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Heroin Addiction and Related Clinical Problems: 2012, 14, 4 (pages: 51 - 64)

Assessing the current state of public-health-related outcomes in opioid dependence across Europe: data from the EQUATOR analysis

Stöver H.

Summary: Many opioid users across Europe remain outside treatment, and not all of those in treatment derive optimal benefit. The European Quality Audit of Opioid Treatment (EQUATOR) analysis shows that opioid-dependent people report high levels of polydrug use, high rates of unemployment and past imprisonment, and significant physical and mental health comorbidities regardless of whether they are currently in or out of treatment. Improved strategies are required to deliver the benefits of treatment while managing the risks of non-compliance (e.g., misuse/diversion/drug use). Treatment systems should be judged by their ability to effectively reduce harm and promote individual recovery and social reintegration.