The Narcology Clinic of Doctor Vorobiev started  working in May 2007. The work of the hospital is approved by the local authorities, the Ministry of Health. The inspection of the Ministry of Health of the Republic of Serbia approved the work of the hospital, as they found that all necessary conditions for opening the hospital are fulfilled (rooms, equipment, well trained personal etc). Thanks to that we got the Certificate of the Trade Court  I Fi 139/07 from May 16, 2007 legalizing the work of the hospital on the territory of the Republic of Serbia. Hospital is registered at the address: Sremskih boraca 2E Str, Zemun, Belgrade, Serbia. The work of the hospital is controlled by the Ministry of Health, sanitary inspection and other authorities. Clinic is specialized for the treatments of addictions (alcohol, drug addicts, gambling). The treatments are in the stationary with 12 beds. The team of doctors includes narcologists, anesthesiologists, psychologists, psychiatrists,    psychotherapists, doctors specializing in internal medicine. The consultants from Russia are also taking part in treatments. Treatments include diagnostic of psychosomatic condition of patient, detoxication, treatments  for conquering psychological addiction, psychopharmacotherapy, individual and group therapy, transpersonal psychotherapy,  implantation the blockade of opiate receptors. After finishing in-patient treatment  the patient continues treatment as an out-patient at home with catamnestic observation during one year. Clinic in Serbia has now been treating patients not only from Serbia, but also from: Bosnia, Montenegro, Greece, Germany, Austria, Norway, USA, Spain. From May 2007 till May 2008  the results are listed below:

Structure of nosologic forms hospitalizing patients

Complete number of patients asking for help    319 patients
Addicts of  Cocain (F 14.2)    10
Other psychoactive substances (F 12, F 13, F 15)    3
Opiats (F 11.2)    254
Alcohol (F 10.2)    41
Polyaddicition (F 19.2)    6
Gambling    5

The variants of treatments:

Full treatment (detoxication, psychocorrection, implantation of blokade, out-patient treatment )    126
Detoxication and implantation of naltrexone    130
Detoxication    22

Based on catamnestic observation of the patients which undergone the treatment programs, the results are listed below. Informations about condition of patients have been gathered on the regular monthly talks with the doctors in the hospital (during the out-patient program), filled electronic forms on the internet, telephone consultations with the patients and their families.

Duration of patient treatments in the programs in June 2008

Time during which patients
took part in the treatment programs                      Number of patients
1-3 months                                                                             15
3-6 months                                                                             22
6-9 months                                                                             34
9-12 months                                                                           20
> 12 months                                                                           13
Left the program                                                                     12
No information                                                                        10


It is obvious from the table that 20 patients in June 2008 participated in the treatment program from 9 to 12 months, 13 patients participated in the treatment program more than 12 months. Among these 33 patients, 26 of them during the out-patient treatment didn't use any of psychoactive substances, which makes 79 %. Nine patients who were involved in the program had recidive. Reason for recidive was because the patients didn't obey the rules of out-patients program (refused another implant of naltrexone, disobeyed the rules of out-patient treatment), comorbid psychic, neurologist pathology, without motivation.
From 130 patients which had detoxication and implantation 74 of  them asked for another implantation of naltrexone. The informations from the questionnaire show that from 74 patients who had implants 46 of them didn't use the narcotics, and that is 62 % and it shows that prolonged forms of naltrexone  are very effective in prevention of recidive. Based on the questionnaire, it's obvious the quality of remission - patients are asked if they had the pathological desire for narcotics (thoughts, desire to use narcotics, dreams about narcotics), the stability of psychological condition (the presence of nervousness, depression, bad quality of dreams) and the social adaptation (job, studying, communicational, recovery) were estimated. Based on results, the patients are separated in the groups listed below:
The excellent quality remission, the criteria was the absence of thoughts, desire, dreams about the narcotics, stable dreams, apetit, mood, the absence of nervousness, they are not using other psychoactive substances, regular use of the medications, having job or studying, having new friends.
The satisfactory quality remission- stable  condition with periodical desire for narcotic, periodically badly and is in bad mood.
The unsatisfactory quality remission- patient is not using  narcotics,  but the presence of desire, depression, problems with behavior and with bad  socialization are still very expressed. To the patients from this group we recommend hospitalization or out-patient stabilizing therapy.

The excellent quality remission    72 patients    75 %
The satisfactory quality remission    20 patients    19 %
The unsatisfactory quality remission    12 patients    11 %

Conclusion: it is well known that addictions are chronic progressive disease with periodical recidives with the hard consequences on psychical, psychological and social condition of the patient. The analysis of the clinic's effectiveness during the period from May 2007 till May 2008 showed high number of patients who are not using the narcotics for a long period of time, 79 % of remission with duration of 12 months, high percent of the patients who are satisfied with their condition (75 % of excellent quality remission).