Studiereise HSK 2004

1

Presentation for the members of the council of
Oslo April, 26th 2004

Departement of Social Development City of
Amsterdam
2
Expension of health care facilities, a.o.

• 1989 1998
• gt 350 extra places in shelters
• Expanding day-care centres and walk-ins
• Service centres
• Expanding Medical care in social shelters
• Needle and exchange programs
• 1998 - 2002
• 150 extra places in shelters
• 100 protected living/supervised housing
• 9 user rooms
• start medical heroin-experiment

Departement of Social Development City of
Amsterdam
3
Social shelter capacity
gt 1800 places
Departement of Social Development City of
Amsterdam
4

70
Government
60
31 mil.
50
City
8,8 mil.
40
30
Cliënts
5,3 mil.

20
Health Insurance
10
3,7 mil.
0
Departement of Social Development City of
Amsterdam
5

• 2002 - 2006
• improving quality shelter circuit
• Client registration, screeningcomitee
• Not only bed, bath and bread
• prevention of homessness
• collaboration with housing companies
• developing social call centres
• expanding medical prescription of heroin
• expanding health care facilities by health
  insurance
• assignment of people to programs (care chain)
• Police, public prosecution department, prison
  service, rehabilitation service, mental health
  care, addiction care, municipal health service,
  sociale service department

Departement of Social Development City of
Amsterdam
6

Chronical Psych.patients 8000
Addicits4200

Homeless4000
Departement of Social Development City of
Amsterdam
7
Harddrug Addiction Care

• 4200 harddruggebruikers
• Mean age gt 42 year
• Drug use gt 25 year
• Approx. 75 male
• gt 50 is in treatment (methadon)
• hardly any new heroïn users

Approx 1300 foreign users Approx. 1500 chronic
problematic users
Departement of Social Development City of
Amsterdam
8
Chronic Problematic 1500
1000 persons
Persistent offenders 500
No nuisance/crime
Nuisance/crime
Legal presure/susp. costody
Penitentiairy programs
Careprograms
Detention Program
dp
dua
trustee
tp
SOV
detention
Medical/psychiatric care income daycare
housing userrooms
Departement of Social Development City of
Amsterdam
9
Support Project voluntairy coordinated care

• Shelter / Housing
• Medical care
• Legal income (social assistance)
• Day-care activity
• Protected drug use

Departement of Social Development City of
Amsterdam
10
Support Project

• central follow-up system
• central care-coördination
• approx. 500 drug-addicts innercity included
• approx. 400 drug-addicts south-east amsterdam

Departement of Social Development City of
Amsterdam
11
Penitentiairy programs
Persistent drug-addicted criminals
Persons of 18 years or older, who were sentenced
in the last 5 years for more than 10 prosecuted
crimes, the last time in the last year.
Departement of Social Development City of
Amsterdam
12
Persistent drug-addicted criminals
461 persons according to the Xpol-files of the
police
461 persons commited 6654 crimes in 5 years -
shoplifting (2250 33,8), - didnt follow an
police order (944 14,2), - drugdealing (385
5,8), - bicycle theft (375 5,6), - theft from
cars (259 3,9), - possesion of harddrugs (250
3,8), - handling stolen property (176
2,6), - streetrobery (150 2,3), - other
simple thefts (137 2,1),
Department of Social Development City of
Amsterdam
13
Penal Care Facility for Addicts (SOV)
Experiment started in 2001 The SOV measure,
which is imposed for a maximum of two years,
comprises an intensive care and supervision
package provided in an detention unit (SOV)
followed by a local extramural care provision.
Successful completion of this programme increases
the delinquent' s chances of social
rehabilitation.
Departement of Social Development City of
Amsterdam
14
Persistent drug-addicted criminals
fase 1 placement in closed setting fase 2 half
open regime fase 3 staying outside the unit
Besides offering care for the drug problem, the
programme gives considerable attention to
training, workingprograms towards the labour
market, constructive leisure time, and
(protected/supervised) housing and managing
money.