working group on coverage of treatment demand data lisbon, 5 february 2007

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Working Group on coverage Working Group on coverage of of Treatment Demand Data Treatment Demand Data Lisbon, 5 February 2007

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Page 1: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Working Group on coverage Working Group on coverage

of of

Treatment Demand Data Treatment Demand Data

Lisbon, 5 February 2007

Page 2: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Objectives of the working group meeting

• Have a first overview of TD data coverage

• Work on data coverage with a group of volunteer countries (8)

• Doing a first assessment of data coverage

• Identify the main problems in data coverage

• Make a proposal to improve data coverage

• Present the results of the data assessment in the next expert meeting in September

Page 3: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

TDI information reported in 2006 (data 2005)

• 25 countries reporting TDI data in 2006

• 4 not reporting any data (BE, ES, NO, HR)

• Data mainly referred to 2005 reporting year

• In some cases to previous years (2004 or 2003)

Page 4: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Trends in number of clients and units reported from

1996 to 2005

0

100000

200000

300000

400000

500000

600000

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

0

1000

2000

3000

4000

5000

6000

New clients

All clients

Units

Increase from 1996 to 2005: New clients: +36% ; All clients: +40% ; Units: +56%

Page 5: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Data coverage by type of treatment centre: n.

countries collecting data with TDI in 2004, 2005 and

2006

0

2

4

6

8

10

12

14

16

18

20

22

24

26

28

Outpatient Inpatient Gps Low Threshold Units in Prison

200420052006

Page 6: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Data coverage in 2006 by treatment centre

0

2

4

6

8

10

12

14

16

18

20

22

24

26

Outpatient Inpatient Gps Low Threshold Units in Prison

No

Poor

Sufficient

Good

Page 7: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Data coverage in outpatient treatment centres in 2004,

2005 and 2006

0

2

4

6

8

10

12

14

16

18

Outpatient 2004 Outpatient 2005 Outpatient 2006

No

Poor

Sufficient

Good

Page 8: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Information provided to EMCDDA on coverage in TDI

• ST.03 and TDI-ST.34

• Type of treatment centre (outpatient, inpatient, low threshold, GPs, prison + others in TDI)

• Number of units covered with data collection

• Number of units existing in the country

• % of units covered

• % of units in the country

Page 9: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Standard Table 3

TYPE OF TREATMENT UNIT

N of units covered

(1)

N of units in the country (2)

% of units covered

(3)

% of cases covered

(4)

Outpatient treatment centres        

Inpatient treatment centres        

Low threshold/drop-in/street agency        

General practitioners         

Treatment units in prison         

Page 10: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

ST.34- TDI by centre type

Methodological background

All information should be given according to the kind of treatment centre defined for this data file!

1. Treatment centre type

N of units covered

(1)

N of units in

the country (2)

% of units covered

(3)

% of cases covered

(4)

         

Page 11: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Definitions

• (1) N of units covered number of units (of this treatment centre type) reporting to the monitoring system

• (2) N of units in the country: how many treatment centres of the respective type do exist in the country?

• (3) % of centres covered: estimated proportion of reporting treatment centres (with regard to

the overall number of the respective treatment centre type in the country) covered by the monitoring system

• (4) % of cases covered: proportion of cases/episodes reported to the monitoring system with regard to all cases treated nationally (by this type of treatment centres)

Page 12: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Completeness of data on coverage on 25 countries

reporting data (2005 data)

Information on coverage N. countries reporting data

N. countries NOT reporting data

On N. units covered 24 1

On N. units in the country 16 9

On % of units covered 18 7

On % of clients covered 15 10

Page 13: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Units: N. countries reporting data on units by type of

treatment centre (2005 data)

Type of Treatment Centre N. Countries reporting data

N. Countries reporting data on n. units covered

N. Countries reporting data on n. units in the country

Outpatient 21 20 15

Inpatient 17 16 11

Low Threshold (Cz, Gr, Ir) 3 3 2

GPs (Au, Uk) 2 2 Na

Units in prison (Au, Sp, Sk, Sw) 4 4 2

Others (Lu, Nl) 2 2 2

Page 14: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Reported data on the number of UNITS covered

Type of Treatment Centre

N. Units covered(available data)

N. Units in the country(available data)

% of Units covered*(on countries with both data available: covered and existing units)

Outpatient 3961 3406 65.0%

Inpatient 930 1164 59.7%

Low Threshold (3 countries)

81 82 (95.1%)

GPs (2 countries) 144 Na Na

Units in prison (4 countries)

111 74 (70.3%)

Others (2 countries) 161 161 100%

Total 5388 4894 (66%)

Page 15: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Units: data coverage on the number of units (covered

and existing) by country

0

200

400

600

800

1000

1200

All centrescovered

All centresin thecountry

Page 16: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

% units coverage for countries where data were available

for units covered and units in the country

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% of data coverage

50-90%

<50%

>90%

Page 17: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Clients – Available data on coverage of treatment clients: n. of

countries by level of coverage and centre type (15 countries)

Type of Treatment Centre 100% 50-90% <50%

Outpatient 5 4 3

Inpatient 4 4 3

Low Threshold 0 1 0

GPs na na na

Units in prison na na na

Others 0 1 2

Page 18: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

0,0%

10,0%

20,0%

30,0%

40,0%

50,0%

60,0%

70,0%

80,0%

90,0%

100,0%

% of casescovered

Clients: % of clients coverage by country on available data

<50%

100%50-99%

Page 19: Working Group on coverage of Treatment Demand Data Lisbon, 5 February 2007

Clients: Data coverage by type of centre for countries

reporting data

0

10

20

30

40

50

60

70

80

90

100

Outpatient (11countries)

Inpatient (10countries)

Low threshold (1country)

Prison (2countries)

Others (2countries)

% of datacoverageon clients%