Данный вебинар посвящен обзору модели по изменению сообщества CADCA, и успешной реализации этой модели в городе Караганда, Республика Казахстан.
UNODC Mentor in collaboration with colleagues from Coordination and Analysis Unit of the UNODC Regional Office for Central Asia conducted a rapid assessment in four countries of Central Asia. The main goal of the brief research was to study the impact of restrictive measures imposed due to COVID-19 pandemic on the situation with drug use and provision of drug dependence treatment and services to reduce the negative health and social consequences as well as assist UNODC, donors, organizers and service providers in better adapting to the new situation.
Methodology of the rapid assessment consisted of collection and analysis of existing information from official sources, open data, media, Internet resources and conducting survey among the key respondent staff of respective services, as well as individuals from the community of people who use drugs (PWUD).
46 respondents representing drug treatment facilities (63%), CSOs (24%) and NGOs (13%) participated in the survey. Respondents share by county was Kazakhstan (43%), Uzbekistan (41%), Tajikistan (9%) and Kyrgyzstan (7%).
Assessment findings by country contained information on situation with drug use, availability, price and purity of drugs, access to services and country needs. Based on the analysis of the country data regional trends were also identified.
The results of the rapid assessment were presented during on-line webinar organized on 25 June 2020 to discuss the UNODC global research brief on “COVID-19 and drug supply chain: from production and trafficking to use”. More than 100 participants representing various government agencies, including drug control, law enforcement, customs and border protection and public health institutions as well as civil society organization from Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan took part in the webinar. Representatives of the international organizations and donors as well as Mini Dublin Group members have also joined the on-line meeting.
Ментор УНП ООН инициировал вебинар, проходивший 24 июня 2020 года в Узбекистане. Целью вебинара являлось организация форума заинтересованных специалистов для обмена важным международным опытом по обеспечению непрерывности и устойчивости услуг по лечению наркозависимости, профилактике, уходу и поддержке в связи с ВИЧ для людей, употребляющих наркотики и как осуществлять научно-обоснованную политику, обеспечивающую доступ к эффективным программам по лечению наркозависимости и ВИЧ для людей, употребляющих наркотики.
Новые вызовы и растущие проблемы для лечения и ухода, предложения УНП ООН по лечению, уходу и реабилитации для людей с расстройствами, вызванными употреблением наркотиков в условиях пандемии COVID-19, мониторинг влияния COVID-19 и обеспечение непрерывности услуг по лечению были освещены в рамках презентации Ментора.
Вторая презентация, представленная г-ном Андрей Мокий, Ведущим Специалистом национального информационно-аналитического центра по контролю за наркотиками при Кабинете Министров Республики Узбекистан, была посвящена динамике наркоситуации в Восточной Европе и Центральной Азии, а также развитию продажи наркотиков через интернет в регионе в условиях пандемии COVID-19.
Участники также смогли обсудить опыт адаптации форм и методов предоставления услуг по лечению и уходу к новым условиям. Вниманию участников были представлены результаты предоставления удаленного консультирования, инициированного командой национальных тренеров универсальной образовательной программы по лечению расстройств, вызванных употреблением наркотиков.
50 специалистов здравоохранения и представителей НПО, вовлеченных в вопросы предоставления услуг по лечению наркозависимости, профилактике, уходу и поддержке в связи с ВИЧ для людей, употребляющих наркотики, приняли участие в вебинаре и выразили большой интерес в продолжении работы этого форума.
Вебинар был проведен в рамках глобального проекта УНП ООН GLOJ71 – «Лечение наркозависимости и ее последствий для здоровья: Тритнет II».
UNODC Mentor initiated webinar held on 24 June 2020 in Uzbekistan. The purpose of the webinar was to create a forum for national experts to share valuable international experience on how to ensure the continuity and sustainability of drug dependence treatment, HIV prevention, treatment, care and support services for people who use drugs and how to implement evidence-based policies that ensure access to effective drug dependence treatment and HIV programmes for people who use drugs.
In his presentation Mentor outlined increasing challenges for treatment and care during COVID-19, UNODC suggestions about treatment, care and rehabilitation of people with drug use disorders in the context of the COVID-19 pandemic, monitoring COVID-19 impact and ensuring continuum of treatment services during COVID-19.
Second presentation made by Mr. Andrey Mokiy, Leading Specialist of the National Information-Analytical Center on Drug Control under the Cabinet of Ministries of the Republic of Uzbekistan was devoted to the dynamics of the drug situation in the West Europe and Central Asia as well as development of drug sells through Internet in the region during COVID-19 pandemic.
Participants also discussed experience of adaptation of the forms and methods of providing drug dependence treatment and care services to the new conditions. Results of providing remote counselling, initiated by the team of national UTC trainers, were presented.
A total of 50 health care providers and representatives of NGOs involved in drug dependence treatment, HIV prevention, care and support services to people who use drugs were reported to attend the webinar and they expressed high interest to continue the work of the forum.
The activity was conducted within the framework of the UNODC global project GLOJ71: “Treating drug dependence and its health consequences: Treatnet II”
ISSUP Ukraine is pleased to invite you to attend a webinar on Clinical Aspects of Substance Use Disorders. The webinar is scheduled to be presented on Thursday, July 2, 2020 from 1:00 pm to 2:30 pm (Ukraine time). The webinar will be presented in Ukrainian and Russian.
Featured Speakers:
• Iryna Pinchuk, Institute of Psychiatry of Taras Shevchenko National University of Kyiv
Director, ISSUP – Ukraine
• Yuliia Yachnik, University Clinic of Taras Shevchenko National University of Kyiv, Doctor psychologist
Report: Substance use disorders and COVID-19, review of recommendations
• Olha Myshakivska, Danylo Halytsky Lviv National Medical University, Teaching Assistant
Report: Amphetamine-type stimulant use disorders - features of the problem and approaches
• Lyudmyla Matviyets, P.L.Shupyk National Medical Academy of Postgraduate Education, Associate Professor
Report: Organizational and therapeutic measures of the primary care physician in case of suspected use of amphetamine-type psychoactive substances by the
patient
• Stanislav Chumak, Institute of Psychiatry of Taras Shevchenko National University of Kyiv
Report: Senior Researcher, «Comorbid mental disorders in users of psychoactive substances
• Eugeniu Cotelea, Republican Narcology Dispensary, Republic of Moldova, MD
Report: Gender differences of clinical aspects and risk factors of patients with alcohol addiction
Ukrainian
Введение карантинных мер в Бухарской области Республики Узбекистан крайне затруднило оказание услуг по лечению наркозависимости населению региона. Это отрицательно сказалось на качестве жизни людей с расстройствами, вызванными потреблением наркотиков (РВУН) и их семей, и во многих случаях привело к рецидиву РВУН у пациентов.
Во избежание коллапса в данной области и предотвращения ухудшения ситуации возникла крайняя необходимость адаптации форм и методов оказания услуг по лечению наркозависимости и уходу к существующим условиям. Такой ответ был инициирован и реализован группой профессионалов, состоящей из 31 специалиста по лечению наркозависимости Бухарского областного наркологического диспансера и районных наркологических пунктов. С целью улучшения понимания методов лечения и ухода основанных на фактических данных, все эти специалисты прошли обучение по всем курсам базового уровня универсальной образовательной программы по лечению РВУН во время серии каскадных тренингов, проведенных в рамках глобального проекта УНП ООН GLOJ71 – «Лечение наркозависимости и ее последствий для здоровья: Тритнет II».
В результате проведенных мероприятий, значительно облегчен доступ нуждающихся лиц в получении необходимой информации по решению проблем с зависимостью и осуществлению профилактической помощи. К середине мая 2020 года каждый из 20 врачей наркологов Бухарского областного наркологического диспансера в день оказывал онлайн консультирование по различным тематикам 3-5 нуждающимся, что составило примерно 2,400 обращений за месяц карантинных мер. 11 районных врачей наркологов в день проводили около 5-6 онлайн консультаций – около 1,700 за месяц. Итого более 4,000 проведенных онлайн консультаций за месяц. Охвачено около 70% зависимых лиц и членов их семей. Примерно в 30% случаев обращались лица, обеспокоенные началом приобщения к зависимости членов семьи. 12 врачей наркологов прошли онлайн обучение по повышению своей квалификации. Более 15 обращений было направлено в Кризисный Центр, а также осуществлена своевременная транспортировка и госпитализация 36 пациентов при поддержке правоохранительных органов.
В сегодняшних условиях пандемии COVID-19 и вынужденных карантинных мер, принимаемых правительством Республики Казахстан, психологическая поддержка и помощь, самообразование в вопросах управления стрессом, а также поддерживающее общение друг с другом и консультации экспертов часто становятся необходимостью. В связи с этим Республиканский научно-практический центр психического здоровья – главный партнер глобального проекта Управления ООН по наркотикам и преступности GLOJ71 – «Лечение наркозависимости и её последствий для здоровья» - инициировал создание веб-сайта «Психологическая и психотерапевтическая поддержка населению во время COVID-19» (https://covid-19.mentalcenter.kz/ru/).
Сайт начал деятельность с 4 апреля 2020 года. Он был запущен Республиканским научно-практическим центром психического здоровья при поддержке Детского фонда ООН (ЮНИСЕФ) и более 70 профессионалов в области психологии и психотерапии из различных Университетов, государственных организаций и частно – практикующих специалистов со всех уголков страны.
Промежуточные результаты работы сайта на 10 мая 2020 года:
In today’s conditions of the COVID-19 pandemic and necessary quarantine measures taken by the Government of Kazakhstan psychosocial support and assistance, as well as self-education of stress management, supportive communication with each other and expert advice often become a necessity. In this regard the Republican Scientific-practical Centre on Mental Health – a main partner of the UNODC global project GLOJ71 – “Treating drug dependence and its health consequences: Treatnet II” – initiated the establishment of the website “Psychological support and assistance during COVID-19” (https://covid-19.mentalcenter.kz/ru/).
The site started operating on April 4, 2020. It was launched by the Republican Scientific-practical Center on Mental Health with the support of UNICEF, and more than 70 professionals in the field of mental health, psychology and psychotherapy from various universities, state organizations and private practitioners with all over the country.
Following are the intermediate results of the site as of May 10, 2020:
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.
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.
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.
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:
Upon completion of the course, every participant will be able to:
Course Content, Dates & Registration
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:
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
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:
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
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:
Time: 9am Pacific / 12pm Eastern / 5pm London
Duration: 1 hour
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
We look forward to you joining us for these virtual sessions! Please contact info [at] issup [dot] net if you have any questions.
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.
This webinar focuses on the issue of self-care for addiction professionals and was delivered by ICUDDR Deputy Director Cary Hopkins Eyles.
Many of us are drawn to work in the field of substance use disorders due to our history, family, and personal traits, such as compassion and empathy. While these can be great assets, they can also be detrimental to us personally.
In this webinar, Cary explains how to identify healthy and unhealthy traits, how we can care for ourselves, and what authentic self-care looks like.
Cary has worked in the field of substance use disorders for 18 years. She is passionate about helping professionals in this field to take care of themselves so they can thrive and help those in need. Cary has worked in direct care in non-profit in the U.S., has run Residential, Outpatient, and Criminal Justice treatment programs, and has trained and mentored other substance use professionals. She is now the Deputy Director for the International Consortium of Universities for Drug Demand Reduction (ICUDDR) and supports the development of addiction studies programs around the world. She is a global trainer in the Universal Treatment Curriculum (UTC).
Recorded on 13 March 2020
24-29 February 2020 - A team of national trainers from Central Asia attended the Universal Treatment Curriculum (UTC) Regional Training of Trainers held in Tashkent, Uzbekistan.
The training was organized by the UNODC Regional Office for Central Asia within the framework of UNODC global project – “Treating drug dependence and its health consequences: Treatnet II”.
18 national trainers (ICAP 1 holders) from Kyrgyzstan, Tajikistan and Uzbekistan were trained on the two following UTC courses:
Course 14 presented an overview of issues related to drug use in the context of the family and provided participants with an understanding of the interventions that can be carried out with families affected by drug use disorders.
Course 17 provided participants with an overview of the definitions, major functions and case management practices within the drug use disorder continuum of care as well as an understanding of the roles, skills and competencies of case managers.
Prepared national master trainers will be responsible for conducting a series of echo trainings on selected courses of Advanced Level UTC training package for treatment and care professionals from their respective countries.
The training is logical continuation of capacity building activities being implemented in the region since 2010, within the framework of Treatnet project. Building on human resources trained on the evidence-based drug dependence treatment and care approaches, UNODC aims to further strengthen the level of capacity at the national level in the countries of the region.
UNODC stands committed to promoting access to drug dependence treatment, care and rehabilitation services that are based on scientific evidence, through worldwide advocacy, capacity building and expansion of services.
On 4-8 November 2019 in Tashkent, Uzbekistan, 24 specialists from the drug treatment centres, narcology clinics and institutions of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan participated in the Regional Training on introduction of the protocols on treatment for psychostimulants and for co-morbid psychiatric and medical disorders organized by UNODC global project GLOJ71 “Treating drug dependence and its health consequences: Treatnet” in collaboration with Sub-programme 3 “Prevention, treatment and rehabilitation and HIV prevention” of the UNODC Programme for Central Asia.
During the first two days, the participants were discussing important issues related to the diagnostic challenges on treatment of drug use disorders (DUDs) in patients affected by mental disorders and other medical conditions related to cardiovascular diseases, internal medicine, gastrointernal diseases, endocrinology, cancer and pain. And on 6-8 November 2019, they were increasing the knowledge about the specific effects and the health and social consequences associated with use of different psychostimulants.
Strengthening prevention and treatment for people with DUDs is an essential demand reduction strategy of significant public health importance, which is a cornerstone of the 2016 United Nations General Assembly Special Session on the World Drug Problem (UNGASS) outcome document, and has been specifically set as Target 3.5 of Goal 3” Ensure healthy lives and promote well-being for all at all ages”, under the 2030 Agenda for Sustainable Development Goals.
From 15-21 July 2019 team of national trainers from Turkmenistan attended the National Training of Trainers held in Ashgabat, Turkmenistan.
There were 12 representatives of drug dependence treatment service of the Ministry of Health of Turkmenistan and non-profit organizations (ICAP 1 holders) trained on the two following courses of Advanced Level UTC:
Course 12: Cognitive-Behavioral Therapy
Course 15: Managing Co-Occurring Disorders
Trainer-led presentations, small-group and reflective exercises, role-plays and case study discussions helped participants to improve their knowledge and skills on providing evidence-based treatment interventions.
These national trainers will be responsible for conducting series of echo-trainings on selected courses of Advanced Level UTC training package for the addiction professionals from Turkmenistan.
The training was conducted within the framework of UNODC joint capacity building activity with Colombo Plan Drug Advisory Programme (DAP).
The UNODC ROCA and Programme Office in Turkmenistan stands ready to continue its support to the Ministry of Health of Turkmenistan in reforming its drug dependence treatment service in compliance with international standards and the strengthening of capacity of drug addiction specialists.
From 23-31 July 2019, a team of master trainers from Central Asia attended the Regional Training of Trainers for Central Asia held in Dubai, United Arab Emirates.
The training was organized by Colombo Plan Drug Advisory Programme (DAP) within the framework of UNODC joint capacity building activity with Colombo Plan.
There were 14 regional master trainers from five Central Asia countries trained on the two following Advanced UTC courses:
Course 14 presented an overview of issues related to substance use in the context of the family and provided participants with an understanding of the interventions that can be carried out with families affected by SUD.
Course 17 provided participants with an overview of the definitions, major functions and case management practices within the substance use disorders continuum of care as well as an understanding of the roles, skills and competencies of case managers
This workshop prepared regional master trainers who would be responsible for conducting regional training on selected courses of Advanced Level UTC training package for the team of national trainers from Central Asia to be organized by UNODC.
