Promoting and Broadening the Horizons of UNODC Drug Prevention Methodologies for Working with Adolescents, Youth and Families in Uzbekistan

Every morning, Dr. Lilia Muzaffarova walks to work at the Tashkent City Narcological Dispensary. During her walk regardless of the season, Lilia admires the beauty of nature, which she loves very much, and also gazes into the faces of passers-by, some - happy, some - sad and full of worries, which makes her mind wonder how many people she can help to find harmony in their families today. Dr. Muzaffarova is the Head of the adolescent department of the narcological dispensary, she works on diagnosis, treatment and prevention of drug addiction among youngsters and adolescents which makes her well-aware that any family, regardless of their financial status or education, can face the problem of addiction.

Since 2008, Dr. Muzaffarova has been regularly participating in UNODC workshops focusing on health-related responses. These workshops fall within the framework of Subprogramme 3 "Drug Dependence Prevention, Treatment and HIV Prevention" of the UNODC Programme for Central Asia2015-2021, as well as UNODC Global Projects GLOK01 “Prevention of drug use, HIV/AIDS and crime among young people through family skills training programmes in low- and middle-income countries” and GLOJ71 "Treating drug dependence and its health consequences: Treatnet II". Such workshops included training on programmes for the prevention of drug use among adolescents and young people through strengthening family relationships, as well as 14 courses of the Universal Treatment Curriculum for Substance Use Disorders (UTC) and successful application of the learned methods and skills, adapting them to different formats, audiences, expanding the coverage and achieving positive results. She also willingly teaches her colleagues the skills she has acquired through trainings.

An Unexpected Effect During a Pandemic

During a conversation, Dr. Muzaffarova told us more about her practice during the pandemic: "At the beginning of the spread of COVID-19, many patients experienced panic attacks, conflicts began in families due to an unusually long stay together, people felt confused, parents did not know how to interact with children, it was difficult for them to find time and energy to help children adapt to studying online, there was quite a lot of internal stress, mood disorders, depressive states, there were even suicidal tendencies".

As a national trainer for the Strengthening Families Programme (SFP 10-14) and the UNODC Strong Families Programme that teach family skills, positive parenting, communication skills, stress relief relaxation techniques, conflict detection and resolution, Lilia realized in time that the methods from drug prevention programmes work well in the new stressful situation caused by the pandemic, where everyone was forced to be in confined spaces. Adolescents demonstrated behavioral disorders, fathers experienced stress due to worries on feeding their families, not being able to leave the house, and mothers were torn between everyday life, work and children studying from home. Using online platforms available to clients: Zoom, WhatsApp, Telegram, and just audio messages, Dr. Muzaffarova adapted her work to the online mode. Since the start of the pandemic, Lilia has held various sessions for 1,470 teenagers and their families, according to her report. "The majority of my patients were parents who felt lost due to not knowing how to improve relationships with children, conduct explanatory work, how to be confident and build “the family shield”, be understanding to each other, feel united, and create a positive emotional environment". Dr. Muzaffarova highly appreciated UNODC-introduced new tools specifically related to caregiving and parenting under COVID-19.

"In March and April, probably the most stressful period, it was clearly visible that the parents who participated in the Strong Families programme were better able to cope with the situation, applying the acquired skills and asked facilitators of the programme to help their relatives and friends with the issues they were facing," says Lilia. "The peculiarity of adolescence is that at this time the worry about sick parents or depression from the loss of loved ones often manifests itself in behaviour disorder: depression in adolescents takes the shape of aggression, rebellion, withdrawal, and refusal to study. That was the time we all, including school psychologists, were forced to open the UNODC manuals and refresh our memory on the principles of differential diagnosis". An essential advantage of the UNODC programme, according to Dr. Muzaffarova, is its scientific validity, conciseness, efficiency, interactivity, and versatility, which makes it possible to expand the scope of its application.

Expanding Horizons

Dr. Muzaffarova has 10 years of teaching experience at the Department of Narcology, Adolescent Psychopathology and Psychotherapy of the Tashkent Institute for Advanced Medical Education. Based on her experience as an adolescent narcologist, Lilia highlights the importance of the methods promoted by the UNODC workshops, which make it possible to have broader perspective, understand the essence of the problem, develop effective methods and involve all family members, which is extremely important while working with adolescents. It should be emphasized that these methods are successfully adapted to different ages and the local context, especially in the year declared by the President of the Republic of Uzbekistan as the year of support to young people. The main goal of prevention is the development of a harmonious, happy personality, which requires a warm family environment.

"I also take part in work with representatives of the mahalla (community), young parents, as well as those who are planning to build a family, in which I include such elements as teaching family skills, conflict resolution skills, and also share information on the stages of personality development starting from birth and the ways parents can affect a child’s life. It helps me to achieve positive results upfront. People begin to think more about the responsibility of parenting, to reflect and work on mistakes".

Understanding family habits, the origin of stress and its consequences have proven to be effective even with young adults, such as university students. Due to strict discipline and environmental conditions, stress-creating factors can sometimes lead to substance use. Dr. Muzaffarova skillfully adapts the knowledge gained from the UNODC workshops, bringing it into the shape personalized for the target audience.

Dr. Muzaffarova also works part-time in a private clinic, where she also successfully integrates the studied approaches into the treatment practice.

In addition to her main work, Lilia is the head of the international charity society "Eastern Woman" ("Sharq Ayoli"), where she supervises the "Happy Family" project in her free time, in which she also uses elements from UNODC programmes.

Dr. Muzaffarova can be called an invisible hero and a champion in promoting UNODC evidence-based and cost-effective initiatives on drug addiction prevention and treatment in Uzbekistan.

A True Story

Once upon a time, there lived a teenager suffering from substance abuse, being in remission. However, the pandemic started, and due to the restrictions imposed, his father who at the time was in another country could not come back. The whole situation caused a relapse, but the teenager could not go to the treatment facility since the traffic in the city was strictly limited. Psychotherapy had to be carried out online with the teenager and his mother, helping her communicate with him in such a difficult period. It undoubtedly helped the adolescent avoid breaking down and wait for his father, who flew back home with the first chance. However, due to the stress experienced, the father experienced panic attacks, so he joined our sessions on building a "family shield", how to talk about his feelings, and how to enjoy life with the whole family. Family members wrote letters to each other, where they shared experiences that they could not tell directly. After the therapy was over, they initiated new father-son leisure activities that strengthened their bond - they began to learn a language together and made a habit of jogging. All the family skills taught by the programme helped them get out of the crisis, demonstrating that timely psychological assistance can not only help overcome the crisis, but also strengthen the family bonds.

Personal Experience

At some point in 2020, Dr. Muzaffarova also fell ill with COVID-19, and for health reasons, she was forced to spend three months at home, when she felt the need to apply the techniques from the UNODC courses in her own family. "It was a unique experience, and I could feel the effect first-hand".

Of course, my profession forced me to work online while on vacation, but it was then that I realized how my helping others helps myself. Programmes such as "Strong Families" and "Family UNited" that save, that change, that help - this is what inspires and grants me the energy to move on."

 

UNODC helps mental health workers of Kazakhstan to stay safe during COVID – 19 pandemic

Pandemics and health emergencies like the current COVID-10 outbreak, can cost many lives and pose additional risks to the global economy and overall security and stability. Ensuring continued access to health care during a pandemic, including services for people who use drugs and treatment of drug use disorders, are key not only to protect the health of populations, but also key to security and stability.

Drug use disorders are frequently accompanied by somatic conditions such as HIV/AIDS, hepatitis B and/or C and tuberculosis, lung or cardiovascular disease, stroke, cancer and injuries and traumas among others. Moreover, people with drug use disorders, especially those who inject drugs, may have a compromised immune system. Finally, stigma and discrimination linked to drug use and drug use disorders often result in limited access to basic resources such as housing, employment, health care and social support. For all these reasons, it may be more difficult for people who use drugs and with drug use disorders to protect themselves and they may be particularly at risk of developing COVID-19.

These days Almaty-based Republican Mental Health Centre, one of UNODC’s primary national counterparts in Kazakhstan, and its Pavlodar-based affiliation are at the coronavirus frontline providing emergency medical help to people with the mental health problems and drug use disorders – the most dysfunctional in the epidemiological sense population. Their health conditions most of the time are aggravated with the proneness to vagrancy, failure to comply with quarantine measures, and numerous contacts with people.

On the wake of the pandemic in Kazakhstan in August this year and following the urgent request from the Republican Mental Health Centre, United Nations Office on Drugs and Crime (UNODC) Programme office in the Republic of Kazakhstan, purchased personal protection equipment and bactericidal equipment for the “dirty zone” for the total amount of  12 000 US dollars. Two global UNODC programmes – “UNODC-WHO joint programme on drug dependence treatment and care” and “HIV/AIDS prevention, treatment, care and support for people who use drugs and people in prison settings” – have provided funding for this timely initiative. 

”In order to ensure the safety of medical workers who are at the coronavirus frontline now, proving emergency medical help to people with the mental health problems and drug use disorders, and to prevent the spread of COVID-19 in clinical departments, we organized separate, isolation units in the “dirty zone”  where newly arrived patients are waiting for the results of their COVID-19 tests”, said Mr. Nikolay Negay, head of the Republican Mental Health Centre. 

“We do not stop treatment of people in dirty zones thus reusable anti-plague suits, medical goggles, gloves and masks, shoe covers, and bactericidal irradiators-re-circulators will serve as a good protection to our medical workers”, he highlighted.

As elsewhere, in Kazakhstan the situation has become more complicated with regard to access to harm reduction and drug treatment programmes, and it has become more difficult for people who use drugs to receive health-retention services as the healthcare system is more focused on combating COVID-19. Although respondents of the UNODC ROCA produced report “Brief overview of COVID-19 impact on drug use situation as well as on the operations of the drug treatment services and harm reduction programmes in Central Asia”  report reduced overdose cases, it should be predicted that in the shortest term, the use of synthetic drugs, poor quality substances, and mixed substances may lead to serious consequences for the somatic and mental health of PWUD. Consequently, the demand for healthcare services may increase significantly among this population group in Kazakhstan.

Countries reported widespread disruption of many kinds of critical mental health services:

Over 60% reported disruptions to mental health services for vulnerable people, including children and adolescents (72%), older adults (70%), and women requiring antenatal or postnatal services (61%).

67% saw disruptions to counseling and psychotherapy; 65% to critical harm reduction services; and 45% to opioid agonist maintenance treatment for opioid dependence.

More than a third (35%) reported disruptions to emergency interventions, including those for people experiencing prolonged seizures; severe substance use withdrawal syndromes; and delirium, often a sign of a serious underlying medical condition.

30% reported disruptions to access for medications for mental, neurological and substance use disorders.

Around three-quarters reported at least partial disruptions to school and workplace mental health services (78% and 75% respectively).

“The Impact of COVID – 19 on mental, neurological and substance use services: result of a rapid assessment”, WHO, 2020

The support was provided within the framework of Sub-programme 3 - “Drug prevention, treatment and reintegration and HIV prevention” of the UNODC Programme for Central Asia 2015-2020 and UNODC Global Project GLOK32 “UNODC-WHO Joint Programme on drug dependence treatment and care”.

تنظم البعثة الإقليمية إلى آسيا الوسطى التابعة لمكتب الأمم المتحدة المعني بالمخدرات والجريمة (المكتب) تدريباً إقليمياً على الإنترنت لخبراء التقييم الوطنيين بشأن استخدام الأفكار المتعمقة التي صممها المكتب/منظمة الصحة العالمية

11- بدأ في 12 تشرين الأول/أكتوبر 2020 التدريب الإقليمي على مهارات خبراء التقييم التابعين لمكتب الأمم المتحدة المعني بالمخدرات والجريمة ومنظمة الصحة العالمية على مهارات العلاج الجيد من المخدرات، الذي مدته خمسة أيام. والهدف من التدريب هو تعزيز الدعم المؤسسي لضمان التنفيذ الناجح لخدمات العلاج من المخدرات التي يقدّمها المكتب ومنظمة الصحة العالمية في آسيا الوسطى، وترويج نهج علمي لنوعية خدمات العلاج من تعاطي المخدِّرات ورعاية متعاطي المخدِّرات.

بعد إطلاق المعايير الدولية لعلاج اضطرابات المخدرات، 10- وقد اقترحت لجنة المخدِّرات (التي تدعو إلى وضع وتعميم المعايير الدولية لعلاج الاضطرابات المرتبطة بالمخدِّرات) وتحثّ المكتب على دعم عملية منهجية للتكيف الوطني واعتماد معايير وطنية لنوعية اعتماد الخدمات بموجب القانون الوطني() (الذي يدعو إلى وضع وتعميم معايير دولية لمعالجة الاضطرابات المرتبطة بالمخدِّرات) على دعم عملية منهجية للتكيف الوطني واعتماد معايير وطنية لنوعية اعتماد الخدمات بموجب القانون الوطني، على أنَّ هناك حاجة إلى أدوات جديدة قابلة للتطبيق عالمياً تستند إلى استراتيجية توزيع متماسكة لضمان التصدي للاضطرابات المرتبطة بالمخدِّرات على نحوٍ مؤهَّل وفعال في جميع أنحاء العالم.

ومن الضروري وضع هذه المعايير لنوعية خدمات العلاج من تعاطي المخدرات حتى يتسنى تقييم أفضل الممارسات استنادا إلى المبادئ العلمية والأخلاقية. وتساعد معايير الجودة أيضاً على ضمان أن يحافظ النظام الصحي على معايير الجودة والفرص المتاحة لمدمني المخدرات لأي شخص مصاب بأي مرض مزمن آخر.

10- وستركز دورة إقليمية لتجديد المعلومات على الإنترنت لخبراء التقييم الوطنيين وغيرهم من الخبراء الوطنيين المشاركين في وضع معايير الجودة الوطنية على الإجراءات التالية المتصلة بمواصلة تنفيذ معايير الجودة في آسيا الوسطى:

  • (ب) عرض الإنجازات في آسيا الوسطى استنادا إلى نتائج المبادرات الرائدة؛
  • (ه) تحديثاً عن المعايير الدولية لمنظمة الصحة العالمية/مكتب الأمم المتحدة المعني بالمخدرات والجريمة لعام 2020 ومجموعة جديدة من أدوات مراقبة جودة الخدمات من المكتب/منظمة الصحة العالمية ومعايير التوافق في الآراء.
  • مناقشة معايير مراقبة الجودة مع التركيز على ما هو غير موجود حاليا في آسيا الوسطى.
  • التركيز على كيفية تقييم و تخطيط التحسينات.
  • تحديد التغييرات المطلوبة في كل بلد بعد المشاريع التجريبية والخطوات التالية لاعتماد معايير الجودة الدولية ووضع معايير الجودة الوطنية

وشددت السيدة أشيتا ميتال، الممثلة الإقليمية لمكتب الأمم المتحدة المعني بالمخدرات والجريمة في آسيا الوسطى، على أن "هذه المعايير يجب أن تكون قابلة للتطبيق على الصعيد العالمي ومتسقة مع المعايير الدولية لعلاج الاضطرابات التي يسببها مكتب الأمم المتحدة المعني بالمخدرات والجريمة ومنظمة الصحة العالمية، وكذلك لدعم السياسيين ومديري الخدمات الصحية والممارسين لتعزيز قدرتهم على توفير خدمات جيدة لمعالجة مدمني المخدرات ورعايتهم. واغتنمت الفرصة أيضاً لتشكر الشركاء الوطنيين على التزامهم بتنفيذ معايير وأدوات الجودة التي وضعها المكتب من خلال إنشاء أفرقة عاملة لتكييف واختبار معايير المكتب وأدواته الخاصة بجودة خدمات العلاج من المخدِّرات في عام 2019.

هذا التدريب هو جزء من مشروع المكتب العالمي GLOJ71 "علاج إدمان المخدرات وآثاره الصحية: علاج II"

المكتب الإقليمي لآسيا الوسطى التابع للمكتب ينظم التدريب الإقليمي على الإنترنت للمقيِّـمون بشأن آليات/أدوات ضمان الجودة الخاصة بـ UNODC-WHO لعلاج الاضطرابات الناجمة عن تعاطي المخدِّرات

11- بدأ في 12 تشرين الأول/أكتوبر 2020 تدريب إقليمي على شبكة الإنترنت لتجديد المعلومات للمقيِّـمون على أدوات ضمان الجودة في علاج الإدمان على المخدِّرات بين المكتب ومنظمة الصحة العالمية. والغرض من التدريب هو تعزيز الدعم المؤسسي لضمان التنفيذ الناجح لآلية ضمان الجودة الخاصة بخدمات العلاج من المخدرات في آسيا الوسطى بين المكتب ومنظمة الصحة العالمية، وتعزيز الفهم العلمي لخدمات العلاج من الاضطرابات والعناية ذات النوعية الجيدة في تعاطي المخدِّرات.

10- وسيُسْتَت للمشاركين من أوزبكستان وتركمانستان وطاجيكستان وقيرغيزستان وكازاخستان، على مدار الأيام الخمسة فرصة فريدة لمناقشة مسائل هامة تتعلق بوضع آلية لضمان ضمان الجودة لخدمات العلاج من تعاطي المخدّرات في آسيا الوسطى وإضفاء الطابع المؤسسي عليها.

في أعقاب إطلاق المعايير الدولية لمنظمة الصحة العالمية لمكافحة الاضطرابات الناجمة عن تعاطي المخدرات وموافقة لجنة المخدرات على القرار 59/4 (الذي يدعو إلى وضع ونشر المعايير الدولية لعلاج الاضطرابات الناجمة عن تعاطي المخدرات، ويحث المكتب على دعم عملية منهجية 11- من أجل التكيف الوطني واعتماد معايير وطنية لاستراتيجية ضمان الجودة لاعتماد الخدمات وفقاً للتشريعات الوطنية)، اقترحت الحاجة إلى أدوات جديدة قابلة للتطبيق عالمياً تستند إلى استراتيجية نشر متفق عليها من أجل ضمان استجابة مؤهلة وفعالة لاضطرابات تعاطي المخدرات في جميع أنحاء العالم.

ومن الضروري وضع معايير الجودة هذه بشأن خدمات العلاج من الاضطرابات في تعاطي المخدرات من أجل تقييم الممارسات الجيدة التي تستند إلى المبادئ العلمية والأخلاقية. كما تساعد معايير الجودة على ضمان نفس معايير الجودة والفرص المتاحة للأشخاص المرتهنين للمخدرات والتي يوفرها النظام الصحي لأي مرض مزمن آخر.

10- سيركز التدريب الإقليمي على تحديث المعلومات على الإنترنت لخبراء التقييم الوطنيين وغيرهم من الخبراء المشاركين في وضع المعايير الوطنية لـ ضمان الجودة على الإجراءات التالية المتعلقة بمواصلة إدخال معايير ضمان الجودة في بلدان آسيا الوسطى:

  • أفكار بشأن الإنجازات التي تحققت في آسيا الوسطى استنادا إلى نتائج المبادرات الرائدة
  • (ه) آخر المستجدات بشأن 'المعايير الدولية' بين منظمة الصحة العالمية ومكتب الأمم المتحدة المعني بالمخدرات والجريمة لعام 2020، ومجموعة أدوات جديدة لمكتب الأمم المتحدة المعني بالمخدرات والجريمة ومنظمة الصحة العالمية بشأن خدماتها في هذا النظام ومعايير التوافق في الآراء.
  • (أ) متابعة مجالات معايير ضمان الجودة مع التركيز على ما هو مفقود حاليا في آسيا الوسطى.
  • التركيز على أساليب التقييم والتخطيط للتحسين.
  • تحديد التغييرات المطلوبة في كل بلد بعد التجارب والخطوات التالية في اعتماد المعايير الدولية لـ ضمان الجودة وتطوير المعايير الوطنية لـ QA.

31- وأبرزت السيدة أشيتا ميتال، الممثلة الإقليمية لمكتب الأمم المتحدة المعني بالمخدرات والجريمة في آسيا الوسطى، أن "هذه المعايير ينبغي أن تكون قابلة للتطبيق على الصعيد العالمي ومتوائمة مع المعايير الدولية لعلاج الاضطرابات الناجمة عن تعاطي المخدِّرات بين المكتب ومنظمة الصحة العالمية، وأن تخدم غرض دعم واضعي السياسات ومديري خدمات العلاج والممارسين لتحسين قدرتهم على تقديم خدمات جيدة النوعية لعلاج الاضطرابات في تعاطي المخدِّرات ورعاية المصابين بها". واغتنمت أيضاً هذه الفرصة لتشكر النظراء الوطنيين على التزامهم بإدخال معايير وأدوات ضمان الجودة للمكتب من خلال دعم إنشاء أفرقة عاملة بشأن التكيف وتجريب صيغة عام 2019 لمعايير وأدوات ضمان الجودة الخاصة بالمكتب في مجال خدمات العلاج من المخدرات.

2- ويُنظَّم هذا التدريب في إطار المشروع العالمي لمكتب الأمم المتحدة المعني بالمخدرات والجريمة GLOJ71 "علاج الارتهان للمخدرات وعواقبه الصحية: شبكة المعالجة الثانية".

Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes

We invite you to register for this free webinar-based training course on Motivational Interviewing (MI). The three week long series is presented by Igor Koutsenok, MD, MS, Professor of Psychiatry at the University of California San Diego, Department of Psychiatry.

Igor Koutsenok ISSUP Motivational Interviewing

Motivational Interviewing is an essential, client-centered, counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. We are absolutely thrilled to bring you this skills-building opportunity presented by a recognized expert in the field of MI.

The course consists of four sessions to be held during June 2020 (see course descriptions and session dates below).

We highly encourage registration for all sessions.

Course Description

This is a training in evidence-based clinical methods of motivational interviewing (MI). After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building therapeutic relationships in clients’ outcomes. Integration of MI with other treatment modalities will be considered.     

Course Objectives

The goal is to provide knowledge and practical skill training for various practitioners on effective ways to enhance motivation of patients with substance use disorders that require significant behavioral changes to initiate and sustain positive and healthy behavioral choices. Skill building, and experiential training will be emphasized throughout the course by exercises to develop a therapeutic alliance with patients, assess patient needs, level of engagement in treatment process, structure treatment sessions, select appropriate interventions, and assist patient in maintaining motivation for a sustainable behavioral change.

Participants will learn the basic and advanced skills in motivational interviewing and strategies for engaging patients in collaborative relationship in treatment process and assist them in achieving sustainable positive behavioral changes. The course will:

  1. Help participants to acquire a systemic perspective of motivational interviewing and other motivational enhancement strategies;
  2. Build necessary clinical skills and attitudes to implement new strategies in working with ambivalent patients.

Learning Outcomes

Upon completion of the course, every participant will be able to:

  1. Describe all the aspects of the spirit of MI
  2. Explain the differences between MI and other counselling strategies
  3. Demonstrate the ability to respond to clients with reflective listening statements
  4. Identify change talk within client speech
  5. Generate open questions designed to elicit change talk
  6. Generate MI-consistent responses to client resistant statements
  7. Differentiate commitment language from other forms of change talk
  8. Provide and empathetic summary statements collecting change talk

Course Content, Dates & Registration

Session 1: Thursday June 4th 2020

Motivational Interviewing: Basic Understanding

After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.  

Learning outcomes:

  • Introduction: Motivation and behavioral change in addiction medicine
  • Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
  • Spirit of MI
  • Expressing empathy
  • Roadblocks to communication
  • Four Processes in MI

Time: 9am Pacific / 12pm Eastern / 5pm London

Duration: 1 hour

Webinar Recording 

Slide Deck

Session 2: Thursday June 11th 2020

Fundamental Skills in MI - OARS

This session will focus on Fundamental Skills in MI (OARS), providing practical exercises to help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Participants will learn strategies for engaging patients in a collaborative relationship in the treatment process and assist them in achieving sustainable positive behavioral changes. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.    

Learning outcomes:

  • Open and closed ended questions
  • Affirmations
  • Summaries
  • Rowing with OARS

Time: 9am Pacific / 12pm Eastern / 5pm London

Duration: 1 hour

Webinar recording

Session 3: Thursday June 18th 2020

Fundamental Skills in MI Continued

This third session will continue to focus on MI fundamentals, with a focus on more advanced skills and the integration of MI with other strategies and treatment modalities. Research evidence will be reviewed for the efficacy of MI and for the importance of building therapeutic relationship in clients’ outcomes.       

Learning outcomes:

  • Recognition and responding to change talk and sustain talk
  • Forming reflections
  • Levels of reflections
  • Recognizing readiness
  • Initial and intermediate planning
  • Integration with other skills and strategies

Time: 9am Pacific / 12pm Eastern / 5pm London

Duration: 1 hour

Webinar recording 

Session 4: Friday June 19th 2020

The fourth and final session will continue to build on MI Fundamentals covered in Session 3, increasing your knowledge of advanced MI skills.

Time: 9am Pacific / 12pm Eastern / 5pm London

Duration: 1 hour

Webinar recording 

We look forward to you joining us for these virtual sessions! Please contact info [at] issup [dot] net if you have any questions.

About Professor Koutsenok

Dr. Igor Koutsenok is а Professor of Psychiatry at the University of California San Diego, Director of the Center for Addiction Research, Training and Application, Director of the SAMHSA PEPFAR International Addiction Technology Transfer Center-Ukraine, and a co-director of the SAMHSA PEPFAR South East Asia Addiction Technology Transfer Center. He is also a Vice-President of the International Consortium of Universities on Drug Demand Reduction.

In 1983 he graduated as a medical doctor from the National Medical University in Kiev, (Ukraine). In 1986, he completed his psychiatry residency training and received degree as psychiatrist from the Medical University in Sofia (Bulgaria). In 1993-1996 he received a degree in addiction psychiatry at the University of London, Department of Addictive Behavior and Psychological Medicine at St. Georges Hospital Medical School. In 1996, he was recruited by the University of California San Diego, School of Medicine, Department of Psychiatry and since then he serves as faculty member of the Department. In 2013-2016 he served as Chief of Prevention, Treatment, and Rehabilitation at the United Nations Office on Drugs and Crime, United Nations Office in Vienna.

Over the last 25 years Dr. Koutsenok led the design and implementation of multiple training and technical assistance programs for mental health and addiction treatment practitioners, primary health care and social work practitioners, criminal justice professionals in the United States and around the world. He is also directing the UCSD Summer Clinical Institute - the second longest running Summer Institute in the United States (over 40 years). Dr. Koutsenok is also a member of the International Motivational Interviewing Network of Trainers (MINT). 

For many years, Dr. Koutsenok taught general and addiction psychiatry to medical students, psychiatry residents, psychology trainees, social workers, criminal justice professionals, and policy makers around the world. He is a recipient of numerous national and international awards. He has authored and co-authored over 50 scientific publications, one monograph, and contributed to 4 book. Dr. Koutsenok has been invited as a presenter and trainer to hundreds of conferences and workshops in the USA and more than 40 countries around the world. He is a proud father of three.

WEBINAR: كاري هوبكنز Eyles على الرعاية الذاتية الأصيلة للمهنيين الإدمان

تركز هذه الندوة الإلكترونية على مسألة الرعاية الذاتية للمهنيين المدمنين وتم تسليمها من قبل نائب مدير ICUDR كاري هوبكنز Eyles.

العديد منا ينجذبون للعمل في مجال اضطرابات تعاطي المخدرات بسبب تاريخنا، والأسرة، والسمات الشخصية، مثل الرحمة والتعاطف. في حين أن هذه يمكن أن تكون أصولا كبيرة، فإنها يمكن أيضا أن تكون ضارة لنا شخصيا.

في هذه الندوة الإلكترونية، يشرح كاري كيفية تحديد الصفات الصحية وغير الصحية، وكيف يمكننا رعاية أنفسنا، وما هي الرعاية الذاتية الأصيلة التي تبدو عليها.

عمل كاري في مجال اضطرابات تعاطي المخدرات لمدة 18 عاما. وهي شغوفة بمساعدة المهنيين في هذا المجال على الاعتناء بأنفسهم حتى يتمكنوا من الازدهار ومساعدة المحتاجين. عملت كاري في الرعاية المباشرة في مجال الرعاية غير الربحية في الولايات المتحدة، وتدير برامج علاج سكنية وعيادات خارجية وعدالة جنائية، ودرّبت ودربت وإرشادات مهنيين آخرين في مجال تعاطي المخدرات. وهي الآن نائبة مدير الاتحاد الدولي للجامعات المعنية بخفض الطلب على المخدرات (ICUDDR) وتدعم تطوير برامج دراسات الإدمان في جميع أنحاء العالم. وهي مدربة عالمية في مناهج العلاج العالمي (UTC).

المسجلة في 13 آذار/مارس 2020

Cary Hopkins Eyles