Laufende und abgeschlossene Forschung

Methadone maintenance and health care for drug users: identifying best praxis (MEHIB)

Participation in the German heroin trial - a randomized controlled therapy study (current)

Development of an European internet information gateway on Alcohol and other Drugs (current)

Joint EU SCIP project: Evaluation and Implementation of the Self-control Information programme for drug abusers" (starting soon)

Crack cocaine Use in Germany (finished)

Rauchen zwischen Sucht und Genuß (current)

Patterns, Intention and subcultural context of LSD Use (current)

Evaluation of the Drug-Help-System Bremen (finished)

Tele-learning for young prisoners (current)

Methadon in prison (finished)

Evaluation of the drug-help-system in Bremerhaven (finished)

Cannabis use: careers and consequences in a frame of law and culture

Civil Enforcement and European Drugs Policies. (finished)

Drug dependence: Risk and Monitoring (DDRAM), a comparative study between Newcastle (GB), Groningen (NL), Bremen (D), Rome (I), and Dublin (IR) (finished)

Drug using youth in a decaying open youth institution (finished)

The Cannabis Situation in Germany (finished)

Cannabis using women (finished)

Drugs in foster home (finished)


Development of an European internet information Gateway on Alcohol and other Drugs

In collaboration with the European Association of Libraries and Information Services on Alcohol and other Drugs ELISAD, the Bremen University Drug Library ARCHIDO is coordinating a project to create an internet portal in the area Alcohol and Drugs. Objectives are to provide direct access to valid institutional websites, complemented with descriptive data of these rersources, for the general and professional public. Website selection and evaluation are using a combination of methodology, directed at a resulting user platform with a thematic categories ordering system and a searchable database to be implemented on the university Bremen server. To ensure methodology, comparability and collective performance, BISDRO is charged with the scientific monitoring of the gateway project. Project duration will be 18 months to establish a basis dataset.

Researcher: Susanna Prepeliczay    Duration: January 2002 - June 2003


Participation in the German heroin trial - a randomized controlled therapy study

Researcher: Dr. Heino Stöver

for further information please see www.heroinstudie.de


The Joint EU-SCIP project "Evaluation and Implementation of the Self-Control Information Programme for drug abusers" consists of the following components:

Ad 1. In Belgium, Germany and Greece we will perform outcome studies in a pre- and post intervention design with around 25 subjects in each State.
Ad 2. In Wales and the Netherlands we will perform controlled evaluations of the SCIP. The methodology of these controlled studies will include an experimental, control group design, with repeated measures at three points in time (baseline, post-intervention and follow-up) with an aimed total number of 166 drug abusers per State.
Ad 3. Across all Member States we will conduct a survey to identify interested groups and solicit their expert opinions about their interest in strategies for implementing SCIP in the respective States: the EU-SCIP Survey.
In order to realise this, a steering committee will be formed.
To conclude the project, the results of the survey and the studies will be presented at an EU-wide symposium, after the steering committee, in their second meeting, has collated the recommendations presented and assembled them into a final report.

The major milestones of the project therefore will be:

February  2002 First Steering Committee Meeting in Amsterdam
June          2002 Training research assistants and programme deliverers
September  2002 Start data-collection at all sites
February  2003 End of data-collection in Belgium, Germany and Greece
May          2003 End of data-collection in Wales and the Netherlands
November  2003 Second Steering Committee Meeting in Amsterdam
January      2004 Symposium in the Netherlands


Methadone maintenance and health care for drug users: identifying best praxis (MEHIB) Researcher: Dr. Heino Stöver

OBJECTIVES AND EXPECTED ACHIEVEMENTS

The general aim of MEHIB is to improve existing knowledge on the integration of methadone maintenance treatment (MMT) with other health and social services for drug users, namely:

- Health promotion and disease prevention (harm reduction measures other than MMT),
- Health care and treatment (comprising both general health care and treatment specifically in relation to HIV, HCV and TB), and
- Psychosocial services (including counselling and practical support).

The idea behind MEHIB is that the growing relevance of MMT may be used to facilitate the provision of other health and social services to MMT recipients. MEHIB seeks to learn from examples of good practice in this respect that could serve as a source of inspiration for policymakers and practitioners across Europe. Specifically, the following aims have been set:

To collect data on the integration of MMT with other health and social services in three European countries which have either witnessed a spectacular increase of MMT delivery throughout the past decade (Spain and Germany) or enjoy a reputation as historical leader in the reduction of drug-related harm (UK).

To take account of interregional diversity by conducting fieldwork in two cities in each country (London and Glasgow; Berlin and Bremen; Barcelona and Granada).

To assess the integration of MMT provision with other health and social services comprehensively, including health promotion, health care and psychosocial services.

To generate extensive qualitative data on the experiences, perceptions, attitudes and suggestions of the two groups involved in the actual provision of MMT services, namely service users and service providers (MMT staff).

To complement these data by also interviewing staff members of health and social services other than MMT.

To include health services in prisons in the evaluation where applicable. In fieldwork locations where no MMT is available in prisons, the inquiry will focus on the reasons for and consequences of that situation.

To prepare fieldwork carefully by elaborating adequate research tools, i.e. questionnaires for semi-structured interviews and an evaluation manual detailing data processing procedures.

To elaborate three country reports, describing the nature, weaknesses and strengths of current integration between MMT delivery and other health and social services at the chosen fieldwork sites.

To elaborate a final report detailing examples and standards of good practice, as well as preconditions and policy measures that could promote their broad implementation across Europe. Rather than the identification of one general blueprint, specific recommendations for a variety of basic service delivery models will be sought.

To widely disseminate the new knowledge gained by MEHIB (especially the final report and its derivates) among policy makers and health service professionals across Europe.

Joint research with the following participants:
Escuela Andaluza de Salud Pública (EASP), Granada/Spain
Bremer Institut für Drogenforschung (BISDRO), Bremen, Germany
National Addiction Centre/Institute of Psychiatry (NAC/IoP), London/UK


Crack cocaine use in Germany: Epidemiology, patterns, risks and help

Crack cocaine appeared on German drug markets in the mid-nineties. For several
years it could be found only in Frankfurt and Hamburg, cities with large open drug
scenes and infrastructures (biggest harbor and airport in Germany). Only recently
crack cocaine could be found in other cities as well. Police and drug services data
indicate a more continuous but not a dramatic increase.
Crack-use is part of a poly-drug use pattern (with heroin, benzodiazepines,
methadone and alcohol) in metropolitan areas. Most of the users are known to the
institutions of counseling and basic care (contact and sleeping houses, methadone
treatment centers ) and to the police as well. Apart from the well known member of
the "visible/open drug scene" crack is also used by three other groups: marginalized
juveniles, young male and female prostitutes, young migrants. There is no research
data, whether this is a stable pattern of use or if the three groups are drifting into a
poly-drug use as well.
In this contribution epidemiological data are given, an assessment of future
prevalence is presented and the consequences of an increasing crack cocaine use for
drug services are discussed.

Researcher: Dr. Heino Stöver
Publications:


Rauchen zwischen Sucht und Genuss (current)

Eine Studie zur Möglichkeit kontrollierten Rauchens bzw. des Wenig-Rauchens und zur Nutzung solchen Wissens für die Prävention

Mit Hilfe von 40 qualitativen Interviews, die mit unterschiedlich starken Zigaretten-RaucherInnen und ExraucherInnen geführt wurden, soll die Gestaltung und Verbreitung der verschiedenen Konsummuster erhoben und untersucht werden, inwieweit Selbstkonzepte, Erwartungen und Einschätzungen über Sucht, Abhängigkeit bzw. Autonomie und Selbstkontrolle die Konsummutser beeinflussen und sich in erlebter Erfahrung bestätigen. Folgende Thesen leiten dabei das Untersuchungskonzept: a) es existiert eine Varianz im Umgang mit Tabakprodukten (hier Zigaretten), b) der Konsum ist kontrollierbar bzw. regulierbar, c) Sucht ist vor allem ein Erklärungsprinzip, dass dadurch Realität wird, weil man es für real hält, d) nicht abhängige, kontrollierbare Konsummuster sind erlernbar, wenn die Erwartungshaltung verändert wird. Von der Studien werden wichtige Erkenntnissse für harm reduction Strategien und Prävention erwartet.


Drugs in foster home

How can we help youth - male and female - who takes excessively drugs and whom nobody wants to give a living. The project evaluated for 2 years a small open institution, a farm for 5 to 7 youth (14- 18 years) together with the 5 to 7 social workers and psychologists with interviews, participant observation and some follow-up of the juvenile participants. It demonstrates the disastrous outcome in two trials and shows possible alternatives, esp. looking to the behavior of the adult 'experts'.
Publication: 'Drogen im Heim', 1996 (s. list of publications)


Cannabis using women

As a pilotstudy for the comparative Cannabis-use-study (s. Nr.6) 12 longterm using women in Bremen - found by snow-balling - were interviewed with an extended questionnaire (which will be used in the comparative study) in combination with tape-recording. The results: (a) Cannabis as an integrated normal everyday behavior and (b) what will be lost narrowing a qualitative study to questionnaire-items.

The same questionnaire and method was used also by McGauran, Gerda (s. below Diplom- und Magisterarbeiten 1997)

Publication: B. Kolte: "Was für einen Sinn hat es, immer nüchtern zu sein?" Wie Frauen Cannabis konsumieren VWB Verlag 1996


The Cannabis-situation in Germany

This report tried to give some background information for the preparation of the Dutch Drug-Nota 1996. It gives an overview of the real - everyday situation of Cannabis-use and Cannabis-policy in Germany in 1996, using criminal statistics, surveys and a wide range of expert interviews in the field of the criminal-justice-system, in schools, therapy and in the specific Cannabis-Research.
Publication: Zur Cannabis- Situation in der Bundesrepublik Deutschland. In Cohen, P., Sas, A. (ed): Cannabisbeleid... 1996 (s. List of publications)


Drug using youth in a decaying open youth institution

In an open freetime institution for youth, for two years social workers and youth were accompanied by an ethnomethodological oriented participating observation and interviews. Results: In a burned-out decaying situation both parties - social workers and youth construct a story-reality in which Cannabis-use is seen as a quite normal activity.

Publication: Frank Nolte: Die kulturelle Wirklichkeit der Drogen. Als Dissertation 1998 eingereicht.


Drug dependence: Risk and Monitoring (DDRAM), a comparative study between Newcastle (GB), Groningen (NL), Bremen (D), Rome (I), and Dublin (IR)

In this comparative study - financed by the European Commission (EC) - in 1997/98 in two waves (1) the same questionnaire about current drug use and other risk behaviour will be given to 14 years old pupils and (2) questionnaires to teachers and parents of 10 years old people about their every-day actions, problems and education style using representative samples in the 5 collaborating cities .

The specific interests are the combination of a juvenile psychiatric problem-oriented view with a more sociological sight of drug-use as a typical juvenile risk-behaviour.

Goals of this research are on a theoretical basis the comparision of the influence of the different drug-cultures in the participating cities and on a more practical basis the development of a monitoring and intervention instrument.

The study will be finished in the mids of 1998.

Participants: Dr Paul McArdle and Rob Johnson, Newcastle; Maria Blom, Rik Pos, Auke Wiegersma Groningen; Dr.Ingo Stoeckel, Anna Piccolini, Rome; Dr. Michael Fitzgerald, Aoife Brinkley, Dublin; Prof. Stephan Quensel, Birgitta Kolte, Dr.Ingo Ilja Michels, Rolf Guenther, Dr. Matthias Gruhl, Bremen.

DDRAM-Publications


Cannabis use: careers and consequences in a frame of law and culture

In three cities - Amsterdam, San Francisco and Bremen - a representative sample of 200 Cannabis-users (with more than 25 times use) will be questioned with the same questionnaire. This sample is based on a representative survey in every city. The research in Germany is financed by the DFG, in San Francisco by NIDA and in Amsterdam by the city. The research starts in Germany and US end of 1997 and will end in 1999; The Amsterdam results are further in progress. Participants: CEDRO Amsterdam, BISDRO Bremen, and Craig Rainarman, San Francisco Publications: for the Amsterdam results s. CEDRO


Civil Enforcement and European Drugs Policies.

German National Report The INSTITUTE FOR THE STUDY FOR DRUG DEPENDENCE (ISDD), London, with the financial support of the European Commission, is carrying out a study of drug policy on an administrative level beyond criminal law in the member states of the European Union. The study will be finished in September 1997.


Evaluation of the drug-help-system in Bremerhaven

Through expert-interviews and drug-user interviews, using published and grey materials the drug-help-system of Bremerhaven will be evaluated to find a better solution. In progress, finished 1998

Researcher: Dipl. Soz. Susanne Hartfiel

finished. Publication: Scientific Study of the Drug Help System Bremerhaven, BISDRO Final Report.  Wissenschaftliche Begutachtung des Drogenhilfesystems Bremerhaven. Endbericht


Methadon in prison

Through interviews and data-analysis function and functioning of methadon-substitution of the prison-system in Bremen will be evaluated. (Bremen has one of the earliest programs of substitution in Germany).   1998 - 2001

Researcher: Dipl.Soz. Anja Schultze


Tele-learning for young prisoners (current)

In Saloniki, Leyden and Bremen juvenile prisoners ( most with drug-problems) will be psychologically tested. The introduction of a - commonly developed - telelearning program will be evaluated.
Coopertion with ORESTES program (vocational training for juvenile prisoners) and LEONARDO E 115 program (modular learning for prisoners)

Telelernen im Strafvollzug - TELIS, in Kooperation mit ORESTES / LEONARDO  E115, Entwicklung von telemathischen Lernmodulen und modulares Lernen im Strafvollzug. Kontakt: Jürgen Hillmer,

Participants: Univ. of Leyden (Prof. Sagel-Grande); Univ. of Saloniki (Prof. Simeonidou-Kastanidou)

Researcher: Dipl. Päd. Jürgen Hillmer, Dipl.Soz. Anja Schultze


Evaluation of the Drug-Help-System Bremen

Investigation of the effectiveness and quality of the Bremen Drug-Help, especially Methadone Maintenance within qualitative expert interviews and qualitative interviews with maintained drug users, comparison with findings from past studies, analysis of psychosocial accompany and integrative effects.

Researcher: Dipl. Soz. Susanne Hartfiel

finished in March 2000


Patterns, Intention and subcultural context of LSD Use (current)

Investigation of circumstances, patterns and intentions of contemporary hedonistic, subcultural use of LSD in relation to implications of LSD use in times of the present and vivid political LSD myth by qualitative Interviews and participant observation. Comparison of the reported phenomena of LSD-induced experience with findings from studies mostly conducted in the 1960s and 1970s.
In progress, to be finished in 2002

Researcher: Dipl. Soz. Päd. Susanna Prepeliczay

AUFRUF -   Wer konsumiert LSD ?

Für die o.g. Studie sucht das BISDRO Personen, die bereit sind, über ihren Drogenkonsum Auskunft zu geben. Dabei werden Fragen wie "aus welchen Gründen konsumieren  Sie LSD ?" oder "Wie erleben Sie den durch LSD ausgelösten Rauschzustand?" im Vordergrund stehen. Vorgesehen sind ausführliche Gespräche. Die Befragung dient dem Vergleich mit früheren Studien zum Konsum von LSD.   Die Vorgespräche und Interviews werden von einer Wissenschaftlichen Mitarbeiterin des Instituts geführt, werden anonymisiert und sind streng vertraulich. Sie dienen ausschließlich der wissenschaftlichen Forschung. Die Teilnehmer der Befragung sollten über mindestens 5 Vorerfahrungen mit LSD oder vergleichbaren Substanzen verfügen. Interessenten werden gebeten, mit der Mitarbeiterin des BISDRO Susanna Prepeliczay, Telefon 0421 / 218-9085, Kontakt aufzunehmen, die diese Untersuchung durchführen wird.