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1 International Network of Drug Dependence Treatment and Rehabilitation Resource Centres 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

1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

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Page 1: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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

Page 2: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

2International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Treatnetan 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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3International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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

Page 4: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

4International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Project objective

Creation of an operational network of drug treatment and

rehabilitation resource centres in all regions

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5International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Definitions

• Operational networkA system of centres with defined objectives, tasks, responsibilities, means of communication and decision making mechanisms, which keep ongoing interaction

• Resource centreA treatment and/or rehabilitation organisation which has the competence (in terms of evidence-based 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

Page 6: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

6International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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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7International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Capacity Building Consortium

UNODC

COMMUNITY BASED TREATMENT

DRUG TREATMENT AND REHABILITATION IN PRISON

SETTINGS

ROLE OF DRUG TREATMENT AND REHABILITATION IN

HIV/AIDS PREVENTION AND CARE

SUSTAINABLE LIVELIHOODS,

REHABILITATION AND REINTEGRATION

International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Page 8: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

8International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Beneficiaries

PrimaryThe Regional Treatment Resource Centres

Secondary• People with drug problems

• Drug treatment and rehabilitation care providers

• UNODC Field Offices

• Member States

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9International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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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10International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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

Page 11: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

11International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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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12International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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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13International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

This means also …

strong emphasis onDatacollection and

evaluation

increase of the capacities to initiate ongoing data collection on

Client profilesTreatment outcomes

a need for a Common instrument

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14International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

ASI component in Treatnet>>cultural

adaptations• Review of existing

AdaptationsTranslationsValidations

• Developing sociocultural sensitive ASI’s

• Training onClinical use of ASIUse of ASI for treatment planning

Page 15: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

15International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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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16International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TDI EuropASI Treatnet ASI

Treatment contact details

General information

General information

Treatment centre type

Type of treatment service

Modalities

Starting date of treatment mth/yr

Date of admission dy/mth/yr

Date of admission dy/mth/yr

Ever previously treated

See alcohol & drugsection

See alcohol & drugsection

Source of referral

- -considered to add

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17International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TDI EuropASI Treatnet ASI

Socio-demographic information

General information (continued)

General information (continued)

Gender Gender Gender

Age

Age already added

Year of birth

- Date of birthDy/mth/yr

Nationality•this country

•EU•Non-EU

Nationality (WHO)

Place of birth: patientFatherMother

Race/ethnicity/nationality

•Indigenous•Asian•Black

• … and so on

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18International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TDI EuropASI Treatnet ASI

Socio-demographic information (cntd)

Family/ social relationships

Family/ social relationships

Living status (30days)

•with whom •where (stability)

Usual living arrangements (past 3 year) + dimension: how long

Usual living arrangements (past 3 year) agree to add 30days

+ dimension: how long

Labour status(30days)

Usual employment pattern (past 3 year)

Usual employment pattern (past 3 year)

Highest educational level completed

Highest degree of educationISCED

Highest degree of educationISCED

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19International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TDI EuropASI Treatnet ASI

Drug related information

Alcohol/ Drugs Alcohol/ Drugs

Primary drug =drug that causes the client most problems8 categories with sub groups, no alcohol

Which substance(s) is/are the major problem10 categories, + alcohol, + more than 1 substance

Which substance(s) is/are the major problem

Already receiving substitution

- -

Page 20: 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links

20International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TDI EuropASI Treatnet ASI

Drug related information (continued)

Alcohol/ Drugs (continued)

Alcohol/ Drugs (continued)

Primary drug (30days)

–Usual route of administration–Frequency of use–Age at first use

From alcohol/ drug section

- Usual route of administration- Nbr days last 30- First age regular use (>=3/week,binges or problematic irregular)

From alcohol/ drug section

- Usual route of administration- Nbr days last 30- First age regular use (>=3/week,binges or problematic irregular)

Other drugs

From alcohol/ drug section

From alcohol/ drug section

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21International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

Links with Treatment Demand Indicator

All comments/suggestions can be send to:

[email protected]

[email protected]

[email protected]

[email protected]