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TREAT NET International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

TREAT NET International Network of Drug Dependence Treatment and Rehabilitation Resource Centres. Mission:. Reach out to service providers to improve the quality, accessibility and affordability of drug dependence treatment and rehabilitation services. Dr. Elizabeth Sáenz

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TREAT NET International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

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  1. TREATNETInternational Network of Drug DependenceTreatment and Rehabilitation Resource Centres Mission: Reach out to service providers to improve the quality, accessibility and affordability of drug dependence treatment and rehabilitation services Dr. Elizabeth Sáenz Expert, Drug Dependence Treatment Prevention, Treatment and Rehabilitation Unit Global Challenges Section

  2. Drug demand reduction / Global Challenges Section • Collect data so that we know the magnitude of drug abuse • Prevent drug abuse • Treat drug abuse • Prevent HIV/ AIDS and other negative health and social consequences of drug abuse

  3. Support Member States • Provide technical advice on treatment system development • Develop skills • Advocacy for access and quality

  4. Drug Dependence Treatment & Rehabilitation Services Overarching Goal • Effective • Accessible • Diversified • Affordable

  5. Treatnet - International Network of Treatment and Rehabilitation Resource Centres

  6. Learning collaborative: knowledge transfer and mutual support Treatnet Strategy • Worldwide network for mutual support • Reach common quality standards • Demonstrate and disseminate good practices • Advocacy for quality treatment

  7. Our vision All persons whose lives are impaired by drug use receive a wide range of services

  8. Develop network: 20 centres Develop training package Build capacity: training of trainers Synthesise good practices: 4 topics Phase I - 2005-2007 Phase II - 2007-2011 • Consolidate & expand • Agree upon and adopt quality standards • Pilot projects: 4 topics • Disseminate training: master trainers • Advocate for expanded quality treatment • Progressive regionalisation • Preparation for sustainability

  9. 80,000 people with drug problems & their relatives Beneficiaries – Phase I 20 Regional Treatment Resource Centers 15 other Drug Treatment and Rehabilitation Providers

  10. Treatnet Members – Phase I

  11. Good Practice: Topics • Community Based Treatment • Role of Drug Dependence Treatment in HIV/AIDS Prevention and Care • Drug Dependence Treatment in Closed Settings • Sustainable Livelihoods for Reintegration and Rehabilitation

  12. Community-based Treatment • Treatment and care in the community • Integration/linkages to community health and social services • Continuum of care/case management • Mobilisation of community resources and participation • Sustainability and accountability to the community

  13. Role of Drug Dependence Treatment in HIV/AIDS Prevention and Care • Outreach, low threshold services • A range of evidence-based treatments, including methadone and buprenorphine • Information on HIV prevention (drugs, sexual) • Voluntary Confidential Counselling and Testing (VCCT) • Support adherence to Antiretroviral Therapy (ARV) • Links and referral to HIV/AIDS services

  14. Drug Dependence Treatment and Rehabilitation in Closed Settings • Treatment as an alternative to prison • Principle of equivalence: Treatment services available in prisons equivalent to those in the community • Preparation for release • Aftercare and links to community services at release Impact on crime rate and recidivism

  15. Sustainable Livelihoods, Rehabilitation and Reintegration • Principle of recovery capital • Vocational training, occupational and educational opportunities • Building community-family support and engagement • Employment, micro-credits • Accessing opportunities for housing and other social support

  16. Training Package Outline

  17. PartnersInternational organizations collaborating with Treatnet are: • WHO World Health Organization • UNAIDS The Joint United Nations Initiative on HIV/AIDS • ILO International Labour Organization • SAMHSA Substance Abuse and Mental Health Services Administration • CSAT Center For Substance Abuse Treatment • NIDA National Institute on Drug Abuse • ATTC Addiction Technology Transfer Center • NIATx The Network for the Improvement of Addiction Treatment • CICAD Inter-American Drug Abuse Control Commission • EMCCDA European Monitoring Centre on Drugs and Drug Addiction • OFID/UNODC Project in Central Asia, EC/UNODC Project in North Africa, Middle East and West Asia, and other UNODC Regional Projects

  18. Achievements to date(2005-07) • A solid and innovative network of treatment providers committed to ongoing quality improvement • 80,000 clients reached by network centres each year • 26 Trainers at network centres • Training package finalised • 400 staff trained at network centres: Summer - 07 • 4 Good practice documents available • Network visibility & recognition through partnerships

  19. Phase II – Bring people back to society • Resource Centres: 50 RCs, Universities, Government counterparts (training & demonstration) • Multiplication and Dissemination • Government support for expansion & sustainability • Joint initiatives with other key players: WHO, UNODC FOs, international and regional organisations, bilateral agencies, other networks

  20. Capacity Building • Training package from Phase I • Support to achieve common quality standards • Training at multiple levels: • Master trainers • Trainers • Practitioners • Peer & practical learning: • Training teams • Mentoring, twinning, site visits

  21. Pilot Projects to Demonstrate Good Practices • Centres in less-resourced countries • Topic of choice, emphasis on women, youth, HIV • Mutual support/mentoring for implementation • Mobilisation of external funding for expanded projects • Documentation, evaluation, dissemination • Centres become practical examples of good practices

  22. Common Quality Standards • Common agreement based on existing standards and indicators of achievement • Adaptation for cross-cultural relevance • Development plan & capacity building support to reach standards • Ongoing peer assessment

  23. Advocacy • Communications strategy and materials • National round tables with stakeholders • Local Treatnet member supported by network peers Awareness and commitment to develop & strengthen treatment systems

  24. Regionalisation • Nine regional components in Phase II: regional coordination teams • Regional consultations to develop plans for Treatnet regional chapters • Preparation for strengthened regional interaction in Phase II • Raise interest of local/regional financial sources for phase III

  25. Evaluation • Mid-term, final and pilot project evaluations • Evaluation design agreed by network early on • Baseline: • service delivery • staff knowldege and skills • client profiles • treament outcomes • Ongoing data collection for monitoring and evaluation • Regular feed-back to network members

  26. Thank you for your attention ... www.unodc.org/treatnet

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