Substitutionsbehandlung opioidabhängiger Menschen in der medizinischen Rehabilitation: Positionspapier der Deutschen Suchtgesellschaft

Opioid substitution is well established for the treatment of opiate-dependent people. Nearly 80,000 people in Germany thereby receive better medical and psychosocial living conditions. Nevertheless, opioid abstinence is the stated long-term goal of the treatment, which, however, cannot be achieved by many of opioid-addicted people. A opioid-substitution, however, makes access to the rehabilitative services of our medical system more difficult. In order to provide these persons with equal opportunities, the umbrella organization of German addiction societies (DSG) has prepared a position paper. In the consensus of the participating professional societies, it is required to reduce access thresholds for abstinence-oriented services in the outpatient, day-patient and inpatient setting, and to provide regular treatment options with continuous substitution without initially formulated abstinence goal and access to medical rehabilitation for patients in substitution treatments. Especially substituted patients with additional comorbid mental disorders should easily have access to outpatient, semi-inpatient and inpatient psychotherapeutic treatment.