conduct needs assessments and treatment compliance evaluations in MMT and 
Suboxone Substitution State Programs in Georgia (Republic of). 506 patients (2 
females) were surveyed (92% on Methadone, 8% on Suboxone) from 6 Tbilisi and 4 
regional State Programs in 2011 November. Mean age - 40±8,56 (22-65) year; 254 
(51.4%) were in treatment for 1-3 year. Evaluation was carried out on the base 
of structured self-questionnaire that covers demographics, drug use history, 
general drug use trends, psychotherapeutic sessions' acceptance and open label 
question regarding treatment challenges and satisfaction. 305 (60.3%) attended 
individual and 57 (11.3%) group psychotherapy sessions with 50.79% attending 
once/month or rare. The main reason given for therapy non-attendance - no needs 
for it (29.48%); the main drugs before admission - heroin (80.04%), 
buprenorphine (53.49%); Main drugs used in Georgia nowadays - desomorphine 
("crocodile"), alcohol and marihuana. Commonly used drugs by program patients 
(136 positive answers) - alcohol-13.62%, marihuana-10.39%, pregabalin - 8.17%, 
opioids- 6.62% (mostly-"crocodile"), home-made stimulants-6.23%, sedatives 
-5.45%. 55.4% are extremely satisfied with treatment, 82.4% - with program 
staff. Patients' main wishes- free of charge programs (46.4%) and provide 
take-home doses (22.07%). Methadone and Suboxone ST are being well accepted in 
Georgia and appear to be reducing illegal opioid use. However, the 
psychotherapeutic sessions' attendance is very low.