Transcript Artur MALCZEWSKI

Parallel Session A - Prevention
Proposed List of Minimum Quality Standards
Parallel Session A
Proposed List of Minimum Quality Standards
• Are the proposed lists of minimum quality
standards (high consensus in surveys)
acceptable?
• For which types of services / interventions are
they accepted?
• Which standards from the presented additional
lists of quality standards (medium consensus in
surveys) should be included in the definite lists
of minimum standards ?
• For which types of services / interventions?
General remarks
• Adaptation of European Drug Prevention Quality Standards to
EQUS was a challenge.
• Different language used in field of prevention and treatment. In Drug
Prevention was used a project cycle: 8 project stages including 35
components. EQUS based on three levels: Structural Standards of
Services, Process Standards of Intervention, Outcome Standards at
System Level.
• “Treatment oriented” template for prevention standards –
compromise
• Title of standards is not narrative. They can have a different
meaning. More informative title should be, now are using the same
for different area e.g. staff composition
• Language sometimes is not easy to use/understand, open to
misinterpretation:
– needs, harm, program, evidence-based – glossary and
translation
• Standards should not be a barrier to a work
• Use of prevention component of EQUS will be complimented by
EMCDDA prevention standards manual
Outcome evaluation: Evaluation is seen as an integral
and important element to ensuring programme quality. It
is determined what kind of evaluation is most appropriate
for the intervention, and a feasible and useful evaluation
is planned. Relevant evaluation indicators are specified,
and the data collection process is described.
• Only one standard from MQS concerning evaluation got
suggestion that it is not applicable. Outcome evolution is
expensive, not always needed....
• Setting services up to fail? Ideal or practical standards?
Quality standards (medium consensus
in surveys) – can be added to MQS
1. Sustainability: The programme promotes a long-term view on drug
prevention and is not a fragmented short-term initiative. The
programme is coherent in its logic and practical approach.
2. Planning the programme: A systematic programme plan is
constructed. A written project plan outlines the main programme
elements and procedures. Contingency plans and risk management
strategies are developed.
3. Sustainability: A programme is continued on the basis of evidence
provided by monitoring and/or final evaluations. If it is to be
continued, opportunities for continuation are outlined. The lessons
learnt from the implementation are used to inform future activities.
Concerning other, not agreement…
4. Communication and stakeholder involvement: The multi-service nature of
drug prevention is considered. All stakeholders relevant to the programme
(e.g. target population, other agencies) are identified, and they are involved
as required for a successful programme implementation. The organisation
cooperates with other agencies and institutions.
5. Recruiting and retention: It is clear how participants are drawn from the
target population, and what mechanisms are used for recruitment. Specific
measures are taken to maximise recruitment and retention of participants.
7. Intervention design: The programme is based on an evidence-based
theoretical model that allows an understanding of the specific drug-related
needs and shows how the behaviour of the target population can be
changed. Scientific literature reviews and/or essential publications on the
issues relating to the programme are consulted. The reviewed information is
of high quality and relevant to the programme. The main findings are used to
inform the programme.