1. Organization of American States (OEA) The Inter-American Drug Abuse Control Commission (CICAD) Schools of Nursing Project on Demand Reduction in Latin America: Challenges and Perspectives by Maria da Gloria M. Wright, Ph.D. International Coordinator Anna McG. Chisman, Ph.D. Chief Demand Reduction Program CICAD/OAS

2. Significance Project International Health is innovative tool study Drug Phenomenon; Need new actors; Need for new leadership roles; Nurses form largest work force in health field; Regional and International Capacity-Building Programs on international health, drug phenomenon, research methodologies, and leadership provide new strategies to educate human resources in Latin America. CICAD Schools of Nursing Project on Demand Reduction in Latin America

3. GOAL C reate a cadre of nursing professionals with scientific knowledge and technical skills to work on drug demand reduction in activities of prevention of drug use and abuse, social integration, and health promotion in Latin America CICAD Schools of Nursing Project on Demand Reduction in Latin America

4. Macro-Operational Framework

5. Micro-Operational Framework CICAD Schools of Nursing Project on Demand Reduction in Latin America

6. Basic Components CICAD Schools of Nursing Project on Demand Reduction in Latin America

7. Nursing Research Priorities in Demand Reduction Health Promotion  Healthy lifestyle  Definition of protective factors  Social network support  Health and quality of life  The nursing care and the process of healthy living  Nursing technology applied to health promotion  The care of health promotion  Health and Nursing social policy and organization  Information and communication on health promotion activities  Theoretical framework of health promotion

8. Prevention of Use and abuse of Drugs  Prevention of use and abuse of drugs in the context of work, family, and community  Prevention of automobile and other accidents due to alcohol use  Prevention of risky behavior toward consumption of drugs  Prevention of drug consumption in the work environment  Prevention consumption of controlled medicines for specific situations, such as weight loss, depression, and insomnia  Violence work environment as a consequence of drug use abuse  The use of toxic substances and the process of work  Family violence and its consequence in the work environment CICAD Schools of Nursing Project on Demand Reduction in Latin America

9. Social Integration  Social Integration in the context of school, family, work, and social groups  Nursing care for addict women  Nursing care for women and family with drug addiction problems  Nursing care for social integration of addict adolescents within the family, and schools  Multi-professional working support group for the social integration of addict person  Contribution of the nursing professional in the social integration of addict person into social groups  Study of factors that explain the recuperation or no recuperation of the addicts into society  Study of factors that contribute to not continue to participate in the activities related to social integration  Study of factors that facilitate the social integration of the person at society (care aspects)  The bioethical aspects of the social integration of a person into society CICAD Schools of Nursing Project on Demand Reduction in Latin America

10. Results - 1998-2003

11. Regional Nursing Research Capacity Building Program for Nurses applied to the Drug Phenomenon in Latin America General Characteristics Place: University of Sao Paulo/ School of Nursing-Brazil Duration: 1 year Period of time: March-March 2002/2003 Number of Students: 18 Nurses from 9 countries in Latin America (2/countries)=Total 3 years=33 Modality: In class Education/ Distance Education Level of the Program: Graduate/Specialization/Post-Master Scholarships: Partial OAS Research Type: Individual CICAD Schools of Nursing Project on Demand Reduction in Latin America

12. General Characteristics (Cont.) Steps of the Program: Part I Training in Brazil (496 hours, duration, 2 months) Module I- International Health Module II- Drug Phenomenon Module III-Research Methods Part II Distance Education Tutorial Program (200 hours) Part III Presentation of the research results at the Annual CICAD Schools of Nursing International meeting and graduation CICAD Schools of Nursing Project on Demand Reduction in Latin America Regional Nursing Research Capacity Building Program for Nurses applied to the Drug Phenomenon in Latin America

13. General Characteristics Place: University of Alberta/ School of Nursing-Canada Duration: 1 year Period of time: June-June 2003/2004 Number of Students: 11 Nurses from 7 countries in Latin America Modality: In class Education/Tutorial Distance Education Level of the Program: Post-Master and Post-Doctoral Research Type: Multi-centric Studies with central topic “Women, Drugs and Violence” CICAD Schools of Nursing Project on Demand Reduction in Latin America International Nursing Research Capacity Building Program for Nurses applied to the Drug Phenomenon in Latin America

14. General Characteristics (Cont.) Steps of the Program: Part I Training in Canada (496 hours, 2 months) Module I- International Health Module II- Drug Phenomenon Module III-Research Methods Part II Tutorial Research Education (200 hours) Part III Presentation of the research results at the Annual CICAD Schools of Nursing International meeting and graduation CICAD Schools of Nursing Project on Demand Reduction in Latin America International Nursing Research Capacity Building Program for Nurses applied to the Drug Phenomenon in Latin America

15. Sample of Nursing Curriculum with Drug Content CICAD Schools of Nursing Project on Demand Reduction in Latin America

16. UNIVERSITY OF CONCEPCION, CHILE Undergraduate Nursing Curriculum with Drug Content: CICAD Schools of Nursing Project on Demand Reduction in Latin America

17. UNIVERSITY OF CONCEPCION, CHILE Master’s Course in Nursing with Drug Content : CICAD Schools of Nursing Project on Demand Reduction in Latin America Doctoral Course in Nursing with Drug Contents:

18. Project Impact a)Nursing Education and Profession Advance Nursing Education New Theoretical Basis for Curriculum Development Strenghten Graduate Nursing Education Latin America Stenghten Nursing Research Programs and Centers Prepare High Qualify Nurses to Work Demand Reduction Creation New Leaders in Nursing Profession and Demand Reduction Facilitate Technical & Financial Cooperation for Nurses and Schools of Nursing Throught out the Region Open Opportunities to Create Latin American Network of Schools of Nursing on Education, Research, and Practice of Demand Reduction. CICAD Schools of Nursing Project on Demand Reduction in Latin America

19. Project Impact b)Demand Reduction Long- Term Impact New Models Extension Programs on Demand Reduction New Centers Lead by Nurses in the Areas of Prevention of Drug Use and Abuse, Social Integration, and Health Promotion Implemented two Regional and one International Nursing Research Capacity Building Program for Nurses applied to the Drug Phenomenon in Latin America/Brazil/Canada Increased number of research and scientific publications produced by nurses in the demand reduction area Increased participation of nurses in the national drug commissions Developed a strategic regional plan on nursing contribution to demand reduction over the next three years CICAD Schools of Nursing Project on Demand Reduction in Latin America

20. Challenges PoliticalIncoporation New Actors Economic Depending on Donors TechnologicalLack Infra-Structure EducationalDifferent Curricula LeadershipChange Project Coordinators PartnershipDevelop New Models CICAD Schools of Nursing Project on Demand Reduction in Latin America

21. Perspectives Education Creation New Models Nursing Human Resources Development for Higher Education Develop evaluation system, track alumni progress Profession New High Qualify Nurses at Job Market Nurses Expertees on Demand Reduction Demand New Leadership Models Reduction Innovative Extension Programs Expansion Project to Central America & Caribbean Region Increases Scientific Knowledge on Demand Reduction Implementation Activities Strategic Plan CICAD Schools of Nursing Project on Demand Reduction in Latin America