Transcript Rachele DONINI

Building an EU consensus for minimum quality standards
in the prevention, treatment and harm reduction of drugs
Translating prevention minimum quality
standards into practice:
the practitioner perspective
Rachele Donini
Responsible of prevention activities-addiction area
ASL 2 Savonese
Italy
Brussels
15th-17th June 2011
Contents
Participation to the quality standards
partnership
Reflection upon experience as a
practitioner and responsible of
prevention activities in the addiction
area
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Development of Quality
Standards
Synthesis of existing drug
prevention guidance
First draft
Online Delphi survey
Focus groups
Second draft
Focus groups
Final standards
Different points of view …
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Service managers
Practitioners/Front-line workers
Trainers
Supervisors
Programme developers
Consultants/evaluators/ academic
researchers
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Focusing practitioner’s
perspective
Practitioner’s mission is a mission of health
Strongly related to practice as the name
“practitioner” suggests
Assesses the needs, formulates the
programme, chooses the intervention
strategies and tools, delivers the
intervention, evaluates the results
Quality standards as a tool to improve
prevention intervention
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Main issues related to
implementation processes
Macro scenario
Service organization
Practitioners’ attitude
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Macro scenario
Location of prevention policies in different
departments, ministries and organizations,
each with it’s own policy
Global financial recession
Drug interventions, both on a preventive and
clinical basis, related to a strong ideological
issue that impacts policies and legislation
Prevention as a long-term process
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Macro scenario
Lack of higher education training in
prevention
No national occupational standards
Prevention is perceived as comparatively
less important than treatment
Science of prevention is still in it’s infancy
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Service organization
Many prevention interventions are delivered
by sanitary services which are focalised on
treatment
Lack of networking with other institutions
and services
Lack of stakeholder and target involvement
Loss of specificity due to incorporation of
addiction area in mental health department
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Practitioners’ attitude
Quality standards can be perceived as
another useless tool
Q.S. may be perceived as a prescription or a
tool that wants to “judge” the previous
experience in prevention work
Lack of monitoring and evaluation mentality
Lack of knowledge about evidence based
standards and scientific literature
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What to do? Some
suggestions…Macro scenario
Share a common idea about what is
prevention embedding the standards into
educational programmes
Adoption of quality standards at a national
and european level
Acknowledgment of long-term outcomes in
prevention work
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What to do? Some
suggestions…Macro scenario
Predictable and stable financial support in
the prevention field
Drug policies evidence-based and community
needs oriented
Acknowledgment of prevention’s equal
dignity compared to treatment,
rehabilitation and harm reduction
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What to do? Some
suggestions…Service organization
Acknowledgment of drug prevention as an
institutional goal and mission
Dedicated, multidisciplinary and trained
staff for the purposes of prevention,
possibly not recruited for a few hours from
the treatment field
Dedicated and suitable spaces for
prevention staff
Networking with other services or
organizations that deliver prevention and/or
work with prevention targets
What to do? Some
suggestions…Practitioners’ attitude
Present the Q.S. as an opportunity to
empower the everyday work, recognising
what is already existing in practitioners
professional background and improving
awareness about the prevention cycle which
is “intuitively” already placed in
practitioners experience
Bottom-up approach
Increase the training opportunities and
refresher courses for professionals, using
the Q.S. manual
Thank you for your attention