REPUBLIQUE ET CANTON DE GENÈVE / KANTON GENF

SWITZERLAND; REPUBLIQUE ET CANTON DE GENÈVE / KANTON GENF
(French speaking part)

Médecin cantonal / Kantonsarzt: Dr. BLAISE MARTIN
Médecin cantonal adjointe: Dr. GEORGETTE SCHALLER
address: Av. de Beau-Séjour 22
Case postale 166
1211 Genève 4
Phone: +41-(0)22-8399890
Fax: +41-(0)22-8399901

Public Institutions to contact. Substance Abuse Division of University Hospital has 2 outpatient centres:

Consultation Navigation/Consulation Rue Verte
15 professionals work at the consultation bureau of which an internist, six nurses, four psychiatrists, two social workers, and two people involved in administration.
The treatment philosophy is based upon harm reduction offering detoxification and maintenance treatment as well as psychological post care. The average dose of methadone prescribed is 65 mg.
Currently there are 180 patients in treatment. There is no waiting list at this inreach centre.

The bureau's offer:
- medical care
- social assistance
- psychiatric care
- psycho-therapy

The bureau's demand:
- daily attendance (except during the weekend)
- urine checks
- medical examination

Breaking house regulations, violence, dealing and/or consuming illicit drugs in the premises can be a reason for exclusion from treatment.

If a patient wants to enter the programme on a permanent basis he has to contact the Consultation offices directly or a third party (drug advisory service, General Practitioner etc) has to refer the patient.
Procedures for taking patient for a short period of time:
The centre has to be informed beforehand by phone, fax, letter or by written authorisation of health administration in country of origin.
The information needed is:
- identity
- treatment history
- dose and period for which methadone is requested
- references

Short treatment is possible for one month.
When visiting patient has to bring a letter from his doctor.
Consultations are administered through invoice to insurance company of country of origin.

address:
Consultation Navigation
Rue de Pâquis 35
1201 Genève
Phone: +41-22-7165511
Fax: +41-22-7165599
Contact: Dr Liliana Correa
E-mail: liliana.correa@hcvge.ch
Methadone maintenance: from 9.00 till 13.00 hours and from 15.00 till 17.45 hours
Detox: from 11.00 till 13.00 and from 15.00 till 17.45 hours

Consultation Rue Verte

The centre employs 5 doctors, 8 nurses, 4 psychiatrists, 2 administrator, 2 social workers.
Treatment philosophy of this centre is detoxification, maintenance, harm reduction and basic health care. The average dose of methadone prescribed is 80 mg.

Currently the centre treats more or less 200 patients, with a maximum capacity of 200 patients.

The centre offers:
- medical care
- psychiatric care
- psycho-therapy
- social assistance

The centre demands:
- urine checks
- daily attendance at the beginning of the treatment
- mandatory meetings with social work

Violence and drugs traffic in the centre can get patient expelled from treatment.

Procedures for taking patient for a short period of time of maximum one month : the centre should be informed beforehand by phone, fax or letter. There is no maximal period of treatment for patients living in Geneva.

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. Some patients only go to the centre one’s a week and receive methadone in chemist’s shop.

Costs involved are about 185 SF a week.

Procedures for patients who want to enter the programme on a permanent basis are no different.

Address:
Consultation Rue Verte
Rue Verte 2
1205 GENEVE
Phone: +41-22-3202150
Fax: +41-22-3202840
Contact person: Dr DIDIER CUENOD
E-mail cuenod-didier@diogenes.hcuge.ch

AFTER 1/10/2000 THERE WILL BE A DIFFERENT CONTACT PERSON:
Contact person: Djamel Beuguettat
Email: beuguettat-djamel@diogenes.hcvge.ch

Hours of opening: from 8.30 till 12.00 hours and from 13.30 till 18.00 hours

Unité hospitalière "Seran"
Chemin du Petit-Bel-Air 2
1225 Chêne-Bourg
Phone: +41-22-3054392
Fax: +41-22-3054162

Unité hospitalière "Villa les Crêts"
(voluntary admissions, detoxification from all substances)
Chemin du Eduard Tavan 1
1206 Genève
Phone: +41-22-3466657
Fax: +41-22-3470384

Privat Institutions to contact:

Fondation Phénix (100 Route de Chêne)
The centre employs 4 doctors, 6 nurses, 2 psychiatrists, 4 social workers, 1 educator, 3 administration, 2 management, 8 psychologists, 10 medical assistants, 3 others.
Treatment philosophy of this centre is maintenance and harm reduction. The average dose of methadone prescribed is 80 mg.

Currently the centre treats 500 patients, with a maximum capacity of 550 patients.

The centre offers:
- medical care
- social assistance
- other medication (first assessment for parents)
- psychiatric care
- psycho-therapy
- re-adaptation

The centre demands:
- daily attendance or less
- urine checks two times a week
- mandatory meetings with social work

Relapse, non-attendance, violence or drugs-traffic 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, email or letter.
The information necessary is:
- identity
- 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. There are costs involved; 20 to 50 Swiss francs a week dependent of dose and frequency of consults.

Procedures for patients who want to enter the programme on a permanent basis are no different.

Address:
Fondation Phénix
100 Route de Chêne
1224 Chêne-Bougeries
Phone: +41-22-8694040
Fax: +41-22-8694050
Contact person: Dr. JEAN-JACQUES DEGLON
Hours of opening: from 6.30 till 18.30 hours

Email: jjdeglon@phenix.ch or phenix@phenix.ch

Internet: www.phenix.ch

Fondation Phénix (Avenue des Communes-Réunies 8 bis)

The centre employs 6 professionals of which 1 doctor, 1 nurse, 1 medical assistance, 1 psychologist, a part time social worker and a part time psychiatrist.
Treatment philosophy is based upon harm reduction offering (detoxification and) maintenance programmes. The average dose of methadone prescribed is 80 mg.
Currently the centre treats 90 patients, with a maximum capacity of 100 patients. There is no waiting list and no maximum duration of treatment.

The centre offers:
- medical care
- social assistance
- psychiatric care
- psycho-therapy
- other medication
- treatment of infectious diseases

The centre demands:
- daily attendance in the beginning
- urine checks twice a week
- mandatory meetings with doctor and psychologist

Drug trafficking 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 or fax (at least 24 hours in advance)
The information necessary is:
- identity
- dose and period for which methadone is requested
- references where information can be checked
- frequency of visit/provision

When visiting the patient has to bring a letter from his doctor and passport.
The costs involved are between 100.= and 400.= Sfr a month (depends on frequency of visits)

Procedures for patients who want to enter the programme on a permanent basis are different: patient needs authorisation from " Medecin Cantonal".

address:
Fondation Phénix
Avenue des Communes-Réunies 8 bis
1212 Grand-Lancy
Phone: +41-22-7948300
Fax: +41-22-7948350
E-mail: phenixgl@span.ch
Contact person: Dr. MICHEL BOURQUIN
Hours of opening: Monday till Friday from 7.30 till 12.30 and from 14.30 till 18.30; Wednesday from 8.00 till 12.00 hours

Fondation Phénix
Rue Jean-Violette 4
1205 Genève
Phone: +41-22-7815050
Fax: +41-22-7815068

Fondation Phénix
Rue du Grand-Pré 72
1202 Genève
Phone: +41-22-9194040
Fax: +41-22-9194050

General Practicioners:
Groupe Genevois des Practiciens en Médecin de l'Addiction
Case postale 94
1211 Genève
Phone: +41-22-7894455