Portugal Strategies Phepa project in Primary health care
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1 Portugal Strategies Phepa project in Primary health care Cristina Ribeiro,, M.D. General Directorate of Health and IDT- National Institute of Drug Addiction PHEPA National Project Phepa Istambul Meeting October 9-10,
2 OVERVIEW What was implemented Changes ın natıonal health servıces - consequences Future Directions; DISCUSSION
3 Alcohol in Portugal Evolution Alcohol Policy Action Plan against Alcoholism Government Resolution n.º 166/2000, November 29th
4 Alcohol Portugal Evolution Alcohol Policy Action Plan against Alcoholism 1. Alcohol Health Promotion and Education 2. Alcohol Clinical and research issues 3. National Alcohol Network 4. Legislation and control
5 National Health Plan National Program on Prevention of Alcohol Related Problems 2. National Alcohol Referral Network
6 Changes in Portugal Strategies Alcohol related Problems General Directorate of of Health Alcohol program Plan Implement Evaluate Phepa project Alcohol Centers Primary heath Care Centers
7 Alcohol in Portugal New National Strategies in Alcohol Policy 3 Specialized Alcohol Centres Are integrated in the Health System Are involved in prevention programs Are involved in alcohol dependent treatment programs Should be more articulated with PHC
8 Alcohol in Portugal New National Strategies in Alcohol Policy National Program on Prevention of includes: Alcohol Related Problems National Project Brief interventions in Primary Health Care
9 National Project Brief interventions in Primary Health Care Some national results: Primary Health care services 11 Subregional health authorities answered to the inquiry (61% of total) 55% have Alcohol Related Problems intervention 45% have Alcohol Related programs 55% have specific teams
10 National Project Brief interventions in Primary Health Care Some national results: Primary Health care services 90% liaise with Mental Health Services 50% have Alcohol training programs Only a very small number of PHC have research programs
11 Alcohol in Portugal New National Strategies in Alcohol Policy Some preliminary regional results: 86% need training 77% have never participated in alcohol related problems training 92% think that it is very important to be trained and feel legitimicy to deal with this patients
12 National Project Brief interventions in Primary Health Care National Coordinator Group Training Trainers (2 components motivational interviewing +BI) Contact Regional Groups trainers / training program + Key elements in PHC
13 Alcohol in Portugal New National Strategies in Alcohol Policy Main goal of the training program: Increase skills to do early identification and brief alcohol interventions in Primary Health Care. The training program can be delivered in two days, with a follow-up six months later where it is possible to discuss difficulties and the best way to solve them.
14 Points of Intervention Needs Assessment of PHC in ARP Institutional Availability to guarantee PHC Training programs and dissemination Training programs and dissemination How to transfer into practice
15 Phepa project in Portugal ongoing process an adaptive process in Primary Health Care Integration of EIBI into daily routine requires adequate infrastructure capacity It also requires commitment and support from institutions
16 Sustainability of SBI in PHC Maintaining the program Building the capacity to continue the program
17 What has changed?
18 Changes in Portugal Strategies Alcohol related Problems Changes in in Organic Law Institute of of Drug Addiction Phepa project Changes in in Primary health Care Centers Alcohol Centers
19 Addıtıonal developments
20 Other developments related to national project in ARP There s s now interest in pregraduate PHC curricula at University There s s now interest in posgraduate internal PHC programs There s s now interest on the project in groups of tobacco intervention in PHC There s s now interest on the project in PHC conferences and Institute of Drug Addiction and alcohol national meetings
21 What is going on?
22 IMPLEMENTATION Practice based guidelines: translated but not yet printed Training: on process sessions and follow-up for group of PHC professionals Specialist support from alcohol centers Engaging Health care providers : Discuss project, goals, barriers, strategies Sets Follow-up Funding, Monitoring and Managing the programme with Institute of drug addiction
23 Key points Plan and target interventions Monitor implementation Evaluate outcomes Reassess and modify interventions Support for increased allocation of resources and infrastructure capacity
24 Alcohol Related Problems Phepa Project Thank for your attention!
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