{"id":17564,"date":"2020-11-12T10:33:45","date_gmt":"2020-11-12T09:33:45","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17564"},"modified":"2026-08-24T11:14:33","modified_gmt":"2026-08-24T09:14:33","slug":"addiction-reseaux-2","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-reseaux-2\/","title":{"rendered":"Addiction : r\u00e9seaux"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Nous connaissons le terrain et nous savons \u00e0 quoi nous attendre. Je constate qu\u2019il existe toujours des goulots d\u2019\u00e9tranglement dans les soins de sant\u00e9 mentale, mais j\u2019ai d\u00e9j\u00e0 abord\u00e9 cette question ailleurs. En tant que m\u00e9decins g\u00e9n\u00e9ralistes, nous sommes tout \u00e0 fait capables de contribuer \u00e0 la distribution de m\u00e9thadone. Nous y avons d\u2019ailleurs \u00e9t\u00e9 contraints, parce que les soins de deuxi\u00e8me ligne \u00e9chouaient.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En premi\u00e8re ligne, un r\u00e9seau informel, peu co\u00fbteux et tr\u00e8s accessible s\u2019est naturellement d\u00e9velopp\u00e9, permettant de fournir de la m\u00e9thadone de qualit\u00e9 pharmaceutique, \u00e0 bas prix et avec un minimum de nuisances. C\u2019est la collaboration discr\u00e8te entre m\u00e9decins et pharmaciens qui, par le pass\u00e9, a rendu de grands services \u00e0 notre ville en accueillant les personnes d\u00e9pendantes \u00e0 l\u2019h\u00e9ro\u00efne, initialement \u00e0 la marge de la l\u00e9galit\u00e9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u2019est ainsi que j\u2019ai moi aussi commenc\u00e9, par n\u00e9cessit\u00e9, \u00e0 pratiquer la MMT : <\/span><i><span style=\"font-weight: 400;\">methadone maintenance therapy<\/span><\/i><span style=\"font-weight: 400;\">. Au d\u00e9but, c\u2019\u00e9tait encore assez controvers\u00e9. Les autorit\u00e9s de contr\u00f4le, telles que l\u2019Ordre des m\u00e9decins de l\u2019\u00e9poque, aujourd\u2019hui appel\u00e9 Ordre des m\u00e9decins, et la Commission m\u00e9dicale provinciale, se montraient extr\u00eamement r\u00e9serv\u00e9es, pour ne pas dire hostiles.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Avec les autorit\u00e9s charg\u00e9es du maintien de l\u2019ordre, un <\/span><i><span style=\"font-weight: 400;\">modus vivendi<\/span><\/i><span style=\"font-weight: 400;\"> s\u2019est instaur\u00e9, m\u00eame s\u2019il n\u2019\u00e9tait jamais exclu que la police et la justice puissent intervenir si quelqu\u2019un d\u00e9posait plainte. Cela cr\u00e9ait un climat d\u2019incertitude, qui dissuadait de nombreux confr\u00e8res de se lancer, bien que la fourniture de m\u00e9thadone soit tol\u00e9r\u00e9e en Belgique depuis que le Consensus Santkin a rendu public, en 1994, un texte novateur.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Celui-ci porte le nom de Jacques Santkin (1948 \u2013 2001), ministre PS de la Sant\u00e9 publique dans le gouvernement Dehaene I. Le texte \u00e9tait le r\u00e9sultat d\u2019une conf\u00e9rence qui n\u2019avait aucun pouvoir l\u00e9gislatif, mais qui r\u00e9unissait un certain nombre de personnalit\u00e9s faisant autorit\u00e9 dans le domaine de la prise en charge des addictions et qui, dans notre contexte national, pos\u00e8rent n\u00e9anmoins collectivement la pierre angulaire du traitement \u00e0 la m\u00e9thadone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ce fut un document d\u00e9terminant pour son \u00e9poque, qui m\u2019a \u00e9t\u00e9 fort utile en 2000, lorsque je me suis de nouveau retrouv\u00e9 dans le collimateur des autorit\u00e9s de contr\u00f4le. Je me suis heurt\u00e9 \u00e0 plusieurs reprises non seulement \u00e0 l\u2019Ordre des m\u00e9decins, entre-temps rebaptis\u00e9, mais \u00e9galement \u00e0 la Commission m\u00e9dicale provinciale (CMP).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Il existe en effet deux organes diff\u00e9rents qui exercent un contr\u00f4le sur les m\u00e9decins.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source de la photo : Archives du S\u00e9nat belge, dossier biographique de Jacques Santkin.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nous connaissons le terrain et nous savons \u00e0 quoi nous attendre. Je constate qu\u2019il existe toujours des goulots d\u2019\u00e9tranglement dans les soins de <a href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-reseaux-2\/\" class=\"more-link\">[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17217,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17564","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sortir-de-la-dependance","tag-peter-van-breusegem","authors-peter-van-breusegem"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Addiction : r\u00e9seaux - dirk van babylon<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-reseaux-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Addiction : r\u00e9seaux - dirk van babylon\" \/>\n<meta property=\"og:description\" content=\"Nous connaissons le terrain et nous savons \u00e0 quoi nous attendre. 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