1. 1International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet: the UNODC project Associated ASI adaptations and links with TDI Veerle Raes, Deni Carise, Juana Tomas-Rossello, Lisboa, TDI. 2006 Annual expert meeting, 25-26 September 2006

2. 2International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Treatnet an International Network of Treatment and Rehabilitation Resource Centres Vision: All persons whose lives are impaired by drug use receive a wide range of services Mission: Reach out to service providers to improve the quality/effectiveness, accessibility and affordability of a diversity of drug dependence treatment and rehabilitation services

3. 3International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Strategies to reach the goals 1)Reach common standards: capacity building 2)Define good practices: working groups 3)Demonstrate good practices 4)Disseminate good practices 5)Reach out + Expand the network 6)Ongoing progress: Review + feed-back

4. 4International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Project objective Creation of an operational network of drug treatment and rehabilitation resource centres in all regions

5. 5International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Definitions Operational network A system of centres with defined objectives, tasks, responsibilities, means of communication and decision making mechanisms, which keep ongoing interaction Resource centre A treatment and/or rehabilitation organisation which has the competence (in terms of evidence- based best practice) and the capacity (in terms of human and economic resources) to serve as a mediator for best practice training in a defined geographical or structural area

6. 6International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Priority Areas for sharing good practices Community-based treatment Role of drug dependence treatment in HIV/AIDS prevention and care Sustainable livelihoods for rehabilitation/reintegration Treatment in prison

7. 7International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Capacity Building Consortium UNODC COMMUNITY BASED TREATMENT DRUG TREATMENT AND REHABILITATION IN PRISON SETTINGS ROLE OF DRUG TREATMENT AND REHABILITATION IN HIV/AIDS PREVENTION AND CARE SUSTAINABLE LIVELIHOODS, REHABILITATION AND REINTEGRATION International Network of Drug Dependence Treatment and Rehabilitation Resource Centres

8. 8 Beneficiaries Primary The Regional Treatment Resource Centres Secondary People with drug problems Drug treatment and rehabilitation care providers UNODC Field Offices Member States

9. 9International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Organization- 2 Phases Phase I: Ongoing initiative, 2005-2007 »Develop network »Synthesise good practices »Build capacity Phase II: Developing proposal Phase I, 2007-2009 »Scale-up/upgrade services »Demonstrate and evaluate good practices »Disseminate good practices

10. 10International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Phase I - Resources Two years (started in August 2005) 20 Drug Treatment Resource Centres/Grants Capacity Building Consortium UNODC Field Office Task Force National commitment for sustainability UNODC regional & national treatment projects Links to WHO, UNAIDS, ILO, regional & national treatment institutions & networks

11. 11International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Phase I – Outcomes Operational network - 20 Resource Centres Training package Increased technical capacity in RC Improved services for people with drug problems Good practice documents on priority topics Wider network: associated treatment providers, other networks, intl. agencies Feasibility study and proposal for Phase II

12. 12International Network of Drug Dependence Treatment and Rehabilitation Resource Centres In short … Treatnet is aimed at Dissemination of knowledge Capacity building in order to Increase access for drug users to effective and diversified treatment services Regardless the place where they live http://www.unodc.org/treatment/index.html

13. 13International Network of Drug Dependence Treatment and Rehabilitation Resource Centres This means also … strong emphasis on Datacollection and evaluation increase of the capacities to initiate ongoing data collection on Client profiles Treatment outcomes a need for a Common instrument

14. 14International Network of Drug Dependence Treatment and Rehabilitation Resource Centres ASI component in Treatnet >>cultural adaptations Review of existing Adaptations Translations Validations Developing sociocultural sensitive ASIs Training on Clinical use of ASI Use of ASI for treatment planning

15. 15International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Links with Treatment Demand Indicator Bridging gaps Between data collection and practice Treatment centres = most important data collectors Multiple use of data Facilitating data collection Maximizing benefits to clinicians Between instruments TDI EuropASI Treatnet ASI

16. 16International Network of Drug Dependence Treatment and Rehabilitation Resource Centres TDIEuropASITreatnet ASI Treatment contact details General information Treatment centre type Type of treatment service Modalities Starting date of treatment mth/yr Date of admission dy/mth/yr Ever previously treated See alcohol & drugsection Source of referral -- considered to add

17. 17International Network of Drug Dependence Treatment and Rehabilitation Resource Centres TDIEuropASITreatnet ASI Socio- demographic information General information (continued) Gender Age already added Year of birth -Date of birth Dy/mth/yr Nationality this country EU Non-EU Nationality (WHO) Place of birth: patient Father Mother Race/ethnicity/ nationality Indigenous Asian Black … and so on

18. 18International Network of Drug Dependence Treatment and Rehabilitation Resource Centres TDIEuropASITreatnet ASI Socio- demographic information (cntd) Family/ social relationships Living status (30days) with whom where (stability) Usual living arrangements (past 3 year) + dimension: how long Usual living arrangements (past 3 year) agree to add 30days + dimension: how long Labour status (30days) Usual employment pattern (past 3 year) Highest educational level completed Highest degree of education ISCED Highest degree of education ISCED

19. 19International Network of Drug Dependence Treatment and Rehabilitation Resource Centres TDIEuropASITreatnet ASI Drug related information Alcohol/ Drugs Primary drug = drug that causes the client most problems 8 categories with sub groups, no alcohol Which substance(s) is/are the major problem 10 categories, + alcohol, + more than 1 substance Which substance(s) is/are the major problem Already receiving substitution --

20. 20International Network of Drug Dependence Treatment and Rehabilitation Resource Centres TDIEuropASITreatnet ASI Drug related information (continued) Alcohol/ Drugs (continued) Primary drug (30days) –Usual route of administration –Frequency of use –Age at first use From alcohol/ drug section - Usual route of administration - Nbr days last 30 - First age regular use (>=3/week,binges or problematic irregular) From alcohol/ drug section - Usual route of administration - Nbr days last 30 - First age regular use (>=3/week,binges or problematic irregular) Other drugs From alcohol/ drug section

21. 21International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Links with Treatment Demand Indicator All comments/suggestions can be send to: Dcarise@tresearch.orgcarise@tresearch.org juana.tomas@unodc.org Linda.Montanari@emcdda.europa.euinda.Montanari@emcdda.europa.eu veerle.raes@fracarita.org