Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Keeping on target – the need for more rapid and policy relevant reporting Jane Mounteney Bergen Clinics Foundation/ University of Bergen Early identification and rapid reporting of new drug developments allows for early intervention Rapid reporting – the ’speed’ problem • • • • • Slow reporting systems Levels of bureaucracy Lengthy research processes New codes Collation/ communication gap Possible solutions to the ’speed’ problem • City/ local level systems – less levels of bureaucracy • Pragmatic use of existing data (not new studies) • Validity attained through triangulation of sources & methods (multi-indicator, mixed methods) • Inclusion of sensitive sources – informants, media etc. Research paradigms for rapid/relevant trend monitoring ALTERNATIVE RESEARCH PARADIGMS Postpositivism Determination Reductionism Empirical observation & measurement Theory verification Constructivism Understanding Multiple participant meanings Social and historical construction Theory generation Advocacy/Participatory Political Empowerment-issue oriented Collaborative Change-oriented Pragmatism Consequences of action Problem-centred Pluralistic Real-world practice oriented Creswell (2003) Model - rapid identification and response to emerging drug trends SBK City level drug monitoring system – early identification Rapid assessment & response capability – early intervention Combination of two methods Monitoring & rapid assessment: • Identification of emerging drug trends • In-depth investigation of worrying findings • Multi-agency action planning Bergen Earlier Warning System (BEWS) model RAPID ASSESSMENT STUDIES SBK ROUTINE DATA KEY INFORMANT PANEL SCHOOL PANEL MEDIA MONITORING SCHOOL SURVEY Heroin trends in Bergen 2002-2009: use, market & interest indicator scores 60 50 Aggr. score 40 30 Aggr. Use 20 Aggr. Market 10 Aggr. Interest 0 -10 1 2 3 4 5 6 7 8 -20 -30 2002-2009 9 10 11 12 13 RAPID ASSESSMENT & RESPONSE RAR PROCESS Problem Initial consultation Steering/ reference group Project planning Assess problem Assess current responses Gap analysis Final consultation RAR report & action plan RAR report – young people linked to opiate milieu •Increase in number of young opiate users (16-22) •Majority of young opiate users debut with synthetic opiates (Subutex/ Temgesic) •Injection debut likely to be with amphetamine •Many placements in childcare institutions…. RAR action plan • • • • Multi-agency response Concrete action plan Focus on youth service provision Improving staff competence etc • ’Unplanned’ response… Media & political response • Overdose death & RAR report • 3 weeks of media reporting • Regional childcare director called in to answer to situation • National govt – all staff to be trained in drug issues • Political parties take up theme – call for ministers resignation • Resignation of regional director • Promise for national assessment re institutions and drugs Rapid & policy relevant reporting • Pragmatic approach - multi-indicator, mixed-method • Rapid identification plus in-depth investigative option • Bridging the gap from monitoring to action • Involvement of policy makers – choosing focus, choosing interventions • Integrated action planning, offering solutions. EPOD/ EMCDDA NATIONAL DRUG TRENDS NETWORK CITY SBK CITY SBK NATIONAL PLAN CITY SBK