1. Addiction Treatment in Israel: An Overview of Services Provision Iris Mordecovitch, MSW

2. Development of Service National Committee 1980-1990 National Committee 1980-1990 Legislation Related-Anti Drug Authority Legislation Related-Anti Drug Authority Ministry of Social Affairs -treatment services Ministry of Social Affairs -treatment services Ministry of Social Affairs - Responsibilities Ministry of Social Affairs - Responsibilities

3. Main Responsibilities Treatment Services In Local Social Services Treatment Services In Local Social Services Therapeutic Communities Therapeutic Communities Formulating Treatment Policy Formulating Treatment Policy Staff Training And Supervision Staff Training And Supervision Publish Regulations Publish Regulations Implementation & Supervision of Drug User Treatment Facilities Implementation & Supervision of Drug User Treatment Facilities

4. Treatment Services Development: The First Steps – 1990 Assessing & Understanding The Needs Assessing & Understanding The Needs Promoting Community Services Promoting Community Services Local Social Services Home Detox Local Social Services Home Detox Staff Training Staff Training Legislation Legislation Expanding the Network of Treatment Facilities - one to 100 Expanding the Network of Treatment Facilities - one to 100

5. Treatment In a Family Context Client and Family Treatment Community Client and Family Treatment Community Ambulatory Setting Ambulatory Setting Individual & Family Group Therapy Individual & Family Group Therapy Rehabilitation & Vocational Training Rehabilitation & Vocational Training Reintegration - home, family, friends & work Reintegration - home, family, friends & work

6. The Role Of Services LOCAL SERVICES METHADON REHAB VOCATION DAY CENTER DETOX T C JAIL

7. Treatment Model for Adults ASSESSMENT DIAGNOSTIC EVALUATION TREATMENT PLAN TREATMENT A YEAR AND A HALF REHAB

8. Who Are The Clients? Background Characteristics Age of first use 13-15 Age of first use 13-15 Use of heroin at age 17 Use of heroin at age 17 Come to treatment at 25+ Come to treatment at 25+ No work skills No work skills Child and family at risk Child and family at risk Learning disabilities Learning disabilities Addiction in the family Addiction in the family

9. New Service Priorities New Models New Models Training Staff Training Staff New Services New Services Supervision Supervision Youth Youth Immigrants Immigrants Young Adults Young Adults Women Women Dual Mental/Physical Dual Mental/Physical

10. Youth: Problem Factors Alcohol, Stimulant, Inhalant & Hallucinogen Use/Abuse Alcohol, Stimulant, Inhalant & Hallucinogen Use/Abuse Problem Families Problem Families School Problems School Problems Delinquency and Probation Services Delinquency and Probation Services Juvenile Services Juvenile Services Low Motivation & Lack of Work Low Motivation & Lack of Work

11. New Model For Youth Out-Reach Out-Reach Motivation Work Motivation Work Family Intervention Family Intervention Multiple Therapy Multiple Therapy Target Aimed Target Aimed Back To School Back To School Home Day Care- Therapeutic Community Home Day Care- Therapeutic Community

12. Female Drug Treatment: Service Considerations Special Basket of Services Special Basket of Services Areas Of Interest Areas Of Interest Separate Locations Separate Locations In Locations In Locations Family And Children Family And Children

13. Mental & Physical Illness Homeless Homeless From Street to Treatment From Street to Treatment Motivation & Work Motivation & Work Body &Soul Body &Soul Back to Life Back to Life

14. Immigrants Special Social Workers Special Social Workers Know Culture Know Culture Language Language New Drugs New Drugs Small Families Small Families School And Study School And Study

15. Numbers Adult Treatment - 100 facilities; 8,000 clients Adult Treatment - 100 facilities; 8,000 clients Youth Treatment - 44 facilities; 1,200 clients Youth Treatment - 44 facilities; 1,200 clients Day Centers - 16+4, 300 clients Day Centers - 16+4, 300 clients Therapeutic Community – 10 communities, 442 beds Therapeutic Community – 10 communities, 442 beds Dual Diagnosis – 2 facilities Dual Diagnosis – 2 facilities Adults - 54% completion rate Adults - 54% completion rate Immigrants - 40% of the treatment population Immigrants - 40% of the treatment population Women - 20% of the treatment population Women - 20% of the treatment population Young adults - 20% of the treatment population Young adults - 20% of the treatment population