treat net international network of drug dependence treatment and rehabilitation resource centres
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TREATTREATNETNETInternational Network International Network of Drug Dependenceof Drug Dependence
Treatment and Treatment and Rehabilitation Resource Rehabilitation Resource
CentresCentres
Reach out to service providers to improve the quality, accessibility and affordability of drug dependence treatment and rehabilitation services
Mission:Mission:
Dr. Elizabeth SáenzExpert, Drug Dependence TreatmentPrevention, Treatment and Rehabilitation UnitGlobal Challenges Section
Drug demand reduction / Drug demand reduction / Global Challenges SectionGlobal Challenges Section
• Collect dataCollect data so that we know the so that we know the magnitude of drug abusemagnitude of drug abuse
• Prevent Prevent drug abusedrug abuse• TreatTreat drug abuse drug abuse• Prevent HIV/ AIDSPrevent HIV/ AIDS and other and other
negative health and social negative health and social consequences of drug abuseconsequences of drug abuse
Support Member StatesSupport Member States
Provide technical Provide technical advice on treatment advice on treatment system developmentsystem development
Develop skillsDevelop skills
Advocacy for access Advocacy for access and qualityand quality
• EffectiveEffective• AccessibleAccessible• DiversifiedDiversified• AffordableAffordable
Drug Dependence Treatment & Rehabilitation Drug Dependence Treatment & Rehabilitation Services Services
Overarching GoalOverarching Goal
Treatnet - International Network of Treatnet - International Network of Treatment and Rehabilitation Resource Treatment and Rehabilitation Resource
CentresCentres
COMMUNITYCOMMUNITY
BASEDBASED
TREATMENTTREATMENT
DRUG TREATMENT AND DRUG TREATMENT AND REHABILITATION IN REHABILITATION IN PRISON SETTINGSPRISON SETTINGS
ROLE OF DRUG ROLE OF DRUG TREATMENT AND TREATMENT AND
REHABILITATION IN REHABILITATION IN HIV/AIDS PREVENTION HIV/AIDS PREVENTION
AND CAREAND CARE
SUSTAINABLE SUSTAINABLE LIVELIHOODS, LIVELIHOODS,
REHABILITATION AND REHABILITATION AND REINTEGRATIONREINTEGRATION
• Worldwide network for Worldwide network for mutual supportmutual support
• Reach common quality Reach common quality standardsstandards
• Demonstrate and Demonstrate and disseminate good disseminate good practices practices
• Advocacy for quality Advocacy for quality treatmenttreatment
Learning collaborative: knowledge Learning collaborative: knowledge transfer and mutual supporttransfer and mutual support
Treatnet Treatnet StrategyStrategy
Our visionOur visionAll persons whose lives are impaired by All persons whose lives are impaired by
drug use receive a wide range of drug use receive a wide range of servicesservices
• Develop network: Develop network: 20 centres 20 centres
• Develop training Develop training packagepackage
• Build capacity: Build capacity: training of trainers training of trainers
• Synthesise good Synthesise good practices: 4 topicspractices: 4 topics
• Consolidate & expand Consolidate & expand
• Agree upon and adopt Agree upon and adopt quality standards quality standards
• Pilot projects: 4 topicsPilot projects: 4 topics
• Disseminate training: Disseminate training: master trainers master trainers
• Advocate for expanded Advocate for expanded quality treatmentquality treatment
• Progressive Progressive regionalisationregionalisation
• Preparation for Preparation for sustainabilitysustainability
Phase I - 2005-2007Phase I - 2005-2007 Phase II - 2007-2011Phase II - 2007-2011
Beneficiaries – Phase I Beneficiaries – Phase I
80,000 people with drug 80,000 people with drug
problems & their relativesproblems & their relatives
20 Regional Treatment Resource 20 Regional Treatment Resource CentersCenters
15 other Drug Treatment and 15 other Drug Treatment and Rehabilitation ProvidersRehabilitation Providers
Treatnet Members – Treatnet Members – Phase IPhase I
Turning Point, Turning Point,
AustraliaAustraliaGeneral General
Secretariat Secretariat Mental Health, Mental Health,
EgyptEgypt
Pavlodar Centre, Pavlodar Centre, KazakhstanKazakhstan
Proyecto Proyecto Hombre, Hombre,
SpainSpain
CAPS-AD Santo CAPS-AD Santo Andre, Andre,
BrazilBrazil
Mudra,Mudra,
GermanyGermanyMathari Hospital,Mathari Hospital,
KenyaKenyaMaria Ungdom, Maria Ungdom,
SwedenSweden
CAMH, CAMH,
CanadaCanadaTTK, TTK,
IndiaIndiaCIJ, CIJ,
MexicoMexicoCranstoun Drug Cranstoun Drug
Services, Services,
UKUK
DATC ShanghaiDATC Shanghai
ChinaChinaRSKO, RSKO,
IndonesiaIndonesiaAro Hospital, Aro Hospital,
NigeriaNigeriaFayette Fayette
Companies, USACompanies, USA
Carisma,Carisma,
ColombiaColombiaNational Prison National Prison Organisation/Organisation/
INCAS,INCAS,
IranIran
Pavlov Medical Pavlov Medical University, University,
Russian Fed.Russian Fed.
SSTAR,SSTAR,
USAUSA
• Community Based TreatmentCommunity Based Treatment• Role of Drug Dependence Treatment Role of Drug Dependence Treatment
in HIV/AIDS Prevention and Carein HIV/AIDS Prevention and Care• Drug Dependence Treatment in Drug Dependence Treatment in
Closed Settings Closed Settings • Sustainable Livelihoods for Sustainable Livelihoods for
Reintegration and RehabilitationReintegration and Rehabilitation
Good Practice: TopicsGood Practice: Topics
Community-based Community-based TreatmentTreatment
• Treatment and care in the community Treatment and care in the community • Integration/linkages to community Integration/linkages to community
health and social serviceshealth and social services• Continuum of care/case managementContinuum of care/case management• Mobilisation of community resources Mobilisation of community resources
and participationand participation• Sustainability and accountability to Sustainability and accountability to
the communitythe community
Role of Drug Dependence Treatment Role of Drug Dependence Treatment in HIV/AIDS Prevention and Carein HIV/AIDS Prevention and Care
• Outreach, low threshold services Outreach, low threshold services • A range of evidence-based treatments, including A range of evidence-based treatments, including
methadone and buprenorphinemethadone and buprenorphine• Information on HIV prevention (drugs, sexual)Information on HIV prevention (drugs, sexual)• Voluntary Confidential Counselling and Testing (VCCT) Voluntary Confidential Counselling and Testing (VCCT) • Support adherence to Antiretroviral Therapy (ARV)Support adherence to Antiretroviral Therapy (ARV)• Links and referral to HIV/AIDS servicesLinks and referral to HIV/AIDS services
Drug Dependence Treatment Drug Dependence Treatment and Rehabilitation in Closed and Rehabilitation in Closed SettingsSettings• Treatment as an alternative to prisonTreatment as an alternative to prison• Principle of equivalence: Principle of equivalence:
Treatment services available in prisons Treatment services available in prisons equivalent to those in the communityequivalent to those in the community
• Preparation for releasePreparation for release• Aftercare and links to community Aftercare and links to community
services at releaseservices at release
Impact on crime rate and recidivismImpact on crime rate and recidivism
Sustainable Livelihoods, Sustainable Livelihoods, Rehabilitation and Rehabilitation and ReintegrationReintegration
• Principle of recovery capitalPrinciple of recovery capital• Vocational training, occupational Vocational training, occupational
and educational opportunitiesand educational opportunities• Building community-family support Building community-family support
and engagementand engagement• Employment, micro-creditsEmployment, micro-credits• Accessing opportunities for housing Accessing opportunities for housing
and other social supportand other social support
Training Package OutlineTraining Package Outline
PartnersPartnersInternational organizations collaborating International organizations collaborating
with Treatnet are: with Treatnet are: • WHOWHO World Health Organization World Health Organization • UNAIDSUNAIDS The Joint United Nations Initiative on HIV/AIDSThe Joint United Nations Initiative on HIV/AIDS• ILOILO International Labour Organization International Labour Organization • SAMHSASAMHSA Substance Abuse and Mental Health Services Substance Abuse and Mental Health Services
Administration Administration • CSATCSAT Center For Substance Abuse Treatment Center For Substance Abuse Treatment • NIDANIDA National Institute on Drug Abuse National Institute on Drug Abuse • ATTCATTC Addiction Technology Transfer CenterAddiction Technology Transfer Center• NIATxNIATx The Network for the Improvement of Addiction The Network for the Improvement of Addiction
TreatmentTreatment• CICADCICAD Inter-American Drug Abuse Control Commission Inter-American Drug Abuse Control Commission • EMCCDAEMCCDA European Monitoring Centre on Drugs and Drug European Monitoring Centre on Drugs and Drug
AddictionAddiction• OFID/UNODCOFID/UNODC Project in Central Asia, Project in Central Asia, EC/UNODCEC/UNODC Project in North Project in North
Africa, Middle East and West Asia, and other UNODC Regional Africa, Middle East and West Asia, and other UNODC Regional ProjectsProjects
• A solid and innovative network of treatment providers A solid and innovative network of treatment providers committed to ongoing quality improvementcommitted to ongoing quality improvement
• 80,000 clients reached by network centres each year80,000 clients reached by network centres each year
• 26 Trainers at network centres 26 Trainers at network centres
• Training package finalisedTraining package finalised
• 400 staff trained at network centres: Summer - 07400 staff trained at network centres: Summer - 07
• 4 Good practice documents available4 Good practice documents available
• Network visibility & recognition through partnerships Network visibility & recognition through partnerships
Achievements to dateAchievements to date (2005-(2005-07)07)
• Resource Centres: 50 RCs, Universities, Resource Centres: 50 RCs, Universities, Government counterparts (training & Government counterparts (training & demonstration)demonstration)
• Multiplication and DisseminationMultiplication and Dissemination
• Government support for expansion & sustainabilityGovernment support for expansion & sustainability
• Joint initiatives with other key players: WHO, Joint initiatives with other key players: WHO, UNODC FOs, international and regional UNODC FOs, international and regional organisations, bilateral agencies, other networksorganisations, bilateral agencies, other networks
Phase II – Phase II – Bring people Bring people back to societyback to society
Capacity BuildingCapacity Building• Training package from Phase ITraining package from Phase I• Support to achieve common quality standardsSupport to achieve common quality standards• Training at multiple levels:Training at multiple levels:
– Master trainers Master trainers – Trainers Trainers – Practitioners Practitioners
• Peer & practical learning: Peer & practical learning: – Training teamsTraining teams– Mentoring, twinning, site visitsMentoring, twinning, site visits
Pilot Projects to Pilot Projects to Demonstrate Good PracticesDemonstrate Good Practices
• Centres in less-resourced countriesCentres in less-resourced countries• Topic of choice, emphasis on women, Topic of choice, emphasis on women,
youth, HIVyouth, HIV• Mutual support/mentoring for Mutual support/mentoring for
implementationimplementation• Mobilisation of external funding for Mobilisation of external funding for
expanded projectsexpanded projects• Documentation, evaluation, disseminationDocumentation, evaluation, dissemination• Centres become practical examples of Centres become practical examples of
good practicesgood practices
Common Quality Common Quality StandardsStandards
• Common agreement based on Common agreement based on existing standards and existing standards and indicators of achievementindicators of achievement
• Adaptation for cross-cultural Adaptation for cross-cultural relevance relevance
• Development plan & capacity Development plan & capacity building support to reach building support to reach standardsstandards
• Ongoing peer assessmentOngoing peer assessment
AdvocacyAdvocacy• Communications strategy and materials Communications strategy and materials • National round tables with stakeholdersNational round tables with stakeholders• Local Treatnet member supported by Local Treatnet member supported by
network peersnetwork peers
Awareness and commitment to Awareness and commitment to develop & strengthen treatment develop & strengthen treatment systemssystems
RegionalisationRegionalisation• Nine regional components in Phase Nine regional components in Phase
II: regional coordination teamsII: regional coordination teams• Regional consultations to develop Regional consultations to develop
plans for Treatnet regional plans for Treatnet regional chapterschapters
• Preparation for strengthened Preparation for strengthened regional interaction in Phase IIregional interaction in Phase II
• Raise interest of local/regional Raise interest of local/regional financial sources for phase IIIfinancial sources for phase III
EvaluationEvaluation• Mid-term, final and pilot project evaluationsMid-term, final and pilot project evaluations• Evaluation design agreed by network early Evaluation design agreed by network early
onon• Baseline: Baseline:
– service deliveryservice delivery– staff knowldege and skillsstaff knowldege and skills– client profilesclient profiles– treament outcomestreament outcomes
• Ongoing data collection for monitoring and Ongoing data collection for monitoring and evaluationevaluation
• Regular feed-back to network membersRegular feed-back to network members
www.unodc.org/treatnetwww.unodc.org/treatnet
Thank you for your Thank you for your attention ...attention ...
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