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Table HSR-3. Estimated number of clients in methadone treatment and of all clients receiving any opioid substitution treatment (OST)
Part (ii) Estimates and share of clients in methadone (MMT) and buprenorphine-based opioid substitution treatment in EU, Croatia, Turkey and Norway in 2011 or latest available year
| Country | Number of MMT clients | MMT share | Number of buprenorphine-based OST clients | buprenorphine-based OST share | All substitution clients | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Belgium | 15510 | 88 | 2191 | 12 | 17701 | |||||
| Bulgaria | 3269 | 95 | 0 | 0 | 3452 | (1) | ||||
| Czech Republic | 667 | 13 | 4533 | 87 | 5200 | (2) | ||||
| Denmark | 6200 | 82 | 1400 | 18 | 7600 | (7) | ||||
| Germany | 61112 | 80 | 14630 | 19 | 76200 | (3) | ||||
| Estonia | 1076 | 100 | 0 | 0 | 1076 | |||||
| Ireland | 8729 | 100 | 0 | 0 | 8729 | (4) | ||||
| Greece | 1945 | 29 | 6293 | 93 | 6783 | (5) | ||||
| Spain | 81022 | 98 | 1350 | 2 | 82372 | (6) | ||||
| France | : | 25 | : | 75 | 145000 | (6) | ||||
| Italy | 93119 | 85 | 16868 | 15 | 109987 | |||||
| Cyprus | 0 | 0 | 83 | 44 | 188 | |||||
| Latvia | 218 | 79 | 59 | 21 | 277 | |||||
| Lithuania | 798 | 100 | 0 | 0 | 798 | |||||
| Luxembourg | 1167 | 95 | 61 | 5 | 1228 | |||||
| Hungary | 510 | 80 | 129 | 20 | 639 | |||||
| Malta | 1013 | 92 | 37 | 3 | 1107 | (8) | ||||
| Netherlands | 10085 | : | : | : | : | (6) | ||||
| Austria | 3638 | 22 | 3444 | 21 | 16782 | (9) | ||||
| Poland | : | : | : | : | 2200 | |||||
| Portugal | : | 78 | : | 22 | 26351 | (10) | ||||
| Romania | : | : | : | : | 742 | |||||
| Slovenia | 2446 | 69 | 811 | 23 | 3557 | (11) | ||||
| Slovakia | : | : | : | : | 500 | |||||
| Finland | : | : | : | : | 2000 | |||||
| Sweden | 1496 | 48 | 1619 | 52 | 3115 | (12) | ||||
| UK- England | : | : | : | : | 153033 | (13) | ||||
| UK-Scotland | 22224 | 100 | 0 | 0 | 22224 | (12) | ||||
| UK-Northern Irel. | 310 | 51 | 285 | 47 | 607 | (14) | ||||
| UK- Wales | 1699 | 80 | 430 | 20 | 2129 | (13) | ||||
| Croatia | 2039 | 50 | 2035 | 50 | 4074 | |||||
| Turkey | 0 | 0 | 8074 | 100 | 8074 | |||||
| Norway | 3120 | 47 | 3520 | 53 | 6640 |
Notes:
Where data are not available for a country, the table entry is left empty.
For further information on client population covered, estimation processes and other notes by country see part (iii).
(1) The number of 'All substitution clients' in Bulgaria includes 148 Substitol clients.
(2) The number of buprenorphine clients in the Czech Republic is estimated based on the distributed quantity of HDB on the Czech market (in 2010, a quantity of Subutex® and Suboxone® equivalent to 3517 g) and the average daily dose.
(3) The number of 'All substitution clients' in Germany includes 232 clients receiving diacetylmorphine treatment and 309 clients on other substitution medications.
(4) A very small number of cases received buprenorphine, as part of a pilot study. The overall proportion of buprenorphine substitution is estimated at less than 0.1% of all opioid substitution treatment.
(5) The difference between the total number of clients in opioid substitution treatment (6783) and the calculated total (8238), is due to the fact that in substitution units, clients often change from one substitution drug to another depending on their phase of treatment, so it is impossible to exclude the double records between the substitution drugs.
(6) 2010 data.
(7) The number of 'All substitution clients' in Denmark includes 550 clients treated in prison.
(8) The number of 'All substitution clients' in Malta includes 57 clients receiving unspecified substitution medication.
(9) The number of 'All substitution clients' in Austria includes 9139 clients receiving slow-release morphine and 561 clients receiving unspecified substitution medication..
(10) In addition to the registries data, the IDT performed a census on 31 December 2011. There were 21 236 clients registered in opioid maintenance programmes in outpatient units by IDT: 78% clients receiving methadone and 22% receiving buprenorphine.
(11) The number of 'All substitution clients' in Slovenia includes 300 clients receiving slow-release morphine.
(12) 2007 data.
(13) 2010-2011 data.
(14) 2010-2011 data. The number of 'All substitution clients' includes 12 clients treated with DHC.
See also 'General notes for interpreting data' on the Explanatory notes and help page.
Sources:
Reitox National Reports 2012.
Standard Tables 24 (ST24) on 'treatment availability' submitted by NFPs.
For France: OFDT report 2012