Transcript First International Network on Drug

XVII International AIDS Conference
Mexico City, 3-8 August 2008
First International Network
on Drug Consumption
Rooms (INDCR)
MEDICINS OF THE WORLD/MUNDUKO MEDIKUAK
First International Network on Drug
Consumption Rooms (INDCR)

Introduction
 Drug
Consumption Room-Munduko Medikuak
 Drug Consumption Rooms all over the World
Results
International
Network on Drug Consumption Rooms
Conclusions
First International Network on Drug
Comsumption Rooms (INDCR)

Introduction
 Drug
Consumption Room-Munduko Medikuak
 Drug Consumption Rooms all over the World
Results
International
Network on Drug Consumption Rooms
Conclusions
SCS-Munduko Medikuak Basque Country
SCS-Munduko Medikuak Basque Country
Socio-Demographic Variables
Sex/Gender
2003
N=102
2004
N=532
2005
N=506
2006
N=386
2007
N=355
TOTAL
N=1882
Sexo
Male
Female
85 (83,3)
442 (83,1)
410 (81)
335 (86,8)
295 (83,1)
1567
17 (17,7)
90 (16,9)
96 (18,9)
51 (13,2)
60 (16,9)
314
2007
Male
2006
Female
2005
2004
2003
0
20
40
60
80
100
120
SCS-Munduko Medikuak Basque Country
Infections
Socio-Demographic Variables
80
70
60
50
40
30
20
10
0
2003
2004
2005
2006
HIV
BHV
CHV
Female
Male
Female
Male
Female
Male
Female
Male
2007
TBC
SCS-Munduko Medikuak Basque Country
Comsumption
Socio-Demographic Variables
¿How are they distributed?
25000
Inyectado
Fumado
Esnifado
20000
15000
10000
5000
0
2003
2004
2005
2006
2007
SCS-Munduko Medikuak Basque Country
Services provided by the Drug Consumption Room
500.000
450.000
400.000
350.000
300.000
250.000
200.000
150.000
100.000
50.000
0
Entregadas
2004
Munduko Medikuak
Hontza
Anti AIDS
Recuperadas
2005
2006
Syringes
exchange
2007
160.000
140.000
120.000
Munduko Medikuak
100.000
80.000
60.000
40.000
20.000
0
2004
2005
Entregadas
2006
Recuperadas
2007
First International Network on Drug
Consumption Rooms (INDCR)

Introduction
 Sala
de Consumo Supervisado-Munduko Medikuak
 Drug Consumption Rooms all over the World
Results
International
Network on Drug Consumption Rooms
Conclusions
Drug Consumption Rooms all over the World
METHODOLOGY
Transversal study performed in 2007




Sampling design : different Drug Consumption
Rooms all over the world
Variables: Socio-Demographic variables
Management systems for the Drug
Consumption Rooms, Services provided by the
Drug Consumption Rooms.
Sampling: convenience
Tool: surveys Estimated time: 30m.
Drug Consumption Rooms all over the World

Objectives
TO FACILITATE A PRELIMINARY approximation to the three large work areas from
different Drug Consumption Rooms all over the world
MANAGEMENT SYSTEMS FOR THE DRUG CONSUMPTION ROOMS
SERVICES PROVIDED BY THE DRUG CONSUMPTION ROOMS
SOCIO-DEMOGRAPHICAL CHARACTERISTICS OF THE USERS OF THE
DIFFERENT SERVICES

Information: Questionnaire Munduko-Medikuak
Drug Consumption Rooms all over the World
Size of sample
Australia, Canada, Germany, Luxemburg, Nederlands Norway, Spain, Switzerland
Drug Consumption Rooms all over the World
Sample
Australia MSIC, Sydney
Canada Insite, Vancouver Coastal Health and PHS Community Services Society.
Vancouver
Germany
Hamburg: Drob Inn-Jugendhilfe e.V./Stay Alive-St. Pauli, Jugendhilfe e.V/ AIDSHilfe Frankfurt e.V./ Ragazza e.V.,
La Strada-Drogenhilfe & Prävention, Franckfurt.
Fixpunkt e. V., Berlin.
Institute for the Furtherance of Qualitative Drug Research, Acceptance-Oriented
Drug Work, and Rational Drug Policy, Münster.
Luxemburg Tox-In, Luxemburg.
Nederlands
Bouman GGZ Rotterdam Rijnmond, Rotterdam.
De Regenboog – AMOC, Amsterdam
.
Drug Consumption Rooms all over the World
Sample
Norway Oslo kommune, Rusmiddeletaten, Feltiltaket, Oslo.
Spain
Fundación Salud y Comunidad, Barcelona.
Munduko Medikuak, Bilbao.
ABD (Associació Benestar i Desenvolupament), Barcelona.
Servicio de Psiquiatría Hospital Universitario Vall d’Hebron, Institut Català de la Salut
SAPS-Cruz Roja, Barcelona
Switzerland
Contact Netz, Kontakt- und Anlaufstelle des Contact Netz, Bern.
Cactus, Bienne.
Quai 9, Geneva.
Drug Consumption Rooms all over the World
Socio-Demographic Variables
New users of the Drug Consumption Rooms in 2005 - 2006
2500
2000
1500
1000
500
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2005 Men
2006 Men
2005 Women
2006 Women
ak
ki u
Drug Consumption Rooms all over the World
Socio-Demographic Variables
24
Men
Characteristics
of the total
number of visits
received in 2006
Women
76
4
0
10
<18
Distribution (%)
by age groups
of the visits
49
realized
to the
Consumption Rooms
2006
18 – 24
25 – 34
37
35 – 44
>45
Drug Consumption Rooms all over the World
Legal forms of the Drug Consumption Rooms
5%
14%
Non profit organisation
Federation of
assosiations
5%
Foundation
5%
Regional public entity
71%
Do not know / No
answer
Drug Consumption Rooms all over the World
Services provided by the Drug Consumption Rooms
Drug Consumption Rooms services considered to be the most important
3
2,75
2,85
2,5
2,15
2,25
Socio-educat ional
Basic healt hcare
2
1,5
1
0,5
0
Syringes exchange
Supervised inyect ion
int ervent ions
Drug Consumption Rooms all over the World
Services provided by the Drug Consumption Rooms
Syringes supplied and collected by the Drug Consumption Rooms, 2005-2006
2005 Supplied on premises
2006 Supplied on premises
2005 Collected on premises
2006 Collected on premises
MS
IC
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500000
450000
400000
350000
300000
250000
200000
150000
100000
50000
0
First International Network on Drug
Consumption Rooms (INDCR)

Introduction
 Sala
de Consumo Supervisado-Munduko Medikuak
 Drug Consumption Rooms all over the World
Results
International
Network on Drug Consumption Rooms
Conclusions
First International Network on Drug Consumption Rooms
(INDCR)

Objectives
GENERATE KNOWLEDGE WHICH WILL HELP TO IMPROVE THE INTERVENTION
STRATEGIES RELATED TO HARM AND RISK REDUCTION ASSOCIATED TO
ILLEGAL DRUGS CONSUMPTION IN THE DRUG CONSUMPTION ROOMS
EXCHANGE SCIENTIFIC KNOWLEDGE AND AGREE ABOUT GOOD
PRACTICES
DESIGN MULTICENTRAL STUDIES ORIENTED TO INCREASE THE
SOCIO-SANITARY EFFICIENCY AND REDUCE THE SOCIO- SANITARY
INEQUALITIES ARISED FROM THE ILLEGAL DRUGS
CONSUMPTION.
IMPROVE THE DATA COLLECTION IN THE DRUG CONSUMPTION
ROOMS
SUPPORT AND ADVICE THE CREATION AND OPENING OF NEW DRUG
CONSUMPTION ROOMS
First International Network on Drug Consumption Rooms
(INDCR)

Objective
GENERATE KNOWLEDGE WHICH WILL HELP TO IMPROVE THE INTERVENTION
STRATEGIES RELATED TO HARM AND RISK REDUCTION
First International Network on Drug Consumption Rooms (INDCR)
INDCR Structure

Membership

National Focal Points and expert groups

Data collection
 Research
 Legal and political debate

Meetings – National Focal Points

Web Site
Drug Consumption Rooms all over the World
Membership
Australia
Canada
Germany
Luxemburg
Norway
Spain
Switzerland
Nederlands
First International Network on Drug Consumption Rooms (INDCR)
National Focal Points
Functions
Establish the COMMUNICATION with its country´s Drug Consumption
Rooms and inform them about the constitution of the Network.
Keep the DCRs CONTACTS in the country updated.
Detect NEEDS of the DCRs, acting as a recipient of its suggestions and
recommendatios and inform the International Coordinating Group about
it.
PARTICIPATE in the annual meeting of the Network.
Supervised Drug Consumption Room, Munduko Medikuak, Bilbao- Regenboog AMOC,
Amsterdam-La Strada, AIDS-Hilfe Frankfurt e.V., Germany- Quai 9, Geneva,
Switzerland-Insite, Vancouver, Canada-Tox-In, Luxembourg-Oslo, Norway- MSIC,
Sydney, Australia
First International Network on Drug Consumption Rooms (INDCR)
Expert Groups
Functions
IDENTIFY network members that due to their field of action and
experience may be part of the expert group
Define the CRITERIA to be included in the group.
Define the OBJECTIVES, RESULTS and ACTIVITIES of the group.
Establish the periodicity of the group MEETINGS, organize and
CHAIR them.
Participate in the VIRTUAL MEETING which takes place between
the expert groups, BIMONTHLY.
Participate in the network ANNUAL MEETING in which the
RESULTS of the group will be presented.
.
First International Network on Drug Consumption Rooms (INDCR)
Expert Groups INDCR
Cordination: Munduko-Medikuak
DATA COLLECTION
RESEARCH
IMPROVE USERS’ AND
COMMUNITIES’ WELL-BEING
LEGAL/POLITICAL
DEBATE
First International Network on Drug Consumption Rooms (INDCR)
Results – 1st year
Strengthened/consolidated
the active participation of
the National Focal Points
and increased the number
of Network members
ACTIVITIES
Organization and coordination of the 1st annual meeting of
the Network.
Creation and update of a contacts list of all the international
Drug Consumption Rooms.
Regular information given to the members about the Network.
Consolidated the
functioning of the Expert
Groups
Guaranteed a common
communication space of
the Network
Funds guaranteed
Organization and coordination of the meetings with the Expert
Groups, bimonthly.
Creation of a web site: www.INDCR.org
Presentation of the Network project to possible donors at
local, regional, state and international level
First International Network on Drug
Consumption Rooms (INDCR)

Introduction
 Sala

de Consumo Supervisado-Munduko Medikuak
Results
International
Network on Drug Consumption Rooms
Conclusions
CONCLUSIONS

Workplan data collection group 2008/2009
Coordinator: Eberhard Schatz
DATE
Until end of August
TASK
Definition of main
indicators/glossary
[1]
Until the end of October
Collecting of indicators already used
in CR’s [2]
Until the end of November
Selection of main indicators
Until January 2009
Combining the HR Data Collection
Protocol [3] with the CR indicators
Until March 2009
Preparing the online tool for the
website
April
Presenting/implementing the tool
RESPONSIBLE
Janine Lanz
(after contributions by group
members)
Janine Lanz
(after contributions by group
memebers)
Janine Lanz/Dagmar Hedrich
(after discussion with the group)
Xavier Ferrer/Dagmar Hedrich
Javi Rio, IT expert
INDCR
[1] Everybody should send links to relevant documents and suggestions of definitions
[2] Everybody should send existing data collection tools, which are in use in CR services
[3] The data Collection Protocol for Specialised Harm Reduction Services was developed by EMCDDA/Correlation Network and can be used as base for the
CR Protocol.
CONCLUSIONS

Workplan Legal and Political debate group
2008/2009
Coordinator: Sarah Evans
DATE
TASK
Until end of August
Questionnaire to know the
situation of every country on
political and legal debate
Until the end of October
Analysis on the legal and
political situation on each
country
Until the end of 2008
Booklet with good practices
RESPONSIBLE
Christophe -Sarah
(after contributions by group
members)
National Focal Points
(after contributions by national
experts)
Christophe
(after receiving information from all
DCRs)
XVII International AIDS Conference
Mexico City, 3-8 August 2008
THANK YOU
MERCI
GRACIAS
ESKERRIK ASKO
MEDICINS OF THE WORLD/MUNDUKO MEDIKUAK
[email protected]