ORGANIZATION OF AMERICAN STATESORGANIZATION OF AMERICAN STATES

INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION

GENERAL SECRETARIAT OF THE ORGANIZATION OF AMERICAN STATES, WASHINGTON, D.C. 20006

ROME CITY: AGENCY FOR THE DRUG ADDICTIONS

Antonella Camposeragna

FIRST INTER-REGIONAL CITY FORUMPUBLIC POLICIES IN DRUG TREATMENTApril 2 – 5, 2008Santo Domingo, Dominican Republic

OEA/Ser.L/XIV.4CICAD/EULAC/doc.17/0831 March 2008Original: English

ACT

GENZIA

OMUNALEOSSICODIPENDENZE

PER LE

Antonella Camposeragna

Rome City Agency for the drug addictions

EU-LAC Forum, Santo Domingo, April 2-5 2008

Some numbers…

*Rate X 1000.

Total population: 2825077 (Census 2001)

11993876,49377881,2061447Total6109540,8094940,200122Female58843312,39672942,2521325Male

Rate*nRate*n Population 15-49 yrsPrevalenceIncidence

People in treatment in PTCs & NGOs. Roma 2006 .

THE INSTITUTION

The city of Rome has started a process of organizational innovation according to the national laws on local self-government and the need to make more efficient and more productive the services provided. The intervention on drugs has its traditional dual complexity: first of all the peculiarities and difficulties due to the topic itself; on the other hand, different actors working in the same field (professionals, social workers, justice system, etc.) makes the integration harder. To increase its ability to define strategy, intervention, coordination, the City of Rome established a specific agency (by decision of the City Council Nr 96, May 21 1998): City Agency for Drug Addiction, an Institution with its own administrative, financial and managerial autonomy.

•To Provide prevention interventions

• to detects and to analyze the phenomenon

• To Runs the TC "Le Selve"

• To drive political decision making

• To Program, to implement and to coordinateservices to drug users planned by the City

• to Promote and to implement monitoring activities

•Establishing a permanent coordination with the local public treatment centres

PURPOSES OF AGENCY Organization Chart

BOARD DIRECTORATE

Director:Guglielmo Masci

President:Ignazio Marcozzi Rozzi

Councillors:Luigi Cancrini

Andrea De DominicisSanto RulloGrazia Zuffa

HUMAN RESURCESEmployees, consultants, volunteers / Trainees

OPERATING PROJECTS

a) Network programs area and territorial plan:

• Time support on social program and health

• Contact Programs withUsers

• Custom programs of self-help

•Training programmes and starting to work•education / rehabilitationprograms

b) Host program area

c) Pedagogical/ recreational area

•Unit and method planning

•Evaluation and support unit

•Administrative unit

The city network of services for drug addicts

Ser.T. Public treatment centers- Health competence of Regional Health Authority: pharmacological and therapeutic programs

A.C.T. Social Services- Social competence of City of Rome: drop in centers , night shelter, low threshold programs, prevention intervention, rehabilitation programs

Lazio Region: Social and sanitary services such as outreach unit, methadone mobile unit…something in between social and health programs

Services actually run by ACT-by call for proposal

Comunità di Riabilitazione ResidenzialeCittà della Pieve - Tel./Fax 0578 298299 - Tel/Fax 0578 298010

Coop. Soc. Il Cammino

Therapeutic Community

Rehabilitation programs for patients in pharmacological and psychosocial treatments, referred by PTCs. A program lasts on average 18 months, with the initial phase characterized by a motivational counselling and a final phase enhances social skills and provides seeking employment assistance.

Comunità di Pronta Accoglienza Residenziale Madre-BambinoCentro Italiano di Solidarietà

Via Castel di Leva n.416 – Tel. 06 71355539

Therapeutic Communtiy for women (mothers) and their children

Comunità di Pronta Accoglienza ResidenzialeZona Sud - Via Castel di Leva n. 406 - Tel./Fax 06 71355167

Centro Italiano di Solidarieta’

Comunità di Pronta Accoglienza ResidenzialeZona Nord -

Via G. Rocchi n. 11 - Tel./Fax 06 9079432Parsec - Coop. Soc.

In-patient primary care centres

Short term in patient program to facilitate the treatment demand . Free access.

Centro Notturno Zona Sud/LitoraleCooperativa Magliana ’80Via Vaiano n. 23 – Tel. 065500765 Fax 06 55267703

Centro Notturno Zona Nord/EstA.T.I. Associazione La TendaVia Giarre n. 113 – Tel./Fax 06 2070578

Centro Notturno Zona Centro/OvestFondazione Villa MarainiVia B. Ramazzini n. 31 – Tel./Fax 06 65753059

Night shelter for drug users

Free night shelter for problematic drug users. Night accommodation for short period .DUs are addressed to health and social services if they want to. Hot meals, showers, and primary care are provided.

Via Giarre n. 113Associazione La Tenda

Drop in Centers

Centro di Sostegno alla GenitorialitàCentro “I Figli Crescono”“Saman - Bambini nel Tempo”Via Mangna Grecia n. 30/ATel 06 70450961 fax 06 70451759

Centro di ReinserimentoCentro Residenziale di ReinserimentoCoop. Soc. Il CamminoVia M. Pinto n. 3Tel. 06 6537988

Associazione Droga che Fare - ONLUS Fondazione Villa Maraini - ONLUS

Pyschosocial support for drug using parents

To facilitate social inclusion of people who successfully ended an in patient program. Autonomy achievement program.

Fondazione Villa Maraini - ONLUS

Hot line to provide counseling on HIV, drug addiction (including alcohol) programs, services, facilities. It is addressed to drug users, their family, social workers.

Se hai bisogno di informazioniconsigli ed indirizzi chiama il

Ass. Droga che fare - ONLUS

Toll free number for information on available services for drug users and general population.

Gitanes Project

Outreach in Roma CampsCoop. Soc. Magliana ’80

Opera Nomadi

Tel. 06.5503713

• It aims to tackle the emerging phenomenon of drug and alcohol use among Roma people.

• Outreach unit and cultural mediation

• Harm reduction and referreal to services

Support to build a integrated system in Tirana, Albania

• Support in feasibility analyses to established a similar Agency in Tirana

• Training and knowledge exchange between Rome and Tirana on intervention to tackle drug use

• Implementation of already existing low threshold centers

Progetto Tirana SanaProgetto Tirana SanaProjekti Tirana e ShëndetshmeProjekti Tirana e Shëndetshme

Finanziamento del Ministero degli Affari Esteri italianoFincacuar nga Mimistria e Punëve të Jashtëme italiane

Bashkia e Tiranës

Prevention Master plan

• AIMSEnsuring continuity to territorial interventions; Defining strategies and methods of prevention involving young people; To promote interventions able to affect young people lifestyles

• EXPECTED RESULTS10-30.000 young people INFORMED 100 peer educators TRAINED

1.000 young people involved by 100 peer educators

The project is actually on-going in the City of Rome.

Job Master plan

• Background– Drug use could be viewed as either a consequence or a

cause of social exclusion (EMCDDA, Carpertier 2002)– Factors that could contribute to social exclusion are

problems related to labour, educational and livingstandards, health, nationality, drug abuse, gender difference and violence (European Council, 2001; EMCDDA National reports, 2002)

– Labour market is fallen off

Job Master plan

• Aims– To establish a city network among NGOs,

educational centres, firms , public treatment centres, municipal social services.

– To build a integrated city system tailored on drug users’ needs

– To provide flexible rehabilitation program on individual basis

Job Master plan

• Method – Call for proposal– Experimental project

lasting 18 months– 11 different action, 5 on

a whole city base, 6 are located in smaller part of the city

– Process and outcome evaluation

Job Master plan

• Task of each action– Vocational guidance for 100 DUs– Educational training for 30 DUs– On the job training– 10 people hired at 18th month

Job Master plan

• Preliminary results– City Network involving PTCs, vocational

guidance public services, NGOs, Educational Training Centres, ACT.

– As of February 29, vocational guidance has been provided to 1123 (former) drug user

– 119 people attended educational classes – 91 people are trained on the job– 5 people hired in private firms

Job Master plan

• Discussion– High interaction and involvement among

different actors that are not used to deal with drug issue

– Lessen stigmatization– Also people in methadone treatment can be

employed– Follow up?

act@comune.roma.it

www.actroma.it