THE NETHERLANDS; TWENTE
 
Tactus - Overijssel region
 
The organisation is low threshold and treats 275 methadone patients a day (the maximum number they are able to treat is 325/daily) and a total of 525 ex-heroine abusers. there is no waiting list.
The staff involved in the methadone treatment counts 13 members, of which two doctors, five nurses, three social workers, an educator, an administrator and a manager.
The organisation offers detoxification, maintenance and rehabilitation programmes. The average dose of methadone prescribed  is 30 mg, although the centre is involved in scientific research with high dosages of methadone (more than 85 mg).
 
The organisation offers:
- medical care
- social assistance
- other medication
- workshops
- preventive measures: supply of condoms and free syringes/needles
- co-operation with clinics, General Practitioners and police
- accompanying during and after pregnancy of heroine addicted women
 
The organisation demands:
- daily attendance in fixed groups
- urine checks
- mandatory meetings with social work in fixed groups
- proper behaviour
 
Non-attendance, violence and social recovery can get patient expelled from treatment.
 
Procedures for taking patient from another programme for a short period of time:
The centre has to be informed beforehand by phone, fax or letter.
The information needed is:
- identity
- state of health
- dose and period for which methadone is requested
- references
 
When visiting the patient has to bring a letter from his doctor.
Health insurance is necessary to be treated.
Treatment for a short period of time can be given for up to one month.
 
Tactus (main office)
 
Visitors address:
Korte hengelostraat 24,
7500 AK  Enschede
Mail address:
Postbus 417
7500 AK Enschede
 
Phone: +31-53-4331414
Fax: +31-53-4343287
E-mail: cadtwen@pi.net
Contact person: BERT FEIKEN
The main office can be contacted from Monday until Friday from 8.30 till 17.00 hours
 

treatment facilities:
 
Tactus
Ripperdastraat 8
7500 AK Enschede
Phone: +31-53-4319761
Group A (harm reduction) daily attendance (Mon.- Fri) from 11.30 till 13.00 hours
Group B (rehabilitation) three times a week: Monday, Wednesday and Friday from 10.00 till 11.00 hours
Group C once a week on Thursday from 16.30 till 18.00 hours
 

Tactus
Postbus 417
7500 AK Hengelo
Phone: +31-74-2913122
All groups attend three times a week on Monday, Wednesday and Friday:
Group A: from 13.30 till 14.30 hours
Group B: from 9.30 till 10.00 hours
Group C: from 16.30 till 17.00 hours
 

Tactus
Wierdensestraat 32 A
Almelo
Phone: +31-546-824855
Three times a week attendance on Monday, Wednesday and Friday:
Group A: from 11.00 till 12.30 hours
Group B: from 9.30 till 10.00 hours
Group C: once a week on Monday from 16.30 till 18.00 hours

St. CAD Zwolle
Postbus 509
8000 AM Zwolle
Phone: +31-38-4560760
Fax: +31-38-4260799