Overview : ABRIGADO (low threshold admission centre for drug addicts), OEDT, 2012.
The non-profit association "National Committee of Social Defence" set up in 1966 was the first to offer harm reduction measures for marginalised minorities in the Grand Duchy of Luxembourg. The development of street work within the drug scene and among sex workers dates back to 1985. In 1993 a mobile street work service called "Camionnette-Szene Kontakt", placed near the central railway station in Luxembourg city, offered marginalised populations first aid, food, hygiene facilities, needle exchange, information and counselling. This project was extended in 1999 into a more specialised and permanent structure, called "ABRIGADO Szene-Kontakt". In 2003, ABRIGADO was integrated into a day/night admission centre called TOX-IN offering 3 different services: a low threshold service, a night shelter service (since December 2003) and a drug consumption room (since July 2005). The primary aim of TOX-IN is to reduce drug related harm and nuisance. Another aim is to identify the populations contacting the service, to promote, in a non-directive way, a human and social policy by an acceptance orientated approach, to encourage personal responsibility and social integration. A mutidisciplinary team offers counselling, assistance in daily life and additional support. In February 2012 TOX-IN was renamed ABRIGADO and offers additionally a blowroom with a capacity of 3 tables. In 2011 a total of 170,226 syringes have been distributed within the TOX-IN centre and 163,295 used syringes have been returned (2010: 216,432/204,311). In 2011, the day care service of ABRIGADO registered 62,925 contacts (2010:65,307)and a majority of clients were male clients (84%). Concerning the night shelter, a total of 1,111 clients per month have been registerd in 2011 and on average 37 beds have been occupied per night. A majority of clients were male clients (81%) and aged between 25 and 34 years (51%) The drug consumption room was implemented within the TOX-In structure in July 2005 and since then a total of 1,023 clients signed a user contract (in 2011: 96 new contracts signed). In 2011, 26,929 clients passed through the drug consumption room (multiple counting included) and 31,588 drug injections have been registered. A majority of clients were male clients (84%).
Alain ORIGER, L'état du phénomène de la drogue au Grand-Duche de Luxembourg, CRP - SANTE, RELIS, 2011.
Le rapport 2011 du RELIS, Réseau luxembourgeois d'information sur les drogues, souligne une nette baisse de la mortalité par overdose en 2010, grâce aux différentes actions entreprises par les pouvoirs publics. Il note aussi que se procurer des drogues devient de plus en plus facile au Luxembourg, et que l'âge moyen des toxicomanes atteint désormais 31 ans au lieu de 28 ans en 1995. "La concrétisation des plans d'action successifs a été accompagnée d'une baisse discontinue mais tangible de la mortalité par surdosage au Luxembourg", précise le RELIS. Ainsi, les overdoses représentaient 5,9 décès pour 100.000 habitants en 2000 et ne représentent plus que 3,5 décès pour 100.000 habitants en 2010, un taux historiquement bas selon le RELIS, qui insiste sur le rôle important de la salle de consommation supervisée Fixerstuff.