Arud

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Arud

logo
legal form society
founding 1991
Seat Zurich , Switzerland
management David Fehr
( Managing Director )
Barbara Gysi
(President of the Board of  Directors )
Number of employees 127 (January 1, 2019)
sales 25 million CHF (2019)
Branch Healthcare
Website www.arud.ch

The club Arud (originally ARUD Zurich ) operates the Arud Center for Addiction Medicine and the medical services of the checkpoint Zurich. He is committed to reducing the negative consequences of harmful or dependent use of legal and illegal psychoactive substances.

The association treats and supports people who have difficulties dealing with legal and illegal addictive substances . In four centers for addiction medicine in the greater Zurich area, it offers treatments for opioid, namely heroin addicts, as well as outpatient advice and treatments in the field of cocaine , alcohol , nicotine, cannabis , medication and designer drugs .

The four centers offer an interdisciplinary and drug-medical treatment and counseling service, which includes psychotherapy, medical treatment and support from social workers. Arud is the largest provider of substitution-based treatments with methadone , buprenorphine , diacetylmorphine and morphine in Switzerland. In the canton of Zurich, Arud also contributes to the increasingly important offers of outpatient advice and treatment for problems with cocaine , cannabis and designer drugs . A total of over 1000 patients are cared for.

Structure and organization

The Arud is an association in accordance with the provisions of the Swiss Civil Code . The association is run by a board of directors. Operationally, Arud is managed by a five-person management.

The individual centers have the following priorities:

  • Center Aussersihl in Zurich (formerly Zokl1) - mainly substitution-based treatments with methadone, buprenorphine and morphine, treatment of problems related to problematic consumption of alcohol, cocaine and drugs, especially benzodiazepines.
  • Center Stampfenbach in Zurich (formerly Zokl2) - mainly diacetylmorphine-based treatments, treatment of problems in connection with problematic consumption of alcohol and cocaine.
  • Zentrum Horgen (formerly DBB) - substitution-based treatments with methadone, buprenorphine and morphine, diacetylmorphine-supported treatments and the treatment of problems with alcohol, medication, cannabis, cocaine and designer drugs.
  • Zentrum Hauptbahnhof in Zurich (formerly Gain) - advice, clarification and treatment in connection with the problematic use of cocaine, alcohol, cannabis, medication, designer drugs and other psychoactive substances. Since 2011, substitution-based treatments with methadone, buprenorphime and morphine have also been offered here.

The therapeutic concept is based on an accepting approach that is committed to the principle of harm reduction. Together with the patient, realistic objectives tailored to the individual possibilities and the corresponding restrictions and limits are worked out and implemented.

The association runs its own department for evaluation and research in order to examine the effects of the treatments offered according to scientific criteria. The results obtained are passed on in the form of contributions to specialist congresses and articles in scientific journals.

With private and public partner institutions, Arud runs the following cooperation offers: Checkpoint Zurich, drug information center Zurich DIZ, advice center for relatives of drug addicts ada-zh.

Treatment methods

At Arud, patients can fall back on an extensive range of treatments for addictive diseases. Psychiatric treatment is offered to patients, although these differ greatly depending on the addiction.

The different offers:

  • Psychiatry and psychotherapy (treatment of mental illnesses, which are mostly related to addiction.)
  • General practitioner treatment (addicts often develop diseases such as hepatitis or HIV, which can be treated. Wound care and addiction medical assessments are also offered.)
  • Social work (advice and support with family, financial or social problems.)
  • Opioid agonist therapy (substitution with substances such as methadone , retarded morphine or buprenorphine . Heroin-supported treatment is also possible.)

The heroin-assisted treatment of the most severely dependent is possible under special conditions. In contrast to other substitution drugs such as methadone , you have to submit an application to the Swiss Confederation to dispense heroin . The patients receive pharmaceutical heroin in pill form or can inject liquid heroin under supervision at Arud . The drug is sold under the name Diaphin and is available in three versions: Diaphin 200 mg IR (releases active ingredient immediately), Diaphin 200 mg SR (retarded) and a solution for injection. A combination with substitution agents such as methadone or morphine is possible. Under certain conditions, patients can take a daily dose home with them, although the regulations for this have been tightened by the Federal Office of Public Health . The transport of Diaphin to the delivery points is subject to the highest security precautions and is comparable to a gold transport protected with armored delivery vans and armed personnel.

history

The association was founded in November 1991 by doctors and addiction specialists as a medical response to the imminent police closure of the Platzspitz park in Zurich , where an open drug scene had developed since the late 1980s .

In February 1992, the Zokl1 Polyclinic was founded as the first low-threshold institution for methadone-based treatment in Switzerland (today the Aussersihl Center). In January 1994, the Zokl2 Polyclinic (now the Stampfenbach Center) followed as the first institution to carry out heroin-assisted treatments as part of the Swiss PROVE trials.

Since 1997, Arud has been participating in the Swiss HIV cohort as part of the Prometheus study and providing HIV treatments. Since 2000 she has been participating in the Swiss Hepatitis C Cohort , a multi-center study on the treatment of hepatitis C with interferon and ribavirin .

In 2001, buprenorphine expanded the range of opioids prescribed by Arud as a substitute and in January 2002 the responsibility for the DBB Polyclinic in Horgen was transferred from SIP to Arud (today the Horgen Center).

In September 2004 the association got involved in the voting campaign for the continuation of the centers for heroin-assisted treatment. Finally, 75.1 percent of the city of Zurich approved the loan and said yes to heroin-assisted treatment .

In January 2006, the association opened the GAIN medical center in a central location in Zurich - health services and information for cocaine, alcohol, cannabis, medication, party drugs (today the main train station center). In June 2006, the Checkpoint Zurich medical health center was opened in cooperation with the Zurich AIDS organization , which is aimed at gay men ( MSM ) and male sex workers ( MSW ) and in particular offers the anonymous diagnosis and treatment of sexually transmitted diseases (STD). Since September 2006, Arud has been running the DIZ - Drug Information Center Zurich in cooperation with the Social Department of the City of Zurich. This site provides information, advice, and pill-testing treatment to designer drug users.

Since July 2007, the Aussersihl Center has been offering substitution-based treatments with retarded morphine sulphate as part of an approval study.

In January 2008, the counseling center for relatives was opened as part of the Konradstrasse 1 health center together with the association of drug addicts in Zurich. In April 2008, Arud began to set up an international network in the area of ​​hepatitis C care for drug users in order to improve the undersupply in this area across national borders with mutual exchange of knowledge and experience.

The association played a major role in the voting campaign for the revision of the Narcotics Act, which, among other things, enshrined heroin-assisted treatment ( diacetylmorphine-assisted treatment ) in law. Swiss voters approved this revision on November 30, 2008 with 68 percent.

In autumn 2009, Arud introduced an integrated and interdisciplinary range of treatments for people with alcohol problems. In September 2009 the 1st International Symposium on Hepatitis Care in Substance Users was held. The symposium with 200 participants from over 30 nations served to exchange new, promising approaches to the treatment of hepatitis C in people with addiction disorders.

The web-based self-help program Snow Control has been online since May 2010 for people who want to reduce their cocaine consumption. The internet tool was developed by Arud and the Institute for Addiction and Health Research in Zurich (ISGF).

financing

The medical services are financed by the health insurance companies. Further sources of funding are service contracts with the public sector, membership fees and donations.

As a non-profit organization, Arud does not strive for a profit. All funds flow into the continued existence and further development of this institution.

Web links

Individual evidence

  1. ↑ a b Entry of the “Working Group for Low-Risk Dealing with Drugs, ARUD” in the commercial register of the Canton of Zurich ( Memento from February 2, 2016 in the Internet Archive )
  2. ↑ a b Annual Report 2018: Tailor-made offers for everyone (PDF) arud.ch. Retrieved July 22, 2020.
  3. ↑ Overview map of the substitution centers in Switzerland , bag.admin.ch
  4. ↑ Lars Stark, Daniel Meili: Change in drug consumption requires an adaptation of therapeutic offers. In: Schweizerische Ärztezeitung No. 87 (35) 2006. EMH , ISSN  1424-4004 , pp. 1499–501 (PDF; 156 kB)
  5. ^ Compendium. Retrieved March 3, 2020 .
  6. ↑ Gaby Ochsenbein swissinfo.ch: Heroin - the frowned upon drug. Retrieved March 3, 2020 .
  7. ↑ March 10, 2004: Continuation of heroin-assisted treatment indefinitely, stored-data.stadt-zuerich.ch, accessed on March 8, 2019
  8. ↑ The hemp initiative fails - yes to the narcotics revision in news.ch , accessed on February 15, 2011
  9. ^ Arud Center for Addiction Medicine: Association & Donations. Retrieved March 4, 2020 .