country presentation: state of progress of the tdi by country in 2004 annual expert meeting on...

Country Presentation:State of Progress of the TDI by

country in 2004

• Annual Expert Meeting on Treatment Deamnd Indicator, 22-23 September 2004 – EMCDDA Lisbon

Austria (1)

• National Expert: Name Martin Busch

No

National Working Group in place

•Validation study conducted:

•N. staff working on TDI: 3 (parttime)

Yes – several groups

•Expert based in NFP: Yes

Austria (2)

• Types of centre covered:• Outpatient• Inpatient• GPs• Low Threshold Agencies• Units in Prison• Others

No / Poor / Sufficient / Good• /Now/ /___/ /___/ /Future/• /Now/ /___/ /___/ /Future/

/___/ /___/ /Now/ /___/• /Now/ /___/ /____/ /Future/ • /Now/ /___/ /___/ /Future/

/____/ /___/ /___/ /___/

Other important issuesThe concept of primary drug is not applyable – different solutions are under discussion

•Compatibility with the EMCDDA Protocol

1. Yes, fully compatible

2. 51-90%

3. 10-50%

4. No

Belgium (1)

National Experts: Tinneke DE CLERCQ, Francis SARTOR

No


Validation study conducted:

N. staff working on TDI: 1

Yes

Expert based in NFP: Yes

Belgium (2) Types of centre covered:

- No national, meaningful, figures can be derived from the more than 10 different systems reporting treatment data, including or not treatment demands.- The global coverage of the different types of treatment centres present in the systems, is not known in the majority of the systems. It’s moreover different according to availability of certain types of treatment centres, different interpretations of the inclusion criteria of the EMCDDA protocol and pragmatic reasons.

Other important issues: • Drafting of a Belgian version of the EMCDDA protocol

• Future steps:- development and implementation of a common unique identifier for Belgium

- detailed inventory + information on the « registration status » of the different treatment centres

Compatibility with the EMCDDA Protocol:Differences between different treatment reporting systems: types of treatment centres, external coverage, internal coverage, multiple countings, variables and continuity of registration variability of compatibility according to the treatment reporting system

Belgium (3)

Project: Belgian version of the EMCDDA protocol:

- AIM: To adapt the EMCDDA protocol to the Belgian situation and to develop in this way a theoretical framework for uniform and standardized data collection, as a first step towards reliable and comparable national figures for Belgium

- EXPERIENCED DIFFICULTIES:

* definition and classification of the types of treatment centres to include* interpretation of the options of the variable « labour status »* determination of the primary drug

- NEXT STEPS: * approval by the Health Policy Drug Cel* approval by the Interministerial Conference on Health* operationalisation

Bulgaria (1)

• National Expert: • Momtchil Vassilev

• No



•N. staff working on TDI: 3 persons – not only on TDI

• Yes

•Expert based in NFP: • Yes

Bulgaria (2)


No / Poor / Sufficient / Good

• /___/ / X / /___/ /___/

• /___/ /___/ / X / /___/

• / X / /___/ /___/ /___/

• / X / /___/ /___/ /___/

• / X / /___/ /___/ /___/

• /___/ /___/ /___/ /___/

Other important issues •Data collection is based on a special Registration Form / Questionnaire, filled in by doctors, psychologists, nurses etc.


Fully compatible

Cyprus (1)

• National Expert: • Name _Ioanna Yiasemi

• No



•N. staff working on TDI: N. /_2__/

• No

•Expert based in NFP: •Yes

Cyprus (2)


No / Poor / Sufficient / Good• /_7__/ /___/ /___/ /_x__/• /__2_/ /___/ /___/ /__x_/• /__0_/ /__x_/ /___/ /___/• /_0__/ /___/ /___/ /_x__/• /__0_/ /_x__/ /___/ /___/• /__0_/ /___/ /___/ /_x__/

Other important issuesThe EMCDDA Protocol has been implemented in April, 2004.

•Compatibility with the EMCDDA Protocol 51-90%

Czech Republic (1)

• National Expert: • Name Bela Studnickova

• No



•N. staff working on TDI: N. /4/

• Yes - in NFP

•Expert based in NFP: No – Drug Epidemiology Headquarters HS

Czech Republic (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_X__/• /___/ /___/ /___/ /_X__/• /_X__/ /___/ /___/ /___/• /___/ /___/ /___/ /_X__/• /___/ /_X__/ /___/ /___/• /_X__/ /___/ /___/ /___/

Other important issues•State-wide coverage (more then 300 T/C centres)

•Data about problematic drug users (EMCDDA definition) and other treated drug users (canna-binoids, hallucinogens, volatile solvents, other medicaments users)

•Compatibility with the EMCDDA Protocol = 1.


2. 51-90%

3. 10-50%

4. No

Denmark (1)

• National Expert: • Eva Hammerby

• No



•N. staff working on TDI: N. 1

• Yes

•Expert based in NFP: •No (but in the same building)

Denmark (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_x_/• /___/ /___/ /___/ /_x_/• /___/ /___/ /___/ /___/• /_x_/ /___/ /___/ /___/• /_x_/ /___/ /___/ /___/• /___/ /___/ /___/ /___/

Other important issues•____________________________ ____________________________ ____________________________



(except no information on referral)

Estonia (1)

• National Expert: Ave Talu

• Yes/No



•N. staff working on TDI:

At the moment only TDI expert is dealing with legal and technical aspects of DTD Registry; since January 2005, in total 3 persons

• Yes/No

•Expert based in NFP: Estonian Drug Monitoring Centre

Estonia (1)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/

Other important issues

By the Development Plan of Health Registries the Treatment Demand Registry must be established on 1st January 2005. EDMC will be responsible for keeping the registry.



2. 51-90%

3. 10-50%

4. No

Finland (1)

• National Expert: • Airi Partanen

• No



•N. staff working on TDI: 1,5 person year/4 persons

• Yes


Finland (2)


No / Poor / Sufficient / Good• /___/ /___/ /_x_/ /___/• /___/ /___/ /_x_/ /___/• /___/ /_x_/ /___/ /___/• /___/ /_x_/ /___/ /___/• /___/ /___/ /_x_/ /___/• /___/ /_x_/ /___/ /___/

Other important issues•Voluntary, anonymous, statistical data collection


1. 51-90%

France (1)

• National Expert: VAISSADE Laure

PALLE Christophe

No



•N. staff working on TDI: 0,8

Yes


France (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/

Other important issues•OPEMA_____________________ ____________________________ ____________________________

•Compatibility with the EMCDDA ProtocolYes


2. 51-90%

3. 10-50%

4. No

Germany (1)

• National Expert: • Name Simon

• Yes




• Yes


1 in NFP

Germany (2)


No / Poor / Sufficient / Good• /___/ /___/ 707 /___/• /___/ /___/ 106 /___/• /___/ /___/ 0 /___/• /___/ /___/ 0 /___/• /___/ /___/ 0 /___/• /___/ /___/ 0 /___/

Other important issues•Special evaluation of Prison based and low threshold units planned for 2004



Greece (1)

• National Expert: • Katerina Kontogeorgiou• Maria Pouloudi

“Reliability of drug dependents’ self-reports”, Kokkevi A., Richardson C., Palermou B. and Leventakou V., Drug and Alcohol Dependence 45 (1997) p.55-61


•Validation study conducted:Sub-Task 3.1. « To improve the reliability of data collected by treatment demand reporting systems » July 1997, UMHRI

• N. staff working on TDI:3: - Project manager - Statistician - Secretary

No

• Expert based in NFP: Yes

Greece (2)


No / Poor / Sufficient / Good

√

√

√

√

√

Other important issues

•More than 90% national coverage•Great changes in the reporting system make trend analysis difficult

•Individual questionnaires •Double counting controlled

• Compatibility with the EMCDDA Protocol

Yes, fully compatible

Hungary (1)

• National Expert: • Dr József RÁCZ

• No



•N. staff working on TDI: 1 person

• Yes

•Expert based in NFP:•No, Institute for Psychology, Hungarian Academy of Sciences

Hungary (2)


No / Poor / Sufficient / Good• /___/ x /___/ /___/• /___/ x /___/ /___/• x /___/ /___/ /___/• x /___/ /___/ /___/• x /___/ /___/ /___/• /___/ x /___/ /___/

Other important issues• EMCDDA TDI Protocol is under implementation



2. 51-90%

3. 10-50%

4. No

Ireland (1)

• National Expert: • Name Jean Long

Yes, Opiate users attending methadone services



•N. staff working on TDI: N. /2.5/

Yes, Not specific to TDI but progress included

•Expert based in NFP:•Yes, Drug Misuse Research Division, Health Research Board, Dublin

Ireland (2)


No / Poor / Sufficient / Good• /___/ /___/ /x/ /___/• /___/ /___/ /x/ /___/• /___/ /x/ /___/ /___/• /___/ /___/ /x/ /___/• /x/ /___/ /___/ /___/• /___/ /___/ /___/ /___/



1. Yes, from 2004 fully compatible

Italy (1)

• National Expert: • NAME Aldo Polettini

• Yes



•N. staff working on TDI: N. /46/ (central and regional level)

• Yes

•Expert based in NFP: • No . University of Pavia

Italy (2)

• Types of centre covered:• Outpatient• Inpatient• GPs (see foot notes)

• Low Threshold Agencies (see foot notes)

• Units in Prison (see foot notes)

• Others

No / Poor / Sufficient / Good• /___/ /___/ /_X_/ /___/• /___/ /_X_/ /___/ /___/• /___/ /_X_/ /___/ /___/• /_X__/ /___/ /___/ /___/• /___/ /___/ /_X_/ /___/• /___/ /___/ /_X_/ /___/

Other important issues:Notes•Reporting of treatment data in line with the TDI protocol only occurs in some Regions. In these Regions it is fully compatible and extension to other Italian Regions is in process.

•Compatibility with the EMCDDA Protocol)


2. 51-90%

3. 10-50%

4. No

Latvia (1)

• National Expert: • Name Ieva Matisone

• Yes




• No


Latvia (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_+_/• /___/ /___/ /___/ /_+_/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/




2. 51-90%3. 10-50%

4. No

Luxembourg (1)

• National Expert: • Name Alain ORIGER

• No



•N. staff working on TDI: 2

• Yes

•Expert based in NFP: • Yes

Luxembourg (2)


No / Poor / Sufficient / Good• X• X• X• X• X• X

Other important issues•A difference should be made between ‘ ITEM COMPATIBILITY ’ and ‘ CATEGORIES OF ANSWERS COMPATIBILITY ’



Malta (1)

• National Expert: • Name : Anna Girard __________

• Yes/No



•N. staff working on TDI: N. / 5 /

• Yes/No

•Expert based in NFP: •Yes/No (where?) Yes•_Ministry for the Family and Social Solidarity

Malta (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_x_/• /___/ /___/ /___/ /_x_/• /_x_/ /___/ /___/ /___/• /_x__/ /___/ /___/ /___/• /___/ /___/ /___/ /_x_/• /___/ /___/ /___/ /___/




2. 51-90%

3. 10-50%

4. No

Netherlands (1)

• National Expert: • Anton W. Ouwehand

• Yes in 1997



•N. staff working on TDI:including national system LADIS

N. /6

• Yes, Epid.workgroup NFP

•Expert based in NFP: • No based in IVZ, in coop. NFP

Netherlands (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_xx_/• /___/ /_xx_*/ /___/ /___/• /_xx_/ /___/ /___/ /___/• /___/ /___/ /___/ /_xx_• /___/ /___/ /_xx_/ /___/• /___/ /___/ /___/ /_xx_/

Other important issues•_*In 2005 all inpatient clinics information will be involved in LADIS. From 2006 reporting system will be covering 100 % of addiction treatment (except GP ’s)



Norway (1)

• National Expert: • Erik Iversen

• No



•N. staff working on TDI: N. / 4 (13+) /

• Yes

•Expert based in NFP: •No : Bergen Clinics Foundn.

Norway (2)


No / Poor / Sufficient / Good• /___/ /_X_/ /_X_/ /___/• /___/ /___/ /_X_/ /_X_/• /_X_/ /___/ /___/ /___/• /___/ /_X_/ /_X_/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/

Other important issues•System is under revision, linked to a national reform placing the addiction sector within the specialist health care system


• 1 and 4: Yes, fully compatible, but not compatible due to data on aggregated level.

Poland (1)

• National Experts: • Name: Boguslawa Bukowska Janusz Sieroslawski

• Yes/No


• Validation study conducted:

• N. staff working on TDI: N. /2 - up to now/

• Yes/No

• Expert based in NFP: • Yes/No (where?) _____

Poland (2)


No / Poor / Sufficient / Good• /_0__/ /___/ /___/ /___/• /_0__/ /___/ /___/ /___/• /_0__/ /___/ /___/ /___/• /_0__/ /___/ /___/ /___/• /_0__/ /___/ /___/ /___/• /_0__/ /___/ /___/ /___/

Other important issues•TDI according to EMCDDA standards will be implemented in Poland in 2005. (Program Transition Facility - light twinning)________________________



2. 51-90%

3. 10-50%

4. No

Portugal (1)

• National Expert: • Name _Fernanda Feijão

• No




• Yes


Portugal (2)


No / Poor / Sufficient / Good• /___/ /___/ /_X_/ /___/• /_X__/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_ X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/

Other important issues•TDI depends on the Treatment National Information System for Drug Users


3. 10-50%

Romania (1)

• National Expert: • Name: Madi SURUGIU, MD

• No



•N. staff working on TDI: N. /__2_/

• Yes


Romania (2)


No / Poor / Sufficient / Good• /___/ /___/ /_X__/ /___/• /___/ /__X_/ /___/ /___/• /__X_/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /__X_/ /___/ /___/ /___/• /__X_/ /___/ /___/ /___/

Other important issuesThe monitoring system will be improved starting with 2004 and the RMCDDA will develop its own database



2. 51-90%

3. 10-50%

4. No

Slovakia (1)

• National Expert: • Name: Imrich Steliar

• No



•N. staff working on TDI: N. /1+4*/

• No


*staff working on data collection and processing at the Institute of Health Inf.&Statistics

Slovakia (2)

• Types of centre covered:• Outpatient• Inpatient• GPs• Low Threshold Agencies• Units in Prison• Others (Min.of transport.-hosp. of railways)

No / Poor / Sufficient / Good• /___/ /___/ /___/ /_X_/• /___/ /___/ /___/ /_X_/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /___/ /___/ /___/ /_X_/• /___/ /___/ /___/ /_X_/




2. 51-90%

3. 10-50%

4. No

Slovenia (1)

• National Expert: Miljana Vegnuti

• No




• Yes


Slovenia (2)


No / Poor / Sufficient / Good• /1 / /___/ /___/ /18 /• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /___/• /___/ /___/ /___/ /6 /• /___/ /___/ /___/ /___/

Other important issues• The evaluation of treatment programmes in

Slovenia will start next year as soon as the appropriate data on low threshold agencies will be

available_________________________ ____________________________ ____________________________



Spain (1)

• National Expert: Luis Royuela

• 1988Rev San Hig Púb 1993 Vol 67 Nº 5 Pag385-399



•N. staff working on TDI:Regional level N. 19

• Yes

•Expert based in NFP:Delegación del Gobierno para el Plan Nacional sobre Drogas

National level N. 2

Spain (2)• Types of centre covered:

• Outpatient• Inpatient• GPs• Low Threshold Agencies• Units in Prison• Others

No Poor Sufficient Good

Other important issues*Source of referral * Living status (With whom) *Living status (where) *Nationality *Frequency of use.


1. Yes, fully compatible2. 51-90%3. 10-50%4. No

X

X

X

X

X

X

In 2003 begun collecting data of items:

Sweden (1)

• National Expert: • Roger Holmberg

• Yes




• Yes

•Expert based in NFP: • No - Nat. Board of Health and Welfare

Sweden (2)


No / Poor / Sufficient / Good• /___/ /_X_/ /___/ /___/• /___/ /_X_/ /___/ /___/• /_X_/ /___/ /___/ /___/• /_X_/ /___/ /___/ /___/• /___/ /___/ /_X_/ /___/• /___/ /___/ /_X_/ /___/

Other important issues• Participation is voluntary• Insufficient double-counting control



Turkey (1)

• National Expert: • Nesrin DİLBAZ

Yes



•N. staff working on TDI: Yes

Yes


Turkey (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ /_X_/• /___/ /___/ /___/ /_X_/• /_X_/ /___/ /___/ /___/• /___/ /___/ /___/ /_X_/• /_X_/ /___/ /___/ /___/• /___/ /___/ /___/ /___/

Other important issues• prisoner is checked by doctors working at prison and doctor calls an expert if he/she determines an user or addict


We didn’t finish to check it. But it looks as 3

United Kingdom (1)

• National Expert: • Name: Patsy Bailey

• Yes



•N. staff working on TDI: N. /___/Staff in England,Wales, Scotland andNorthern Ireland; NTA,staff at all levels of datacollection etc

• Yes

•Expert based in NFP: •No. But in Department of •Health, London, with NFP

United Kingdom (2)


No / Poor / Sufficient / Good• /___/ /___/ /___/ √

• /___/ /___/ /___/ √• /___/ √ /___/ /___/

• √ /___/ /___/ /___/

• √ /___/ /___/ /___/

• √ /___/ /___/ /___/

Other important issues• _Major changes in collection process in England

• Consistency across the UK

• New emphasis on performance ____________________________


1. 51-90% - Around 60% (8/20)

2. 10-50%


4. No

country presentation: state of progress of the tdi by country in 2004 annual expert meeting on...

Documents

national working group

nfp expert

emcdda lisbon slide

compatible slide

types of centre

national experts

operationalisation slide

building slide