{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:13:50Z","timestamp":1783422830099,"version":"3.54.6"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003107","name":"Bundesministerium f\u00fcr Gesundheit","doi-asserted-by":"publisher","award":["ZMII2\u20102524DSM200"],"award-info":[{"award-number":["ZMII2\u20102524DSM200"]}],"id":[{"id":"10.13039\/501100003107","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>With the introduction of the German Cannabis Act (CanG) in April 2024, cannabis use was partially legalized in Germany. This study investigated immediate trends following this policy shift in treatment\u2010seeking for cannabis use disorders (CUD) in the German outpatient addiction care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data were obtained from the German Addiction Statistical Service (DSHS), Germany's national monitoring system for addiction\u2010related treatment demand. We analyzed meta\u2010aggregated datasets for two pre\u2010legalization years (2022, 20\u2009223) and one post\u2010 legalization year (April\u2013December 2024), focusing on care episodes with a primary CUD diagnosis (\n                      <jats:italic>International Classification of Diseases<\/jats:italic>\n                      10th Revision codes F12.1\/F12.2). Annual facility\u2010level rates were calculated for admissions and key treatment characteristics. Year\u2010to\u2010year differences were assessed using rate ratios (RR) with 95% confidence intervals (CI), adjusting for multiple testing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>CUD\u2010related admissions per facility increased from 29.0 cases in 2022 to 30.0 cases in 2023 (RR\u2009=\u20091.03, 95% CI: 1.02\u20131.05) followed by a decline to 25.6 cases in 2024 (RR\u2009=\u20090.85, 95% CI: 0.84\u20130.87). The number of female clients remained stable (\u22485.5 cases per facility), whereas male admissions declined from 23.9 in 2023 to 19.8 in 2024 (RR\u2009=\u20090.83, 95% CI: 0.81\u20130.84). Admissions among clients aged under 25\u2009years decreased from 15.1 to 11.4 per facility between 2023 and 2024 (RR\u2009=\u20090.76, 95% CI: 0.0.74\u20130.78). Similar downward trends were observed for first\u2010time admissions, referrals through the legal system and legal obligations to admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>First nation\u2010wide monitoring data in Germany demonstrate a decline in cannabis use disorder\u2010related outpatient addiction care seeking following the introduction of the German Cannabis Act, which may indicate that established ways of reaching young at\u2010risk populations is no longer functioning effectively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70539","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:17:03Z","timestamp":1783419423000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early trends in outpatient addiction care for cannabis use disorder following cannabis legalization in Germany: Evidence from National Monitoring Data"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-3994","authenticated-orcid":false,"given":"Carlotta","family":"Riemerschmid","sequence":"first","affiliation":[{"name":"IFT Institut f\u00fcr Therapieforschung, Centre for Mental Health and Addiction Research  Munich Germany"},{"name":"Department of Psychiatry and Psychotherapy LMU University Hospital, LMU Medizin, Ludwig\u2010Maximilians\u2010Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Schwarzkopf","sequence":"additional","affiliation":[{"name":"IFT Institut f\u00fcr Therapieforschung, Centre for Mental Health and Addiction Research  Munich Germany"},{"name":"Institute for Medical Information Processing, Biometry and Epidemiology LMU Munich  Munich Germany"},{"name":"Faculty for Applied Healthcare Sciences Technical University of Deggendorf  Deggendorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Hoch","sequence":"additional","affiliation":[{"name":"IFT Institut f\u00fcr Therapieforschung, Centre for Mental Health and Addiction Research  Munich Germany"},{"name":"Department of Psychiatry and Psychotherapy LMU University Hospital, LMU Medizin, Ludwig\u2010Maximilians\u2010Universit\u00e4t M\u00fcnchen  Munich Germany"},{"name":"Department Psychologie, Professur f\u00fcr Klinische Psychologie und Psychotherapie Charlotte\u2010Fresenius\u2010Universit\u00e4t  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Bundesministerium f\u00fcr Gesundheit.Cannabisgesetz (CanG): Gesetz zum kontrollierten Umgang mit Cannabis und zur \u00c4nderung weiterer Vorschriften.2024. Available from:https:\/\/www.bundesgesundheitsministerium.de\/service\/gesetze-und-verordnungen\/detail\/cannabisgesetz.html. Accessed 18 November 2025."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.46234\/ccdcw2024.116"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2024.02.016"},{"issue":"2","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s40429-023-00470-x","article-title":"Assessing the impact of recreational Cannabis legalization on Cannabis use disorder and admissions to treatment in the United States","volume":"10","author":"Aletraris L","year":"2023","journal-title":"Curr Addict Rep"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(24)00299-8"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406\u2010024\u201001832\u2010w"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-021-00247-4"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40429-022-00461-4"},{"issue":"6","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/ADM.0000000000001219","article-title":"Criminal justice referrals to Cannabis use disorder treatment among adolescents and young adults following recreational Cannabis legalization in the United States","volume":"17","author":"Mennis J","year":"2023","journal-title":"J Addict Med"},{"key":"e_1_2_11_11_1","volume-title":"Treatment demand Indicator (TDI) standard protocol 3.0: guidelines for reporting data on people entering drug treatment in European countries","author":"EMCDDA","year":"2012"},{"key":"e_1_2_11_12_1","volume-title":"Internationale Klassifikation psychischer St\u00f6rungen: ICD\u201010 Kapitel V (F) klinisch\u2010diagnostische Leitlinien","author":"Dilling H","year":"2015"},{"key":"e_1_2_11_13_1","volume-title":"Die Versorgung von Menschen mit Suchtproblemen in Deutschland \u2013 Analyse der Hilfen und Angebote & Zukunftsperspektiven. Update 2019 [Care provision for people with addiction problems in Germany: Analysis of services and support and future perspectives. Update 2019]","author":"Deutsche Hauptstelle f\u00fcr Suchtfragen (DHS)","year":"2019"},{"key":"e_1_2_11_14_1","unstructured":"Deutsche Hauptstelle f\u00fcr Suchtfragen (DHS).German core dataset for documentation in the drug treatment sector 3.0: definitions and explanations for usage. Hamm: DHS;2023. Available from:https:\/\/www.suchthilfestatistik.de\/fileadmin\/user_upload_dshs\/02_kds\/2023-01-01_Manual_Kerndatensatz_3.0.pdf. Accessed 18 November 2025."},{"key":"e_1_2_11_15_1","unstructured":"Federal Ministry of Health.Abschlussbericht des Verbundprojekts\u201eFreD NL\u201c: Evaluation der Fachstelle f\u00fcr Suchtpr\u00e4vention und Beratung [Final report of the \u201cFreD NL\u201d joint project: evaluation of the addiction prevention and counseling center].2025. Available from:https:\/\/www.bundesgesundheitsministerium.de\/fileadmin\/Dateien\/5_Publikationen\/Drogen_und_Sucht\/Abschlussbericht\/Abschlussbericht_Verbundprojekt_FreD_NL.pdf. Accessed 18 November 2025."}],"container-title":["Addiction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.70539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/add.70539","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.70539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:17:14Z","timestamp":1783419434000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/add.70539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":14,"alternative-id":["10.1111\/add.70539"],"URL":"https:\/\/doi.org\/10.1111\/add.70539","archive":["Portico"],"relation":{},"ISSN":["0965-2140","1360-0443"],"issn-type":[{"value":"0965-2140","type":"print"},{"value":"1360-0443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]},"assertion":[{"value":"2025-12-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"add.70539"}}