Kontrollierter Konsum von Opiaten und Kokain

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In this article self-controlled consumption of legal or illegal drugs is defined as a drug use pattern which follows self-imposed consumption rules or plans. Self-controlled use of drugs such as heroin or cocaine without negative health, social or criminal consequences is a more widespread phenomenon in European countries as one might expect. Moderate and self-controlled drug use is not only prevalent among socially integrated consumers. Also formerly dependent drug users who overcame their addiction with or without professional help are able to develop a controlled drug use pattern. By now, there are different behavioural self-control trainings for reducing drug use. First results of evaluation studies indicate positive effects of such interventions. There is a need to introduce self-control programmes in the drug care system for drug users who are not able or not willing to live abstinent.