FRANCE; RHÔNES-ALPES
 
Le Lac d'Argent
64, chemin des Fins Nord
74000, Annecy
Phone: +33-4-50679651
Fax: +33-4-50576175
Association Espace 07
1 bis, Boulevard Pasteur
07200 Aubenas
Phone: +33-4-75935628
Haute-Savoie / Rhône-Alpes
 
APRETO Annemasse / Thonon-les-Bains
 
The centres employ 13 professionals of which 1 doctor, 2 nurses, 1 psychologist, 2 social workers, 5 educators, an administrators and a manager.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. The average dose of methadone prescribed is 55 mg.
Currently the centre treats 30 patients, with a maximum capacity of 30 patients. The waiting list counts 4 people.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
- other medication (Subutex)
 
The centre demands:
- daily attendance
- urine checks
- mandatory meetings with social work
Violence and drug trafficking can get patient expelled from treatment.
 
Procedures for taking patient for a short time:
The centre should be informed beforehand by tel, 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. Substitution for a short period of time is done for one or two months.
 
If patient want to enter the programme on a permanent basis the procedures are no different.
 
Main address:
APRETO
15, rue Molière
74100 Annemasse
Tel: +33-4-50382381
fax: +33-4-50956772
Contact person: JEAN FRANÇOIS FICQUEL
hours of opening: Monday till Friday from 9.00 till 17.30 hours    
 
There is also a branch at Thonon-les-Bains: 7, rue de l’hôtel-Dieu
Phone: +33-4-50266615 / fax: +33-4-50264257
Accueil et Aides aux Jeunes
8, rue du Pont des Chèvres
01000 Bourg-en-Bresse
Phone: +33-4-74236766
Fax: +33-4-74223059
Le Pélican
12, rue du Commandant, Perceval
73000 Chambery
Phone: +33-4-79625624
Fax: +33-4-79625624
CHU de Grenoble
1, rue Hauquelin
Grenoble 38000
+33-4-76542429
+33-4-76441819
Hotel Dieu - Unite de Substitution (Lyons)
 
The centre employs 1 doctor, 3 nurses, 2 psychiatrists, 1 social worker.
Treatment philosophy of this centre is detoxification. The average dose of methadone prescribed is 60 mg.
Currently the centre treats 25 patients, with a maximum capacity of 30 patients.
 
The centre offers:
- medical care
- Social assistance
- psychiatric care
- psycho-therapy
 
The centre demands:
- daily attendance
- urine checks
- mandatory meetings with social work
 
Violence and non-attendance at appointments can get patient expelled from treatment.
 
Procedures for taking patient for a short period of time: the centre should be informed beforehand by tel, 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:
Hotel Dieu - Unite de Substitution
1 rue de l’hopital
69002 Lyon
Phone: +33-4-72413481
Contact person: Dr AGNES OELSNER
Hours of opening: from 10.00 till 15.00 hours
Pavillon A - Consultation de soins aux Toxicomanes
Hôpital Edouard Herriot
 
The centre employs 10 professionals of which 2 doctors, 1 psychiatrist, 2 nurses, 1 educator 1 administrator and 3 psychologists.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. The average dose of methadone prescribed is 50 mg (range from 40-60, max is 100mg a day).
Currently the centre treats 50 patients, there is no maximum capacity. There is no waiting list and the maximum duration of treatment is seven days for treatment renewing.
 
The centre offers:
- medical care
- psychiatric care
- psycho-therapy

The centre demands:

-daily attendance the first three or six months
-urine checks
-mandatory meetings with doctors at least once a month
 
Violence and 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 AND fax.
The information necessary is:
- identity
- treatment history
- dose and period for which methadone is requested
 
There are no costs involved.
When visiting the patient has to present a letter of his/her doctor unless a fax was sent earlier.

Official forms for customs, polie, medical etc. to make sure patient will not encounter any legal problems in case of different policy on methadone of country to be visited exist.

Procedures for patients who want to enter the programme on a permanent basis are different. Official address; securité Sociale registered, the last dose of Methadon has to be send by fax or letter and a signed contract with the centre is required.
 
Address:
Hôpital Edouard Herriot
Place d'Arsonval
69003 Lyon Contact person: Dr. Alain Oddou/ dr Jean-Haze Elcharous
Phone: +33-4-72110005/ 72117852
Fax: +33-4-72226072
Centre Hospitalier Lyon-Sud
Unité de médecine légale et psychosociale
69310 Pierre-Benite
Phone: +33-4-78862105
Fax: +33-4-78863339
Hôtel-Dieu - Service de gastro-entérologie du Prof. Trepo
1, Place de l'Hôpital
69002 Lyon
Phone: +33-4-72413444
Association Espace 07 C.M.S.
The centres employs 7 professionals of which 2 doctors, 1 nurse, 1 social worker, 1 administrator, 1  manager an da psychologist).
Currently the centre treats 25 patients, with a maximum capacity of 20 patients. There is no waiting list and no maximum duration of treatment..
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
 
The centre demands:
- daily attendance
- urine checks
- mandatory meetings with social worker
 
Violence can get patient expelled from treatment.
 
Procedures for taking patient for a short time:
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
- period for which the provision of methadone is requested
 
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:
Espace 07
Monsieur Caupert
2 Boulevard de Lancelot
07000 Privas, Ardèche
Phone: +33-4-75645516
Fax: +33-4-756453457
Hours of opening: 08.45-12.00h and 13.15-17.00h
Email: espace07@wanadoo.fr
CHU St Etienne
 
The centre employs 13 professionals (mostly part-time) of which 3 doctors, 1 psychiatrist, 3 nurses, 1 ASH, 1 educator, 1 social worker, 1 administrator and a manager.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. No maximum duration of treatment.
Currently the centre treats 31 patients, which is (more or less) its maximum capacity of patients. There is a waiting list.
 
The centre offers:
- medical care
- psychiatric care
- psycho-therapy
- other medication (Buprenorphine)
- links with other treatment services, General Practitioners and pharmacies
 
The centre demands:
- daily attendance in the beginning
- urine checks
- meetings with social work
 
Non-attendance, relapse 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 tel, 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.
 
Procedures for patients who want to enter the programme on a permanent basis are no different.
 
Address:
C.H.U.. St Etienne, Hôpital de Bellevue
Pavilion 11, Bd Pasteur
Saint-Etienne 42055 CEDEX 2
42 France
Phone: +33-4-77427750
Fax: +33-4-77420921
Hours of opening: Monday till Friday from 9.00 till 15.00 hours
TEMPO Valence
 
The centre employs 11 professionals of which 2 doctors, 1 nurse, 2 psychologists, 2 educators, 3 administrators and a manager.
Treatment philosophy is based upon harm reduction offering detoxification and maintenance programmes. The average dose of methadone prescribed is 60 mg.
Currently the centre 5 treats patients, with a maximum capacity of 15 patients. There is no waiting list and no maximum duration of treatment.
 
The centre offers:
- medical care
- social assistance
- psycho-therapy
- other medication
- post-treatment care
 
The centre demands:
- urine checks
Non-attendance 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 tel, fax or letter.
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
 
There are no costs involved.
 
Procedures for patients who want to enter the programme on a permanent basis are no different.
 
Address:
Association Tempo
4, rue Ampère
26000 Valence
Phone: +33-4-75401770
Fax: +33-4-75401255
Contact person: EVELINE BENOUSSAN (director) and Dr. DOMINIQUE DOUZOU
Hours of opening methadone unit: Monday till Friday from 9.00 till 12.00 hours
Association Jonathan Villefranche-sur-Saone
 
The centre employs 10 professionals of which 1 doctor, 1 psychiatrist, 1 nurse, 1 psychologist, 3 educators, 1 social worker, 1 administrator and a manager. Treatment offered is detoxification.
Currently the centre treats 17 patients, with a maximum capacity of 25 patients. There is no waiting list and no maximum duration of treatment.
 
The centre offers:
- medical care
- psychiatric care
- psycho-therapy
- other services: psycho-educational care, family groups, substitution treatment for prisoners
 
The centre demands:
- daily attendance (depends on treatment contract)
- urine checks
 
Dealing drugs 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 tel and fax - written in French!
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/fax 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:
Association Jonathan
131, rue de l'Arc
69400 Villefranche-sur-Saone
Phone: +33-4-74621592
Fax: +33-4-74039547
Contact person: Mr.GALLERON and Dr. GUILLARD