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

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