75

%

15-16 years old17-18 years old

Source: ESPAD and REITOX networkCountries included: BE, CZ, GR, ES, FR, IT, LV, HU, NL, AT, PT, SK, SE, BG

New outpatient clients entering outpatient treatment for

primary cannabis use: % of those aged <15 and 15-19

Source: 2005 REITOX National Reports – TDI Outpatient Treatment CentresCountries included: CZ, DK, DE, GR, IT,CY, HU, NL, SI, SK, FI, SE, UK, BG

0,0

10,0

20,0

30,0

40,0

50,0

60,0

70,0

80,0

< 15

15-19

Summarising…

• Total number of new clients increased from 1999 to 2004, whilst

• Number of clients under 20 stable/decrease

• In 2004 17% of drug users aged under 20 ask for drug treatment

• Young people <20 ask for treatment mainly for use of cannabis, volatile and stimulants

• Higher % of young people in the new than in the old Member States (except Finland)

• Variation between countries

• 75% of <15 and 63% of 15-19 in treatment for primary cannabis use

• There is a group of young people in treatment for opiates (17,3% of 15-19)

• Higher proportion of female clients among young clients (especially <15) than old clients

• Little correspondence between countries in the level of cannabis use in LTP and TD