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Quality in Treatment

The Quality in Treatment Network aims to share good practice and promote quality in substance use disorder treatment

Moderators

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Annette Dale-Perera
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Annette Dale-Perera

Overview of some international initiatives on quality in treatment

Annette Dale-Perera - 15 February 2021
A 30 minute YouTube lecture giving an overview of some International initiatives on quality in drug use disorder treatment services and systems. The lecture is given by Annette Dale-Perera and was filmed in Autumn 2020 by UNODC
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Luciana Bruno

Codeine Crisis To Care: How UNODC’s Quality Assurance Mechanisms Redefined Drug Treatment Services In Dawanau, Kano

Shared by Luciana Bruno - 16 September 2025
Format
News
Published by / Citation
UNODC

What started with a BBC documentary exposing the harsh realities of Nigeria’s codeine crisis has since become a powerful story of change. In Kano State, UNODC, with support from the European Union, introduced Quality Assurance mechanisms for drug use disorder treatment, turning challenges into opportunities for reform. The Federal Neuropsychiatric Hospital in Dawanau, once marked by neglect, underwent a remarkable transformation: wards were renovated, new staff recruited, and all patients now receive dignified, rights-based care. This progress has set a new national standard for effective drug...

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Luciana Bruno

Health And Hope: Reflecting On Progress In Developing The Quality Assurance Mechanism For The Treatment Of Drug Use Disorders In South Africa

Shared by Luciana Bruno - 16 September 2025
Format
News
Published by / Citation
UNODC - PTRS

UNODC is collaborating with South Africa to enhance the quality and effectiveness of drug use disorder treatment, ensuring services align with the International Standards for the Treatment of Drug Use Disorders. Through training, workshops, and the implementation of Quality Assurance mechanisms, the initiative supports healthcare professionals, policymakers, and service providers in delivering ethical, evidence-based care while also addressing crime, violence, and recidivism linked to drug trafficking.

South Africa faces challenges including limited data, rising demand for treatment...

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Luciana Bruno

Enhancing Quality Assurance Mechanisms For The Treatment Of Drug Use Disorders – Workshop On Adaptation Of Key Quality Standards For Service Appraisal For The Treatment Of Drug Use Disorders In South Africa

Shared by Luciana Bruno - 16 September 2025
Format
News
Published by / Citation
UNODC

In August 2024, UNODC convened policymakers and treatment managers in Johannesburg for a workshop on adapting Key Quality Standards for drug use disorder treatment. The meeting, held in partnership with South Africa’s Department of Social Development, focused on aligning national norms with the UNODC/WHO International Standards to strengthen quality assurance and improve access to ethical, evidence-based care.

The workshop marked an important step in advancing treatment systems in Southern Africa, helping stakeholders identify gaps, set priorities, and develop strategies for long-term...

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Luciana Bruno

25 Professionals Trained On The UNODC Drug Use Disorder Treatment Systems Quality Assurance Toolkit To Improve Quality Of Care And Ultimately The Life Of People With Drug Use Disorders In Serbia

Shared by Luciana Bruno - 16 September 2025
Format
News
Published by / Citation
UNODC

In June 2023, UNODC Serbia, with support from the Ministry of Health and international partners, hosted a training in Belgrade on quality assurance for drug use disorder treatment systems. Based on the UNODC-WHO International Standards and Quality Assurance toolkit, the workshop brought together 25 professionals from across the health sector to strengthen national treatment systems, share expertise, and identify areas for improvement.

The training marked an important step towards ensuring accessible, ethical, and evidence-based care in Serbia, equipping participants with practical tools to...

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Luciana Bruno

A Review of the Quality of Drug Treatment, Sustained Recovery and Related Support Services based on data submitted in the Annual Report Questionnaire collections in 2020 and 2021

Shared by Luciana Bruno - 16 September 2025
Cover of A Review of the Quality of Drug Treatment, Sustained Recovery and Related Support Services based on data submitted in the Annual Report Questionnaire collections in 2020 and 2021
Format
Report
Published by / Citation
UNODC - PTRS

In 2021, the Commission on Narcotic Drugs (CND) called on UNODC, alongside Member States and partners, to assess the quality of drug prevention, treatment, sustained recovery, and related support services worldwide. This report uses data from 2020 and 2021 to explore how well services align with the International Standards on Drug Use Prevention and the International Standards for the Treatment of Drug Use Disorders. It highlights the availability of core treatment types, such as psychosocial, behavioural, and pharmacological interventions, while noting gaps in coverage and regional...

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Luciana Bruno

The Meaning of Quality in Drug Treatment, Care, and Rehabilitation

Shared by Luciana Bruno - 16 September 2025
Format
News
Published by / Citation
UNODC

At the 66th Commission on Narcotic Drugs in March 2023, UNODC, together with international partners, hosted a side event on strengthening quality assurance in the treatment and recovery support of people with drug use disorders. Experts from across the world shared experiences, good practices and challenges, highlighting the importance of evidence-based, patient-centred approaches in community settings.

The event underlined the need for ongoing improvement in treatment systems to ensure accessible, ethical and effective care. It also introduced a key paper reviewing the link between treatment...

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Luciana Bruno

The Relationship Between Person-Centred Care for Substance Use Disorders and Service Outcomes: a Systematic Scoping Review

Shared by Luciana Bruno - 16 September 2025
Format
Scientific article
Published by / Citation
UNODC - E/CN.7/2024/CRP.10

This Discussion Paper, prepared by UNODC, aligns with key international policy frameworks, including CND resolutions 59/4 and 64/3. These resolutions highlight the importance of developing and disseminating international standards for the treatment of drug use disorders and promoting evidence-based, high-quality, affordable, and comprehensive approaches to prevention, treatment, sustained recovery, and related support services. Building on these mandates, the paper provides an in-depth examination of person-centred care within substance use disorder treatment, aiming to inform policy and...

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Luciana Bruno

Quality Assurance for Drug Use Disorder Treatment

Shared by Luciana Bruno - 16 September 2025
Cover of Toolkit Quality Assurance for Drug Use Disorder Treatment
Format
Toolkit
Published by / Citation
UNODC

Over 38 million people worldwide are living with drug use disorders, yet only a fraction have access to appropriate treatment. These disorders place a heavy burden on individuals, families and communities, and their wider social costs – from health care to justice systems – are significant. Investing in evidence-based treatment is not only vital for recovery and well-being, but also for reducing crime, protecting public health and supporting sustainable development.

To address this, UNODC and WHO developed the International Standards for the Treatment of Drug Use Disorders. These Standards...

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Luciana Bruno

The Relationship Between Quality of Specialist Treatment for Substance Use Disorders and Patient Outcomes: A Scoping Review of the Literature

Shared by Luciana Bruno - 16 September 2025
COver of The Relationship Between Quality of Specialist Treatment for Substance Use Disorders and Patient Outcomes: A Scoping Review of the Literature
Format
Scientific article
Published by / Citation
UNODC - E/CN.7/2023/CRP.9

This Discussion Paper, prepared by UNODC, aligns with key international policy frameworks, including Commission on Narcotic Drugs (CND) resolutions 59/4 and 64/3. These resolutions emphasise the development and dissemination of international standards for the treatment of drug use disorders, as well as the promotion of scientific, evidence-based, affordable, and high-quality approaches to drug prevention, treatment, sustained recovery, and related support services. The paper builds on these mandates to provide an in-depth overview of current knowledge and practice in the field of substance use...

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Luciana Bruno

International Standards for the Treatment of Drug Use Disorders

Shared by Luciana Bruno - 16 September 2025
Cover of Guide : International Standards for the Treatment of Drug Use Disorders
Format
Guide
Published by / Citation
International standards for the treatment of drug use disorders: revised edition incorporating results of field-testing. Geneva: World Health Organization and United Nations Office on Drugs and Crime; 2020. License: CC BY-NC-SA 3.0 IGO.

The International Standards for the Treatment of Drug Use Disorders, developed by UNODC and WHO, provide guidance for countries to strengthen evidence-based, ethical and effective treatment systems. They are designed for policymakers, health professionals and service providers, offering a framework to improve the organisation, delivery and quality of care for people living with drug use disorders. The Standards outline essential components of treatment, emphasising approaches that mirror the care of other chronic health conditions, and highlight the importance of progressive quality...

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Hala Najm

Global Launch – Universal Nurses Addiction Curriculum (UNAC)

Shared by Hala Najm - 15 September 2025
Format
Webinar
Published by / Citation
ICUDDR

On June 26, 2025, the International Consortium of Universities for Drug Demand Reduction (ICUDDR) marked an important milestone with the global launch of the Universal Nurses Addiction Curriculum (UNAC). This initiative, supported by the U.S. Department of State’s Bureau of International Narcotics and Law Enforcement Affairs and the Colombo Plan Drug Advisory Programme, was created in response to the urgent global health challenge posed by alcohol and drug use. Designed by nurses, for nurses, UNAC acknowledges the vital role nurses play as the first, and often only, point of contact for...

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Kwadwo Adu Boakye-Yiadom

From Standards to Action: Ensuring Quality in Drug Treatment Services

Shared by Kwadwo Adu Boakye-Yiadom - 22 August 2025
International Standards Webinar
Event Date
10 Septiembre 2025
Location:
Online
ISSUP Global, in collaboration with UNODC, invites you to its webinar titled 'From Standards to Action: Ensuring Quality in Drug Treatment Services'
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Rasha Abi Hana

Annual Report to the Parliament on Drug Addictions in Italy

Shared by Rasha Abi Hana - 7 August 2025
Format
Report

The 2025 Annual Report to the Parliament on Drug Addictions in Italy offers a comprehensive overview of the current drug addiction landscape. Despite a slight decline in youth drug use for the first time since 2018, the report highlights ongoing challenges, particularly with substances like cocaine, synthetic opioids, and high-potency cannabis derivatives. Law enforcement and judicial efforts remain strong, and Italy continues to be a key collaborator in global anti-drug initiatives, particularly with countries in South America and the Indo-Pacific region.

The report also emphasizes the...

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Rasha Abi Hana

The Use of AI in the Treatment of Addictions

Shared by Rasha Abi Hana - 10 July 2025
Format
Website
Published by / Citation
Ashton

AI is helping improve addiction treatment in many ways. It creates personalized treatment plans based on a person’s history and needs, and can even detect early signs of risk before addiction develops. AI also analyzes large amounts of data to better understand addiction patterns and improve recovery methods. Tools like AI chatbots offer around-the-clock support and a safe space to talk, while remote monitoring through apps and wearables helps counsellors track progress and prevent relapse. Virtual reality therapy lets individuals practice coping skills in realistic situations, making recovery...

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Goodman Sibeko

Webinar reflection: Exploring Multiple Pathways of Recovery

Shared by Goodman Sibeko - 27 June 2025
Title slide for PowerPoint presentation titled Exploring Pathways of Recovery by Dr Haner Hernández.
Format
Community update

ISSUP, in collaboration with Faces & Voices of Recovery, has launched a new Global Recovery Network webinar series to spotlight diverse perspectives on recovery. The first webinar featured Dr. Haner Hernández, a respected expert in the field and a person in long-term recovery. Dr. Hernández currently serves as a Senior Consultant to the Massachusetts Department of Public Health and plays a key role in advancing health equity, workforce development, and recovery support. His presentation provided an insightful and inclusive overview of multiple pathways to recovery, grounded in both...

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James Harvey

Gestión de los servicios de tratamiento de los trastornos por consumo de sustancias en línea con los “Estándares Clave de Calidad” internacionales: Manual para gestores

Shared by James Harvey (ISSUP staff) - 21 Mayo 2025
Managing drug use disorder treatment services in line with international ‘Key Quality Standards’.
Format
Guide
Published by / Citation
International Consortium on Quality (ICQ)
Este recurso está diseñado para ayudar a líderes y gestores a aplicar en la práctica las tecnologías actuales sobre "lo que funciona" y sobre lo que constituye una gestión eficiente y ética en el tratamiento de drogas.
Traducciones
English
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Rasha Abi Hana

Addiction Nursing Competencies A Comprehensive Toolkit for the Addictions Nurse

Shared by Rasha Abi Hana - 15 May 2025
Format
Scientific article
Published by / Citation
Wason, Kristin MSN, NP-C, CARN; Potter, Annie MSN, MPH, NP-C, CARN-AP; Alves, Justin RN, ACRN, CARN; Loukas, Vanessa L. MSN, FNP-C, CARN-AP; Lastimoso, Charmaine MSN, MPH, NP-C; Sodder, Shereen BA; Caputo, Andrea DNP, FNP-C, CARN-AP; LaBelle, Colleen T. MSN, RN-BC, CARN. Addiction Nursing Competencies: A Comprehensive Toolkit for the Addictions Nurse. JONA: The Journal of Nursing Administration 51(9):p 424-429, September 2021. | DOI: 10.1097/NNA.0000000000001041

With the increased role of nurses in caring for patients with substance addiction, there was a clear need to develop the Addiction Nursing Competencies to guide and support the nursing workforce. A literature search revealed a lack of formal instruments to assess and guide nurses in caring for persons with substance use disorders. The Addiction Nursing Competencies were created using existing nursing education frameworks and addiction nurse care manager clinical guidelines.

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Rasha Abi Hana

The International Council of Nurses Code of Ethics for Nurses

Shared by Rasha Abi Hana - 10 May 2025
Format
Guide
Published by / Citation
ICN

Purpose:
The International Council of Nurses (ICN) Code of Ethics for Nurses outlines the ethical values, responsibilities, and professional accountabilities of nurses and nursing students. It is designed to guide ethical nursing practice across the diverse roles nurses hold globally.

While not a code of conduct, the ICN Code serves as a framework for ethical decision-making and supports professional standards set by regulatory bodies.

What the Code Covers:
The Code offers ethical guidance related to nurses’ duties, behaviours, and professional judgment, as well as their relationships with:

...
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Rasha Abi Hana

Alcohol insensitivity and the incentive salience of alcohol: Two decades of work relevant to future directions of the addictions neuro-clinical assessment

Shared by Rasha Abi Hana - 31 March 2025
Format
Scientific article
Published by / Citation
Cofresí, R.U., Piasecki, T.M. & Bartholow, B.D. Alcohol insensitivity and the incentive salience of alcohol: Two decades of work relevant to future directions of the addictions neuroclinical assessment. Transl Psychiatry 15, 50 (2025). https://doi.org/10.1038/s41398-025-03273-y

In a recent article, Gunawan and colleagues explore how the Incentive Salience (IS) domain in the Addictions Neuroclinical Assessment (ANA) framework relates to alcohol motivation and alcohol insensitivity. Their findings support previous research suggesting a connection between alcohol insensitivity and the motivation-driven response to alcohol-related cues. This review highlights the importance of understanding how individuals with low alcohol sensitivity (LS) experience stronger reactions to alcohol cues compared to those with high alcohol sensitivity (HS). It also emphasizes the need for...

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