Kontaktní centra [KC] nabízejí své služby cílové skupině drogově závislých, která není v kontaktu s jinými zdravotními a sociálními institucemi [skrytá populace]. KC překonávají psychologické a administrativní bariéry dostupnosti a umožňují této klientele přístup ke službám bez jakéhokoliv doporučení, přímo z ulice, anonymně a v neformálním prostředí, proto se též nazývají "nízkoprahová" ["low threshold"].
Základní program kontaktního centra je kontaktní práce, výchovné a vzdělávací aktivity, kontaktní poradenství, výměna injekčního náčiní a zdravotní ošetření. Činnost probíhá především v kontaktní místnosti, kde jsou pracovníci spolu s klienty. Provozu kontaktní místnosti napomáhá spoluspráva z řad klientů. Doba pobytu v kontaktní místnosti je obvykle časově omezena [většinou na 2 hodiny, v zimním období 3 hodiny]. Klienti kontaktní místnosti mohou být, a obvykle jsou, pod vlivem drogy, nesmí však jakkoliv manipulovat s drogou přímo na místě nebo se dopouštět násilí. Při porušení těchto elementárních pravidel klient musí odejít a má vysloven zákaz vstupu na určité časové období. Klienti kontaktní místnosti mohou využívat potravinový servis [polévka, čaj a pečivo, případně další potraviny a nápoje zdarma nebo za symbolickou cenu], vitaminový servis a hygienický servis [možnost se osprchovat, vyprat prádlo v pračce atd.]. Větší možnosti než v terénu má základní zdravotní péče, prováděná zdravotní sestrou nebo i lékařem. Kontaktní centra také provádějí testování na hepatitidy B,C a HIV. Klienti kontaktní místnosti jsou obvykle anonymní.
Druhou důležitou složkou práce KC je poradenství, které probíhá na žádost klienta odděleně od provozu kontaktní místnosti a zaměřuje se již na systematičtější [nikoliv pouze jednorázové] řešení zdravotních, sociálních, psychologických, vztahových, rodinných, právních a jiných problémů dle zhodnocení potřeb klienta. Může zahrnovat i podporu v abstinenci nebo přípravu na léčbu [předléčebné poradenství, motivační trénink]. Klient již většinou není anonymní a o procesu se vede řádná dokumentace se zajištěním ochrany osobních údajů. Častá je práce s rodiči, partnery nebo rodinami klientů, případně podpůrné a informační rodičovské skupiny.
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