Components of a national drug prevention system

1. Ms. UNODC Components of a national drug prevention system

2. National drug prevention system

3. 1. Strong delivery infrastructure as one of the critical components of a national drug prevention system

4. 1. Strong delivery infrastructure as one of the critical components of a national drug prevention system

5. Prevention as part of health centered drug control framework

6. Support byother health, education and social policies

7. Supportive regulatory frameworks – Some examples • Skills based education included in the national school curriculum and in the teacher training system. • Mandating schools and workplaces to implement participatory and supportive substance abuse prevention policies. • Offering pre-natal care with psycho-social services to families at risk. • Reducing access of youth to licit substances

8. National standards for drug and substance abuse prevention • setting the minimum standards for interventions and policies • national professional standards for drug and substance prevention practitioners, setting the minimum competencies and skills • … setting the stage for the • > training of practitioners • > training of decision makers • > training of researchers

9. Resources and ongoing training • Trained policy makers, practitioners, researchers. • Ongoing training • Professionalisation • Adequate financial resources

10. Sustainability • Medium – long term prevention strategies with resources. • Mechanism foreseen for review at regular intervals on the basis of data and evidence. • Training is provided on an ongoing and regular basis to maintain professional capacity.

11. http://www.cicad.oas.org/main/pubs/ How_to_Develop_a_National_Drug_Policy_CICAD-CARICOM.pdf http://www.cicad.oas.org/ http://www.emcdda.europa.eu

12. Prevention Hub by Mentor International www.preventionhub.org

13. Task in national groups • Please go through your national plan for improvement. • Is there anything that you need to add so that interventions and policies are supported by a strong delivery structure? • It could be a new objective • For example, national standards for drug prevention interventions and policies developed and adopted. • It could be activities under existing objectives • For example, if you want to develop prevention education in schools, you might want to add the adoption of a relevant regulation. • If you want to implement a new intervention or expand an existing one, have you foreseen sufficient training? • What about sustainability?

14. National drug prevention system

15. 2. A range of stakeholders involved in planning and delivery as one of the critical components of a national drug prevention system

16. A range of stakeholder at different levels and from different kinds of institutions and sectors (1/2)

17. A range of stakeholder at different levels and from different kinds of institutions and sectors (2/2)

18. Multiple sectors, levels, institutions • Strong coordination • Integration horizontally and vertically • Clear roles and responsibility • Stages of the project cycle • Planning • Delivery • Monitoring • Evaluation

19. Sustainability • Integration and coordination • It is sustainable? • Could it be streamlined? • Mechanisms for integration and coordination at regular times

20. Task in national groups • Please go through your national plan for improvement. • Is there anything that you need to add so that interventions and policies are supported by a range of stakeholders? • Do you need a new objectives or new activities? • What about sustainability?

21. 3. Scientific evidence and research as one of the critical components of a national drug prevention system

22. Implementation of strategies based on scientific evidence, data and evaluation

23. Data collection system (1/2) • Epidemiology – Who is using? • Initiation age, transition to disorders, drugs used, patterns of use, risk groups. • Influences - Why are they using? • Vulnerabilities and protective factors • Consequences • Use and dependence related harm and costs (e.g. mortality, crime, HIV, foster care...)

24. Data collection systems (2/2) • Utilizing multiple different data-sources • Registers in substance abuse treatment, health care, juvenile and law-enforcement systems, social welfare, etc. • Local and national surveys • Collecting data at regular intervals • Feeding the data to the planning and development of prevention systems

25. Utilizing evidence based strategies (1/2) • Theory-based • Scientific understanding of the vulnerabilities addressed • Scientific theories on behaviour change • Monitoring • Monitoring of implementation fidelity and reach • Evaluation of effectiveness • Quasi-experimental or experimental • Collaboration with research institutions • Intermediate outcomes (mediators) • (Long-term) outcomes (substance use) • Consulting existing standards • EMCDDA!

26. Example of quality standards for the planning, implementation, monitoring and evaluation of prevention programmes

27. Utilizing evidence based strategies (2/2) • Utilising programmes that have evidence of effectiveness from elsewhere • Systematic process for adaptation • Minimal adaptation first with monitoring of fidelity and scientific evaluation • Possible deeper theory-based adaptation later • Involve research institution/ university and possibly the developer

28. Example of compilation of evidence-based programmes to choose from

29. More in-depth discussion of adaptation

30. Other examples from the Canadian Centre on Substance Abuse - www.ccsa.ca

31. Task in national groups (1/2) • Please go through your national plan for improvement. • Is there anything that you need to add so that interventions and policies are supported by scientific evidence and research? • Do you need a new objectives or new activities? • What about sustainability?

32. Finally …

33. Task in national groups (2/2) • Please go through your national plan for improvement. • Is your plan really complete? • All ages …. Hopefully yes! What about critical transition periods? • All relevant settings • All risk groups • All risk levels (universal, selective, indicated) • Anything you might want to add or prioritize at this stage?