Transcript Document

Treatnet: the UNODC project
Associated ASI adaptations and links
with TDI
Veerle Raes, Deni Carise, Juana Tomas-Rossello, Lisboa, TDI. 2006
Annual expert meeting, 25-26 September 2006
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Treatnet
an International Network of Treatment and
Rehabilitation Resource Centres
Vision:
All persons whose lives are impaired by drug use
receive a wide range of services
Mission:
Reach out to service providers to improve the
quality/effectiveness, accessibility and
affordability of a diversity of drug dependence
treatment and rehabilitation services
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Strategies to reach the goals
1) Reach common standards: capacity building
2) Define good practices: working groups
3) Demonstrate good practices
4) Disseminate good practices
5) Reach out + Expand the network
6) Ongoing progress: Review + feed-back
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Project objective
Creation of
an operational network of
drug treatment and rehabilitation
resource centres
in all regions
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Definitions
• Operational network
A system of centres with defined objectives,
tasks, responsibilities, means of communication
and decision making mechanisms, which keep
ongoing interaction
• Resource centre
A treatment and/or rehabilitation organisation
which has the competence (in terms of evidencebased best practice) and the capacity (in terms of
human and economic resources) to serve as a
mediator for best practice training in a defined
geographical or structural area
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Priority Areas for sharing good
practices
• Community-based treatment
• Role of drug dependence treatment in
HIV/AIDS prevention and care
• Sustainable livelihoods for
rehabilitation/reintegration
• Treatment in prison
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International Network of Drug Dependence Treatment and Rehabilitation
Resource Centres
Capacity Building
Consortium
UNODC
COMMUNITY BASED
TREATMENT
ROLE OF DRUG TREATMENT
SUSTAINABLE LIVELIHOODS,
AND REHABILITATION IN
REHABILITATION AND
HIV/AIDS PREVENTION AND
REINTEGRATION
CARE
Treatment and Rehabilitation Resource Centres
DRUG TREATMENT AND
REHABILITATION IN PRISON
SETTINGS
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Beneficiaries
Primary
The Regional Treatment Resource Centres
Secondary
• People with drug problems
• Drug treatment and rehabilitation care providers
• UNODC Field Offices
• Member States
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Organization- 2 Phases
Phase I: Ongoing initiative, 2005-2007
» Develop network
» Synthesise good practices
» Build capacity
Phase II: Developing proposal Phase I, 2007-2009
» Scale-up/upgrade services
» Demonstrate and evaluate good practices
» Disseminate good practices
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Phase I - Resources
• Two years (started in August 2005)
• 20 Drug Treatment Resource Centres/Grants
• Capacity Building Consortium
• UNODC Field Office Task Force
• National commitment for sustainability
• UNODC regional & national treatment projects
• Links to WHO, UNAIDS, ILO, regional &
national treatment institutions & networks
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Phase I – Outcomes
• Operational network - 20 Resource Centres
• Training package
• Increased technical capacity in RC
• Improved services for people with drug
problems
• Good practice documents on priority topics
• Wider network: associated treatment
providers, other networks, intl. agencies
• Feasibility study and proposal for Phase II
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In short …
Treatnet is aimed at
• Dissemination of knowledge
• Capacity building
in order to
• Increase access for drug users to effective
and diversified treatment services
Regardless the place where they live
http://www.unodc.org/treatment/index.html
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This means also …
strong emphasis on
Datacollection and evaluation
increase of the capacities to initiate
ongoing data collection on
Client profiles
Treatment outcomes
a need for a
Common instrument
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ASI component in Treatnet
>>cultural adaptations
• Review of existing
Adaptations
Translations
Validations
• Developing sociocultural sensitive ASI’s
• Training on
Clinical use of ASI
Use of ASI for treatment planning
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Links with Treatment Demand Indicator
Bridging gaps
•Between data collection and practice
•Treatment centres = most important data collectors
•Multiple use of data
•Facilitating data collection
•Maximizing benefits to clinicians
•Between instruments
•TDI
•EuropASI
•Treatnet ASI
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TDI
EuropASI
Treatnet ASI
Treatment
contact details
Treatment
centre type

Starting date of
treatment
mth/yr

Ever previously
treated

Source of
referral

General
information
Type of
treatment
service
General
information
Modalities
Date of
admission
dy/mth/yr
See alcohol &
drugsection
Date of
admission
dy/mth/yr
See alcohol &
drugsection
-
-
considered to add
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TDI
EuropASI
Treatnet ASI
Sociodemographic
information
General
information
(continued)
General
information
(continued)
Gender
Gender
Gender
already added
 Age
Age
Year of birth
-
Date of birth
Dy/mth/yr

Nationality
Nationality (WHO) Race/ethnicity/
•this country
Place of birth: nationality
•EU
•Non-EU

patient
Father
Mother
•Indigenous
•Asian
•Black
• … and so on
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TDI
EuropASI
SocioFamily/ social
demographic
relationships
information (cntd)
Treatnet ASI
Family/ social
relationships
Living status
Usual living
arrangements (past
(30days)
Usual living
arrangements (past
3 year)
•with whom

+ dimension: how long
•where (stability) 
Labour status
Usual employment
(30days)
 pattern (past 3 year)
Highest
Highest degree of
educational level education
completed
 ISCED
3 year)
agree to add 30days
+ dimension: how long
Usual employment
pattern (past 3 year)
Highest degree of
education
ISCED
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TDI
EuropASI
Treatnet ASI
Drug related
information
Primary drug =
drug that causes
the client most
problems
Alcohol/ Drugs
Alcohol/ Drugs
Which
substance(s)
is/are the major
problem
Which
substance(s)
is/are the
major problem
Already
receiving
substitution
-
10 categories, +
8 categories with
alcohol, + more than
sub groups, no
alcohol
 1 substance
-
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TDI
Drug related
information
EuropASI
Alcohol/ Drugs
Primary drug
From alcohol/ drug From alcohol/ drug
section
section
(continued)
Treatnet ASI
Alcohol/ Drugs
(continued)
(continued)
(30days)
–Usual route of
administration
–Frequency of use
–Age at first use

Other drugs
- Usual route of
administration
- Nbr days last 30
- First age regular
use (>=3/week,binges
or problematic
irregular)
- Usual route of
administration
- Nbr days last 30
- First age regular
use (>=3/week,binges
or problematic
irregular)
From alcohol/ drug From alcohol/ drug
section
 section
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Links with Treatment Demand Indicator
All comments/suggestions can be send to:
[email protected]
[email protected]
[email protected]
[email protected]
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