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The 'methadone by bus' project in Amsterdam.

E C Buning, G H Van Brussel, G Van Santen

    British Journal of Addiction
    |October 1, 1990
    PubMed
    Summary

    The "methadone by bus" project provides mobile harm reduction services to drug users in Amsterdam. This initiative aims to minimize harm by offering methadone, sterile needles, and condoms, with pathways to higher-threshold programs.

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    Area of Science:

    • Public Health
    • Addiction Medicine
    • Harm Reduction

    Background:

    • The Amsterdam Municipal Health Service operates the 'methadone by bus' project, a mobile outreach program for hard drug users.
    • This project aligns with harm reduction principles, aiming to minimize negative consequences for users and the community.
    • It offers on-site liquid methadone consumption, sterile needles, and condoms, with a structured approach for clients to transition to other programs.

    Purpose of the Study:

    • To describe the 'methadone by bus' project and its role in harm reduction for drug users in Amsterdam.
    • To outline the harm reduction strategies employed, including mobile clinics and access to sterile supplies.
    • To present data on the project's reach, user demographics, and future considerations for enhancing harm reduction efforts.

    Main Methods:

    • Deployment of two mobile clinics operating daily at six fixed locations across Amsterdam.
    • Provision of liquid methadone for on-site consumption.
    • Distribution of sterile needles and condoms to clients.
    • Participation in a central methadone registration system to prevent prescription duplication.

    Main Results:

    • The Amsterdam Municipal Health Service engages with over 50% of the city's drug users.
    • The estimated number of hard drug users in Amsterdam has remained stable over the past five years.
    • The average age of drug users has increased to 32 years.

    Conclusions:

    • The 'methadone by bus' project is a key component of Amsterdam's harm reduction strategy for drug users.
    • The program successfully reaches a significant portion of the target population and maintains engagement.
    • Future strategies may involve adjusting methadone dosages and considering services for injectable drug users to further improve harm reduction outcomes.

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