Transcript Data on clients entering treatment as an alternative to criminal

The TDI protocol 3.0: main
elements and implementation
at national level
Anna Péterfi
Hungarian National Focal Point
TAIEX workshop
Chisinau, 16-17 April 2013
Content
Main elements of TDI 3.0
Levels of data needs
Implementation of TDI at national level
Role of data at national level
Content
Main elements of TDI standard protocol 3.0
Levels of data needs
Implementation of TDI at national level
Role of data at national level
Elements of TDI protocol:
introduction
•history of ≈ 20 years
•objectives
•harmonised, comparable data
•number and profile of clients entering drug treatment
•indirect indicator of treatment demand
•a minimum common set of items
•implementation
•reporting process: treatment unit → EMCDDA
•development
•coverage and limitations
•general principles
Elements of TDI protocol:
definitions
•description of the most important terminologies
•structure:
•definition
•purpose
•inclusion criteria
•exclusion criteria
•methodological comment
Elements of TDI: item list (1)
information on
entering treatment
socio-demographic
characteristics
drug use pattern
risk behaviours
Elements of TDI: item list (2)
Information on entering treatment:
• treatment centre type
• year of treatment
• ever previously treated
• source of referral
Elements of TDI: item list (3)
socio-demographic characteristics:
• sex
• age at treatment start
• living status (with whom)
• drug clients with children
• living status (where)
• labour status
• highest educational level completed
Elements of TDI: item list (4)
Drug use pattern:
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primary drug
route of administration of primary drug
frequency of use of primary drug
age at first use of primary drug
secondary drugs
polydrug use problem existing
OST
age at first OST
ever injected or currently injecting
age at first injection
Elements of TDI: item list (5)
Risk behaviours:
• HIV testing
• HCV testing
• needle/syringe sharing
Elements of TDI protocol:
methodological and ethical issues
•time reference period
•drug of reference
•coverage
•data quality
•double counting
•ethical issues and data protection
Content
Main elements of TDI standard protocol 3.0
Levels of data needs
Implementation of TDI at national level
Role of data at national level
3rd meeting –
recording TDI data
reporting data to a
national agency
collating, processing
data
preparing aggragate
tables, complementing
with methodological
comments
regional / national
level
client enters
treatment
service provider
From client to Statistical bulletin (1)
reporting data to
EMCDDA
regional / national
level
From client to Statistical bulletin
data processing
and analysis
publication –
Statistical Bulletin,
European Drug
Report
European level
data validation
Hierarchy of data needs
International agencies:
epidemiological purposes
Regional / National agencies:
treatment planning,
epidemiological purposes
Treatment unit: therapeutic
objectives, management,
assessment
Content
Main elements of TDI standard protocol 3.0
Levels of data needs
Implementation of TDI at national level
Role of data at national level
Considerations (1)
•national and international
data needs
•structure of treatment system
(social, health, prison)
•modification of an existing system vs. new system:
•scope and coverage
•flexibility
•dataset and definitions
•available resources
Considerations (2)
•existing data collection systems:
•existing reporting methods, channels, practices, tools
•avoid double work
•voluntary vs. obligatory reporting
•motivation: give back to get
•data protection
•aggregate vs. case based data (individual identifiers)
•aspects of maintenance
•flexibility vs. comparability
•usage of TDI data and dissemination!!!
Individual identification code
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unique anonymous identifier
a tool to control double counting
a tool to identify client’s path
a tool to connect data sets (based on individual
authorisation for national research projects)
– identification of the same client in different databases
– estimation of problem drug user population
Implementation steps (1)
•definingobjectives
•defining the scope:
•inclusion criteria
•national dataset and definitions (reflecting diff. data
needs, structure of treatment, local social demographic
conditions and patterns of use)
•defining the actors and responsibilities:
•data collection
•quality assurance
•data processing
•analysis, reporting activities and dissemination
•data owner
Implementation steps (2)
•defining the method of data collection
•defining data processing, cleaning, double counting
control mechanisms
•development/modification of the system
•identifying treatment units (via existing systems,
registries, funding, licensing, etc.)
• testing and corrections
•introduction (manual, training, etc.)
Involvement of relevant stakeholders in the
process!
Maintenance
•registration of agencies
•data collection
•quality assurance:
help-desk, FAQ, manual updates, data validation
•data processing: collating, cleaning, double counting
control
•reporting: description of methodology, estimation of
coverage, harmonisation with reporting tables
•assessment of data quality
Content
Main elements of TDI standard protocol 3.0
Levels of data needs
Implementation of TDI at national level
Role of data at national level
Role of TDI data at national level
• most important indirect source on drug user population
• the core dataset is not applicable for treatment (quality,
outcome) evaluation
• basis for the development and evaluation of National
Drug Strategy and action plans
• PDU estimates
• comparison to other datasets (DRID, DRD)
• basis for national/regional/local research projects
• ad hoc requests
Thank you for your attention!
Hungarian National Focal Point
[email protected]
www.drogfokuszpont.hu