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While the Dutch are in famous for their liberal approach towards drug use and legalization, heroin has an especially bad rep. After all, everyone knows that it is one of the most addictive substances there is, right? But, hear us out — the Dutch providing heroin to heroin addicts surprisingly makes a lot of sense. Heroin still counts as a hard drug in the Netherlands, along with cocaine, amphetamine, LSD etc. As you probably know, soft drugs such as weed are handled differently, and you can purchase them without ending up in prison. In the Netherlands, yes! Usually, the first step is to prescribe methadone, a substance that helps to reduce withdrawal symptoms and curb drug cravings. Registered heroin addicts also receive regular health checks from the GGD Public Health Service and other counselling options. If, however, none of these treatments proves effective, the Dutch opt for prescribing medicinal heroin. It is simply considered to be the best alternative because it offers addicts safe conditions instead of the dirty needles and spiked heroin they might face elsewhere. After being approved for the program and registering at the front desk, the patient has to prove that they are sober by blowing into a breathalyzer. If they pass the test, they are good to receive the heroin. The drug is presented in entirely sterile conditions. Not only is the substance as clean as it gets, but so are the tools provided with it. The patient then uses the drug entirely under supervision — in a private room with windows where a worker can watch in case of an overdose. Well, it depends on how you look at it. Obviously, prescribing heroin to an addict will not help them to get off the drug. In that case, succes! The most recent figures show a drop from 18, registered addicts in to 14, in Also, if you compare the number of Dutch opiate users per 10, inhabitants technically, heroin is an opiate , they fare the best out of 14 other European countries surveyed. In the Netherlands, an estimated 13 people out of 10, use heroin. In the UK, which fared the worst, it is an estimated Yay Dutchies! Did you know that heroin used to be a massive problem in the Netherlands in the 70s and 80s? The numbers were crazy. Heroin was first introduced to the Netherlands in Only two years later, in , there were already 5, people addicted to the substance. As the drug became more and more expensive, crime and prostitution rates were also on the rise. Testing of medicinal heroin on patients was part of finding solutions for a serious public health problem. Next to the Dutch, the treatment is also applied by the Swiss, Canadians and Germans. What do you think about this approach towards heroin addiction? Let us know in the comments! He was arrested and incarcerated in a Texas prison. While there, since he had no access to drugs, he kicked the habit. He later said that going through withdrawal was the worst thing that ever happened, and was the best thing that ever happened to him. He has been clean for decades now. IF they go back to using, incarcerate them again and keep them incarcerated for the rest of their life. Save my name, email, and website in this browser for the next time I comment. This site uses Akismet to reduce spam. Learn how your comment data is processed. We're constantly hunting for the latest, greatest, and most Dutch spots for our readers. Want your business to reach an unrivalled expat and international audience? All material on this website DutchReview is strictly copyright and all rights reserved. If you are dissatisfied with the website or any content or materials on it, your sole exclusive remedy is to discontinue your use of the website. The website may provide links to other websites on the Internet, the content of which is not in our control. Whilst every effort has been made to ensure accuracy, the publisher cannot accept responsibility for omissions and errors. If you have found material on this website which is copyrighted by others, please contact the webmaster on this matter in order to have it removed. Sign in. Forgot your password? Get help. Password recovery. Culture Society. Medicinal heroin? How the Dutch deal with their heroin addicts. November 8, Wait, heroin is legal in the Netherlands? Image: Freepik. To reduce crime rates for the sale, purchase and use of heroin To make heroin use for chronic addicts as safe as possible. The use of heroin to help addicts recover is very sterile and patients are always monitored. Feature Image: Depositphotos. Previous article When does Sinterklaas arrive in the Netherlands? The city guide. After all, there is so much to love about it, except maybe the bread as every German will tell you. Next to finishing up her bachelor's degree in European politics dry , Cara loves to do yoga, swim, and cook delicious veggie food. Liked it? Try these on for size:. Heather Slevin - December 1, Each year, hundreds of Dutchies make their way It is a crime against culture, a sign of evil and completely socially DutchReview Crew - November 30, What do you think? Comment: Please enter your comment! Related posts. Latest posts. Results are in! A year has been and gone but Zwarte Piet is still here. The cannibal who ate a Dutch student and then starred in adult films just died Lyna Meyrer - December 2, 0. In the wake of Amsterdam announcing its plan to ban smoking in the city centre and cull rowdy stag parties, people had It's happening. The latest Dutch news. In your inbox. Email address. First name Optional. Last name Optional. Woah, you look pretty good here! Work With Us. We like you - a lot. Let's keep in touch. Are you a kick-ass writer? We love you already Write for us.

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AMSTERDAM, the Netherlands - On a quiet alley in east Amsterdam, a security guard stands watch outside a brick office building, which 75 men and women visit twice a day to smoke or shoot up government-funded heroin. Public-health experts in the Netherlands say free distribution is one reason that drug-related deaths are far less common than in the United States. The program also has reduced crime and improved the quality of life for many users, according to Ellen van den Hoogen, who runs the clinic. Is it an answer for the United States, where the opioid epidemic continues to claim more than lives every day? Maybe it should be, said van den Hoogen. I think it would work elsewhere. Indeed, it has worked elsewhere. The Netherlands program started in , modeled after a similar, successful effort in Switzerland. Several other European countries, including Germany and the United Kingdom, have adopted the model as well. The concept is rooted in several key ideas:. Only the most hardened drug abusers qualify for the program in the Netherlands: They must be at least 35 years old, regular heroin users for at least five years, and repeatedly unsuccessful in other treatment efforts, including methadone-maintenance therapy. It's a last-resort option. The concept offends John P. Walters, the drug czar under President George W. Bush, who is currently chief operating officer of the conservative Hudson Institute. Is that a policy that is consistent with the moral foundations of a moral society? He has practical, as well as philosophical, objections: In the United States, opioid-addiction rates have skyrocketed in recent years; in , more than 64, Americans died of an opioid overdose. Opioid abuse rates in the Netherlands are much lower: In , just residents of the Netherlands died of an opioid overdose, compared to 4, in Ohio -- and Ohio has far fewer people. Walters is no fan of current U. Instead of giving people heroin, he argued, 'Do real treatment, do real outreach. Peter Blanken, a senior researcher with the Parnassia Addiction Research Centre in Rotterdam, believes that heroin-assisted treatment is 'real treatment. His research found that approximately 1 in 4 participants makes what the program considers a 'complete recovery,' including better health and cessation of illegal drug use and excessive alcohol consumption. Some participants, he added, do stop using heroin completely, although that is not the goal of the program and those numbers are not tracked. The U. But a related idea, that people with addiction should be provided a safe place to use, is gaining some traction. These safe spaces are called supervised, or safe, injection sites. There, people can use drugs under the watchful eyes of observers who are trained to help in case of an overdose or other health issue. Politicians and law-enforcement officers are divided on the issue. Government officials in New York City, Philadelphia, San Francisco, Seattle, and the small western New York town of Ithaca, are considering such pilot projects, even though they would violate federal drug laws. Canada has experimented with supervised injection sites in recent years; at least six have opened in Toronto since early Caraffi imagined the political opposition to such an idea would be intense in a place like Ohio, where even needle-exchange programs remain controversial in some parts of the state. There are two key differences between these supervised injection sites and the heroin-assisted treatment centers in Europe: Who provides the drugs, and what they're likely to contain. In Amsterdam, participants are given pure, pharmaceutical-grade heroin. It's powerful, but it's predictable. There is no risk of contamination with potentially lethal drugs like fentanyl, which have killed many American users. At supervised injection sites, participants bring their own drugs. They obtain them illegally, and risk contamination from additives or synthetic heroin substitutes. The goal of these supervised sites is to reduce the number of deaths from opioid overdoses. But the crimes associated with the illegal drug trade continue, said Katharine Neill Harris, a drug policy expert at Rice University's Baker Institute. Harris, a supporter of heroin-assisted treatment, called these supervised injection sites 'a step in the right direction,' but ultimately, she'd like to see the European model implemented in the United States. Back in Amsterdam. Now into its second decade, heroin-assisted treatment is established drug policy in the Netherlands, a country known for its liberalism. The biggest controversy in recent years came last December, when the Amsterdam clinics had to reduce hours due to a nation-wide nursing shortage. The program is administered in a clinical setting. Participants have access to supplemental care, from mental health services to housing support. If patients want to stop doing drugs, help is available, said van den Hoogen. Frank Paauy, a heroin patient for more than a decade, said that the drug program can be overly intrusive. They may have reason for asking; he admits that he sometimes uses the money he saves on heroin to buy crack cocaine. At his a. On the other side of the glass, two nurses look on. Paauy used to come to the clinic three times a day, until hours were cut last year; now he comes twice a day. Harris, with Rice's Baker Institute, lauds Europe's holistic approach to drug addiction, linking drug treatment with health care, mental health care and social welfare programs. She said supervised-injection sites in the United States, too, could connect people to the care they need. Heroin-assisted treatment in Europe, she said, has removed some of the drug's allure: It's no longer the drug of rebellious young people, but a drug for aging sick people. Besides, she said, chemically, there isn't much difference between heroin and other opioids, including prescription pain medication. Harris believes the United States may be inching toward a more comprehensive approach to drug use. Marijuana is legal, in some form, in 29 states. And there is growing acceptance of medication-assisted treatment for opioid addiction -- treatment that uses other drugs, including methadone and Vivitrol, to combat withdrawal and other side effects. The evidence is overwhelming that the current response to the U. As long as there is demand, someone will meet it. She added: 'The conversation is changing. Increasingly, people are seeing the futility of the war on drugs and think that changes need to be made in the way we deal with this. Those changes are not coming fast enough for Howard Wooldridge, a former Michigan police officer who now heads an organization called Citizens Opposing Prohibition. He called America's war on drugs 'a horrific failure,' responsible for a large percentage of crime in the United States, and unnecessary opioid overdose deaths every day. He recently distributed a summary of the Swiss heroin-assisted treatment program to every member of Congress. He said he has gotten no serious response from anyone. He's looking for an American citizen, someone addicted to heroin, who has failed at other forms of treatment, to travel to Switzerland and give that country's program a try. The Swiss, he said, have administered more than 10 million doses of heroin to their patients. Wooldridge is quick to point out that he does not support recreational drug use. That's not the issue. But how is prohibition helping anything? Walters, the former drug czar, strongly opposes the legalization of drugs as a means to decrease abuse and addiction. The most effective way to decrease use and abuse, he said, is to cut off supply. He argues for an approach similar in scale to the U. In , drugs killed 64, Americans. Why isn't there more of a public outcry? He said he understands that 'people are desperate for an answer. European heroin use decreasing. Back in Amsterdam, Ellen van den Hoogen corrects a visitor who refers to heroin as 'legal' in the Netherlands. There is still an illegal heroin market in the country, though it is much smaller than it used to be. Critics who feared that providing free heroin to people with addiction would encourage abuse have been proven wrong, she said. In fact, heroin use is way down in the Netherlands. According to Dutch researcher Blanken, the number of people addicted to heroin in the Netherlands has declined significantly in the past two decades, from as many as 29, in the late s to as few as 14, today. Admittedly, the Netherlands' struggles with heroin, which date back to the counterculture movement in the s and '80s, is much different from the epidemic that has overtaken the United States. The overuse of prescription pain medication has not been a problem in Europe the way it has in North America. In the Netherlands, heroin addicts are almost all over age Young people know it's dangerously addictive, and stay away, said van den Hoogen. Amsterdam's heroin-assisted treatment program, housed at two municipal health clinics, is down to just participants. And she's fine with that. During her time there, she toured one of the city's heroin-assisted treatment clinics, talked with director Ellen van den Hoogen and interviewed patient Frank Paauy. If you purchase a product or register for an account through one of the links on our site, we may receive compensation. News never stops. Neither do we. Support cleveland. By Susan Glaser, cleveland.

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