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...

Antecedentes: Los problemas de salud física son frecuentes en las personas que reciben tratamiento con agonistas opioides (TAO). Entre 2010 y 2019 se llevó a cabo un estudio sobre estos problemas de salud en pacientes con TAO en la República Checa y Noruega, centrándose en las diferencias de género.

Métodos: En este estudio, se trató de un estudio de cohorte de base poblacional que vinculó múltiples registros de salud para investigar enfermedades físicas (utilizando códigos CIE-10) en pacientes que recibieron TAO en la República Checa (4.280 pacientes) y Noruega (11.389 pacientes) entre 2010...

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...

ANTECEDENTES: La aplicación de normas de calidad en el tratamiento de los trastornos por consumo de sustancias en Lituania no está bien documentada en la bibliografía. OBJETIVOS: Describir el proceso de desarrollo de estándares de calidad desde las iniciativas de base hasta su integración en la atención médica general bajo el liderazgo del Ministerio de Salud.

MÉTODOS: Revisión narrativa de los documentos recuperados, incluidos los actos jurídicos conexos, seguida de un posterior análisis de contenido.

RESULTADOS: La implementación se dividió en tres etapas, caracterizadas por actividades...

La Oficina Regional de la UNODC para Asia Central (ROCA), junto con la Sección de Prevención, Tratamiento y Rehabilitación (PTRS) de la UNODC, organizó un viaje de estudio para representantes de alto nivel, incluidos altos funcionarios, responsables políticos y médicos especializados en trastornos por consumo de sustancias, de la República de Kazajstán, Tayikistán, Uzbekistán y Kirguistán, a Londres (Reino Unido) del 24 al 27 de abril de 2023.

El objetivo principal de la visita fue aprender y presenciar las mejores prácticas en las áreas de gobernanza clínica, calidad y gestión del...

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...

The UNODC Regional Office for Central Asia (ROCA) conducted a National Training “UNODC Drug Use Disorder Treatment Systems Quality Assurance (QA)” which took place in Bishkek, Kyrgyzstan on 28-30 November 2022.

This capacity building exercise was conducted in the framework of the UNODC global project GLOJ71 “Treating drug dependence and its health consequences: Treatnet II” in collaboration with Sub-programme 3: Addressing drug problems, increasing treatment of drug use disorders, and preventing HIV/AIDS” of the UNODC Programme for Central Asia 2022-2025. Moreover, the event was implemented...

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 mes, el 9 de noviembre de 2022, la reunión de Socios de DDR de Asuntos Internacionales de Narcóticos y Aplicación de la Ley (INL) ofreció una discusión sobre la garantía de calidad e incluyó dos presentaciones:

• Building Quality Improvement for SUD Treatment Systems, Victor Capoccia, Consultor
• Mejora de la calidad – Próximos pasos, Brian Morales, INL

La reunión destacó la importancia de comprender la experiencia del paciente, los enfoques replicables, probados y prácticos para mejorar el tratamiento del TCS, además de los estándares y medidas que definen la calidad del tratamiento...

Contingency management (CM) is a psychological treatment based on operant conditioning. It consists of providing incentives in exchange for achieving a target behaviour such as abstinence or other treatmentrelated variables (e.g. session attendance, adherence to medication). The objective of this article was to introduce the rationale of CM for substance use and, more specifically, for smoking cessation. A growing body of empirical literature supports CM as an effective treatment for quitting smoking both in the general population and among other hard-to-treat smokers (e.g. pregnant women or...

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...

Fondo

En los entornos de atención médica somática, se considera que las colaboraciones interdisciplinarias (donde varias disciplinas trabajan de manera coordinada e interdependiente hacia objetivos compartidos) producen una mayor efectividad del equipo que los enfoques multidisciplinarios (donde varias disciplinas trabajan en paralelo dentro de sus límites profesionales). Sin embargo, la investigación sobre técnicas multidisciplinares para el tratamiento del trastorno por consumo de alcohol (TCA) en pacientes hospitalizados es limitada, ya que estos enfoques son relativamente poco comunes. El...

Background

Aftercare programs for people with substance use disorders (PWSUD) are frequently challenged with a number of overlapping obstacles, including uncertain policy consequences and a lack of resources. Despite demographic variety, service providers in South Africa are obligated to offer aftercare programs that effectively reintegrate people with PWSUD into society, the workforce, family, and community life, as specified by Act No. 70 of 2008. Little is known about the availability of aftercare services in South Africa, particularly in rural areas. This paper investigates service...