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Building an EU consensus for minimum quality standards in the prevention, treatment and harm reduction of drugs Translating prevention minimum quality standards into practice: the practitioner perspective Rachele Donini Responsible of prevention activities-addiction area ASL 2 Savonese Italy Brussels 15th-17th June 2011 Contents Participation to the quality standards partnership Reflection upon experience as a practitioner and responsible of prevention activities in the addiction area Italy - ASL 2 Savonese - 2 Development of Quality Standards Synthesis of existing drug prevention guidance First draft Online Delphi survey Focus groups Second draft Focus groups Final standards Different points of view … Service managers Practitioners/Front-line workers Trainers Supervisors Programme developers Consultants/evaluators/ academic researchers Italy - ASL 2 Savonese - 4 Focusing practitioner’s perspective Practitioner’s mission is a mission of health Strongly related to practice as the name “practitioner” suggests Assesses the needs, formulates the programme, chooses the intervention strategies and tools, delivers the intervention, evaluates the results Quality standards as a tool to improve prevention intervention Italy - ASL 2 Savonese - 5 Main issues related to implementation processes Macro scenario Service organization Practitioners’ attitude Italy - ASL 2 Savonese - 6 Macro scenario Location of prevention policies in different departments, ministries and organizations, each with it’s own policy Global financial recession Drug interventions, both on a preventive and clinical basis, related to a strong ideological issue that impacts policies and legislation Prevention as a long-term process Italy - ASL 2 Savonese - 7 Macro scenario Lack of higher education training in prevention No national occupational standards Prevention is perceived as comparatively less important than treatment Science of prevention is still in it’s infancy Italy - ASL 2 Savonese - 8 Service organization Many prevention interventions are delivered by sanitary services which are focalised on treatment Lack of networking with other institutions and services Lack of stakeholder and target involvement Loss of specificity due to incorporation of addiction area in mental health department Italy - ASL 2 Savonese - 9 Practitioners’ attitude Quality standards can be perceived as another useless tool Q.S. may be perceived as a prescription or a tool that wants to “judge” the previous experience in prevention work Lack of monitoring and evaluation mentality Lack of knowledge about evidence based standards and scientific literature Italy - ASL 2 Savonese - 10 What to do? Some suggestions…Macro scenario Share a common idea about what is prevention embedding the standards into educational programmes Adoption of quality standards at a national and european level Acknowledgment of long-term outcomes in prevention work Italy - ASL 2 Savonese - 11 What to do? Some suggestions…Macro scenario Predictable and stable financial support in the prevention field Drug policies evidence-based and community needs oriented Acknowledgment of prevention’s equal dignity compared to treatment, rehabilitation and harm reduction Italy - ASL 2 Savonese - 12 What to do? Some suggestions…Service organization Acknowledgment of drug prevention as an institutional goal and mission Dedicated, multidisciplinary and trained staff for the purposes of prevention, possibly not recruited for a few hours from the treatment field Dedicated and suitable spaces for prevention staff Networking with other services or organizations that deliver prevention and/or work with prevention targets What to do? Some suggestions…Practitioners’ attitude Present the Q.S. as an opportunity to empower the everyday work, recognising what is already existing in practitioners professional background and improving awareness about the prevention cycle which is “intuitively” already placed in practitioners experience Bottom-up approach Increase the training opportunities and refresher courses for professionals, using the Q.S. manual Thank you for your attention
