Transcript Juana Tomas

TREATNET
International Network
of Drug Dependence
Treatment and Rehabilitation
Resource Centres
Mission:
Reach out to service providers to improve the quality,
accessibility and affordability of drug dependence treatment
and rehabilitation services
Dr. Elizabeth Sáenz
Expert, Drug Dependence Treatment
Prevention, Treatment and Rehabilitation Unit
Global Challenges Section
Drug demand reduction / Global
Challenges Section
• Collect data so that we know the
magnitude of drug abuse
• Prevent drug abuse
• Treat drug abuse
• Prevent HIV/ AIDS and other negative
health and social consequences of drug
abuse
Support Member States
Provide technical
advice on treatment
system development
Develop skills
Advocacy for access
and quality
Overarching Goal
Drug Dependence Treatment & Rehabilitation Services
• Effective
• Accessible
• Diversified
• Affordable
Treatnet - International Network of Treatment and
Rehabilitation Resource Centres
COMMUNITY
BASED
TREATMENT
DRUG TREATMENT AND
REHABILITATION IN PRISON
SETTINGS
ROLE OF DRUG TREATMENT
AND REHABILITATION IN
HIV/AIDS PREVENTION AND
CARE
SUSTAINABLE LIVELIHOODS,
REHABILITATION AND
REINTEGRATION
Treatnet Strategy
Learning collaborative: knowledge transfer
and mutual support
• Worldwide network for
mutual support
• Reach common quality
standards
• Demonstrate and
disseminate good practices
• Advocacy for quality
treatment
Our vision
All persons whose lives are impaired by drug use
receive a wide range of services
Phase I - 2005-2007
Phase II - 2007-2011
• Consolidate & expand
• Develop network:
20 centres
• Agree upon and adopt
quality standards
• Develop training
package
• Pilot projects: 4 topics
• Build capacity:
training of trainers
• Synthesise good
practices: 4 topics
• Disseminate training: master
trainers
• Advocate for expanded
quality treatment
• Progressive regionalisation
• Preparation for sustainability
Beneficiaries – Phase I
20 Regional Treatment Resource
Centers
15 other Drug Treatment and
Rehabilitation Providers
80,000 people with drug
problems & their relatives
Treatnet Members – Phase I
Turning Point,
Australia
General Secretariat
Mental Health,
Egypt
Pavlodar Centre,
Kazakhstan
Proyecto Hombre,
Spain
CAPS-AD Santo
Andre,
Brazil
Mudra,
Germany
Mathari Hospital,
Kenya
Maria Ungdom,
Sweden
CAMH,
Canada
TTK,
India
CIJ,
Mexico
Cranstoun Drug
Services,
UK
DATC Shanghai
China
RSKO,
Indonesia
Aro Hospital,
Nigeria
Fayette Companies,
USA
Carisma,
Colombia
National Prison
Organisation/
INCAS,
Iran
Pavlov Medical
University,
Russian Fed.
SSTAR,
USA
Good Practice: Topics
• Community Based Treatment
• Role of Drug Dependence Treatment in
HIV/AIDS Prevention and Care
• Drug Dependence Treatment in Closed
Settings
• Sustainable Livelihoods for Reintegration
and Rehabilitation
Community-based Treatment
• Treatment and care in the community
• Integration/linkages to community health
and social services
• Continuum of care/case management
• Mobilisation of community resources and
participation
• Sustainability and accountability to the
community
Role of Drug Dependence Treatment in
HIV/AIDS Prevention and Care
• Outreach, low threshold services
• A range of evidence-based treatments,
including methadone and buprenorphine
• Information on HIV prevention (drugs, sexual)
• Voluntary Confidential Counselling and Testing
(VCCT)
• Support adherence to Antiretroviral Therapy
(ARV)
• Links and referral to HIV/AIDS services
Drug Dependence Treatment and
Rehabilitation in Closed Settings
• Treatment as an alternative to prison
• Principle of equivalence:
Treatment services available in prisons
equivalent to those in the community
• Preparation for release
• Aftercare and links to community services at
release
Impact on crime rate and recidivism
Sustainable Livelihoods,
Rehabilitation and Reintegration
• Principle of recovery capital
• Vocational training, occupational and
educational opportunities
• Building community-family support and
engagement
• Employment, micro-credits
• Accessing opportunities for housing and
other social support
Training Package Outline
Partners
International organizations collaborating
with Treatnet are:
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WHO
UNAIDS
ILO
SAMHSA
World Health Organization
The Joint United Nations Initiative on HIV/AIDS
International Labour Organization
Substance Abuse and Mental Health Services
Administration
CSAT
Center For Substance Abuse Treatment
NIDA
National Institute on Drug Abuse
ATTC
Addiction Technology Transfer Center
NIATx
The Network for the Improvement of Addiction Treatment
CICAD
Inter-American Drug Abuse Control Commission
EMCCDA
European Monitoring Centre on Drugs and Drug
Addiction
OFID/UNODC Project in Central Asia, EC/UNODC Project in North Africa,
Middle East and West Asia, and other UNODC Regional Projects
Achievements to date (2005-07)
• A solid and innovative network of treatment providers
committed to ongoing quality improvement
• 80,000 clients reached by network centres each year
• 26 Trainers at network centres
• Training package finalised
• 400 staff trained at network centres: Summer - 07
• 4 Good practice documents available
• Network visibility & recognition through partnerships
Phase II – Bring people back
to society
• Resource Centres: 50 RCs, Universities, Government
counterparts (training & demonstration)
• Multiplication and Dissemination
• Government support for expansion & sustainability
• Joint initiatives with other key players: WHO, UNODC
FOs, international and regional organisations, bilateral
agencies, other networks
Capacity Building
• Training package from Phase I
• Support to achieve common quality
standards
• Training at multiple levels:
– Master trainers
– Trainers
– Practitioners
• Peer & practical learning:
– Training teams
– Mentoring, twinning, site visits
Pilot Projects to Demonstrate
Good Practices
• Centres in less-resourced countries
• Topic of choice, emphasis on women, youth,
HIV
• Mutual support/mentoring for implementation
• Mobilisation of external funding for expanded
projects
• Documentation, evaluation, dissemination
• Centres become practical examples of good
practices
Common Quality Standards
• Common agreement based on
existing standards and indicators of
achievement
• Adaptation for cross-cultural
relevance
• Development plan & capacity
building support to reach standards
• Ongoing peer assessment
Advocacy
• Communications strategy and materials
• National round tables with stakeholders
• Local Treatnet member supported by network
peers
Awareness and commitment to develop
& strengthen treatment systems
Regionalisation
• Nine regional components in Phase II:
regional coordination teams
• Regional consultations to develop
plans for Treatnet regional chapters
• Preparation for strengthened regional
interaction in Phase II
• Raise interest of local/regional
financial sources for phase III
Evaluation
• Mid-term, final and pilot project evaluations
• Evaluation design agreed by network early on
• Baseline:
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service delivery
staff knowldege and skills
client profiles
treament outcomes
• Ongoing data collection for monitoring and
evaluation
• Regular feed-back to network members
Thank you for your attention ...
www.unodc.org/treatnet