Gerardo Hernández Garduño

Presentation of the UNODC Strategy 2021-25

Event Date
City/Region/State
Online

UNODC has recently launched its new five-year strategy, covering 2021-25. Recognizing that a key to successful implementation of this Strategy will be the expanded use of partnerships with a broad range of stakeholders, the online meeting on February 25th will provide a briefing to Civil Society partners.

The briefing will include a presentation of the Strategy by Jean-Luc Lemahieu, Director of the Division for Policy Analysis and Public Affairs (DPA), UNODC and Bo Mathiassen, Deputy Director of the Division for Policy Analysis and Public Affairs (DPA), UNODC. 
The presentation will be followed by a Question & Answer session for the civil society participants. 

The Demand for Alcohol in South Africa during the National Lockdown

The Demand for Alcohol in South Africa

The sale, dispensing and distribution of liquor was prohibited in the nationwide lockdown on levels 5 and 4 (DMA, 2002; Amendment Regulations 2020:22). The alcohol ban that was imposed during these levels highlighted the erratic behavior where looting of alcohol outlets in South Africa was observed (BusinessTech, April 2020). This behavior that was observed demonstrated that the demand for alcohol in South Africa is an ongoing problem (Peltzer, et al., 2011:36). The national disaster in which the fight against the novel virus COVID-19, became the priority for South Africa, also saw the demand for alcohol as a priority too. Online sales for alcohol also saw a strong increase in demand despite those buyers to receive their alcohol in level 3 of the lockdown (Mavundza, 18 May 2020). This revealed that alcohol was in high demand during the lockdown especially in levels 5 and 4.

The alcohol ban was lifted at level 3 of the nationwide lockdown; this meant that businesses with a liquor license could sell liquor or through e-commerce from Monday to Thursday, between 9h00 and 17h00 and that the consumption of liquor at the place of sale is not permitted (DMA, 2002; Amendment of Regulations 2020:15). Despite the enormous pressure on the health system with the pandemic the alcohol ban that was lifted saw trauma cases increase at hospitals with intoxication, violence and motor vehicle accidents (Medical Brief, 10 June 2020). Research noted that alcohol abuse has been associated with domestic violence and intra-family violence (Setalentoa, et al., 2010:12 & Guebaly, 2005:36). In South Africa, 58% of deaths on South African roads can be attributed to alcohol consumption (NDMP, 2019:15). Despite the available research the South African government was blindfolded to the potential risk and consequence that comes with alcohol consumption as the ban was lifted.

The estimated burden of disease attributable to alcohol in South Africa in 2000 was 7.1% of all deaths and 7% of the total disability adjusted life years (Peltzer, et al., 2011:30). Alcohol remains the primary substance of abuse in South Africa, between 7.5% and 31.5% of South Africans have an alcohol problem or are at risk of developing one (NDMP 2006-2011). The per capita consumption of alcohol in South Africa is 11 litres, the most in Africa (NDMP, 2019:29). The levels of fetal alcohol syndrome (FAS), in South Africa are the highest ever recorded (Parry, 2005:426). This is a devastating disability that is totally preventable by not consuming alcohol while pregnant (NIAAA, 2000:38). South Africa female drinkers each consume 16 litres of pure alcohol per year on average which is estimated 80% above the world average of 8.9 litres (WCARHR White Paper, 2017:15). This proves that the demand for alcohol in South Africa has become a noteworthy concern.

There is a strong link between drug use and social disadvantage which includes, low educational attainment, increased difficulty in finding and remaining employed, financial instability and poverty (WDR, 2020:09). The socio-economic factors such as poverty, inequality and unemployment remain key elements for the increased use of drugs and the development of substance use disorders (NDMP, 2019:14). The age restriction for alcohol consumption in South Africa is 18 years; however, there are no proper measures to ensure adherence and some of the unregulated outlets operate according to the demand (Setalentoa, et al., 2010:12). In a study that was done by South African Demographic and Health Survey (SADH), Medical Research Council and Marco International in 1998, it was found that 41.5% of male and 17.1% female age 15 years and older acknowledge consuming alcohol (Parry, 2001cited in Van Heerden & Parry, 2001:71). The prevalence of male alcohol consumption is more than double that of female consumption and underage drinking in South Africa is not only alarming, but that the demand for alcohol begins at a young age.

The demand for substances in South Africa has increased and more funds are allocated to address the demand for substances especially in the Western Cape (Meyer, et al., 2012:667). There is a direct link between alcohol related problems and the improved economic opportunities in South Africa since 1994 (Smook, et al., 2014:60). These alcohol related problems includes road traffic accidents, mental illness, violence and severe crime committed under the influence of substances (Van Heerden, et al., 2009:2). One of the causes of alcohol abuse and misuse in South Africa can be associated with the availability, in terms of location, time and affordability (Setalentoa, et al., 2010:12). This is an indication that the demand for alcohol use in South Africa is readily met.

Despite alcohol control measures implemented by South African government alcohol consumption remains high (Vellios & Van Walbeek, 2018:33). Demand reduction has been noted in the NDMP 2013-2017, as a recognized strategy along with Supply and Harm reduction. Demand reduction is aimed at preventing the onset of substance abuse and eliminating or reducing the effect of conditions conducive to the use of dependency forming substances (NDMP 2013-2017). Demand reduction is also highlighted as one of the intervention to combating substance abuse in The Prevention of and Treatment of Substance Abuse Act 70/2008. According to the NDMP 2019, the previous edition of the NDMP 2013-2017, did not provide policy clarity on broad strategies of demand, supply and harm reduction and that it lacks implementation plan (NDMP, 2019:22).

In conclusion, the demand for alcohol use in South Africa is considerably high and a state of national disaster confirmed how problematic this issue is. We cannot continue to be oblivious the problem relationship between South Africa and the alcohol use. The results show that South Africa has the highest number of alcohol consumption and highest rates of FAS in the world.  There is an imbalance for the demand of alcohol use and the demand for treatment for alcohol use in South Africa. The ineffective demand reduction strategies are a breach to address the demand for alcohol use in South Africa. The burden of disease will continue to grow significantly if there is no action taken against the underage drinking in South Africa and the unlicensed liquor outlets that meet the demand for underage drinking. 

Recommendations

  • More emphasis should be placed on the demand for alcohol use in South Africa as a problem.
  • The burden of disease of alcohol and other substances places on the health care system should be acknowledged.
  • The severe medical, economic and social consequences of alcohol and other substance should be taken into account.
  • The problematic relationship that exists between South Africa and alcohol use should be highlight as a concern.
  • The mothers of FAS children should be investigated and if negligence is found they should be prosecuted.
  • More attention should be given to underage drinking including unlicensed and unregulated liquor outlets.
  • Demand reduction strategies should be revisited and implemented aggressively.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCE LIST

United Nations Office for Drugs and Crime. 2020. World Drug Report 2020: Socioeconomic Characteristics and Drug Use Disorders. Vienna.

Lifting of alcohol ban strains provincial emergency departments, 10 June 2020 by Medical Brief. Accessed: 23 June 2020 at https://www.medicalbrief.co.za/archives/lifting-of-alcohol-ban-strains-provincial-emergency-departments/

16 Liquor stores looted in the Western Cape since lockdown, April 2020 by BusinessTech. Accessed: 23 June 2020 at https://businesstech.co.za/news/business/389117/16-liquor-stores-looted-in-the-western-cape-since-lockdown/

Mavundza, B. 18 May 2020. Online sales of alcohol are booming. Business Insider South Africa. Accessed 23 June 2020 at https://www.businessinsider.co.za/buying-wine-online-2020-5

Department of the Premier. Western Cape Government. 2017. Western Cape Alcohol Related Harm Reduction Policy White Paper.

National Institute for Alcohol Abuse and Alcoholism. 2000. Prenatal Exposure to Alcohol. Alcohol Research and Health. Vol. 24(1), 2000.

Peltzer, K., Davids, A. & Njuho, P. 2011. Alcohol use and problem drinking in South Africa: findings from a national population-based survey. Afr. J. Psychiatry, 2011; 14:30-37.

Vellios, N.G. & Van Walbeek, C. P. 2018. Self-reported alcohol use and binge drinking in South Africa: Evidence from the National Income Dynamics Study, 2014-2015. SAMJ, 2018; 108(1):33-39.

Department of Social Development. 2019. National Drug Master Plan. 2019-2024 South Africa, Department of Social Development and Central Drug Authority. Pretoria; Government Printer.

Department of Social Development. 2006. National Drug Master Plan. 2006-2011. South Africa, Department Social Development and Central Drug Authority. Pretoria: Government Printer.

Department of Co-operative Governance and Traditional Affairs. 2002. Disaster Management Act 52/2002: Determination of Alert Levels and Hotspots 28 May 2020. Government Gazette. Pretoria: Government Printers.

Department of Social Development. 2008. Prevention of and Treatment for Substance Abuse Act (Act No 70 of 2008). Government Gazette. Pretoria: Government Printers.

Department of Social Development. 2013. National Drug Master Plan. 2013-2017. South Africa, Department Social Development and Central Drug Authority. Pretoria: Government Printer.

Meyer, B., Petersen, Z., Kader, R. & Parry, C. D. H. 2012. Moving beyond access: Towards a quality-orientated substance abuse treatment system in South Africa. SAMJ, 2012; 102 (8):667-668.

Smook, B., Ubbink, M., Ryke, E. & Strydom, H. 2014. Substance Abuse, Dependency and The Workplace: A Literature Overview. Social Work, 50(1).

Van Heerden, M. S., Grimsrud, A. T., Seedat, S., Myer, L., Williams, D. R. & Stein, D. J. 2009. Patterns of Substance Use in South Africa: Results from the South African Stress and Health Study. SAMJ, 2009; 99(5):358-366.

Parry, C. D. H. 2005. South Africa: Alcohol today. Society for the study of Addiction, 2005; 100:426-429.

Rehm, J., Rehn, N., Room, R., Monteiro, M., Gmel, G., Jernigem, J. & Frick, U. 2003. The global distribution of average volume of alcohol consumption and patterns of drinking. EAR, 9:147-156.

Setalentoa, B. M. P., Pisa, P. T., Thekisho, G. N., Ryke, E. H. & Loots, Du. T. 2010. The social aspects of alcohol misuse/abuse in South Africa. SAJCN, 23(3):11-15.

Van Heerden, I. V. & Parry, C. D. H. 2001. If you drink alcohol, drink sensibly. SAJCN, Vol. 14(3):71-77.

Guebaly, N. 2005. Don’t drink and drive the successful message of Mothers Against Drunk Driving (MADD). World Psychiatry, 4:1.

 

National trainer teams from Central Asia level up in the Universal Treatment Curriculum for Substance Use Disorders with support from UNODC

Online regional training for trainers (ToT) on Course 10 “Managing Medication-Assisted Treatment Programs” (30 November – 3 December 2020) of the Advanced Level of the Universal Treatment Curriculum for Substance Use Disorders (UTC training package) launched on 30 November 2020.

The main purpose of the training series is to prepare the team of national trainers who will be able to independently train professionals, working in the field of drug dependence treatment and prevention in their own countries in the future. The training was conducted by Dr. Yuriy Rossinskiy (Kazakhstan) and Dr. Oleg Yussopov (Kazakhstan), highly qualified Regional Master Trainers of the International Center for Credentialing and Education of Addiction Professionals.

The participants of the regional training were practicing addiction professionals and members of national teams of trainers from Kyrgyz Republic (9 participants), Tajikistan (5 participants) and Uzbekistan (10 participants), who hold credentials of International Certified Addiction Professionals Level One (ICAP I).

In his opening speech, Borikhan Shaumarov, UNODC Regional Program Coordinator talked on the importance of UTC training package and called on to the participants inviting them to start conducting workshops for addiction professionals in their home countries to pass on the knowledge. He also encouraged them to join the International Society of Substance Use Professionals (ISSUP) to expand their own horizons of professional knowledge sharing.

The main objectives of the training were to provide a comprehensive understanding of the role of pharmacotherapy and pharmacological interventions on a continuum of recovery-oriented interventions and to present ways of integrating medication-assisted treatment (MAT) services into a comprehensive system of care (e.g., program setting, management issues).

For four days regional master trainers informed the participants on the role of pharmacotherapy on a continuum of recovery-oriented interventions and systems of care, identify the phases of care involved in all Medication-Assisted Treatment (MAT) programs, explain the psychosocial benefits of MAT and describe specific types of pharmacological interventions.

This training was organized within the framework of UNODC global project GLOJ71 “Treating drug dependence and its health consequences: Treatnet II” in collaboration with Prevention, Treatment and Rehabilitation Section of UNODC HQ with financial support from U.S. Department of State’s Bureau of International Narcotics and Law Enforcement Affairs.

На передовой пандемии: COVID-19 глазами психотерапевта наркодиспансера

Пандемия, и связанные с ней ограничения, принесли перемены в жизни практически каждого жителя планеты. Однако, немногие задумываются о том, как изменилась жизнь лиц с расстройствами, вызванными употреблением наркотиков, являющихся одними из самых уязвимых и нуждающихся в постоянной помощи. С одной стороны, закрытие границ во время карантина, привело к резкому сокращению доступа к наркотическим веществам; с другой стороны, стала распространенной проблема потери дохода, к тому же, многие виды зависимости сопровождаются различными заболеваниями и слабым иммунитетом, что делает лиц с зависимостью подверженными риску осложнений при заражении COVID-19.

Мы побеседовали с одним из практикующих психотерапевтов наркологического диспансера, c первых дней пандемии адаптировавшихся к новым условиям ограничений, связанных с COVID-19 для обеспечения непрерывного доступа пациентов с зависимостью к прямой психологической и терапевтической помощи.

Что изменилось с начала пандемии

 «С приходом пандемии COVID-19, мы стали жить как на пороховой бочке», говорит психотерапевт Ташкентского городского наркологического диспансера, Татьяна Соборницкая. «Поступление больных с зависимостью от наркотиков и психотропных веществ сократилось с введением карантина. При этом был отмечен рост поступления больных с алкогольной зависимостью. Как мы выявили позже, часть наркозависимых переключились на алкоголь. Со слов пациентов это связано с тем, что стало труднее достать наркотики».

Среди сложностей, связанных с новым режимом работы можно отметить следующие: необходимость находиться в специальном костюме в течение дня и во время работы с пациентами; трудности сбора данных о том, был ли пациент с зависимостью, поступивший по скорой помощи, в контакте с инфицированными COVID-19; необходимость поиска симптомов коронавирусной инфекции, помимо диагностики наркологической патологии.

В июле в диспансере был выявлен случай стационарного заражения больных, некоторых сотрудников, включая саму Татьяну. «Было очень сложно. Две недели я жила в отделении», рассказывает Татьяна. «Помимо психотерапии, мне нужно было еще и заниматься лечением больных, помещенных в диспансер, с постоянным контактом с эпидемиологами. Различная информация, поступавшая извне, способствовала повышению тревожности и страху у пациентов. Поэтому, вдобавок к лечению, появилась необходимость в проведении ряда рациональных бесед, была подобрана необходимая терапия, которая помогла больным справиться с заболеванием».

С июля по сентябрь в стационар поступило 306 больных, из них наркозависимых – 89.

Положительные моменты

«Больные легко раскрывались и шли на контакт в этой непривычной обстановке», отметила доктор Соборницкая.

Еще один положительный момент заключается в удобстве онлайн-коммуникации с лицами с зависимостью. «Онлайн-коммуникация, оказалась удобной и простой», - отмечает Татьяна, «я веду телеграм-канал для наблюдаемых, они выходят на связь при необходимости».

В результате приверженной работы Татьяны во время пандемии, ей было доверено возглавить наркологическое стационарное отделение Ташкентского городского наркологического диспансера.

Медико-социальная реабилитация

Следует отметить, что Реабилитационное отделение Ташкентского городского наркологического диспансера оказывает квалифицированную бесплатную медицинскую и психологическую помощь лицам, оказавшимся в трудной ситуации. При наличии желания у пациента вылечиться, всю необходимую помощь ему готовы оказать в диспансере.

Универсальная программа обучения по вопросам лечения расстройств, вызванных потреблением психоактивных веществ

Региональное представительство УНП ООН в Центральной Азии в рамках программы по «Профилактике, лечению наркозависимости, а также реинтеграции и профилактике ВИЧ»  и глобального проекта УНП ООН GLOJ71 «Лечение наркозависимости и её последствий для здоровья: Тритнет II» осуществляет меры по развитию потенциала в области ухода и лечения наркозависимости, направленные на расширение возможностей государств-членов в области лечения расстройств, вызванных потреблением наркотиков, а также реинтеграции и ухода, включая сопутствующие психические и соматические расстройства в частности посредством Универсальной программы обучения по вопросам лечения расстройств, вызванных потреблением психоактивных веществ (UTC), разработанной при финансовой поддержке Государственного департамента США. Общая цель этой серии тренингов заключается в снижении остроты медицинских, социальных и экономических проблем, связанных с расстройствами, вызванными потреблением психоактивных веществ (ПАВ), путём развития международного потенциала посредством обучения, повышения профессионального мастерства и увеличения кадрового потенциала на глобальном уровне. Тренинг готовит наркологов к профессиональной сертификации, предоставляя самую последнюю информацию о расстройствах, вызванных потреблением ПАВ, и лечении, а также помогая новым специалистам обучаться на практике для развития навыков и уверенности в себе.

Доктор Соборницкая входит в состав команды национальных тренеров Узбекистана, успешно прошла все 9 курсов базового уровня Универсальной программы обучения по вопросам лечения расстройств, вызванных потреблением психоактивных веществ (UTC) и получила статус «Международного сертифицированного специалиста по зависимости 1-уровня».

At the forefront of a pandemic: COVID-19 through the eyes of psychotherapist at a drug treatment facility

The COVID-19 pandemic and the restrictions associated with it have changed people’s lives in almost all countries. However, very few realize how the lives of people with drug use disorders – who are among the most vulnerable and in need of ongoing care – have changed. On the one hand, the closure of borders during quarantine has led to a dramatic reduction in access to narcotic drugs. On the other hand, loss of income has become a problem for people with many forms of dependence accompanied by various diseases. Exposure to COVID-19 can also lead to complications due to their weak immunity.

We interviewed one of the psychotherapy practitioners in drug treatment facilities of Uzbekistan, who, since the onset of the pandemic, has adapted activities to the new constraints posed by COVID-19 in order to help ensure continued access to direct psychological and therapeutic care for patients with drug dependence.

What has changed since the pandemic outbreak?

"Since the COVID-19 pandemic outbreak, we lived like on a powder keg", says Tatyana Sobornitskaya, a psychotherapist at the Tashkent City Narcological Dispensary. "Admission of patients with drug and psychotropic substance dependence sharply decreased with introduction of lockdown. At the same time, an increase in the number of patients admitted with alcohol dependence was observed. Later we discovered that some people with drug and psychotropic substance dependence have switched to alcohol due to drug shortages.”

Challenges associated with the new working regime included: the need to wear protective equipment (PPE) during the day and while working with patients; challenges with identifying whether a patient with drug dependence admitted via ambulance was in contact with anyone infected with COVID-19; and the need to look for symptoms of coronavirus infection in addition to the diagnosis of narcological pathology.

In July 2020, cases of infection were detected in the facility, among patients and some employees, including Tatyana herself. "It was very hard. I stayed in the department for two weeks,” says Tatyana. "In addition to psychotherapy, I also had to deal with the treatment of patients admitted to the facility, with constant contacts and in close consultation with epidemiologists. On top of that, different kinds of information coming from outside made patients scared and anxious. This led to a need for a series of balancing conversations in addition to treatment. Thanks to the support of the Chief Clinician and well-coordinated work of staff, the necessary medication-assisted therapy was selected, which helped patients to cope with the disease.”

From July to September 2020, 306 patients – including 89 people with drug dependence – were admitted to in-patient treatment.

Silver Linings

"Nevertheless, on the bright side, during these two weeks, patients were very well acceptive with regards to information about their drug dependence, they opened up easily under such unusual circumstances", mentioned Dr. Sobornitskaya.

Another positive aspect was the convenience of online communication with persons with dependence. "Online communication turned out to be convenient and simple", says Tatyana. "I run a Telegram channel for patients, and they get in touch when necessary".

Following Tatyana's dedicated work during the pandemic, she was entrusted to head the in-patient drug treatment department of the Tashkent City Narcological Dispensary.

Medico-social rehabilitation

It should be noted that the Rehabilitation Department of the Tashkent City Narcological Dispensary provides qualified free medical and psychological care to those who found themselves in a difficult situation. Upon the patient's desire to be supported, the Dispensary staff stand ready to provide all necessary care.

Universal Treatment Curriculum for Substance Use Disorders

The UNODC Regional Office for Central Asia under UNODC Global Project GLOJ71 "Treating drug dependence and its health consequences: TREATNET II" delivers capacity-building activities in the field of drug dependence treatment and care. It aims to enhance the Member States’ capacities on drug use disorder treatment, reintegration and care. This includes related mental and medical disorders. In particular, the capacity-building activities are facilitated through the Universal Treatment Curriculum for Substance Use Disorders (UTC) developed with the U.S. Department of State’s (INL) financial support. The overall goal of the training activities is to reduce the medical, social, and economic problems associated with substance use disorders by developing the international treatment capacity through training, enhancing skills, and expanding the global treatment workforce. The training prepares addiction specialists for professional certification by providing the latest information about substance use disorders and treatment. It facilitates hands-on activities to develop their skills and confidence.

Dr. Sobornitskaya, a member of a team of national trainers from Uzbekistan, has successfully completed all nine courses of the Basic Level Universal Treatment Curriculum for Substance Use Disorders (UTC) and received the status of the "International Certified Addiction Professional Level 1" (ICAP I).

A professional standing in an office or classroom

The Regional Mission to Central Asia of the United Nations Office on Drugs and Crime (UNODC) is organizing a regional online training for national assessors experts on the use of UNODC/WHO-designed insights

The five-day regional online training on the skills of UNODC/WHO assessment experts on quality drug treatment has begun on 12 October 2020. The aim of the training is to strengthen institutional support to ensure the successful implementation of the UNODC/WHO drug treatment services in Central Asia and to promote a scientific approach to the quality of drug treatment and drug care services.

Following the launch of the International Standards for the Treatment of Drug Disorders, WHO/UN/UN resolution 59/4 by the Commission on Drugs (which calls for the development and dissemination of international standards for the treatment of drug-related disorders) and urges UNODC to support a systematic process of national adaptation and the adoption of national quality standards for accreditation of services under national law), the need for new globally applicable tools based on a coherent distribution strategy has been proposed to ensure a qualified and effective response to drug-related disorders around the world.

The development of such standards for the quality of drug treatment services is necessary to be able to evaluate best practices based on scientific and ethical principles. Quality standards also help to ensure that quality standards and opportunities for drug addicts are maintained by the health system for anyone with any other chronic disease.

A regional online refresher course for national assessor experts and other national experts involved in the development of national quality standards will focus on the following actions related to the continued implementation of quality standards in Central Asia:

  • Presentation of achievements in Central Asia based on the results of pilot initiatives;
  • Update on WHO/UNODC International Standards 2020 and a new set of service quality control tools from UNODC/WHO and Consensus Standards.
  • Discussion of quality control standards with an emphasis on what is currently lacking in Central Asia.
  • Focus on how to evaluate and plan improvements.
  • Identify the changes needed in each country after pilot projects and the next steps to adopt international quality standards and develop national quality standards

Ms. Ashita Mittal, UNODC Regional Representative for Central Asia, stressed that "these standards must be globally applicable and consistent with the International Standards for the Treatment of Disorders Caused by UNODC and WHO, as well as to support politicians, health service managers and practitioners to enhance their capacity to provide quality services for drug treatment and care for drug addicts." She also took the opportunity to thank national partners for their commitment to implementing UNODC quality standards and tools by establishing working groups to adapt and test UNODC quality standards and tools for drug treatment services in 2019.

This training is part of UNODC's GLOBAL GLOJ71 Project "Treatment of Drug Addiction and Its Health Effects: Treatnet II"

УНП ООН поддерживает страны Центральной Азии в пилотировании механизмов/инструментов обеспечения качества услуг по лечению расстройств, вызванных потреблением наркотиков

Вводная информация

В 2019 году в четырех странах Центральной Азии - Казахстане, Кыргызстане, Таджикистане и Узбекистане -  проводилась пилотная реализация механизмов/инструментов УНП ООН по обеспечению качества услуг по лечению расстройств, вызванных потреблением наркотиков.

Мероприятие проводилось в рамках глобального проекта УНП ООН GLOJ71: «Лечение наркотической зависимости и её последствий для здоровья: Тритнет II» при финансовой поддержке Бюро Государственного департамента США по контролю за наркотиками и правоприменению (INL).

После обучения специалистов по лечению расстройств, вызванных употреблением наркотиков, из каждой страны команды подготовленных экспертов-оценщиков выбрали из инструментария УНП ООН стандарты, критерии и методы оценки контроля качества услуг для пилотирования. Страны сосредоточили внимание на областях, которые они считали важными в своей стране или которые нуждаются в улучшении. Пилотирование выбранных стандартов проводилось по 10 службам лечения наркозависимости в 13 центрах.

В отчете, подготовленном международным консультантом УНП ООН г-жой Аннет Дейл-Перера, представлены сопоставленные результаты четырех стран Центральной Азии, участвовавших в пилотировании инструментов контроля качества УНП ООН.

Результаты

Все страны проявили значительную приверженность к пилотной реализации инструментов обеспечения качества служб по лечению расстройств, вызванных потреблением наркотиков, на основе механизма УНП ООН по обеспечению качества. Страны и участвующие службы заслуживают высокой оценки за их усердие и приверженность качеству, рекомендуемому УНП ООН процессу. 

В целом результаты оценки показали следующее:

  • Большинство служб соответствуют многим критериям, в частности, 65% общих критериев, выбранных всеми службами, и по 76% всех критериев.
  • В странах Центральной Азии имеются необходимые условия для функционирования служб, включая национальные нормативные положения, процедуры оценки, системы учета пациентов и учета персонала.

Ключевые тенденции соответствия услуг стандартам:

  • Для большинства критериев стандартов «Основного Управления» получена оценка «соответствует». Однако, требовалось определенное улучшение (для двух или более служб) по следующим критериям: пересмотр планов служб; обучение персонала; механизмы клинического управления; согласие пациентов. Более того, по Ключевым Показателям Эффективности (КПЭ) улучшение требуется по списку ожидания заполняемости пациентами, завершающим лечение и их последующий уход.
  • Ключевыми факторами стандартов «Основного Ухода» являлось то, что: по 21 критерию получена оценка "соответствует" (57%), и по 16 (43%) критериям получена оценка "не соответствует" или "частично соответствует". Улучшение требовалось (в двух или более служб) по всем критериям, в частности по планированию лечения в одной стране и обзору/пересмотрам планов лечения (в трех странах из четырех).
  • Ключевыми факторами в отношении стандартов «Права Пациентов» являлось то, что, как правило, пациенты сообщали об уважительном отношении к ним. Тем не менее, имелись возможности для улучшения по критериям "пациенты чувствуют себя вовлеченными в оценку" и "планирование лечения". Большинство стран могли бы также улучшить участие пациентов в обеспечении качества работы служб и их проектировании.
  • В части стандартов «Вмешательства» некоторые страны соответствовали определенным критериям в отношении наличия протоколов вмешательств, в частности, опиоидных фармакологических вмешательств. Однако в некоторых странах требуется улучшение протоколов оценки физического и психического здоровья; протоколов психосоциальных вмешательств; протоколов фармакологических вмешательств по детоксикации седативных препаратов; симптоматического назначения и лечения сочетанного потребления ПАВ. Также не было предоставлено доказательств того, были ли протоколы утверждены и использовались ли в службах.
  • В отношении стандартов «Лечебные Условия/Учреждения»: в трёх из четырех стран требовалось улучшение протоколов по аутрич-работе.
  • Касательно стандартов «Целевые Группы», в трёх странах требовались протоколы по работе с родителями, потребляющими наркотики, включая женщин.

Рекомендации

По итогам успешной реализации данного пилотного проекта рекомендуется провести обзор проекта и приступить к развертыванию регионального механизма обеспечения качества. Это может включать в себя:

  • Стандарты и критерии механизма обеспечения качества должны быть пересмотрены и приведены в соответствие с новейшими "Международными стандартами по лечению расстройств, вызванных потреблением наркотиков (ВОЗ/УНП ООН, 2020) и набором инструментов УНП ООН по обеспечению качества услуг, версия 2020 года.
  • Для региона может быть разработан согласованный набор "Консенсусных стандартов" и критериев (включая КПЭ) в целях продвижения обмена передовой практикой, сопоставления и коллегиального аудита. При необходимости страны могут также внедрить "экстра" критерии в дополнение к вышеуказанным.
  • Во второй фазе внедрения механизма обеспечения качества критерии оценки стандартов «Вмешательства» должны включать в себя информацию о том, установлены ли протоколы в рамках служб, а также имеется ли документация. Это будет показателем, придерживается ли персонал научно обоснованной, согласованной практики. 
  • В идеале внедрение механизма обеспечения качества должно включать согласованные методологии, в том числе опросы среди пациентов, и методы отчетности по ним, которые могут быть укреплены в рамках будущего обучения и внедрения механизма обеспечения качества и точности.

Также был рекомендован второй этап обучения и технической поддержки, предоставляемый УНП ООН для консолидации механизма обеспечения качества для расширения масштабов внедрения. Этот этап начнется с октября 2020 года. 

Plenary 3: A Focus on Treatment and Recovery

The Third Plenary Session of the 'Drug Demand Reduction in Africa: Prevention, Treatment and Epidemiology' Virtual Conference from 16th September to 10th November 2020.

Time: 2:00 – 4:00 pm SA 

 

Plenary Chair: Kim Johnson, ICUDDR

1. Treatment Standards

Presenter:

  • Anja Busse - Programme Officer, Prevention, Treatment and Rehabilitation Section, Drug Prevention and Health Branch, UNODC

2. Service Quality Measurements in Treatment Facilities

Presenter:

  • Professor Bronwyn Myers - Chief Specialist Scientist, Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council

3. Best Practices in Treatment and UTC Training in Africa

Presenter:

  • George Murimi - Training Coordinator for Africa, Colombo Plan DAP

4. Credentialing and Certification

Presenter:

  • Becky Vaughn - Director, Global Centre for Credentialing and Certification (GCCC) Colombo Plan DAP

5. Case Studies of Treatment Programmes in Latin America/Caribbean and Africa

Presenters:

  • Bawo O. James - Consultant mental health physician and a certified addiction treatment specialist, Federal Neuropsychiatric Hospital, Benin City, Edo State, Nigeria
  • Yuri Cutipé - Executive Director of Mental Health, Ministry of Health, Peru

6. Question & Answer Session

 

For more information on the 'Drug Demand Reduction in Africa: Prevention, Treatment and Epidemiology' Virtual Conference, please visit Africa 2020

Working with the whole person: Alcohol, mental health and complex needs

Event Date
City/Region/State
Online

Alcohol Change UK's first online interactive conference

Who is this conference for?

If you’re passionate about harm reduction, this event is for you. If you want to get alongside people as they overcome the obstacles in their past and present, and move on to a more fulfilling future, we can help you along that path. Whether you’re a researcher, practitioner, commissioner, clinician, or emergency service worker, you’ll get new insights, hear about the latest research, and make new connections at our 2020 conference.

How will the conference be held?

The conference will be held online over two half-days, with an option to attend on either day or both. During the event, there will plenty of opportunities to put questions to the speakers and to join online break-out sessions with smaller groups of other delegates.

What is this conference about?

Alcohol misuse is often just one symptom of the complex challenges someone faces in their life. Drinking may be a means to cope with underlying trauma or ongoing mental distress. It may bring its own problems with it, such as low mood and impaired cognition.

Such complex needs don’t lend themselves to simple solutions. That’s why we’re gathering together a multidisciplinary slate of academics, practitioners, and people with lived experience, to help us all work towards interventions that support the whole person.

IOTOD 2020 Virtual Conference

Event Date
City/Region/State
London

Virtual Summit 2020
Date: 24th and 25th September 2020

The Improving Outcomes in the Treatment of Opioid Dependence (IOTOD) team are delighted to announce that IOTOD 2020 is going virtual. In light of ongoing restrictions to travel and public gatherings and our commitment to the safety of our delegates, exhibitors and staff, this year’s conference will be delivered online.

The digital event will deliver the same thought leadership and education via interactive seminars, workshops, satellite symposia, posters and a virtual exhibition. All content will be available to attendees for a further 30 days on-demand, allowing you to reflect on learnings or catch up on any missed sessions at your leisure.

The IOTOD conference offers a range of exciting and interactive sessions, involving thought-provoking talks and expert-led panel discussions.

 

Effective Approaches to Addiction Treatment

Event Date
City/Region/State
Ohio

Following the event, participants will be able to: 

  • Identify evidence-based interventions for opioid use disorder
  • Review the importance of having immediate access to care and treatment with a compassionate approach.
  • Describe implementation of MAT in a variety of settings, including the emergency department, inpatient hospital setting, and primary care.
  • Define the ASAM Criteria structure of dimensions and levels.
  • Apply the ASAM criteria to determine optimal placement for substance use disorder patient through case studies.

Date And Time

Sat, October 3, 2020

12:45 PM – 5:00 PM BST

Global drug use rising says World Drug Report 2020

Drug use around the world on the rise says report. Population growth and urbanisation driving factors but poorest continue to suffer the largest burden of disorders. Plant-based substances such as cannabis, cocaine and heroin have been joined by hundreds of synthetic drugs, many not under international control.

25 June 2020 - The World Drug Report 2020 is released today by the United Nations Office on Drugs and Crime (UNODC).

The report reveals that around 269 million people used drugs worldwide in 2018 - 30 per cent higher than in 2009, while over 35 million people suffer from drug use disorders.

The Report also analyses the impact of COVID-19 on the drug markets including how border and other restrictions linked to the pandemic have already caused shortages of drugs on the street, leading to increased prices and reduced purity.

Cannabis was the most used substance worldwide in 2018, with an estimated 192 million people using it worldwide. It also remains the drug most likely to bring people into contact with the criminal justice system, accounting for more than half of drug law offences cases, based on data from 69 countries covering the period between 2014 and 2018.

Opioids, however, remain the most harmful with the total number of deaths due to opioid use disorders up by 71 per cent over the past decade.

Drug use among developing countries has risen rapidly over the 2000-2018 period. Adolescents and young adults account for the largest share of those using drugs, while young people are also the most vulnerable to the effects of drugs because they use the most and their brains are still developing.

The report warns that poverty, limited education and social marginalization remain major factors increasing the risk of drug use disorders. vulnerable and marginalized groups may also face barriers to getting treatment services due to discrimination and stigma.

The World Drug Report and further content is available here.

UNODC World Drug Report 2020

Webinar: New Challenges in Treatment Addictions: Experience of Ukraine and Kazakhstan

On Wednesday 23rd September, ISSUP Ukraine and ISSUP Kazakhstan presented a Webinar on "New Challenges in Treatment Addictions: Experience of Ukraine and Kazakhstan".

Time: 12pm - 1:30pm EEST / 4pm - 5:30pm ALMT / 10am - 11:30am BST

 

Speakers and Topics:

1. " New Narcotic Challenges in Clinical Practice. Difficulties with Clinical Management of Addiction to New Psychoactive Substances ".
Speaker: Mariya Prilutskaya, PhD, assistant of Department of Personalized Medicine and Pediatrics, Pavlodar Branch of Semey Medical University, Pavlodar, Kazakhstan.

2. "Socio-psychological support of people with drug addiction at the stage of social rehabilitation".
Speaker: Lessya Biketova, candidate of psychology, head of the “Department of scientific management and education”, the branch of the Republican scientific and practical center of mental health, Pavlodar, Kazakhstan.

3. "Providing psychological assistance to key populations during the COVID-19 pandemic".
Speaker: Nadezhda Cherchenko, psychiatrist, the Republican scientific and practical center of mental health, Almaty, Kazakhstan.

4. "Contemporary approaches to gambling treatment"
Speaker: Yulia Yachnik, University Clinic of Taras Shevchenko National University of Kyiv, Doctor psychologist

5. “Comorbidity of substance use  disorders with mental illness”
Stanislav Chumak, Institute of Psychiatry of Taras Shevchenko National University of Kyiv, Senior Researcher

ISSUP Ukraine and ISSUP Kazakhstan: New Challenges in Treatment Addictions

Map of Drug Demand Reduction Collaboration in Africa

Africa Map

 

There is extensive work being carried in Africa out by the DDR partners.

This map highlights what kind of work is taking place in the different areas of the continent.

Plenary 1: Setting the Scene for Drug Demand Reduction in Africa

Drug Demand Reduction in Africa Virtual Conference ISSUP
Event Date
City/Region/State
Johannesburg
Country
South Africa

The First Plenary Session of the 'Drug Demand Reduction in Africa: Prevention, Treatment and Epidemiology' Virtual Conference from 16th September to 10th November 2020. 

Time: 2:00 – 4:10 pm SA

Register Here for 'Plenary 1: Setting the Scene for Drug Demand Reduction in Africa'

 

Plenary Chair: Jeff Lee and Livia Edegger, ISSUP Global

Conference Welcome and Introduction:

  • Jeff Lee, Senior Consultant, ISSUP Global
  • Livia Edegger, Deputy Director, ISSUP Global

1. Setting the Scene

Presenters:

  • Roger Weimann - President, ISSUP SA; Director, SANCA Eastern Cape
  • Joanna Travis-Roberts - Chief Executive, ISSUP Global
  • Brian Morales - Branch Chief Counternarcotics, Office of Global Programs and Policies (INL/GPP)
  • Ambassador Adam Namm - Executive Secretary, Inter-American Drug Abuse Control Commission (CICAD), Organization of the American States (OAS)
  • Ms Hendrietta Bogopane-Zulu - Deputy Minister, Republic of South Africa Department of Social Development (DSD)
  • Her Excellency Amira Elfadil - Commissioner for Social Affairs, African Union Commission (AUC) 

2. Global Perspective – A Global Overview of Drug Use

Presenter:

  • Giovanna Campello - Chief, Prevention, Treatment & Rehabilitation Section, United Nations Office on Drugs and Crime (UNODC)
  • Chloé Carpentier - Chief, Drug Research Section, Research Branch, UNODC

3. Continental Perspective – An Overview of Drug Use in Africa

Presenter:

  • Dr Jane Marie Ongolo - Head of Social Welfare, Vulnerable Groups and Drug Control, African Union Commission

4. African Union Plan of Action on Drug Control and Crime Prevention (2019-2023)

Presenter:

  • Dr Abel Basutu - Senior Drug Control Programme Officer, African Union Commission

5. Global Initiatives by the Bureau of International Narcotics and Law Enforcement Affairs, US State Department

Presenters:

  • William McGlynn - Senior Advisor, Office of Global Policy and Programs, Drug Demand Reduction, INL, U.S. Department of State
  • Bruno Bui - Foreign Affairs Officer, Office of Global Policy and Programs, Drug Demand Reduction, INL, U.S. Department of State

6. Regional Perspective – Latin America and the Caribbean

Presenter:

  • Marya Hynes - Chief, Inter-American Observatory on Drugs, CICAD

7. Summary and Invitation to Send Comments and Questions Arising from Inputs

 

For more information on the 'Drug Demand Reduction in Africa: Prevention, Treatment and Epidemiology' Virtual Conference, please visit Africa 2020

Event Language

English