Transcript Selective Prevention: Community-based Prevention in Chile

PSYCHOSOCIAL INTERVENTION
SELECTIVE PREVENTION AND DRUG TREATMENT FOR
CHILDREN AND ADOLESCENTS IN HIGH-VULNERABILITY
SOCIAL SETTINGS
TECHNICAL FACTSHEET FOR
PSYCHOSOCIAL PROJECTS
• Target population:
highly socially-vulnerable
children and adolescents
• Coverage (2005):
50 children and adolescents
(estimated avg. per project)
• Number of projects:
18 (I, II, IV, V(2), VI, VII, VIII; IX(2),
X, RM (3)
• Project Support:
1 Public (I. Municipality of
Temuco)
17 Private (NGO’s)
• Annual cost 2005:
between 10 and 25 million
pesos
• Team:
Psychologist
2-3 educators
Social worker
Psychopedagogue
• Financial duration:
Yearly
PSYCHOSOCIAL INTERVENTION
GENERAL OBJECTIVE
To prevent and effectively
address drug use and favor
educational, work and social
reinsertion of children and
adolescents
in
highlyvulnerable social situations
and exclusion.
SPECIFIC OBJECTIVES
•
Avoid and reduce drug use among children and
adolescents in situations of vulnerability or social
exclusion in the districts.
•
To foster re-connecting with the family and/or with
significant adults.
•
To foster social insertion of socially vulnerable children
and adolescents, and their families, into existing local
neighborhood networks.
•
To sensitize the community and the families about this
population as rights-bearing individuals and the coparticipation and responsability for their reinsertion.
•
To strengthen the multi-sector neighborhood networks.
PSYCHOSOCIAL INTERVENTION
MODALITY
 Projects carried out by the NGO,
oriented towards prevention of drug
use and social insertion, by reinforcing
youth’s interpersonal and social skills,
empowering them for an alternative
development and life plan.
INTERVENTION SETTINGS
• Street work
• Socio-educational interventions
• Interventions in the educational
setting
• Interventions in the workplace setting
• Individual follow-up
• Interventions in the family setting
• Work through networks
THEORETICAL BASIS GUIDING THE
PROGRAM
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The rights-based social policy approach.
Promotion and empowerment approach.
Resiliency approach.
Competencies-based model (emphasis on
strengths, not on weaknesses).
Not creating dependency on aid.
Development approach (childhood and
adolescence).
Respect of the person, their skills, and the
progressive development of their autonomy.
Ecosystem and networks approach.
HETEROGENEITY IN SOCIALLY VULNERABLE
POPULATIONS
 Children and adolescents from 10 to 20 years old
 Social vulnerability
 Street life (living in or hanging out in)
· Gang formation
· Idleness and vagrancy
· Informal work sector
· Commercial sex work
They are transversal to the following:
- Drug use.
- Unlawful behavior.
- Failing in the formal educational system
MODEL OF PSYCHOSOCIAL INTERVENTIONS
STAGES OF THE INTERVENTION
INITIAL
APPROACH
PROFILE
DIAGNOSTIC
(street
intervention,
connection...)
Of the
POPULATION
(levels of
complexity)
INDIVIDUAL
PSYCHOSOCIAL
DIAGNOSTIC
(the subject and
their peers, family
and environment)
Socioeducational
activities
PSYSCHOSOCIAL
INTERVENTION
PROCESSS:
INDIVIDUAL
SERVICE PLAN
SEGUIMIENTO
Getting back
in school
Action items
(the subject and
their peers, family
and environment)
Individual
companion
ship
Drug treatment
Family
Integration
into the
community
Job skills
training
Connection
Socio-emotional and adolescent development
Address drug abuse
Social integration
Family
Reparations
Community environment and network
TRANSVERSAL AXES OF THE INTERVENTION
EGRESO
(evaluación
Indicadores
de Logro)
BACK IN CLASS PROGRAM:
INTER-SECTOR FUNDING
(MINEDUC-CONACE- Citizen Security -SENAME)
“Funds for renewed schooling” to support initiatives
coordinated with the psychosocial teams, in order to
offer a flexible education pertinent for this population,
in order to ensure their remaining in the formal system,
and better using “Chile is Qualified” or an alternative
system for renewing academic development.
TREATMENT NETWORK
OUTPATIENT _ COMMUNITY
Seeks to serve clients of moderate to high complexity and of
intensity in the therapeutic development of drug use
problems and the associated consequences, such as marryig
psychosocial work with social insertion.
RESIDENTIAL CENTER
Directed towards youth with problematic drug use and
intense bio-psychosocial issues, which requires supervision
and a highly structured and protective environment, in order
to overcome drug use and avoid relapse. In 2004, two of
these centers were established.
DETOX UNIT
Destined for those youth that show intoxication, in a
abstinent and dependent syndrome, and that require a
closed therapeutic space to carry out the detoxification
process. At present, there are 4 detox centers in the country.
COMMUNITY-OUTPATIENT
TREATMENT MODALITY
 Modality for moderate to high complexity in the
therapeutic approach required for drug use
problems and the associated health consequences,
which is complement to psychosocial and social
insertion work done in the neighborhood district.
 Clinical team with a community focus, specifically
on adolescents (3 to 4 professionals).
Outpatient clinic and site visits.
Clinical and pharmacological support.
Close relationship with the psychosocial team.
SPECIFIC OBJECTIVES
• To attend to at-risk children and adolescents
demonstrating drug use problems and the
associated consequences, and their families; they
require help and usually access the program
directly or are referred by other organizations.
• Support, treat, advise and cooperate with the
psychosocial teams con los equipos psicosociales
that work with these children and adolescents on
drug addiction, in their field work area.
OUTPATIENT-COMMUNITY PROGRAM
Clinical health team de with experience in drugs and
in adolescents, with a community profile.
Outpatient and on-site field intervention.
 Offers clinical and pharmacological
support, in close relation with the
integral intervention carried out by the
psychosocial team.
 Focuses on the same population
emphasized
in
psychosocial
intervention programs:
CONACE’s
psychosocial projects; SENAME, NGOs
working with street children, etc.) or, as
well, that form part of healing
programs for victims of sexual abuse
(SENAME)
AXES OF THE INTERVENTION, BY MODALITY
PSYCHOSOCIAL
MODALITY
COMMUNITYOUTPATIENT
MODALITY
 CONNECTION
 PHYSICAL AND MENTAL
HEALTH
 SOCIAL -EMOTIONAL
DEVELOPMENT AND
ADOLESCENT WORK
 ADDRESSES DRUG USE
 FAMILY
Transversal Axes :
Coordinate
the
Objectives
of the
Intervention
 SOCIAL-EMOTIONAL
DEVELOPMENT AND
ADOLESCENT DUTIES
DRUG USE
 FAMILY
 SOCIAL INTEGRATION
 SOCIAL INTEGRATION
 (HEALING: coordination)
 HEALTH (coordination)
 COMMUNITY ENVIRONMENT
AND NETWORK
 MANAGING DEVIANT
BEHAVIORS (PIA)
MARGINALITY PROGRAM:
TREATMENT NETWORK AND
PSYCHOSOCIAL PROGRAMS
2004-2005:
Psychosocial programs: 19
countrywide
Outpatient-Community: 13
countrywide
Detox Units: 4 countrywide
X
Residential Center: 6 being
implemented
 24 back in class programs
XI
www.conacedrogas.cl
www.conace.cl
Chilean drug portal
Agustinas 1235 p. 9
Santiago de Chile
Fono: (56-2) 510.08.00
[email protected]