FRANCE; PAYS-DE-LA-LOIRE
 
CTMA (Centre de Traitement par Methadone Angeoin)
 
The centre employs doctors, psychiatrists, nurses and social workers.
Treatment philosophy is based upon harm reduction offering maintenance programmes. The average dose of methadone prescribed is 65 mg.
Currently the centre treats 20 patients, with a maximum capacity of 25 patients. There is no maximum duration of treatment and no waiting list. The centre co-operates with the Association of help of drug abusers (Association Angeriène d’Aide aus Toxicomanes d’Angers - AAATF)
 
The centre offers:
- medical care
- social assistance
- other treatment
 
The centre demands:
- daily attendance
- urine checks
- mandatory meetings with social work
Non-attendance and violence can get patient expelled from treatment.
 
Procedures for taking patient for a short time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- treatment history
- dose and period for which methadone is requested
- references where information can be checked
 
When visiting the patient has to bring a letter from his doctor.
There are no costs involved.
 
If patient want to enter the programme on a permanent basis the procedures are no different.
 
Address:
CTMA (Centre de Traitement par Methadone Angeoin)
4, rue Larrey / CHU d’Angers
49033 Angers Cedex 01
Phone: +33-2-41355394
Fax: +33-2-41353942
Contact person: Dr. LOISON
Hours of opening: Monday till Friday from 7.30 till 13.00 hours
Centre Equinoxe Cholet
 
The centre employs 5 professionals, some part time, of which 1 doctor, 1 nurse, 1 educator, 1 social worker and an administrator.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. The average dose of methadone prescribed is 60 mg.
Currently the centre treats 6 patients, with a maximum capacity of 6 patients. There is no waiting list and no maximum duration of treatment.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
- rehabilitation
- co-operation with General Practitioners, social services and pharmacies
 
The centre demands:
- daily attendance
- urine checks
- mandatory meetings with social work
Disrespecting treatment contract and violence can get patient expelled from treatment.
 
Procedures for taking patient for a short period of time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
 
When visiting the patient has to bring a letter from his doctor.
There are no costs involved.
 
Procedures for patients who want to enter the programme on a permanent basis are no different.
 
Address;
Centre Equinoxe Cholet
35, rue Nantaise
49300 Cholet
Phone: +33-2-41653261
Fax: +33-2-41712649
Contact person: Mme.CHANTAL SONIER
Hours of opening: from 13.00 till 14.30 hours
CIPSAT (Centre d'Information, Prévention et Soins en Alc. & Toxicomanies)
 
The centre employs 4 professionals of which 2 doctors, 1 nurse, 1 psychologist, 1 educator and an administrator.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. The average dose of methadone prescribed is 50 mg.
Currently the centre treats 3 patients. There is no maximum duration of treatment and no waiting list.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
- other medication
 
The centre demands:
- urine checks
- mandatory meetings with supervisor
Non-attendance and violence can get patient expelled from treatment.
 
Procedures for taking patient for a short time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
 
When visiting the patient has to bring a letter from his doctor.
There are no costs involved.
 
If patient want to enter the programme on a permanent basis the procedures are no different.
 
Address:
CIPSAT
6, rue Haute Chiffolière
53000 Laval
Phone: +33-2-43590530
Fax: +33-2-43536320
Contact person: ALAIN GUESNE
Hours of opening: Monday till Friday from 9.00 till 12.00 hours and from 14.00 till 18.00 hours
Acceuil Info Drogue

The centre employs  1 doctor, 2 nurses, 2 administrators, 4 educators, and 1  manager. Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes.

Currently the centre treats 10 patients with a maximum capacity of 15 patients. There is no maximum duration of treatment and no waiting list.
The average dose of methadone is 60 mg.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
 
The centre demands
- daily attendance
- urine checks
- mandatory meetings with social work
 
Procedures for taking patient for a short time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
 
When visiting the patient has to bring a letter from his doctor.
There are no costs involved.

Non-attendance can get patient expelled from treatment.

If patient want to enter the programme on a permanent basis the procedures are no different.
Address:
66, bis rue de Belfort
Le Mans 72100
Phone: +33-2-43141540
Fax: +33-2-43141541
La Rose des Vents St Nazaire
 
The centre employs 6 professionals of which 1 doctor, 1 psychologist, 1 social worker, 1 educator, an administrator and a manager. Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes.
Currently the centre treats 5 patients. There is no maximum duration of treatment and no waiting list.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
- other medication
 
The centre’s demands depend on every individual patient.
 
Procedures for taking patient for a short time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- treatment history
- dose and period for which methadone is requested
- references where information can be checked
 
When visiting the patient has to bring a letter from his doctor.
The costs (1996) are: 22,50 F/60mg of methadone.
 
If patient want to enter the programme on a permanent basis the procedures are different, namely based on an extended treatment contract.
 
Address:
La Rose des Vents
32, rue Roger Salengro
44600 Saint-Nazaire
Phone: +33-2-40019612
Fax: +33-2-40223964
Contact person: Dr. GUILLE
Hours of opening: Monday from Friday from 9.30 till 12.00 hours and from 14.00 till 18.00 hours
Association "Le Triangle" (Nantes)
 
The centre employs 2 doctors, 3 psychologists, 5 nurses, 1 social worker, 2 educators, 2 administrations, 1 manager.
Treatment offered is. The average dose of methadone prescribed is 70 mg. Currently the centre treats 35 patients. There is no waiting list.
 
The centre offers:
- medical care
- social assistance
- other medication
- psycho-therapy
- accommodation, re-insertion, group activities…
 
The centre demands:
- urine checks
- psychological and social accompaniment contract
 
Relapse, violence, non attendance can get patient expelled from treatment.
 
Procedures for taking patient for a short period of time:
The centre should be informed beforehand by phone, fax or letter.
The information necessary is:
- identity
- treatment history
- references where information can be checked
- dose and period for which methadone is requested
 
When visiting the patient has to bring a letter from his doctor. The maximum duration is 404 days.
There are no costs involved.
 
Procedures for patients who want to enter the programme on a permanent basis are no different.
 
Address:
Association "Le Triangle"
8 rue Kervegan
44000 Nantes
Phone: +33-2-40484858
Fax: +33-2-40896172
Contact person: Mr BERNIER
Hours of opening: Monday till Friday from 9.00 till 13.00 hours and from 14.00 till 19.00 hours