Background: Over the past decade, drug-related overdoses have seen a significant rise both in North America and globally. The COVID-19 pandemic has further emphasised the urgent need for safer supply programs to replace unregulated substances, reducing toxicity and overdose risks. Service providers play a crucial role in delivering safer supply initiatives, yet there's limited empirical evidence from their perspective on what constitutes effective safer supply programs. This study delves into the initial implementation and impacts of a safer supply program, capturing insights from an...

Background: Physical health problems are common in people receiving opioid agonist treatment (OAT). A study was conducted on these health issues in OAT patients in the Czech Republic and Norway from 2010 to 2019, with a focus on gender differences.

Methods: In this study, it was a population-based cohort study that linked multiple health records to investigate physical diseases (using ICD-10 codes) in patients receiving OAT in the Czech Republic (4,280 patients) and Norway (11,389 patients) from 2010 to 2019. A gender-stratified analysis was performed.

Results: The study found that both male...

INTRODUCTION: The Cyprus National Addictions Authority (NAAC) is the main coordinating body for all matters related to licit and illicit substances as well as pathological gambling in Cyprus and it is responsible, inter alia, for the licensing, evaluation, funding (where possible), coordination, and reinforcement of all programmes, actions, and activities related to substances and gambling. Licensing and funding are based on the fulfilment of certain criteria and a certain level of quality.

METHODS: The process that led to the establishment of a quality standards system for licensing and...

BACKGROUND: The implementation of quality standards in the treatment of substance use disorders in Lithuania is not well documented in the literature. AIMS: To describe the process of the development of quality standards from grassroots initiatives to their integration into mainstream healthcare under the leadership of the Ministry of Health.

METHODS: Narrative review of retrieved documents, including related legal acts, followed by a subsequent content analysis.

RESULTS: The implementation was divided into three stages characterised by specific activities, leading stakeholders, and the...

The UNODC Regional Office for Central Asia (ROCA) together with the UNODC Prevention, Treatment and Rehabilitation Section (PTRS) organized a study tour for high-level representatives, including senior officials, policymakers and substance use disorders clinicians, from the Republic of Kazakhstan, Tajikistan, Uzbekistan and Kyrgyz Republic to London, United Kingdom from 24 to 27 April 2023.

The main purpose of the visit was to learn and witness best practices in the areas of clinical governance, quality, and performance management of drug use disorder treatment services. The visiting...

The UNODC Regional Office for Central Asia (ROCA) conducted a series of National Trainings “UNODC Drug Use Disorder Treatment Systems Quality Assurance (QA)” which took place 27 to 28 February 2023 in Tashkent, Uzbekistan, from 2 to 3 March 2023 in Dushanbe Bishkek, Kyrgyzstan and from 9 to 10 March 2023 in Almaty, Kazakhstan.

The main goal of these three (3)  trainings was to increase the capacity of key national stakeholders on the development of the national quality assurance system standards, in line with the UNODC-WHO International Standards for Treatment of Drug Use Disorders. In...

Региональным представительством УНП ООН в Центральной Азии был организован национальный тренинг «Обеспечение качества систем лечения расстройств, связанных с употреблением наркотиков», который прошел в Бишкеке, Кыргызстан, 28–30 ноября 2022 года.

Данное мероприятие по повышению потенциала проводилось в рамках глобального проекта УНП ООН GLOJ71 «Лечение наркозависимости и ее последствий для здоровья: Treatnet» в сотрудничестве с Подпрограммой 3: Решение проблем с наркотиками, усиление лечения расстройств, связанных с употреблением наркотиков, и профилактика ВИЧ/СПИДа Программы УНП ООН для...

O Escritório Regional do UNODC para a Ásia Central (ROCA) realizou um Treinamento Nacional "Garantia de Qualidade (QA) dos Sistemas de Tratamento de Transtornos por Uso de Drogas do UNODC", que ocorreu em Bishkek, Quirguistão, de 28 a 30 de novembro de 2022.

Este exercício de capacitação foi realizado no âmbito do projeto global GLOJ71 do UNODC "Tratamento da dependência de drogas e suas consequências para a saúde: Treatnet II" em colaboração com o Subprograma 3: Abordando problemas de drogas, aumentando o tratamento de transtornos por uso de drogas e prevenindo o HIV/AIDS" do Programa do...

Background

Interdisciplinary collaborations (i.e., where various disciplines work coordinated and interdependently toward shared goals) are stated to yield higher team effectiveness than multidisciplinary approaches (i.e., where various disciplines work in parallel within their professional boundaries) in somatic health care settings. Nevertheless, research is lacking on interdisciplinary approaches for alcohol use disorder (AUD) treatment of hospitalized patients as these types of approaches are still uncommon. This study aims to evaluate an innovative interdisciplinary AUD treatment...

Este mês, em 9 de novembro de 2022, a reunião International Narcotics and Law Enforcement Affairs (INL) DDR Partners ofereceu uma discussão sobre garantia de qualidade e incluiu duas apresentações:

• Melhoria da Qualidade de Construção para Sistemas de Tratamento SUD, Victor Capoccia, Consultor
• Melhoria da Qualidade – Próximos Passos, Brian Morales, INL

A reunião destacou a importância de compreender a experiência do paciente, as abordagens replicáveis, comprovadas e práticas para melhorar o tratamento da SUD, além dos padrões e medidas que definem a qualidade do tratamento da SUD.

Foram...

O manejo de contingência (MC) é um tratamento psicológico baseado no condicionamento operante. Consiste em fornecer incentivos em troca de alcançar um comportamento-alvo, como a abstinência ou outras variáveis relacionadas com o tratamento (por exemplo, participação na sessão, adesão à medicação). O objetivo deste artigo foi apresentar a lógica do MC para o uso de substâncias e, mais especificamente, para a cessação do tabagismo. Um crescente corpo de literatura empírica apóia a MC como um tratamento eficaz para parar de fumar, tanto na população em geral quanto entre outros fumantes difíceis...

Background

Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...

Background

In somatic health care settings, interdisciplinary collaborations (where various disciplines work coordinated and interdependently toward shared goals) are considered to yield higher team effectiveness than multidisciplinary approaches (where various disciplines work in parallel within their professional boundaries). Nonetheless, research on multidisciplinary techniques for the treatment of alcohol use disorder (AUD) in hospitalised patients is limited since these approaches are relatively uncommon. The purpose of this study is to evaluate a novel multidisciplinary AUD treatment...

Fundo

Programas de pós-atendimento para pessoas com transtornos por uso de substâncias (PWSUD) são frequentemente desafiados com uma série de obstáculos sobrepostos, incluindo consequências políticas incertas e falta de recursos. Apesar da variedade demográfica, os prestadores de serviços na África do Sul são obrigados a oferecer programas de pós-atendimento que efetivamente reintegrem as pessoas com PWSUD à sociedade, à força de trabalho, à família e à vida comunitária, conforme especificado pela Lei nº 70 de 2008. Pouco se sabe sobre a disponibilidade de serviços de pós-atendimento na...