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DRG/2006/126-777

INTERIM NARRATIVE REPORT (2008-2009) 1

INTERIM NARRATIVE REPORT 1. Description 1.1. Name of beneficiary of grant contract: GENERAL SECRETARIAT OF THE ORGANIZATION OF AMERICAN STATES (GS/OAS) THROUGH THE OFFICE OF THE INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION (CICAD)

1.2. Name and title of the Contact person: Anna McG. Chisman. Head of Demand Reduction, CICAD/OAS

1.3. Name of partners in the Action: EU-LAC cities that have, in their political and administrative structures locally controlled health authorities, drug committees, adult and juvenile courts, prisons systems, and NGO treatment providers; international experts, NGO networks

1.4. Title of the Action: Improving drug treatment, rehabilitation and harm reduction: European, Latin American and Caribbean cities in partnership (EU-LAC Drug Treatment City Partnerships)

1.5. Contract number: DRG/2006/126-777

1.6. Start date and end date of the reporting period: July 2008-June 2009

1.7. Target country(ies) or region(s): European, Latin American, and Caribbean cities

1.8. Final beneficiaries &/or target groups1 (if different) (including numbers of women and men):

Final target groups:

Local policy makers (mayor, city council, Chief Medical Officers), networks of NGO treatment providers, family court judges and prosecutors who are involved in alternatives to incarceration for drug dependent offenders, and Chiefs of Police who favor this approach to handling drug challenges

o Institutions and organizations working in drug treatment in the participating cities o Professionals working in the area of drug treatment o Cities o National Drug Commissions o Ministries of Health o European Union, Latin American and Caribbean institutions Target groups – number of cities - (interim report). February 2007 and June 2009.

What are the cities that have participated so far in this initiative?

1 “Target groups” are the groups/entities who will be directly positively affected by the project at the Project Purpose level, and “final

beneficiaries” are those who will benefit from the project in the long term at the level of the society or sector at large.

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49 cities from both sides of the Atlantic have participated in the different working groups2

ANTIGUA Y BARBUDA St. John's TRINIDAD &TOBAGO Port of Spain ARGENTINA San Michel de Tucuman URUGUAY Montevideo BAHAMAS Nassau VENEZUELA Maracaibo BARBADOS Bridgetown BELGIUM Ghent BOLIVIA Sucre BULGARIA Varna BRASIL Niteroi GERMANY Frankfurt CHILE Conchalí GREECE Athens CHILE Peñalolén IRELAND Dublin COLOMBIA Bogotá ITALY Rome COSTA RICA San Ramón LATVIA Riga DOMINICA Roseau LITHUANIA Vilnius ECUADOR Cuenca PORTUGAL Coimbra EL SALVADOR Colón - Lourdes ROMANIA Bucharest GUYANA Georgetown SLOVAK REPUBLIC Kosice HAITI Petion Ville SLOVENIA Ljubljana JAMAICA Kingston SPAIN Lugo MEXICO Mexicali SPAIN Barcelona MEXICO Nuevo León SPAIN Elche NICARAGUA Masaya SPAIN Segovia PARAGUAY Fernando de la Mora SPAIN Gijon PERU Lambayeque (Chiclayo) SPAIN Zamora DOMINICAN REPUBLIC Santo Domingo SWEDEN Goteborg ST. KITTS & NEVIS Basseterre UK Liverpool ST. VINCENT & THE GRENADINES Kingstown UK Edinburgh SURINAME Paramaribo

Observers and other participants from other countries and organizations (experts): • Cayman Island • Russian Federation • Bermuda • UNODC • EMCDDA • CARICOM • IADTC, International Association of Drug Treatment Courts

2 http://www.eulacdrugs.org/eulac/accionescolaborativaseulac08-10

http://www.eulacdrugs.org/eulac/accionescolaborativaseulac08-10

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1.9. Country (ies) in which the activities take place (if different from 1.7): same (as per the implementation of the activities). The following cities/countries have taken some leadership in the organization of concrete activities (past, present and future):

• Santo Domingo, Dominican Republic

• San Ramón, Costa Rica

• Montevideo, Uruguay

• Montego Bay and Kingston, Jamaica

• Santiago de Chile, Chile

• Göteborg, Sweden

• Ghent, Belgium

• San Miguel de Tucumán, Argentina

• Segovia, Spain

• Coimbra, Portugal

• Nassau, Bahamas

• Lugo, Spain

2. Assessment of implementation of Action activities (including previous report)

2.1. Activities and results

Please list all the activities in line with Annex 1 of the contract during the reporting period. In addition to all activities developed during this period, and in order to provide a general view of the action, activities included in previous interim report are also reflected in this report (regarding the Steering Committee and the Santo Domingo City Forum)

Establishment of a network of EU/LAC partner cities and Project Steering Committee Topics/activities covered and results of this activity:

Formal presentations of the project to the CICAD Commission: The CICAD country delegates heard formal presentations and updates on the project at the three regular sessions that have been held since the initiative was approved (May 2-4, 2007, 41st regular session, Washington, D.C.; November 27-30, 2007, 42nd regular session, Santa Marta, Colombia, and April 30-May 2, 2008, 43rd regular session, Washington, D.C.). The Commission approved the project and welcomed the progress being made.

At CICAD/OAS FORTY-FIFTH REGULAR SESSION (May 6 - 8, 2009), and after the presentations and the results of the EU-LAC City Alliance on Drug Treatment, and at the request of several delegations, the Commission Chair requested that the Executive Secretariat present to the European Commission, on behalf of the member states, a new project that: (1) permits the participation of new countries and more municipalities; (2) includes a comprehensive approach that encompasses programs of prevention, treatment, rehabilitation and aftercare; (3) strengthens capacities, institutions and institutional cooperation in the development of public policies at the national, regional and municipal levels; (4) and strengthens and expands the work initiated by this project in the areas of treatment alternatives under court supervision.

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Other presentations:

The Executive Secretariat of CICAD has presented the project in a variety of other fora, including: the Xth High-Level Meeting of the Coordination and Cooperation Mechanism on Drugs between the European Union and Latin America and the Caribbean (Vienna, March 4-5, 2008); meetings of European Cities Against Drugs (Istanbul, May 2007 and Milan, September 2007), Santo Domingo city Forum (April 2008), San Ramón, Costa Rica -Workshop on Public Policies in Drug Treatment- (July 2008), Brussels -High-Level Meeting of the Coordination and Cooperation Mechanism (December 2008), Montevideo, Uruguay (November 2008), Montego Bay, Jamaica (March 2009), Montevideo, Uruguay (March 2009), Santiago de Chile, Chile (March 2009), Goteborg, Sweden (May 2009), Brussels – EuropeAid meeting (June 2009), Ghent, Belgium (June 2009), among others.

Launching the EU-LAC initiative and its first steps in building the partnership. In March and April 2007, CICAD issued an official invitation to all Latin American and Caribbean countries, through the National Drug Councils, to designate a city to represent their country in this project.

Results: 25 countries involved (25 cities). The following cities and countries are currently participating as a result of that invitation. For more information, visit http://www.eulacdrugs.org/eulac/ciudadesparticipantes

LAC Cities: St. John’s (Antigua & Barbuda) , San Miguel de Tucumán (Argentina), Nassau (Bahamas), Bridgetown (Barbados), Sucre (Bolivia), Niteroi (Brazil), Conchalí Metropolitan Region of Santiago (Chile), Bogotá (Colombia), San Ramón (Costa Rica), Roseau (Dominica), Santo Domingo (Dominican Republic), Cuenca (Ecuador), Lourdes-Colon (El Salvador), Georgetown (Guyana), Pétion Ville (Haiti), Kingston (Jamaica), Mexicali (Mexico), Masaya (Nicaragua), Fernando de la Mora (Paraguay), Chiclayo (Peru), Kingstown (St. Vincent & Grenadines), Paramaribo (Suriname), Port of Spain (Trinidad & Tobago), Montevideo (Uruguay), and Maracaibo (Venezuela).

Official invitation issued to select EU counterparts (cities), as follows:

• In some countries where the National Drug Commission is “strong” and/or where there is a fluent communication among local and national agencies (e.g., Italy, Portugal, Romania, and Spain, among others,) the official invitation was issued through the National Drug Councils.

• In other cases, the European Commission (contact person in EuropeAid) suggested cities and contacts.

• CICAD also approached different EU drug networks such as Democracy, Cities and Drugs, and European Cities against Drugs.

• Direct contact with some cities

Results: 15 countries involved (20 cities). The following cities and countries are currently participating as a result of that invitation (issued between September 2007 and January 2008). For more information, visit: http://www.eulacdrugs.org/eulac/ciudadesparticipantes

EU Cities: Ghent (Belgium), Sofia* (Bulgaria), Frankfurt (Germany), Athens (Greece), Dublin* (Ireland), Rome (Italy), Riga (Latvia), Vilnius (Lithuania), Coimbra (Portugal), Bucharest (Romania), Kosice (Slovakia), Ljubljana (Slovenia), Lugo – Barcelona – Elche – Gijón – Segovia – Zamora (Spain), Göteborg (Sweden), and Edinburgh (UK)

N.B. Copies of all these invitations were sent to the Embassies of the EU/LAC countries in Washington, D.C., and some individual briefings were given to Foreign Ministry officials.

http://www.eulacdrugs.org/eulac/ciudadesparticipantes

http://www.eulacdrugs.org/eulac/ciudadesparticipantes

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Project Steering Committee (ref: 1.7.1) • The following are members of the Steering Committee:

i. Edinburgh, Scotland, United Kingdom ii. Göteborg, Sweden

iii. Lugo, Spain iv. Montevideo, Uruguay v. Nassau, Bahamas

vi. Santo Domingo, Dominican Republic vii. Inter-American Drug Abuse Control Commission (CICAD)

viii. European Commission • First Steering Committee meeting. Via videoconference on July 24, 2007.

Outcomes: First contact between members; Santo Domingo designated to host the first City Forum in April 2008; presentation of the project, goals, and calendar of activities

• Second Steering Committee meeting. Santo Domingo, April 5, 2008. Outcomes: wrap-up of the Santo Domingo City Forum; agreement to designate Nassau as a new Steering Committee member; review of activities and commitments (see three Annexes with collaborative actions: groups 1, 2, and 3)

Confirmation of the project management and coordination team (2008):

• Head of Demand Reduction: Anna Chisman • Project Manager: Antonio Lomba (EU Citizen, experienced in working with CICAD

member states in the area of drug demand reduction.) • Content Project Coordinator: Luis Alfonzo. Psychiatrist and Demand Reduction

Specialist. • Project and online collaborative environment assistant: Maria Juliana Luján. Project

assistant. • Accounting Officer: Luis Villalobos. Procurement Specialist.

Summary of activities and significant visibility actions (See descriptions in detail under “activities “by group of this document) 2007- January 2008. First Steering Committee Meeting. EU-LAC Launch

Result: Participant countries select the first 44 cities for this initiative. www.eulacdrugs.org Creation of the Steering Committee EU-LAC

March 4-5, 2008. Vienna Meeting. EU-LAC Coordination Mechanism meeting

This initiative is presented under the presidency of Bolivia and Slovenia. The project receives full support from the Mechanism. See the Hofburg declaration: http://register.consilium.europa.eu/pdf/en/08/st07/st07602.en08.pdf

http://www.eulacdrugs.org

http://register.consilium.europa.eu/pdf/en/08/st07/st07602.en08.pdf

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April 3-5, 2008. EU-LAC Inter-regional Forum. Santo Domingo April 2-5, 2008 (ref: 1.7.2). From previous interim report

Location: Santo Domingo, Dominican Republic

Date: April 2-5, 2008 Documents: In order to review all documents and information related to the Santo Domingo City Forum, please visit http://www.eulacdrugs.org/eulac/santo_domingo_forum

Participants: o Profile of the participants:

1. City Mayors, Deputy Mayors and City Officials 2. Local contact person for this initiative 3. Representatives responsible for the health sector (at the municipal/regional

and/or national level) 4. Representatives responsible for Drug Treatment 5. Representatives from the Drug National Commission, Council, or equivalent at

the national level 6. Judge, Magistrate, Prosecutor, or any person from the judicial system or the

prosecutors office with competence or interest in the area of alternatives to incarceration for petty drug offenders

7. Other representatives directly invited by the city (NGOs working with the city in the area of drug treatment, and other municipal or national representatives)

o Number of participants: A total of 80 participants was the initial estimation when the

project was designed. However, only 55 were budgeted. CICAD was able to bring almost 300 people to the Forum, by covering approximately 1/3 of the travel expenses (one out of three people average), and by making advantageous arrangements with local hotels. CICAD also arranged for the host city, Santo Domingo, to pay for (dinners, local transportation, and most of the marketing and visibility activities involved). One person from the European Commission attended the Forum, Director of EuropeAid for Latin America, Ms. Alexandra Cas-Granje. The total participation was: 24 LAC City Delegations, 18 EU City Delegations, 2 Observer Cities, 286 Participants and delegates (140 women and 146 men)

• EU Support: Support letters received by the Executive Secretariat of CICAD prior to the Forum: from President José Manuel Durao Barroso, and Directors General Koos Richelle, Eneko Landaburu, Stefano Manservisi, as well as the speech sent by Commissioner Benita Ferrero-Waldner for the inaugural session demonstrated the European Commission’s commitment to this initiative, and its future impact. However, the lack of physical participation of EC representatives (except the Director of EuropeAid Latin America) was undoubtedly noticeable to all participants, including those members of the Steering Committee.

• Visibility: The Forum was covered by local and regional media, as well as through newspapers and internet articles in several countries (e.g., Uruguay, Spain, and UK). The presidency of Dominican Republic, the National Drug Council of the Dominican Republic, the City of Santo Domingo, and other local institutions supported this multilateral event.

• Results of this Forum:

o First institutional contact and project launch o Initial oral inter-city agreements (described by concrete actions) o Thanks to this initiative, some countries have organized, for the first time, internal review

committees where National Drug Commissions meet together with selected cities on a regular basis to analyze common strategies and ways in which the national level can support the city commitments to this project.

http://www.eulacdrugs.org/eulac/santo_domingo_forum

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o Project visibility throughout the region o Agreement on future concrete actions for 2008-2010. For details, see the following

documents:

• Improving drug treatment public policies and inter/agency cooperation in EU and LAC cities. (Group 1 from the Santo Domingo Forum). Includes 2 concrete actions and 5 activities). Annex I.

• Improving drug treatment services in EU and LAC cities (Group 2 from the Santo Domingo Forum). Includes 5 concrete actions and 14 activities. Annex II.

• Treatment alternatives to incarceration for drug dependent offenders. (Group 3 from the Santo Domingo Forum). Includes 5 concrete actions and 8 activities. Annex III.

June 8-11, 2008. San Ramón, Costa Rica International Public Policies Seminar on Drug Treatment Policies for Drug Dependants.

Participants: Experts from Chile, Colombia, Costa Rica, El Salvador, México, Dominican Republic, Uruguay, Venezuela and Spain Results. See the five recommendations at Web: http://www.eulacdrugs.org/eulac/CRhomepage

October 9-10, 2008. Preparatory technical meeting of group 2.

EU-LAC invites experts from some of the countries where there is significant experience on data information systems at the local, regional, or national level. Participants: Chile, El Salvador, Spain (Xunta de Galicia y Barcelona) Results: Exchange of modalities and methodologies. The results of this

meeting were the basis for the Montevideo City Forum (December 2008) and Montego Bay City Forum (March 2009) December 5-6, 2008. Montevideo, Uruguay. Local Diagnosis and Systems of Information for the Area of Drug Treatment

Title (only in Spanish and Portuguese): “Diagnósticos locales y sistemas de información” Participants: 14 cities and regions (Spanish and Portuguese), with most of the National Drug Commissions. The EMCDDA also participated. A

total of 56 delegates. Web: http://www.eulacdrugs.org/eulac/es/MTVDhomepage Results: (activities 1.9.2.1, and 1.9.2.1 of the EU-LAC project) In Spanish

• Basic document for local need assessment • Treatment entry profiles • 8 EU-LAC bilateral agreements

March 4-5, 2009. Montego Bay, Jamaica. Local Diagnosis and Systems of Information for the Area

http://www.eulacdrugs.org/eulac/CRhomepage

http://www.eulacdrugs.org/eulac/es/MTVDhomepage

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of Drug Treatment This Forum was addressed to Local, regional, and national representatives responsible of the administration of public policies related to drug treatment services, including: representatives with specific responsibilities over the execution of treatment strategies (National Drug Council, Ministry of Health); representatives with specific responsibilities over the production and analysis of information related to drugs and their treatment (drug observatories, epidemiologists), and designated persons from the city/country in charge of over viewing the execution of any possible agreements to come in the following years (2009-2010).

Participants: Organized by the cities of Montego Bay y Kingston en Jamaica, the National Drug Commission of Jamaica (NCDA) and CARICOM. A total of 54 delegates. Web: http://www.eulacdrugs.org/eulac/mbhomepage

Results: (activities 1.9.2.1, and 1.9.2.1 of the EU-LAC contract) for English and French speaking cities and countries

• Basic document for local need assessment • Treatment entry profiles • 2 EU-LAC bilateral agreements

March 26-27, 2008. Santiago de Chile, Chile. Treatment alternatives to incarceration for drug-dependent offenders The objective of this meeting was to create a forum for dialogue between the areas of Justice and

Health through the experience of Drug Treatment Courts, enabling the creation, enhancement and sharing of experiences among those countries / cities interested in improving this form of treatment under court supervision. The Chilean case demonstrates a successful experience of collaboration between both fields; Justice, through judges, prosecutors, defense attorneys and other actors within the judicial system; and Health,

integrating those professionals who work in the area of drug treatment at the local, regional and national levels. Participants: 450 delegates and participants from 16 cities. In addition, other organizations such as UNODC, the International Association of Drug Treatment Courts (IADTC), among others (NADCP), also participated. Web: http://www.eulacdrugs.org/eulac/homepagechile Results: (see details in “description of activities”)

♦ Visibility and public awareness: the presence of the Solicitor General. Public Prosecutor’s Office, the Under-Secretary of the Interior, on behalf of the Minister of Interior, the president of CONACE, Chile, and the Delegation of the European Union in Chile, together with CICAD/OAS, provided important venues for the visibility and public awareness of this activity

♦ Commitment: This activity included the participation of more than 450 people ♦ Good practice: judges, prosecutors, probation officers, and professionals from the treatment

sector from 15 countries had the opportunity to experience the model implemented in Chile ♦ City participation in the process of DTC: Chile showed the way city leadership plays a crucial role

in the process of DTCs.

http://www.eulacdrugs.org/eulac/mbhomepage

http://www.eulacdrugs.org/eulac/homepagechile

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♦ Analyzing future needs: training needs for all actors involved, evaluation systems, the different roles played through DTCs, how best coordinate health and justice in this process, among others).

♦ Disseminating institutional seeds for future cooperation: this activity was the first EU-LAC experience to explore future collaboration between cities and countries with experience in the area of DTC, and those with no experience but with the need to respond to drug dependent offenders with an alternative to incarceration.

♦ Concrete agreements: Chile (through their DTC in different municipalities) agreed on sharing this experience and providing technical assistance to Mexico (Nuevo León)

May 6-8, 2009. Washington DC. Forty-fifth regular session of CICAD/OAS After the presentations and the results of the EU-LAC City Alliance on Drug Treatment project (the Mayor of the city of Lugo, Hon. José Clemente (presenting group 1 of EU-LAC), a representative from

Jamaica, Dr. Winston De La Haye, University of the West Indies (presenting group 2), and a representative from Mexico, Luz María García Rivas Directora Ejecutiva en Reducción de la Demanda de Drogas, Centro Nacional de Planeación, Análisis e Información para el Combate a la Delincuencia (CENAPI), Procuraduría General de la República (describing group 3 of EU-LAC) and at the request of several delegations, the

Commission Chair requested that the Executive Secretariat present to the European Commission, on behalf of the member states, a new project that: (1) permits the participation of new countries and more municipalities; (2) includes a comprehensive approach that encompasses programs of prevention, treatment, rehabilitation and aftercare; (3) strengthens capacities, institutions and institutional cooperation in the development of public policies at the national, regional and municipal levels; (4) and strengthens and expands the work initiated by this project in the areas of treatment alternatives under court supervision. May 28-29, 2009. Göteborg, Sweden. Drug Treatment Policies and Interagency Cooperation

♦ To discuss ideas about how to lead drug treatment coalitions in

the city, stressing the role of the city mayor and his/her team ♦ To present the Göteborg model of inter-agency cooperation, and

to examine how different institutions and organizations work together to address drug treatment challenges (including a visit to treatment centers for treatment specialists)

♦ To bring Mayors and Deputy Mayors to a table of discussion to evaluate the effectiveness of evidence-based public policies

♦ To present the results of the Montego Bay and Montevideo technical fora (where 30 EU-LAC cities have agreed on two assessment tools), and

♦ To work on designing local drug strategies based on treatment needs in cooperation with regional and national agencies and institutions

(See details and results in “description of activities by groups” in this same document). June 22-23, 2009. Brussels. EuropeAid, European Commission. Fight against Drugs along the

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cocaine routes Opportunities and challenges for EC external aid Organization: AIDCO E4 organized the workshop together with other relevant AIDCO units (in particular AIDCO E3, E6, F2) and other Commission services (in particular RELEX, DEV, JLS). Participation of experts from EU Member States, the European Monitoring Centre and Drugs and Drug Addiction (EMCDDA) and Europol is foreseen, and possibly also of relevant organizations (e.g. Interpol, UNODC). Target group: EC Delegation staff and relevant staff at HQ (i.e. geographic desks at RELEX, DEV, AIDCO) Speakers related to EU-LAC: James Mack, Executive Secretary, Inter-American Commission for the Control of Drug Abuse (CICAD)

Presentation on trends of cocaine production, consumption and trafficking in Latin American and Caribbean countries. Role of CICAD.

Antonio Lomba/ EU-LAC Project Manager Mariano Montenegro. Director of Drug Treatment and Social Integration, CONACE, Chile, Judge John Dangreau and Prosecutor Annemie Serlippens, Ghent Drug Treatment Court, Belgium

Presentation of practical experience in LAC countries in the areas of drug treatment and alternatives to prison, in the framework of the EC/CICAD project on City Twinning between EU and LAC countries.

June 25-26, 2008. Ghent, Belgium. EU-LAC City Technical Forum and best practice exchanges on treatment alternatives to incarceration under judicial supervision for drug-dependent offenders.

EU-LAC City of Ghent Technical Forum and best practice exchange was the second activity carried out under group 3 of EU-LAC (promoting drug treatment alternatives to incarceration for drug dependent offenders). The agenda of Ghent is the result of the different proposals presented by more than 16 countries during the prior activity of this same group

held in Santiago de Chile, Chile, in March 2009. (See details and results in “description of activities by groups” in this same document). Some of the results were: ♦ Creation of the first European Association of Drug Treatment Courts (EADTC). ♦ Bilateral cooperation agreement between the city of Paramaribo (Suriname) and the city of

Ghent (Belgium) The State of Nuevo Leon, Mexico, continued the work started in Chile (EU-LAC March 2009) for the creation of the first Drug Treatment Court in Mexico.

♦ Good practice: judges, prosecutors, probation officers, and professionals from the treatment sector from 18 countries had the opportunity to experience the model implemented in Ghent.

♦ Dissemination: All sessions were recorded so they could be shared on-line through the EU-LAC web/platform with those representatives who could not attend, or may need to evaluate this experience in the future (currently being updated and available online shortly at www.eulacdrugs.org )


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Graphic of all the EU-LAC activities concluded, in progress and scheduled:

IMPLEMENTATION CALENDAR OF THE EU-LAC PROJECT EXPECTED RESULTS SANTO DOMINGO FORUM, DOMINICAN REPUBLIC. APRIL 2008

GROUP 1 Improving drug treatment

public policies and inter-agency cooperation

GROUP 2 Improving drug treatment

services in EU and LAC cities

GROUP 3 Treatment alternatives to

incarceration under judicial supervision for drug-dependent

offenders

2008

• 44 cities selected • Web and platform created • Strategic plan for EU-

LAC by activities and expected results

• Work calendar • Commitments

MONTEVIDEO, URUGUAY DECEMBER

2009

• Local diagnostic study (need assessment-map)

• Patient data form • Bilateral agreements

MONTEGO BAY, JAMAICA MARCH 2009

CHILE MARCH 2009

• Follow up/needs assessment

• Local strategic work plan • Inter-agency cooperation

(models)

GÖTEBORG, SWEDEN MAY 2009

GHENT, BELGIUM JUNE 2009

• Treatment models • Indicators • Role of judges,

prosecutors, defense attorneys, social workers, treatment providers

• Cooperation Justice-Health

SAN MIGUEL DE TUCUMÁN, ARGENTINA

SEPTEMBER 2009

• Treatment protocols: o High-risk populations o Types of drugs o Immigration.

• Capacity-building

SEGOVIA, SPAIN OCTOBER 2009

COIMBRA, PORTUGAL DECEMBER 2009

2009

• Inter-agency cooperation at the local, regional and national level

• Publication review • Strategy plan review and

follow up

LUGO CITY FORUM, SPAIN MAY 2010 • Results and future projects

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Communication Strategy On-line shared workspace CICAD has continued feeding the online collaborative environment (open software) within DotLRN (online platform)

• Web site. Portal, for all the information about this initiative: www.eulacdrugs.org • Intranet: Only for EU-LAC members. Already active within www.eulacdrugs.org

Among the different tools offered by this online environment to participating cities, you will find: • Forums and discussion groups • Calendar of Activities • Communities • Email distribution and notification updates • Document sharing • News



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Activities and results achieved according to Annex I of this action. Follow up:

Three are the major concrete achievements so far in the initiative:

• Improved dialogue through information and software exchanges among cities, regions, and national organizations. In addition to the twelve cooperative agreements signed between cities, a total of 1,125 local and national delegates and experts have participated in our seven events. Cities, national drug commissions, ministries of health and justice, among others, have been represented at the highest level.

• Consensus: more than 30 cities on both sides of the Atlantic have agreed on the use of criteria for treatment intake data collection and city needs assessments, and we have developed two instruments for data collection by the cities. The European Monitoring Center for Drugs and Drug Addiction (EMCDDA) and CICAD’s Inter-American Observatory on Drugs have provided critical technical advice on how best to collect information on patients in drug treatment.

• Commitment: Several agreements have been reached among cities on both sides of the Atlantic, in many cases with the support of their national governments, and as a result, the project has received from the cities additional cash and/or in-kind contributions amounting to more than 25% of the original budget.

From the logic framework of EU-LAC Status update (as of June 2009) Expected

results (Comp)

Intervention logic

Objectively verifiable indicators of achievement

Status update (as of June 2009)

Participating city authorities will have met at 2 high-level policy conferences on drug treatment, rehabilitation and harm reduction, and will have agreed plans of action.

1. a. Partnership agreements signed between the LAC and EU cities and CICAD, specifying onward cooperation 1.b Materials on best practices compiled and circulated

6 high-level policy conferences being carried out EU-LAC agreement on plan of action (Santo Domingo onwards) www.eulacdrugs.org

Standardized methodology and questionnaires designed for assessment of drug treatment needs, ten assessments completed in 10 LAC participating cities, and reports published. Standard methodology will be available for other cities and countries to use

2. Use of needs assessments to develop city policies and programs in drug treatment 2.b Other cities and countries make use of the standard methodology

Two Standardized methodology and questionnaires have been developed (Montego Bay and Montevideo technical fora): city profile for need assessment and treatment entry level for drug dependents (documents in Spanish and English available). 24 cities and municipalities have responded the city need assessment questionnaire These documents have been distributed The results of these questionnaires were presented at the Goteborg City Forum. They will be published and presented at the Lugo Summit

City mayors & judges and prosecutors sensitized to need to provide treatment, rehabilitation and harm reduction services to drug users

3.a. Changes in policy on drug treatment issues at the city level, allowing for different types of drug treatment personnel, prepared & published in English and Spanish

Two technical fora and exchange of good practices being carried out: Santiago de Chile (Chile) and Gent (Belgium). Nuevo Leon (Mexico) and Paramaribo (Suriname) have started the process of developing DTCs. Countries like Dominican Republic, Costa Rica, Argentina, Uruguay,


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3.d. 10% increase in the number of patients treated locally for problematic drug use by 2010

and Spain are exploring this process. The results of this process and experiences, as well as the impact of DTC will be published and presented at the Lugo Summit

EU city mayors & authorities sensitized to need for specialized drug treatment programs for LAC immigrant populations in EU cities

4. Number of specialized drug treatment programs for LAC immigrant populations in EU cities

Exchanges of good practices in this area were presented at the Goteborg City Forum. Segovia (October 2009) will include this population.

Exchange of information and experiences in person and through an on-line shared workspace established and functioning among the partner cities (including provision of 20 computers)

5.a Usage of on-line workspace platform by 2008 5b. Number of face-to-face exchanges between LAC and EU cities on specific aspects of drug treatment, rehabilitation and harm reduction

The online workspace platform was launched in 2008 (June 2008) A total of 1,125 local and national delegates and experts have had face-to-face exchanges on specific aspects of drug treatment, rehabilitation and harm reduction through seven activities. As it was stated in previous interim report, countries and cities are using their own capacities and facilities in order to access this shared workspace (no provision of computers is provided through the project). In that sense, the project has received from the cities additional cash and/or in-kind contributions amounting to more than 25% of the original budget.

Public communications program designed and implemented, highlighting EU/LAC cooperation

6a. Number of press releases, copies of TV and radio interviews 6.b Number of brochures, banners, etc. bearing EU and CICAD/OAS logos

See visibility documents in this same report (by chronological order)

External evaluation 7. Report of external evaluator Will be provided at the end of the project

(expected Sept 2010)

Activities Intervention logic Status update

(as of June 2009)

1.a Inter-regional forum of EU/LAC city mayors in month 6 for exploratory discussions with stakeholders on project design and agreements to participate

First Inter-regional forum of EU/LAC city mayors done. 6 other fora organized and carried out already: Santo Domingo, San Ramón, Montevideo, Montego Bay, Santiago de Chile, Göteborg, and Ghent. See details at: www.eulacdrugs.org

1.b Conclusion of formal agreements of commitment to the project, including identification of the agency responsible for drug treatment in each city.

Completed as a conclusion of the Santo Domingo City Forum and during the process of the execution of this phase as other cities have joined the initiative

2. Rapid assessments of drug treatment situation conducted in 10 LAC cities; findings analyzed and published

Completed through the Montevideo and Montego Bay technical city fora, and


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presented in Göteborg (May 2009)

3. JUDICIAL SYSTEM AND TREATMENT ALTERNATIVES TO INCARCERATION

3.a Design by CICAD of general guidelines for sensitizing judicial system personnel to treatment alternatives to incarceration

3b Review, local adaptation & implementation of 3.a guidelines

3.c Exchange workshop for local judges and prosecutors.

Two major events and exchanges carried out: Chile (March 2009), and Ghent (June 2009), including more than 500 hundred participants representing 20 countries

4. Advocacy with national and local decision-makers in the area of drug treatment to promote reorganization of and improvement in delivery of and access to treatment services

A total of 1,125 local and national delegates and experts have had face-to-face exchanges on specific aspects of drug treatment, rehabilitation and harm reduction through seven activities.

5. PUBLIC COMMUNICATIONS PROGRAM

5.a Design and set-up of the on-line shared workspace for communications among all partners

5.b On-line encounters in real time (fora, threaded discussions) and posting to the web of documents and files related to the Action

5.c Evaluation of the operations of the on-line workspace

5.d Increased visibility of EU/LAC cooperation on issues of drug treatment, rehabilitation and harm reduction

on-line shared workspace for communications already designed and completed Web posting and documents available at www.eulacdrugs.org Evaluation pending Visibility: refer to visibility chapter of this report for details

6. EXTERNAL EVALUATION-- contracted external evaluator designs evaluation and presents report to wrap-up forum of mayors in month 33

To be developed at the end of the Action

7. SUSTAINABILITY ACTIONS

7.a Wrap-up forum in month 33

7.b. Commitments to continue the action

Scheduled Lugo 2010 (April 21-23, 20010)

2.2. Regarding contracts above 5000€

Please list all contracts (works, supplies, services) above 5000€ awarded for the implementation of the action during the reporting period, giving for each contract the amount, the award procedure followed and the name of the contractor

Personnel were hired in accordance with OAS regulations, and are paid in accordance with the OAS/UN Salary scale. The project and acquisition of goods and services were done in a consistent manner in accordance with the Organization of American States: procurement and administrative rules. These rules protect the interests of the OAS and guarantee fairness in the selection of suppliers and awarding of contracts. Internal regulations require that all contracts above US$3,000 must include bids from at least three companies. The purpose of the bidding process is to ensure cost effectiveness, choosing the most appropriate vendor to perform services. Selection is based on a variety of criteria including, but not limited to cost, quality of service, and experience of the vendor, among others. For the contracts abroad (where there is an OAS office), we relied on the expertise of our national office in the country which has a better knowledge of the local vendors and contractors to


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perform the best services for the project. For those where there is no OAS office, we relay on the active participation of the counterpart city where the meeting or activity takes place. During the project execution process, four contracts in excess of 5,000 € were awarded to different suppliers for the following services:

Estimated EU-LAC payments over US$ 5,000

Ghent June 2009: • Hotel= ~ US$ 19,000 • Interpretation and cabins= ~ US$ 10,000

Goteborg May 2009: • Hotels= ~US$ 8,000 • Interpretation and cabins = ~ US$ 17,000

Chile March 2009: • Interpretation and cabins = ~ US$ 5,000

Montego Bay March 2009: • Interpretation and cabins = ~ US$ 6,000

Montevideo December 2008: • Hotel= ~ US$ 11,000

Omega Travel (most of EU-LAC travel expenses). Omega Travel is the travel agency designated by the OAS as the primary source for travel expenses for the entire organization

2.3. Please provide an updated action plan 3 The following actions and activities are the result of the Santo Domingo City Forum and correspond to the activities that are being carried out from June 2008 until the end of the project (estimated 2010).

Group 1. Improving drug treatment public policies and inter-agency cooperation in EU and LAC cities (Group 1 from Santo Domingo) Anticipated actions and activities To see the details, description, and further commitments of each of these actions, please go to point 9 of the complete document (Annex I)

Action 1 Study of different models and experiences of inter-agency cooperation: local, regional and national Activity 1.1. Each participating city will describe its form of organization, competencies and available infrastructure,

as well as the way in which all institutions involved interact in the area of drug treatment Activity 1.2 Study visits to observe different experiences: Sweden, Spain, Portugal, Chile, Argentina among others Activity 1.3 Seminar on coordination among networks and institutions Action 2 Evaluation and Report Activity 3.1 Presentation of results at the Lugo city forum Activity 3.2 Final Report of Activities

3 This plan will cover the financial period between the last interim report, the present one, and the next

report.

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Group 2. Improving drug treatment services in EU and LAC cities (Group 2 from Santo Domingo) Anticipated actions and activities To see the details, description, and further commitments of each of these actions, please go to point 9 of the complete document (Annex II)

Action 1 Carry out local assessments of the status of drug treatment Activity 1.1. Assessments of availability of and demand for treatment at the city level

(on-line and workshop) Activity 1.2 Publication of a study detailing the findings of the local assessments (document) Action 2 Formulation of local drug treatment strategies Activity 2.1. In cooperation with national drug commissions (or the equivalent), conduct a workshop on strategic

planning in preparation for formulation of local drug treatment plans (training) Activity 2.2. Development of a strategic plan for drug treatment, rehabilitation and aftercare in cooperation with

national and regional institutions (infrastructure, financing, competencies) in accordance with the circumstances of each country, region and municipality. This plan should include different levels of local services (online and document)

Action 3 Improvement of patient information and data collection systems Activity 3.1. Technical meeting to compare and develop a record-keeping system for patients in drug treatment, based

on existing systems. (meeting) Activity 3.2. Seminar to share the record-keeping system with participating cities-countries (workshop) Activity 3.3 Implementation of the record-keeping system Activity 3.4 Preparation and publication of guidelines on developing a drug treatment record-keeping system at the

local level Action 4 Improvement of local treatment capacities for specific needs, including high risk population and

socially-excluded groups, rehabilitation and aftercare programs Activity 4.1. Updates to drug treatment protocols currently being prepared by CICAD). Development of guidelines to be

adapted to circumstances of participating cities (document) Activity 4.2 Protocol implementation: Training in application of the Treatment Protocols for priority target groups as

discussed during the Santo Domingo Forum (face to face and online training)

Activity 4.3 Dissemination of the Protocols: best practices and guidelines (document) Activity 4.4 Development of quality assurance system (monitoring, indicators for evaluation). (document) Action 5 Evaluation and Report Activity 5.1 Presentation of results at the Lugo city forum Activity 5.2 Final Report of Activities

Group 3. Treatment Alternatives to Incarceration for Drug-Dependent Offenders (Group 3 from Santo Domingo) Anticipated actions and activities To see the details, description, and further commitments of each of these actions, please go to point 9 of the complete document (Annex III)

Action 1 Assessment to be conducted in each participating city (if applicable) Activity 1.1. Completion of an assessment form to be developed by CICAD Action 2 Exchange visits to study the applicability of different models to their own jurisdiction Activity 2.1. Comparison of different models Activity 2.2. Exchange visits Action 3 Development of a strategic plan Activity 3.1. Generation of indicators to evaluate effectiveness of the different models Activity 3.2. Drafting of a strategic plan of action Action 4 Implementation of a pilot Activity 4.1. Implementation of the pilot Activity 4.2. Evaluation of the implementation of a pilot Action 3 Evaluation and Report Activity 3.1 Presentation of results at the Lugo City Forum Activity 3.2 Final Report of Activities

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3. Partners and other Co-operation

3.1. How do you assess the relationship between the formal partners of this Action (i.e. those partners which have signed a partnership statement)? Please specify for each partner organization

Since the last report, and after the Santo Domingo City Forum, this action has counted on the participation of an average of 30 cities per each of the actions. National Drug Commissions, Cities, and Regional representatives have actively participated in the activities described before. The relationship with all the partners of this Action has been very positive, and it is a crucial element for the success of this initiative. A prove of that is the institutional commitment reflected in each of the activities and fora during the prior included in this interim report. The progress of this initiative has been applauded, not only at the EU-LAC High Mechanism meetings, but also at each of CICAD General Sessions.

3.2. How would you assess the relationship between your organization and State authorities in the Action countries? How has this relationship affected the Action?

CICAD´s main partners in Latin America and the Caribbean are the National Drug Commissions (NDCs). Thanks to this project, the NDCs have reached out to their participating city, creating a unique opportunity for dialogue between national, regional, and local institutions. This is, without doubt, one of the most important byproducts of this joint effort. In most cases, CICAD is working with the participating cities, but also with national drug councils and commissions, to guarantee sustainability of the actions carried out under this initiative. Please go to the specific activities described in the three separate Annexes. Central Government involvement is important to ensuring sustainability over time.

This is a multilateral cooperation project in which the participating cities play the main role, along with the Project Steering Committee. The participating cities differ widely in the types of drug treatment services they offer, in the financial and human resources they have available, and in their degree of autonomy in health matters vis-à-vis the central government. Cooperation among city, State/Regional and national governments will be crucial to the success of the actions described below.

As Europe Aid Director for Latin America, Ms. Alexandra Cas-Granje mentioned in Santo Domingo, the participation of more cities would be highly recommended as we move forward. In cases like Spain, the Delegación del Gobierno para el Plan Nacional sobre Drogas (National Drug Commission of Spain), has strongly supported this initiative by including five Spanish cities. Chile and Mexico, among others, are expected to follow the same pattern by including additional cities. Since the last report (July 2008), Chile has included one more municipality into this project, the Municipality of Peñalolén. This project is still lacking the participation of some countries, like France, among others.

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3.3. Where applicable, describe your relationship with any other organizations involved in implementing the Action:

This initiative is not a stand-alone project. Rather it complements other actions under way, and it is complemented by other multilateral initiatives being carried out. This initiative complements ongoing relationships between and within CICAD, and other institutions. For example:

• CICAD/OAS: Within CICAD, these are the departments related to the development and implementation of this initiative (to guarantee integrated approach and avoid the duplication of activities): Demand Reduction, Inter-American Observatory on Drugs (OID), Institution Building.

• EUROPEAN COMMISSION: Some actions being carried out by the European Commission, under the umbrella of EuropeAid, like the URB-AL program, among many others, imply a potential synergy of efforts. CICAD still believes there are many internal connections to be made, not only within the OAS, but also within the different DGs of the European Commission related to drug abuse, as well as to decentralization programs.

• EMCDDA: The EMCDDA has recognized experience from the European side, through their focal points, in data analysis and data recollection. Within the context of the OAS, through the Secretary of Multidimensional Security (SMS), and as one of CICAD´s departments, the Inter-American Observatory on Drugs (OID) does similar work in Latin America and the Caribbean. Many of the project activities receive input from cooperation between the EMCDDA and the OID/CICAD.

• UNODC Colombia: UNODC initiatives in the area of drug treatment and decentralization are already being dovetailed with project activities.

• IADTC (International Association of Drug Treatment Courts) is an excellent partner in developing treatment alternatives to incarceration between EU-LAC partners

• EADTC (European Association of Drug Treatment Courts). This association was created during the EU-LAC Gent City Forum (exchanges of good practices in drug treatment courts). CICAD hopes to support this new association, and thus obtain mutual benefits from this cooperation.

• RIOD (Red Iberoamericana de Organizaciones no Gubernamentales que trabajan en Drogodependencias): NGOs in Latin America and the Caribbean play a fundamental role as treatment providers. Cooperation with RIOD, as well as other NGOs, and NGOs networks will also benefit this initiative

3.4. Where applicable, outline any links you have developed with other actions (as stated in prior report)

CICAD's drug treatment program addresses national treatment policies and systems, including the regulatory framework, the incorporation of drug treatment into the national health care system, training and certification of drug treatment counselors, needs assessments and information systems, treatment alternatives to incarceration for drug-dependent offenders, and clinical protocols. This project incorporates at the municipal level all of these various strands of activity in the area of drug treatment.

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In addition, this project contributes to a set of actions carried out by CICAD in different areas, among them:

► Substance Abuse Prevention: Institutional Building in Prevention Policies

School-based: CICAD Hemispheric Guidelines in School Base Prevention, outline Life Skills model programs for drug use and abuse prevention among children and youth. The Lions Quest and Culture of Lawfulness programs have been implemented in several countries of the hemisphere, promoting a good behavior, healthy decision-making and strengthening of family and community networks.

Work-place: CICAD is developing CICAD Hemispheric Workplace Prevention Guidelines in order for the member states to educate public and private management on the benefits of implementing prevention, education, and treatment referral programs in the workplace.

Community-based: The Youth Outreach Center program is a comprehensive, multi-component drug abuse prevention community program designed to address youth at risk through life skills and leadership training , family counseling, generation of job opportunities and sports and artistic alternatives, as resources to prevent drug use, violence and other risk behaviors among youth.

► Drug Treatment: Institution Building in Treatment Policies

Standards of Care in Drug Treatment, Mainstreaming Drug Treatment into National Health Care Systems: The program's objective is to assist member states develop policies to improve quality of drug treatment by implementing standards of care, strategies of quality assurance and monitoring of treatment programs, organizational and structural aspects of treatment services and integrating them into the national public health system.

Drug Treatment Protocols: CICAD is developing clinician guide for different types of treatment

for different populations.

Prisons and Drug Courts: To assist member states to develop treatment programs for prison inmates, including cooperation with OID in the implementation of information system on drug use in prisons, CICAD and UNODC are promoting alternatives to incarceration for drug-dependent offenders.

► Capacity-Building and Human Development in Prevention and Treatment: International M.A. Online in Addition Studies (Spanish): Online Graduate degree for personnel

working in substance abuse treatment and prevention, providing professional development for substance abuse specialists and researchers in Spain and Latin America.

Central American Training Program: The Central American Training program aims to improve the

quality of services of treatment providers through systematized training and the certification of competencies, skills and knowledge of drug abuse counselors and professionals in the Central American region.

Caribbean Online Certificate Program in Substance Abuse: The program seeks to enhance the

regional response to the challenges associated with substance abuse through training and the development of a lasting network of professionals in this field, thereby improving the environment and the quality of care and service for their clients and benefactors.

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► Monitoring and evaluation: Prevention and Treatment Program: Monitoring and Evaluation Mechanism: A Toolkit for the

Evaluation for Youth Prevention Program was developed by CICAD, and is being used in a scientific evaluation of a school-based prevention program in Peru.

All of the work that CICAD is doing in all of the above areas is placed at the service of the municipalities, particularly in this initiative.

We see potential links with the following projects:

• URB-AL. European Commission • TREATNET. UNODC • SAVIA. CICAD project funded by AECI • Decentralization Projects. UNODC • Internationalization strategy. IADTC

If your organization has received previous EC grants in view of strengthening the same target group, in how far has this Action been able to build upon/complement the previous one(s)? (List all previous relevant EC grants).

CCIAD has received previous EC grants related to drug information systems in the Caribbean, and street children in Latin America. Those grants do not relate directly to this initiative.

4. Visibility

How is the visibility of the EU contribution being ensured in the Action?

Visibility of this action during the period of this interim report includes:

♦ Internet distribution from CICAD’s site www.cicad.oas.org ♦ Internet distribution from EU-LAC’s site www.eulacdrugs.org ♦ Internet distribution from participating cities and countries ♦ Press releases (See visibility at the end of this report) ♦ Banners. Each activity had each own banner (see banner samples below) ♦ Newspapers (in the EU and LAC) ♦ International meetings and events ♦ Television programs ♦ Newsletters (paper and online formats) ♦ Printing materials and publications. Each of the three working groups (improving: public

policies, treatment services, and alternatives to incarceration) is developing documents including good practices and experiences. Publications of these documents will be part of next report (in view of the Lugo City Summit, Spain). All of the activities developed and implemented already, including city fora, have included the same visibility statement:

This initiative is coordinated by the Inter-American Drug Abuse Control Commission (CICAD) of the Organization of American States (OAS) and funded by the European Commission. The content of this project does not necessarily reflect the position of the EU or the OAS

http://www.cicad.oas.org


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The European Commission may wish to publicize the results of Actions. Do you have any objection to this report being published on EuropeAid Co-operation Office website? If so, please state your objections here. The link to www.euladrugs.org should be posted at the European Commission’s website, to make sure this is fully publicized under the EU online space. In order to reflect this join effort, it is recommended to include the following sentence:

This initiative is coordinated by the Inter-American Drug Abuse Control Commission (CICAD) of the Organization of American States (OAS) and funded by the European Commission. The content of this project does not necessarily reflect the position of the EU or the OAS

There is no objection to this report or any of the results of this initiative to be published jointly between CICAD and EuropeAid, as this common effort will certainly benefit cities and institutions from both sides of the Atlantic Since the last report (July 2008), the European Commission has not posted any link to this initiative.

Presence of European Commission delegates in the different activities and events

Ghent. June 25-27 2009: • Basile.T. Papadopoulos Head of Unit AIDCO/B/2 • Inmaculada Rodriguez, EuropeAid - B2 (Latin America)

Goteborg. May 28-30, 2009: Invited. No one attended from the EC

http://www.euladrugs.org

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CICAD 45, Washington, D.C. • Mark Pituch, Political and Development Section. EU Delegation

Chile. March 26-27, 2009: • Gerald Hatler, First Secretary and Head of Cooperation at the EU

Delegation • Susana Agüero, Cooperation Projects. EU Delegation

Montego Bay March 4-7, 2009: Invited. No one attended from the EC

Montevideo 4-6 December 2008: • Jerome Poussielgue, Head of Cooperation at the EU Delegation

Santo Domingo, April 3-7, 2008: • Benita Ferrero-Waldner, Commissioner for External Relations and

Neighbourhood Policy, European Commission (video) • Alexandra Cas-Granje, Director of EuropeAid for Latin America.

European Commission

Name of the contact person for the Action: Anna McG. Chisman. Head of Demand Reduction CICAD/OAS Signature: …ORIGINAL SIGNED……… Location: Washington, D.C. Date report due: …N/A…………..………… Date report sent: ……SEP. 3, 2009…….

COPY OF THE ORIGINAL DOCUMENT SENT ON SEPTEMBER 3, 2009