ORGANIZATION OF AMERICAN STATES

Size: px
Start display at page:

Download "ORGANIZATION OF AMERICAN STATES"

Transcription

1 ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FIRST INTER-REGIONAL FORUM OF EU-LAC CITIES:PUBLIC POLICIES IN DRUG TREATMENT April 2 5, 2008 Santo Domingo, Dominican Republic OEA/Ser.L/XIV.4 CICAD/EULAC/doc.9pp/08 2 April 2008 Original: Spanish DRUG ADDICTION TREATMENT POLICY IN BARCELONA Dr. Isabel Ribas i Seix Public Health Delegate Barcelona City Council Chair of the ASPB GENERAL SECRETARIAT OF THE ORGANIZATION OF AMERICAN STATES, WASHINGTON, D.C

2 DRUG ADDICTION TREATMENT POLICY IN BARCELONA Dr. Isabel Ribas i Seix Public Health Delegate Barcelona City Council Chair of the ASPB

3 Population: 1,605, % men and 52.5% women Percentage over the age of 74: 7.8% of men and 13.4% of women Aliens: 16.5%. Unemployment: 5.3% among men and 7.6% among Women Disposable per capita family income:16,555 (2005) Barcelona is divided into 10 different districts.

4 BACKGROUND I The heroin use epidemic began in Barcelona in the late 1970s, and peaked in the early 1990s. In the late 80s, signs began to surface of a possible increase in problems stemming from cocaine abuse. In the mid 1990s, an uptick in the number of cocaine-related disorders began to be detected. Given the magnitude of the phenomenon, in 1988 a city plan was devised that was the product of a consensus built among all political forces. At the same time, the Barcelona City Council established its Drug Addictions Policy Group. In 1990 the Generalitat s DSS and the Barcelona City Council entered into an agreement under which the functions of the PDGC in Barcelona were incorporated into the Drug Addiction Action Plan (PADB).

5 BACKGROUND II to the extent possible, prevent drug use, thereby avoiding the individual and collective social alienation that drug abuse causes; to assist those who want to quit the habit or addiction to become functioning members of society or, at the least, to ensure that drug use takes as little toll as possible on the user s health, life and social milieu. PADB 1988 The main thrusts of Barcelona s Drug Addiction Action Plan (the PADB) were: Prevention Assistance for social re-integration Safety-deterrence-repression Support: science, information, research Territorial A firm commitment to the strategy of mitigating the hazards and harm Treatment system

6 WHAT WE RE STARTING FROM...

7 LEGAL DRUGS: TOBACCO AND ALCOHOL As in the rest of Spain, the tobacco epidemic is on the decline in Barcelona. 29% of the adult population smoke on a daily basis. Tobacco is the psychoactive drug that exacts the heaviest toll on health and society, 336 per capita/year. Accounts for 12% of all illness. The pattern of alcohol consumption has changed in recent years; persons dieting consume less; consumption increases on weekends. Ranks second in terms of problem consumption In BCN, 3% population 15-64, a. Risk consumption.* Alcohol s high social and health cost, 265 per capita/year. Alcohol accounts for 8% of all illness.

8 Estimación usuarios problemáticos heroína y cocaína. BCN 2004 APROXIMATE NUMBER OF PROBLEM USERS IN BARCELONA Nº users Heroin Cocaine Starting treatment for the first time Starting treatment Patients in treatment Estimated number of problem users The total cost of illegal drug consumption is 58 per capita

9 HOW WE HANDLE THE PROBLEM IN BARCELONA

10 DRUG ADDICTION TREATMENT RESOURCES IN CATALUNYA PRINCIPAL TREATMENT AND SOCIAL REINTEGRATION PROGRAMS AND RESOURCES DRUG FREE PALLIATIVES/MEASURES TO MINIMIZE HARM Treatment phases Ambulatory Residential Maintenance with agonists Detoxification CAS* Hospital detoxification PMM: CAS, prisons, hospitals, pharmacies units Needle Exchange Programs Breaking the habit CAS* Therapeutic communities Coffee and Conversation Programs Joining/rejoining society Day Centers Apartments where Social re-integration recovering addicts can program with reintegrate into Supervised use programs community resources society. *CAS = Outpatient drug treatment center

11 ORGANIZATION Catalonia Health Department Barcelona City Council Barcelona Board of Health Public health Agency

12 Drug Addiction Treatment Resources in Barcelona H v v h III & B VII ø Q IV & Q Q 3 ( Q Q H H 5 II & 8 F & Q ( 6 Q 7 H CAS = Outpatient treatment center 4 v ø q I H VII H Q Q & VI 2 & v F H F V Q 1 A. RECURSOS ESPECÍFICS CENTRES D ATENCIÓI SEGUIMENT I I II II III III IV IV V VI VI VII CAS BARCELONETA CAS SANTS CAS SARRIÀ HORTA-GUINARDÓ CAS NOU BARRIS CAS GARBIVENT CAS VALL HEBRON CASA BLOC UNITAT D ALCOHOLOGIA DE L HOSPITAL CLÍNIC UNITAT D ALCOHOLISME DE LA GENERALITAT SERVEIDE PREVENCIÓI ORIENTACIÓ(SPOTT) UNITATDE TOXICOMANIES ST. PAU-CITRAN SERVEIDE TOXICOMANIESDE CREUROJA CENTRE CATALÀ DE SOLIDARITAT CECAS(CARITAS) CENTRES DE REINSERCIÓ & TALLERSSOCIO-EDUCATIUS PISOS TERAPÈUTICS TALLER D ALCOHOL B COMUNITAT TERAPÈUTICA ( ASSOCIACIÓ RAUXA ÀMBIT ESPORT SERVEI D ASSESSORAMENT TÈCNIC (SAT) H CENTRE DE DIA ALTRESRECURSOS I PROGRAMES ø Q h q ø v F H AGENTS DE SALUT AL CARRER SERVEI D ATENCIÓ I PREVENCIÓ SOCIO-SANITÀTIA(SAPS) PROGRAMA CALOR I CAFÉ (SPOTT) SALA DE CONSUM BALUARD AGENTS DE SALUT FARMÀCIA PROGRAMA RECOJE PARCSI JARDINS SALA DE CONSUM MÒBIL ZONA FRANCA CENTRE CALOR I CAFÈROBADORS SALA DE CONSUM CAS VALL HEBRON FARMÀCIES DISPEN. METADONA BUS METADONA C.D. METADONA GENERALITAT CENTRE PENITENCIARI(MODEL, WAT-RAS, TRINITAT) UNITAT DESINTOXICACIÓHOSP. (VALL D HEBRON, MAR, CLÍNIC, SANT PAU) B. RECURSOS INESPECÍFICS SERVEIS SOCIALS, SERVEIS SANITARIS,ASSOCIACIONSDE POBRESA

13 OUTPATIENT AND HOSPITAL TREATMENT CENTERS 14 outpatient drug treatment centers, 6 run by the ASBS which outsources management to various providers. Four detoxification units. PREVENTIVE RESOURCES Drug counseling service, SOD De Marxa Sense Entrebancs Program A program promoting responsible dispensing of alcoholic beverages RESOURCES TO MITIGATE RISKS Five areas devoted to supervised consumption. Needle exchange programs Three coffee-and-conversation locations

14

15 The Baluart Room is within these medieval walls.

16 OTHER THERAPEUTIC RESOURCES A center for dispensing methadone treatments (Health Department, Generalitat de Catalunya) A mobile unit for dispensing methadone treatments Socio-educational workshops (Nou Barris, Sants, Sarrià, Ciutat Vella). A re-integration program A therapeutic community A unit dispensing methadone treatments in the Model Prison and methadone treatment centers in the city s three prisons A system of drug addiction recovery apartments run by various agencies The main public health complications (tuberculosis, AIDS, other infectious diseases, death by overdose, etc.) have eased considerably in recent years, probably because of the control measures and the policies implemented since the early 1990s aimed at mitigating risks. Coverage of 93% of the population of chronic users of opium derivatives

17 The Drug Addiction Action Plan (PADB) has to be prepared with the participation and involvement of various agents (health, social, education, law enforcement, etc.). Using the Health Impact Assessment method, the various sectors involved discuss the evidence of the intervention techniques employed in order to reach a consensus

18 Methodology Health Impact Assessment (HIA) Broad-based participation process Inclusion of proposals Discussion and debate in the ASPB Preparation of draft documents Final proposal Return workshop with participants Discussion in the Drug Policy Group Presentation to the Municipal Plenary Arguments Final approval by the Municipal Plenary

19 THE STRATEGY The Plan s purpose: To prevent and reduce the use of psychoactive drugs and the negative effects on the individual, family, schools, the workplace and society. 6 main objectives: To protect the rights of non-users To prevent drug use To encourage abstinence among those who want to quit To reduce risks and adverse effects on users To minimize the dangers associated with addiction To encourage those who seek help in quitting.

20

21 THE CITY FOCUS The focus here is on: Involving the citizenry as a social health agent, encouraging activities geared toward prevention and toward health and healthy lifestyles. Avoiding clustering of marginalized populations Reordering consumption locations Enforcement Ensuring inter-sectoral coordination of the various governments, NGOs and neighborhood associations.

22 CHILDREN ADOLESCENTS - YOUTH The focus here is on: Universal prevention for non-consumers Selective, targeted prevention for the at-risk population and for those who have started using. WOMEN The focus here is on: Promoting the inclusion of the gender angle in all interventions (prevention programs, treatment programs, etc.) Reducing the factors that leave women users more vulnerable (motherhood, women working in the sex trade, etc) Pressing for research into gender differences in the use of psychoactive substances and addictive behaviors.

23 THE ADDICT POPULATION The focus here is on: The focus here is on: Providing the support that those who want to quit need. Strengthening measures that help individuals change behaviors that put them at risk. Promoting treatment resources and programs of proven efficacy. Promoting and facilitating the prevention programs (mitigation of dangers) needed to avoid illness and death caused by overdose, infectious disease, attendant psychiatric disorders, etc. Promoting programs that enable persons with drug addiction problems to become functioning members of society. Stimulating coordination of and collaboration among various public institutions and NGOs Promoting training, applied research and development of data systems on drug addictions.

24 WHAT CHALLENGES LIE AHEAD?

25 The drug addiction picture has changed in Barcelona. Recent years have seen a steady increase in problems associated with cocaine use (cardiovascular and psychiatric disorders). Life expectancy among heroin users has increased but is still 21 years less than it is for the general Death caused by overdose, cirrhosis of the liver, accident and other external causes remains high. Drug use is spreading and increase, as is recreation drug use. Society is reacting less and less to the drug problem. No marginalization. Significant but very different dangers like heroin appear to be more tolerated in society.

26

ORGANIZATION OF AMERICAN STATES

ORGANIZATION OF AMERICAN STATES ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FIRST INTER-REGIONAL FORUM OF EU-LAC CITIES: PUBLIC POLICIES IN DRUG TREATMENT April 2 5, 2008 Santo Domingo, Dominican Republic

More information

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003 REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Mental Health Care in Spain

Mental Health Care in Spain Reform in Spain Universal health coverage, predominantly funded through general taxation Mental in Spain Dr. Marta Torrens. Institute of Neuropsychiatry & Addictions-Parc de Salut Mar. Universitat Autònoma

More information

Resources for the Prevention and Treatment of Substance Use Disorders

Resources for the Prevention and Treatment of Substance Use Disorders Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act IN THE GENERAL ASSEMBLY STATE OF Ensuring Access to Medication Assisted Treatment Act 1 Be it enacted by the People of the State of Assembly:, represented in the General 1 1 1 1 Section 1. Title. This

More information

ORGANIZATION OF AMERICAN STATES

ORGANIZATION OF AMERICAN STATES ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FIRST INTER-REGIONAL FORUM OF EU-LAC CITIES: PUBLIC POLICIES IN DRUG TREATMENT April 2 5, 2008 Santo Domingo, Dominican Republic

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

7% fewer Basque youths began drug addiction treatments between 2009 and 2010

7% fewer Basque youths began drug addiction treatments between 2009 and 2010 7% fewer Basque youths began drug addiction treatments between 29 and 21 In 21, two in every thousand young people aged 15 to 29 started drug dependence treatments and, for the first time, the number of

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/5 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Context - Psychoactive drugs such as tobacco, alcohol,

More information

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction Outline Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction About Substance Abuse The Cost of Chemical Abuse/Addiction Society's Response The Continuum of Chemical Use Definitions of Terms

More information

Discontinuation: Involuntary Discharge

Discontinuation: Involuntary Discharge Discontinuation: Involuntary Discharge TYPICALLY A PROCESS NOT AN EVENT Objectives 2 Review indications for discharge. Develop a therapeutic approach, in the context of the nature of Substance Use Disorders.

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Non medical use of prescription medicines existing WHO advice

Non medical use of prescription medicines existing WHO advice Non medical use of prescription medicines existing WHO advice Nicolas Clark Management of Substance Abuse Team WHO, Geneva Vienna, June 2010 clarkn@who.int Medical and Pharmaceutical role Recommendations

More information

Development of the guidelines on the pharmacotherapy of addiction case study Croatia

Development of the guidelines on the pharmacotherapy of addiction case study Croatia Development of the guidelines on the pharmacotherapy of addiction case study Croatia Croatia Marina Kuzman Dragica Katalinic Croatian National Institute of Public Health Cyprus, 2009. Drug use and drug

More information

Alcohol and drug prevention - national policies and possibilities in communities

Alcohol and drug prevention - national policies and possibilities in communities Alcohol and drug prevention - national policies and possibilities in communities Zaza Tsereteli, MD, MPH International Technical Advisor Alcohol and Substance Abuse Expert Group (ASA EG) NDPHS Recorded

More information

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year.

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year. 1. Youth Drug Use More than 4% of Maryland high school seniors used an illicit drug in the past year. Any Illicit Drug Alcohol Marijuana Ecstasy Cocaine Percentage of Maryland and U.S. high school seniors

More information

CURRICULUM MAP. COURSE TITLE: Health DESCRIPTION PREREQUISITES: None

CURRICULUM MAP. COURSE TITLE: Health DESCRIPTION PREREQUISITES: None CURRICULUM MAP COURSE TITLE: Health DESCRIPTION PREREQUISITES: None OF COURSE: Health Education is designed to develop an understanding of your general health and wellness. This class fosters good decision

More information

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,

More information

Cost Analysis in Drug Addiction: methods and results

Cost Analysis in Drug Addiction: methods and results Cost Analysis in Drug Addiction: methods and results Giovanni Serpelloni, Elisabetta Simeoni, Bruno Genetti Presidency of the Council of Ministers Department for Anti-drug Policies ZAGREB 14-15 MAY 2013

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

DRUG AND ALCOHOL TREATMENT IN BARBADOS. By: Laura Lee Foster National Council on Substance Abuse

DRUG AND ALCOHOL TREATMENT IN BARBADOS. By: Laura Lee Foster National Council on Substance Abuse DRUG AND ALCOHOL TREATMENT IN BARBADOS By: Laura Lee Foster National Council on Substance Abuse STANDARDS & POLICIES DRUG & ALCOHOL TREATMENT: POLICIES & STANDARDS - THE CURRENT SITUATION At present, there

More information

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents

More information

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug. Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

P U B L I C H E A L T H A D V I S O R Y

P U B L I C H E A L T H A D V I S O R Y The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619Tel: 617-624-6000 Fax: 617-624-5206 www.mass.gov/dph

More information

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Founded in 1981 Currently has

More information

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu Governor s Task Force on Mental Health and Substance Use www.ncdhhs.gov/mhsu Problem Statement 97 Painkiller prescriptions per 100 North Carolinians Number of deaths by drug overdose in North Carolina

More information

What is Addiction? DSM-IV-TR Substance Abuse Criteria

What is Addiction? DSM-IV-TR Substance Abuse Criteria Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.

More information

drug treatment in england: the road to recovery

drug treatment in england: the road to recovery The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:

More information

Bsafe Blackpool Community Safety and Drugs Partnership. Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13

Bsafe Blackpool Community Safety and Drugs Partnership. Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13 Bsafe Blackpool Community Safety and Drugs Partnership Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13 Planning Framework Treatment plan Planning Framework Bsafe

More information

REPORT ASSESSMENT ON THE DRUG SITUATION IN GUYANA. Guyana is approximately 83,000 square miles with a population of approximately 750,000.

REPORT ASSESSMENT ON THE DRUG SITUATION IN GUYANA. Guyana is approximately 83,000 square miles with a population of approximately 750,000. -1- REPORT ASSESSMENT ON THE DRUG SITUATION IN GUYANA Guyana is approximately 83,000 square miles with a population of approximately 750,000. There is no reliable statistic on the amount of persons engaging

More information

THE CAUSES OF DRUG ADDICTION

THE CAUSES OF DRUG ADDICTION 1 Statistical facts associated with addiction and substance abuse are concerning, but many men and women choose to ignore the dangers. By understanding the main causes of addiction to drugs, it is possible

More information

Why invest? How drug treatment and recovery services work for individuals, communities and society

Why invest? How drug treatment and recovery services work for individuals, communities and society Why invest? How drug treatment and recovery services work for individuals, communities and society What is drug addiction? Drug addiction is a complex but treatable condition Those affected use drugs compulsively,

More information

May 21, 2015 Joint Committee on Finance Paper #352

May 21, 2015 Joint Committee on Finance Paper #352 Legislative Fiscal Bureau One East Main, Suite 301 Madison, WI 53703 (608) 266-3847 Fax: (608) 267-6873 Email: fiscal.bureau@legis.wisconsin.gov Website: http://legis.wisconsin.gov/lfb May 21, 2015 Joint

More information

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive. Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.

More information

Alcohol Awareness: An Orientation. Serving Durham, Wake, Cumberland and Johnston Counties

Alcohol Awareness: An Orientation. Serving Durham, Wake, Cumberland and Johnston Counties Alcohol Awareness: An Orientation Alcohol Facts The most commonly used addictive substance in the United States o 17.6 million people (1 in 12 adults) suffer from alcohol abuse or dependence o Millions

More information

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS 1. INTRODUCTION 1.1 Review Process A Partnership for a Better Scotland committed the Scottish Executive to reviewing and investing

More information

Alcohol and Drug Abuse and Prevention Statement

Alcohol and Drug Abuse and Prevention Statement Alcohol and Drug Abuse and Prevention Statement (Updated July 2015) Introduction / Standards of Conduct While Lee College recognizes that a substance abuse disorder is an illness requiring intervention

More information

Strengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease

Strengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease Strengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease A joint UNDP, WHO, IOGT, & FORUT initiative Dudley Tarlton dudley.tarlton@undp.org SVRI Forum, September

More information

Implementation of Systematic Programs of Overdose Training at Drug Treatment and Prevention Centres in Catalonia, 2008 2013

Implementation of Systematic Programs of Overdose Training at Drug Treatment and Prevention Centres in Catalonia, 2008 2013 Implementation of Systematic Programs of Overdose Training in Catalonia 2008 2013 83 Implementation of Systematic Programs of Overdose Training at Drug Treatment and Prevention Centres in Catalonia, 2008

More information

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS 2015 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid T reatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3

More information

Economic recession and alcoholrelated

Economic recession and alcoholrelated Economic recession and alcoholrelated harm Peter Anderson Barcelona, 15 June 2010. On the one hand, as incomes reduce, you might expect alcohol consumption to go down But, on the one hand, as dislocation

More information

Position Statement: Nicotine Dependence

Position Statement: Nicotine Dependence Position Statement: Nicotine Dependence I. Treatment and Prevention In accordance with the avowed purposes of NAADAC, The Association for Addiction Professionals prompting and supporting the most appropriate

More information

Fairfax-Falls Church Community Services Board. 106-11-Alcohol and Drug Adult Day Treatment Services

Fairfax-Falls Church Community Services Board. 106-11-Alcohol and Drug Adult Day Treatment Services 106-11-Alcohol and Drug Adult Day Treatment Services Fund/Agency: 106 Fairfax-Falls Church Community Services Board Personnel Services $1,480,282 Operating Expenses $288,147 Recovered Costs $0 Capital

More information

Substance Use: Addressing Addiction and Emerging Issues

Substance Use: Addressing Addiction and Emerging Issues MODULE 6: SUBSTANCE USE: ADDRESSING ADDICTION AND EMERGING ISSUES Substance Use: Addressing Addiction and Emerging Issues Martha C. Romney, RN, MS, JD, MPH Assistant Professor Jefferson School of Population

More information

OVERVIEW WHAT IS POLyDRUG USE? Different examples of polydrug use

OVERVIEW WHAT IS POLyDRUG USE?  Different examples of polydrug use Petrol, paint and other Polydrug inhalants use 237 11 Polydrug use Overview What is polydrug use? Reasons for polydrug use What are the harms of polydrug use? How to assess a person who uses several drugs

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Cincinnati Christian University Drug Abuse Prevention Program

Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University maintains that our bodies are created by God and should be used to glorify Him. The misuse or abuse of alcohol

More information

X./2.: The short intervention

X./2.: The short intervention X./2.: The short intervention In the course of the processing of the chapter the student gets acquainted with the field of application and the methods of short intervention X./2.1. Theoretical bases of

More information

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Parity in Benefit Coverage: A Joint Statement by ASAM and AMBHA The American Managed Behavioral Healthcare Association (AMBHA) and the

More information

World Health Organization

World Health Organization myths and facts for policy makers responsible for substance dependence prevention, treatment and support programs World Health Organization Myth 1. Drug dependence is simply a failure of will or of strength

More information

Contents Opioid Treatment Program Core Program Standards... 2

Contents Opioid Treatment Program Core Program Standards... 2 2016 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid Treatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3 Integrated

More information

Alcoholism and Substance Abuse

Alcoholism and Substance Abuse State of Illinois Department of Human Services Division of Alcoholism and Substance Abuse OVERVIEW The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA) is the

More information

Understanding Addiction: The Intersection of Biology and Psychology

Understanding Addiction: The Intersection of Biology and Psychology Understanding Addiction: The Intersection of Biology and Psychology Robert Heimer, Ph.D. Yale University School of Public Health Center for Interdisciplinary Research on AIDS New Haven, CT, USA November

More information

Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions

Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions Maritt Kirst, PhD Centre for Research on Inner City Health, St. Michael s Hospital OTC Summer Institute

More information

ALCOHOL, TOBACCO, & OTHER DRUGS. Standards & Benchmarks: 1:ALL; 2:1,2,3,4,6; 3:ALL; 6:1,3

ALCOHOL, TOBACCO, & OTHER DRUGS. Standards & Benchmarks: 1:ALL; 2:1,2,3,4,6; 3:ALL; 6:1,3 HEALTH MIDDLE SCHOOL ALCOHOL, TOBACCO, & OTHER DRUGS Standards & Benchmarks: 1:ALL; 2:1,2,3,4,6; 3:ALL; 6:1,3 Objective: = The students will explain the difference between responsible drug use and wrong

More information

Fairfax-Falls Church Community Services Board

Fairfax-Falls Church Community Services Board LOB #267: ADULT RESIDENTIAL TREATMENT SERVICES Purpose Adult Residential Treatment Services provides residential treatment programs for adults with severe substance use disorders and/or co occurring mental

More information

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons.

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons. Addiction Psychiatry Program Site Specific Goals and Objectives Addiction Psychiatry (ADTU) Goal: By the end of the rotation fellow will acquire the knowledge, skills and attitudes required to recognize

More information

Quasi-Coerced Treatment and Treatment of Drug Abuse: 12 Month Outcomes

Quasi-Coerced Treatment and Treatment of Drug Abuse: 12 Month Outcomes Quasi-Coerced Treatment and Treatment of Drug Abuse: Month Outcomes D. Duran e M. Vasconcelos The Quasi-Coerced Treatment (QCT) for users of illegal substances is viewed as a form of motivating treatment

More information

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,

More information

To restart from the person: Drug addiction services in Rome

To restart from the person: Drug addiction services in Rome To restart from the person: Drug addiction services in Rome I am Dr. Massimo Canu, Director of the Drug Addiction Municipal Agency, a body of the Rome Municipal Administration. Today I would like to bring

More information

TESTIMONY. March 17, 2014. Rutland, VT

TESTIMONY. March 17, 2014. Rutland, VT Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the

More information

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 2013 to 2002 States: United the in Use Heroin in Trends National Survey on Drug Use and Health Short Report April 23, 2015 TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 AUTHORS Rachel N. Lipari,

More information

Root Cause Analysis of Addiction: An Ongoing Study ERIC J. KOCIAN, PH.D. SAINT VINCENT COLLEGE JULY 21, 2015

Root Cause Analysis of Addiction: An Ongoing Study ERIC J. KOCIAN, PH.D. SAINT VINCENT COLLEGE JULY 21, 2015 Root Cause Analysis of Addiction: An Ongoing Study ERIC J. KOCIAN, PH.D. SAINT VINCENT COLLEGE JULY 21, 2015 Genesis: How This Study Began Heroin: Pure Evil and the toll it takes on the individual, the

More information

Allyse Adams PC, LICDC Oriana House, Inc.

Allyse Adams PC, LICDC Oriana House, Inc. Allyse Adams PC, LICDC Oriana House, Inc. 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015 Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child In

More information

Presentation by: Commissioner E. Douglas Varney

Presentation by: Commissioner E. Douglas Varney Presentation by: Commissioner E. Douglas Varney Prescription Drug Abuse Affects Everyone Families as a whole Women Children The abuse of prescription drugs, particularly opioids, is costly not only for

More information

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions This lesson is part of an overall curriculum based program developed by the New York State Office of Alcoholism and

More information

Drug Court as Diversion for Youthful Offenders

Drug Court as Diversion for Youthful Offenders Drug Court as Diversion for Youthful Offenders Juvenile Drug Courts in Hawaii: A Policy Brief Introduction The problem of drug abuse among the general population in the United States began to escalate

More information

Alcohol and drugs prevention, treatment and recovery: why invest?

Alcohol and drugs prevention, treatment and recovery: why invest? Alcohol and drugs prevention, treatment and recovery: why invest? 1 Alcohol problems are widespread 9 million adults drink at levels that increase the risk of harm to their health 1.6 million adults show

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

The story of drug treatment

The story of drug treatment EFFECTIVE TREATMENT CHANGING LIVES www.nta.nhs.uk www.nta.nhs.uk 1 The story of drug treatment The use of illicit drugs is declining in England; more and more people who need help with drug dependency

More information

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships 5 Actions to Overcome Addiction John Fitzgerald, PhD, LPC, CAS relationships 1 What is addiction? 2 Socially-constructed 3 Risk Factors 80% 15 years-old Addiction Protective Factors Risk Factors Domain

More information

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Dependence and Addiction Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Overview Heroin and other opiates The disease of heroin addiction or dependence Effective

More information

WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider.

WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. Our highly trained and dedicated team of counselors and physicians

More information

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

More information

Substance Abuse Day Treatment Program. Jennifer Moore CYC Paul Pereira CYC

Substance Abuse Day Treatment Program. Jennifer Moore CYC Paul Pereira CYC Substance Abuse Day Treatment Program Jennifer Moore CYC Paul Pereira CYC Objectives To describe the Substance Abuse Day Treatment Program To describe the characteristics of youth who attend the program

More information

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics . City.Country. Official responsible for providing this information (mandatory) a. Name b. Position Official title c. Institution Name of the institution where you work d. Address Complete postal address

More information

John R. Kasich, Governor Orman Hall, Director

John R. Kasich, Governor Orman Hall, Director John R. Kasich, Governor Orman Hall, Director 2 3 Epidemics of unintentional drug overdoses in Ohio, 1979-2011 1,2,3 1800 1600 1400 1200 1000 800 Prescription drugs are causing a larger overdose epidemic

More information

Specialist Alcohol & Drug Services in Lanarkshire

Specialist Alcohol & Drug Services in Lanarkshire Specialist Alcohol & Drug Services in Lanarkshire This brochure describes what help is available within Lanarkshire s specialist treatment services. These include the North Lanarkshire Integrated Addiction

More information

Structure and Function

Structure and Function Structure and Function OKLAHOMA State SSA Director Mr. Ben Brown, Deputy Commissioner Oklahoma Department of Mental Health and Substance Abuse Services P.O. Box 53277 Oklahoma City, OK 73152-3277 Phone:

More information

REDUCTION OF THE HARMFUL USE OF ALCOHOL: A STRATEGY FOR THE WHO AFRICAN REGION. Report of the Regional Director. Executive summary

REDUCTION OF THE HARMFUL USE OF ALCOHOL: A STRATEGY FOR THE WHO AFRICAN REGION. Report of the Regional Director. Executive summary 15 June 2010 REGIONAL COMMITTEE FOR AFRICA Sixtieth session Malabo, Equatorial Guinea, 30 August 3 September 2010 ORIGINAL: ENGLISH Provisional agenda item 7.2 REDUCTION OF THE HARMFUL USE OF ALCOHOL:

More information

THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 713. Chapter 13 HEALTH PROMOTION FOR SCHOOL STAFF. Staff Wellness Programs

THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 713. Chapter 13 HEALTH PROMOTION FOR SCHOOL STAFF. Staff Wellness Programs THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 713 Chapter 13 HEALTH PROMOTION FOR SCHOOL STAFF Staff Wellness Programs THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 714 THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS

More information

Prescriber Behavior, Pain Treatment and Addiction Treatment

Prescriber Behavior, Pain Treatment and Addiction Treatment Prescriber Behavior, Pain Treatment and Addiction Treatment Mary Fleming, M.S. Director, Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration NGA Policy

More information

Workforce Development Online Workshop Descriptions

Workforce Development Online Workshop Descriptions Workforce Development Online Workshop Descriptions Behavioral Health Service Delivery Workshops: The Effects of Violence Exposure on Children (1.5 hours) Regretfully, violence against children and youth

More information

Counseling Center. Hackettstown Regional Medical Center. Medical Center

Counseling Center. Hackettstown Regional Medical Center. Medical Center 4486 HCH Counseling Brochure Cover 6/10/05 4:54 PM Page 1 Counseling Center Drug & Alcohol Counseling Recovery Services Adolescent Programs Adult Programs Intervention Services Education Programs Family

More information

Prescribing Heroin to Heroin Addicts: A Drug Policy in Search of a Disaster? Neil McKeganey. Professor of Drug Misuse Research. University of Glasgow

Prescribing Heroin to Heroin Addicts: A Drug Policy in Search of a Disaster? Neil McKeganey. Professor of Drug Misuse Research. University of Glasgow Prescribing Heroin to Heroin Addicts: A Drug Policy in Search of a Disaster? Neil McKeganey Professor of Drug Misuse Research University of Glasgow 89 Dumbarton Road Glasgow G11 6PW n.mckeganey@lbss.gla.ac.uk

More information

Community Based Treatment and Care for Drug Use and Dependence

Community Based Treatment and Care for Drug Use and Dependence CBTx Community Based Treatment and Care for Drug Use and Dependence Information Brief for Southeast Asia Community Based Treatment refers to a specific integrated model of treatment for people affected

More information

Course Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES

Course Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES Course Description SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES At the end of this course participants will be able to: Define and distinguish between substance use, abuse and dependence

More information

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug.

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug. Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she

More information

Consultation on Future Drug and Alcohol Services in Shropshire

Consultation on Future Drug and Alcohol Services in Shropshire Consultation on Future Drug and Alcohol Services in Shropshire 15 Dec 2014 6 Feb 2015 What is this consultation about? Shropshire Council aims to make sure that everyone can access the support they need

More information

Treatment Resources for Substance Use Disorders

Treatment Resources for Substance Use Disorders Treatment Resources for Substance Use Disorders The treatment of substance use disorders can be very complex; there are many levels of care and the treatment network can be challenging to navigate. Substance

More information

Heroin in Snohomish County: Mortality and Treatment Trends

Heroin in Snohomish County: Mortality and Treatment Trends Heroin in Snohomish County: Mortality and Treatment Trends January 2015 This page left intentionally blank. Table of Contents Introduction and Acknowledgments 1 Executive Summary 2 Mortality Overdose Mortality

More information

Future Service Directions

Future Service Directions Alcohol, Tobacco and Other Drug Services Tasmania Future Service Directions A five year plan 2008/09 2012/13 Department of Health and Human Services Contents Foreword... 5 Introduction... 6 Australian

More information

Drug Abuse Trends in the Seattle-King County Area: 2014

Drug Abuse Trends in the Seattle-King County Area: 2014 Drug Abuse Trends in the Seattle-King County Area: 2014 June 12, 2015 Caleb Banta-Green 1, T. Ron Jackson 2, Steve Freng 3, Michael Hanrahan 4, Cynthia Graff 5, John Ohta 6, Mary Taylor 7, Richard Harruff

More information

Final Evaluation of the National Drugs Strategy 2000-2008

Final Evaluation of the National Drugs Strategy 2000-2008 Final Evaluation of the National Drugs Strategy 2000-2008 PRESENTATION The National Drugs Strategy 2000-2008 contained a specific mandate in order to be evaluated. In 2004, the Government Delegation for

More information