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Keeping on target – the need for more rapid and policy relevant reporting

Keeping on target – the need for more rapid and policy relevant reporting. Jane Mounteney Bergen Clinics Foundation/ University of Bergen. Early identification and rapid reporting of new drug developments allows for early intervention. Rapid reporting – the ’speed’ problem.

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Keeping on target – the need for more rapid and policy relevant reporting

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  1. Keeping on target – the need for more rapid and policy relevant reporting Jane Mounteney Bergen Clinics Foundation/ University of Bergen

  2. Early identification and rapid reporting of new drug developments allows for early intervention

  3. Rapid reporting – the ’speed’ problem • Slow reporting systems • Levels of bureaucracy • Lengthy research processes • New codes • Collation/ communication gap

  4. Possible solutions to the ’speed’ problem • City/ local level systems – less levels of bureaucracy • Pragmatic use of existing data (not new studies) • Validity attained through triangulation of sources & methods (multi-indicator, mixed methods) • Inclusion of sensitive sources – informants, media etc.

  5. Research paradigms for rapid/relevant trend monitoring Creswell (2003)

  6. SBK Model - rapid identification and response to emerging drug trends City level drug monitoring system – early identification Rapid assessment & response capability – early intervention

  7. Combination of two methods Monitoring & rapid assessment: • Identification of emerging drug trends • In-depth investigation of worrying findings • Multi-agency action planning

  8. SBK Bergen Earlier Warning System (BEWS) model RAPID ASSESSMENT STUDIES ROUTINE DATA KEY INFORMANT PANEL SCHOOL PANEL MEDIA MONITORING SCHOOL SURVEY

  9. Heroin trends in Bergen 2002-2009: use, market & interest indicator scores

  10. RAPID ASSESSMENT & RESPONSE

  11. RAR PROCESS Problem Initial consultation Steering/ reference group Project planning Assess problem Assess current responses Gap analysis Final consultation RAR report & action plan

  12. RAR report – young people linked to opiate milieu • Increase in number of young opiate users (16-22) • Majority of young opiate users debut with synthetic opiates (Subutex/ Temgesic) • Injection debut likely to be with amphetamine • Many placements in childcare institutions….

  13. RAR action plan • Multi-agency response • Concrete action plan • Focus on youth service provision • Improving staff competence etc • ’Unplanned’ response…

  14. Media & political response • Overdose death & RAR report • 3 weeks of media reporting • Regional childcare director called in to answer to situation • National govt – all staff to be trained in drug issues • Political parties take up theme – call for ministers resignation • Resignation of regional director • Promise for national assessment re institutions and drugs

  15. Rapid & policy relevant reporting • Pragmatic approach - multi-indicator, mixed-method • Rapid identification plus in-depth investigative option • Bridging the gap from monitoring to action • Involvement of policy makers – choosing focus, choosing interventions • Integrated action planning, offering solutions.

  16. SBK SBK SBK EPOD/ EMCDDA NATIONAL PLAN NATIONAL DRUG TRENDS NETWORK CITY CITY CITY

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