Background: Primary healthcare plays a crucial role in addressing opiate addiction, aiming to provide treatment to approximately 80 percent of affected individuals, aligning with its approach to managing other chronic diseases. An optimal scenario involves the integration of opiate substitution therapy within primary healthcare settings, enhancing accessibility for individuals struggling with addiction. For effective treatment delivery, primary healthcare facilities must be equipped with knowledgeable staff, appropriate medical equipment, and diagnostic resources. In instances where primary healthcare cannot deliver services to full capacity,  referrals to secondary healthcare facilities, particularly addiction specialist, become necessary for comprehensive examination and treatment. Methods: This study adopts a retrospective qualitative approach. It encompasses an examination of pertinent laws and regulations, analysis of opiate addiction reports and treatment documentation, and the facilitation of focus group discussions. Results: Findings from the focus group sessions illuminate prevalent challenges within primary care, indicating difficulties in managing addicted individuals coupled with negative emotional responses among staff members, underscoring the need for enhanced support and training. Conclusion: Addressing the identified gaps necessitates collaborative efforts involving secondary healthcare education, systemic reforms, and increased involvement of psychiatrists in the treatment continuum. By integrating  these measures, primary healthcare systems can bolster their capacity to effectively address opiate addiction, thereby improving outcomes and overall  community well-being.

Aimof this study was to present data on addicts with the imposed protective measure of compulsory treatment of addition that were sent to the Institute for Addiction Diseases for the period 2014-2020. The study compares artsof law violation, art of addiction as well as duration of the protective measure of compulsory treatment.Out of 61 patients, 59 (96 %) were males and 2 (4%) females. The only reason for compulsory treatment for all of them was domestic violence. Out of 61 patients 41 (67%) underwent compulsory treatment due to use of psycho-active compounds (PAS) and 20 (33%) due to use of alcohol. Incidence of alcohol or PAS was statistically significant higher in males than in females (19 vs 1, p<0.001; 40 vs 1, p<0.001, respectively). Duration of the treatment was significantly longer in patients who used PAS than in those who used alcohol (10.29 vs 7.4 months; p<0.05). There was not statistically difference between duration ofthe treatment in males and females (9.36 vs 9.00 months; p>0.05). Incidence of the compulsory measures was significantly higher in 2018, 2019 and 2020 than in 2014, 2015 and 2016 (p<0.001). In all analyzed years, except 2015, incidence of the mandatory measureswas significantly higher in patients who misused PAS than who misused alcohol. The most common difficulties are:lowmotivational capacity,inadequate way of thinking, inadequateway of behaving with the adoption of new models and, ultimately, inadequate independent functioning. Keywords: addiction, compulsory treatment, violation of the law, criminal behaviour.