CAARUD client profiles and practices in 2015
Tendances n° 120, OFDT, 6 p.
Support centres for the reduction of drug-related harms (CAARUDs) are designed to carry out harm reduction measures aimed at psychoactive substance users. Tendances No 120 presents the 2015 results of a national survey of users attending these centres, named “ENa-CAARUD”.
The survey confirms the increasing attendance of CAARUDs by socially integrated substance users, with an instability level that nonetheless remains much higher than in the general population.
Regarding substance use, for the first time, the study reveals the central position of alcohol drinking by illegal drug users, regularly highlighted by professionals.
Cocaine use is increasing, probably related to the increased segmentation of the doses sold, to adapt to the financial capacities of the “poorest” users and with an average cocaine purity that has been increasing since 2011. The proportion of clients using base product, bought in the form of crack or freebased subsequently, continues to grow. As regards medication, the 2015 focus confirms the qualitatively known disparities in their status among CAARUD clients, between “getting stoned” and treatment. Morphine sulphate and methadone use became markedly more widespread between 2008 and 2015, as did benzodiazepine use. In the case of methadone, this progression is largely related to its growing use in the context of opioid substitution treatment.
One of the key points of this year’s survey is an increase in equipment requirements related to repeated injections of stimulants, more difficult access to CAARUDs in the context of disruptions relating to urban safety measures or due to distance.
In parallel, recent injecting has not fallen since 2008 and has stabilised at a relatively high level. However, the proportion of users never having injected continues to rise and the age at which they start is increasing.Finally, the proportion of users never having undergone an HIV and HCV test is no longer falling, and is even increasing for HCV.
Authors : Aurélie Lermenier-Jeannet, Agnès Cadet-Taïrou, Sylvain Gautier
Download the PDF file (755 Ko)
Drugs in Europe
How is the COVID-19 pandemic affecting drug use, supply and services?
Drug use and harms
What are the health costs of drug use in Europe today?
What do the latest data tell us about drug production and trafficking trends?
These and other questions are explored in the 2021 European Drug Report, our annual overview of the drug situation in Europe.
The annual Statistical Bulletin contains the most recent available data on the drug situation in Europe provided by the Member States. These datasets underpin the analysis presented in the European Drug Report. All data may be viewed interactively on screen and downloaded in Excel format..
The European Union and the drug phenomenon
The European Union & the drug phenomenon : Frequently asked questions, joint publication between the EMCDDA and the European Commission, october 2010, 12 p.