Complutense University of Madrid, Spain
Title: Model of attention to drug addicts in Spain: Description of the resources of attention to the drug dependent, structure and functioning of the
Angel Jose Salvador Casanova is a Medical Psychiatrist, Psychotherapist, Psychologist. She completed Master’s in Drug Dependencies at the Faculty of Medicine of the University Complutense of Madrid. She is also an Associate Professor in Faculty of Medicine of the University Complutense of Madrid and Clinical Head of PSICOMED. She has been Head of Service of Socio-Health Programs of the Government's delegation for the National Drug Plan, Madrid, Spain.
Statement: The National Plan on Drugs of Spain (PNSD) is the axis in which centers and programs of attention to the drug addicts, acting from a Bio/Psycho/Social vision and endowed with multidisciplinary teams of professionals of diverse Disciplines (doctors, psychiatrists, psychologists, social workers, occupational therapists, etc.) work along. The PNSD incorporates general and specialized centers and services of the National Health System of Spain. The social fabric also intervenes through the devices that depend on the municipalities, non-governmental organizations, and self-help groups, complemented by duly accredited private resources. They have the following levels of care. Firstly, these resources have direct access being the gateway to the system. They can be derived to second level resources. Its accessibility and flexibility are maximum and its degree of exigency is low. Secondly, the therapeutic circuit is a good part of the process of assistance to the drug addicts. It includes the following resources: Specific Outpatient Centers for Drug Dependents (DAC). All of these resources may be appropriately derived from other resources at the same or other levels. At last, it is constituted by specific resources with a high level of specialization for the residential treatment of drug dependencies: Hospital Detoxification Units (UDH), Dual Pathology Unit, Therapeutic Communities (CT), to all the devices that form part of this level is accessed by referral centers or services with specialized treatment functions. Subsequently, these resources return the cases to the resources of the second level sent by the patient. Since 1985, the PNSD has been adjusting the care and reinsertion resources to the changes in the profiles of drug addicts and their needs.