Acesse: Heroina 2.pdf
What happen to heroin users in the long term?
Results from a 22 year British follow-up
Ronaldo Laranjeira, Clive Tobutt, Colin Taylor, Edna Oppenheimer
This paper will report on the follow-up of a cohort British heroin users who were first interviewed by the Addiction Research Unit’s staff in 1969, (Stimson, 1973) during a historically important period in the evolution of British drug problems and policy responses. All these subjects were at that time receiving prescriptions of injectable pharmaceutical heroin from the National Health Service (NHS) clinics which they were attending. A prescribing approach which today would seem egregious was at the start of this cohort’s treatment career a standard practice. To provide context for the present repoh out something of the relevant historical background.
In the 1960’s a steep increase in the misuse of heroin occurred in Britain, concentrated in the London area (Bewley, 1965; Bewley, 1966; Spear, 1969). The source of the drug was almost exclusively direct prescribing to addicts by GP’s, or the overspill of this laxly prescribed pharmaceutical heroin to the black market, and the usual route of use was intravenous injection. The second Brain Report recommended that this epidemic development should be met by limiting the right to prescribe heroin or cocaine to addicts in the treatment of addiction, to specially licensed doctors operating from designated centers. Those provisions were given legislative basics in the Misuse of Drugs Act 1967, and in accordance with a Regulation made under that Act the first Drug Dependence Clinics or Units (commonly know as DDU’s), were opened in London in 1968.