How to improve quality of treatment services: the perspectives of Pompidou Group

National Bureau for Drug Prevention

How to improve quality of treatment How to improve quality of treatment services:services:

the perspectives of Pompidou Groupthe perspectives of Pompidou Group

Piotr JabłonskiPiotr JabłonskiDirector of Director of

National Bureau for Drug Prevention National Bureau for Drug Prevention Vilnius, October 18,2007 Vilnius, October 18,2007

Piotr Jabłoński, National Bureau for Drug Prevention

Content of the presentationContent of the presentation

Council of EuropeCouncil of EuropePompidou GroupPompidou GroupTreatment PlatformTreatment PlatformExpert Group opinious and Expert Group opinious and recommendations on the quality of recommendations on the quality of treatment and care of drug userstreatment and care of drug users


Council of EuropeCouncil of Europe

Established in 1949Established in 1949The eldest political organisation on The eldest political organisation on continentcontinentAssambles 47 countriesAssambles 47 countriesObservers: Japan, Canada, Mexico, USA, Observers: Japan, Canada, Mexico, USA, VaticanVatican


Activity aims:Activity aims:

Protecting human rightsProtecting human rightsStrenghtening parliamentary democracy and the Strenghtening parliamentary democracy and the rule of lawrule of lawEstablishing cooperation of continental range in Establishing cooperation of continental range in social and legal practice of member’s countriessocial and legal practice of member’s countriesPromoting the European concious of identity Promoting the European concious of identity leaning on common valuesleaning on common values


Warsaw Declaration (2005)Warsaw Declaration (2005)

Promoting common, basic values:Promoting common, basic values: - human rights, the rule of law, democracy- human rights, the rule of law, democracy

Strenghtening safety citizens of Europe:Strenghtening safety citizens of Europe: - prevention of terrorism, organized crime, - prevention of terrorism, organized crime,

human tradinghuman tradingEstablishing international cooperationEstablishing international cooperation


Pompidou GroupPompidou Group

the Cooperation Group to Combat Drug Abuse the Cooperation Group to Combat Drug Abuse and Illicit Trafficking of Drugs and Illicit Trafficking of Drugs The intergovernmental body The intergovernmental body Established in 1971 at the suggestion of the Established in 1971 at the suggestion of the French President George PompidouFrench President George Pompidouinitialy: informed forum establish by 7 countries initialy: informed forum establish by 7 countries (France, Belgium, Germany, Luxembourg, (France, Belgium, Germany, Luxembourg, Netherland, United Kingdom) sharing their Netherland, United Kingdom) sharing their experience of drug abuse prevention and drug experience of drug abuse prevention and drug traffickingtrafficking


in 1980 the Group was incorporated into the in 1980 the Group was incorporated into the institutional framework of the Council of institutional framework of the Council of Europe Europe today: Pompidou Group is part of Directorate today: Pompidou Group is part of Directorate General of Social CohesionGeneral of Social CohesionToday, 35 countries are the member of the Today, 35 countries are the member of the Pompidou GroupPompidou Groupin 1990, technical cooperation has been in 1990, technical cooperation has been extended to countries of central and eastern extended to countries of central and eastern Europe which are not members of the GroupEurope which are not members of the Group


Pompidou Group missionPompidou Group mission

the Pompidou Group vital mission is to contribute to the development of multidisciplinary, innovative, effective and evidence – based drug policies in its member statesthe Pompidou Group supports the link between policy, practice and sciencethe Pompidou Group focuses especially on conditions of local implementation of drugs programmes


Pompidou Group provides a multidisciplinary forum at the Pompidou Group provides a multidisciplinary forum at the wilder European level enabling policy makers, wilder European level enabling policy makers, professionals and research to discuss and exchange professionals and research to discuss and exchange information and ideas on the whole range a drug problemsinformation and ideas on the whole range a drug problemsThe non – binding nature of the Group provides with the The non – binding nature of the Group provides with the opportunity for open and politically non – biding discussion opportunity for open and politically non – biding discussion between all Pompidou Group stakeholdersbetween all Pompidou Group stakeholdersBridging role of Pompidou Group for both European Union Bridging role of Pompidou Group for both European Union and non European Union countries and for neighbouring and non European Union countries and for neighbouring countries in the Mediterranean region (Algieria, Tunisia, countries in the Mediterranean region (Algieria, Tunisia, Maroco)Maroco)Focus on ethical issues with regard to public policy, public Focus on ethical issues with regard to public policy, public health, social cohesion, penal policy.health, social cohesion, penal policy.


Organization structureOrganization structure

The Ministerial Conference – the political The Ministerial Conference – the political authority of the Pompidou Groupauthority of the Pompidou GroupPompidou Group PresidencyPompidou Group PresidencyPermanent CorrespondentsPermanent CorrespondentsBureauBureauPlatformsPlatformsSecretariatSecretariat


Pompidou Group Platforms Pompidou Group Platforms

Main functions of the Platform are to introduce practitioners Main functions of the Platform are to introduce practitioners knowledge and experience into the policy making process and knowledge and experience into the policy making process and to identification and promotion of examples of good practices to identification and promotion of examples of good practices in successful implementation of policiesin successful implementation of policiesWork Program for period 2007 – 2010 comprises 6 platformsWork Program for period 2007 – 2010 comprises 6 platforms

preventionprevention treatmenttreatment criminal justice and regulatory issuescriminal justice and regulatory issues airportsairports the researchthe research the ethics and human rightsthe ethics and human rights multisectoral coordinationmultisectoral coordination


Platform participant are nominated by the Platform participant are nominated by the Member States (practically by Permanent Member States (practically by Permanent Correspondents)Correspondents)Platforms provide for consideration by Platforms provide for consideration by Permanent Correspondents and, Permanent Correspondents and, ultimately, Ministers; information about: ultimately, Ministers; information about: current experience, recent developments, current experience, recent developments, trends, patterns, barriers and challenges in trends, patterns, barriers and challenges in practicepracticeEach platform is managed by CoordinatorEach platform is managed by Coordinator


Treatment Platform Treatment Platform

The aims of Expert Forum on Treatment are to The aims of Expert Forum on Treatment are to signal problems in day – to – day practice, signal problems in day – to – day practice, promote standards identify priorities and needpromote standards identify priorities and needTo improve the treatment and care of specific To improve the treatment and care of specific groupgroupTo adapt treatment to new trends, substances To adapt treatment to new trends, substances and patterns of consumptionand patterns of consumptionTo assess the results of different modalities of To assess the results of different modalities of consumptionconsumptionTo evaluate risk reduction interventions and To evaluate risk reduction interventions and measures to reduce harm to society measures to reduce harm to society


Thematic objectives with regard toThematic objectives with regard to improve quality improve quality

To match the patient need with treatment system To match the patient need with treatment system and offerand offerTo facilitate the accessibility to treatment by To facilitate the accessibility to treatment by obtaining more flexibility of existing services for obtaining more flexibility of existing services for drug usersdrug usersTo take into account the role of alcohol as a To take into account the role of alcohol as a main component in poly – drug use main component in poly – drug use To involve and support families (especially those To involve and support families (especially those related to multi – drug consumption)related to multi – drug consumption)


To promote evaluation of effectiveness and cost To promote evaluation of effectiveness and cost efficiency of different treatment modalitiesefficiency of different treatment modalitiesTo promote the evidence – based treatment To promote the evidence – based treatment methodsmethodsTo improve the skills of professionals working To improve the skills of professionals working „on the ground”„on the ground”To highlight the specific therapy problems link to To highlight the specific therapy problems link to HIV/AIDS risk and infectionHIV/AIDS risk and infectionTo ensure the continuity of treatment including To ensure the continuity of treatment including therapy in prison therapy in prison


With regard to adapting treatment to involving With regard to adapting treatment to involving patterns of drug consumption Pompidou patterns of drug consumption Pompidou

Group signal the following needsGroup signal the following needs::

The rigidity of care structure facing the The rigidity of care structure facing the new patterns of consumptionnew patterns of consumptionThe necessity to adapt current care The necessity to adapt current care modalities and approachesmodalities and approachesThe requirement to improve the specific The requirement to improve the specific training for professionalstraining for professionals


To consider essential role of providing To consider essential role of providing support for self – help group for drug users support for self – help group for drug users and their families and their families To promote and develop the involvement of To promote and develop the involvement of general Practitioners and other medical general Practitioners and other medical doctors, especially psychiatrists in the doctors, especially psychiatrists in the treatment and care of drug userstreatment and care of drug usersThe needs of „holistic” view of the therapy, The needs of „holistic” view of the therapy, particularly in relations to associated particularly in relations to associated physical and psychiatric diseasesphysical and psychiatric diseases


Special topic – Treatment of young drug usersSpecial topic – Treatment of young drug usersWith regards to young drug consumers With regards to young drug consumers Pompidou Group points out followingPompidou Group points out following

features:features:

Increase in the general consumption of drug Increase in the general consumption of drug among young people and stabilization of the among young people and stabilization of the more serious drug – related health problemsmore serious drug – related health problemsGrowth in cannabis use – solely or associated to Growth in cannabis use – solely or associated to alcohol to other illegal drugsalcohol to other illegal drugsLack of care programmes and services specially Lack of care programmes and services specially adapted to young peopleadapted to young people


Experts proposeExperts propose

To distinguish two groups of young drug users To distinguish two groups of young drug users with different requirements: those between the with different requirements: those between the ages of 14 and 20 years and those between 21 ages of 14 and 20 years and those between 21 and 25 yearsand 25 yearsTreatment modalities should be designed in a Treatment modalities should be designed in a different ways according to the type of client different ways according to the type of client (occasional consumers, problematic drug users (occasional consumers, problematic drug users addicts)addicts)A particular effort to assess risk situation and A particular effort to assess risk situation and reach occasional drug users by the improvement reach occasional drug users by the improvement of communication skills must be deployedof communication skills must be deployed


The cooperation between care structures, education The cooperation between care structures, education and social services should be improvedand social services should be improvedContinuity of therapy and mid and long – term follow Continuity of therapy and mid and long – term follow – up should be provided– up should be providedThe profiles and communication skills of therapists The profiles and communication skills of therapists and other professionals should be developed taking and other professionals should be developed taking into account the complexity of young clients’ into account the complexity of young clients’ requirementsrequirementsThe care programmes should include only realistic The care programmes should include only realistic and pragmatic approaches and strategiesand pragmatic approaches and strategiesPrior to the choice of the treatment modality of young Prior to the choice of the treatment modality of young drug user a clear definition of its goals should be drug user a clear definition of its goals should be clarifiedclarified


Mile stones of global care practice Mile stones of global care practice (terminology)(terminology)

Definitions – common language, common Definitions – common language, common understandingunderstandingEpidemiological basis – monitoring systems on Epidemiological basis – monitoring systems on various levels: local, regional, national, various levels: local, regional, national, internationalinternationalContext of other adolescent problemsContext of other adolescent problemsRisk and protective factorsRisk and protective factorsContact with young peopleContact with young peopleScreening and assessmentScreening and assessmentTreatment and planningTreatment and planningComorbiality Comorbiality


Final remarksFinal remarks

Linking policy, practice and science Linking policy, practice and science Pompidou Group promotes evidance – Pompidou Group promotes evidance – based approaches, effective law based approaches, effective law enforcements and judicial measures, enforcements and judicial measures, innovative drug prevention and drug innovative drug prevention and drug treatment models as well as ethical and treatment models as well as ethical and human rights issues.human rights issues.

How to improve quality of treatment services: the perspectives of Pompidou Group

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