South African National Council on Alcoholism and Drug Dependence SANCA South African National Council on Alcoholism and Drug Dependence

Parliamentary Committee on Social Services Substance Abuse Roundtable: South African National Council on Alcoholism and Drug Dependence Parliamentary Committee on Social Services Substance Abuse Roundtable: Implementation of NDMP - 2013-2017 Presenter: Dr David Fourie SANCA Western Cape 28 July 2015

Brief Overview and SANCA National Footprint South African National Council on Alcoholism and Drug Dependence Brief Overview and SANCA National Footprint

South African National Council on Alcoholism and Drug Dependence Problems / Challenges Changing trends and more complex multi-substance abuse patterns Severe and complex psycho / social / health impact Profile of users: age, gender, geographic location etc. Substance abuse culture and attitudes Lack of life skills and values Increased life challenges

Legislative Framework South African National Council on Alcoholism and Drug Dependence Legislative Framework Progressive development of policies and legislation on substance abuse since 1994: Inclusive rights in the Constitution National Drug Master Plan Policy Act on Prevention of and Treatment for Substance Abuse (No. 70 of 2008) Other related policies

Implementation of NDMP and Legislation South African National Council on Alcoholism and Drug Dependence Implementation of NDMP and Legislation Challenges of working in the sector and within existing structures: Lack of national uniformity and implementation Implementation remains a challenge (Provincial forums & LDAC) Fragmentation and limited coordination (government / interdepartmental, private sector, CBOs, local community initiatives etc.) Poor commitment and motivation on part of some stakeholders Need for more resources (especially sustainable funding) Need for capacity building and development initiatives (all role-players) Clarification regarding roles, responsibilities and boundaries required Failure to address basic community needs

Capacity Building and Training South African National Council on Alcoholism and Drug Dependence Capacity Building and Training Challenges of working in the sector and within existing structures: Divergent training needs of volunteers and professionals Need for specialised, advanced qualifications Challenges encountered when accrediting training courses Capacity building needs of emerging organisations In-service training and supervision Financial incentive and honorarium vs. basic employment conditions

South African National Council on Alcoholism and Drug Dependence Success Stories Implementation of guidelines to register treatment centres and standardisation of minimum treatment requirements Progress with monitoring and evaluation of services; best practice in- and out-patient programmes (focus on compliance and impact) Greater involvement of most government departments (national and local) to include addressing substance abuse in their business plans Some examples of well-functioning Provincial Substance Abuse Forums and LDAC (North West, Free State and Western Cape etc.)

South African National Council on Alcoholism and Drug Dependence Success Stories Examples of partnerships between departments and NGOs to render integrated services (Mpumalanga, Free State and Western Cape etc.) Successful youth prevention programmes (Teenagers Against Drug Abuse – TADA and peer educator training programmes etc.) CADCA and SANCA Memorandums of Agreement to render community development and capacity building training (North West) Research and data collection by MRC in partnership with service providers (SACENDU and SAATSA) (CADCA: Community Anti-Drug Coalitions of America; SACENDU: SA Community Epidemiology Network on Drug Use; SAATSA: SA Addiction Treatment Service Assessment)

South African National Council on Alcoholism and Drug Dependence Some Recommendations Review objectives and coordinating structures of the NDMP to ensure greater implementability and provision for capacity and resources Promote inter-departmental and stakeholder partnerships to render specific programmes, for example prevention, detoxification and multi-disciplinary teams Increase adequate funding to render services: access to funding (ARA, taxes and fines) Greater emphasis on early intervention and community-based treatment programmes vs. in-patient treatment Capacity building, training and mentoring for emerging organsations

Additional Recommendations South African National Council on Alcoholism and Drug Dependence Additional Recommendations Reinstate Alcohol Safety Schools for drinking & driving or other offences Greater emphasis on community development to address basic needs Expansion of accredited addiction and post-graduate training courses Research to determine the population use of substances and identification of high-risk groups Research to evaluate impact of current prevention and intervention services Caution about comparing lessons learnt from tobacco control and applying these to alcohol Cannabis use and dependency remains a huge problem and careful consideration is necessary to revisit legislation permitting medicinal use

Website: www.sancanational.org.za South African National Council on Alcoholism and Drug Dependence Website: www.sancanational.org.za Telephone: 0861 4 SANCA / 0861 4 72622 011-892 3829