Transcript Keeping on target – the need for more rapid and policy

Keeping on target – the
need for more rapid and
policy relevant reporting
Jane Mounteney
Bergen Clinics Foundation/
University of Bergen
Early identification and rapid
reporting of new drug
developments allows for early
intervention
Rapid reporting – the ’speed’
problem
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Slow reporting systems
Levels of bureaucracy
Lengthy research processes
New codes
Collation/ communication gap
Possible solutions to the ’speed’
problem
• City/ local level systems – less levels of
bureaucracy
• Pragmatic use of existing data (not new
studies)
• Validity attained through triangulation of
sources & methods (multi-indicator, mixed
methods)
• Inclusion of sensitive sources –
informants, media etc.
Research paradigms for
rapid/relevant trend monitoring
ALTERNATIVE RESEARCH PARADIGMS
Postpositivism
Determination
Reductionism
Empirical observation & measurement
Theory verification
Constructivism
Understanding
Multiple participant meanings
Social and historical construction
Theory generation
Advocacy/Participatory
Political
Empowerment-issue oriented
Collaborative
Change-oriented
Pragmatism
Consequences of action
Problem-centred
Pluralistic
Real-world practice oriented
Creswell (2003)
Model - rapid identification and
response to emerging drug trends
SBK
City level drug
monitoring system –
early identification
Rapid assessment &
response capability –
early intervention
Combination of two methods
Monitoring & rapid assessment:
• Identification of emerging drug trends
• In-depth investigation of worrying
findings
• Multi-agency action planning
Bergen Earlier Warning System (BEWS) model
RAPID ASSESSMENT STUDIES
SBK
ROUTINE DATA
KEY INFORMANT PANEL
SCHOOL PANEL
MEDIA MONITORING
SCHOOL SURVEY
Heroin trends in Bergen 2002-2009: use, market &
interest indicator scores
60
50
Aggr. score
40
30
Aggr. Use
20
Aggr. Market
10
Aggr. Interest
0
-10
1
2
3
4
5
6
7
8
-20
-30
2002-2009
9 10 11 12 13
RAPID ASSESSMENT & RESPONSE
RAR PROCESS
Problem
Initial consultation
Steering/ reference
group
Project planning
Assess
problem
Assess
current responses
Gap analysis
Final consultation
RAR report & action plan
RAR report – young people linked
to opiate milieu
•Increase in number of young
opiate users (16-22)
•Majority of young opiate
users debut with synthetic
opiates (Subutex/ Temgesic)
•Injection debut likely to be
with amphetamine
•Many placements in
childcare institutions….
RAR action plan
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Multi-agency response
Concrete action plan
Focus on youth service provision
Improving staff competence etc
• ’Unplanned’ response…
Media & political response
• Overdose death & RAR report
• 3 weeks of media reporting
• Regional childcare director called in to answer to
situation
• National govt – all staff to be trained in drug
issues
• Political parties take up theme – call for
ministers resignation
• Resignation of regional director
• Promise for national assessment re institutions
and drugs
Rapid & policy relevant reporting
• Pragmatic approach - multi-indicator,
mixed-method
• Rapid identification plus in-depth
investigative option
• Bridging the gap from monitoring to action
• Involvement of policy makers – choosing
focus, choosing interventions
• Integrated action planning, offering
solutions.
EPOD/
EMCDDA
NATIONAL DRUG TRENDS NETWORK
CITY
SBK
CITY
SBK
NATIONAL
PLAN
CITY
SBK