BACKGROUND:

Implementing quality measurement is still a challenge in the field of drug treatment and harm reduction. In this case study, we investigate which strategies can be used to enhance the implementation of a policy in which quality indicators are made public.

METHODS:

Building on an evidence-based methodology, this case study shows how an organisation in Flanders – the Flemish Institute for Quality of Care – develops quality indicators along with its strategies to implement the measurement of the indicators.

RESULTS:

The study shows three types of quality indicators in the field...

INTRODUCTION:

In the favourable political climate of the mid-2010s, the standards for Assessment & Selection of Prevention programmes Issued from the Review of EDPQS (ASPIRE) were developed to support project planning in drug prevention.

METHODS:

This case study is a narrative from the main coordinator responsible for drafting this quality assurance material.

RESULTS:

The framework that led to the creation of the ASPIRE standards is described. The production process is then explained and, thereby, the 12 ASPIRE standards resulting from it are presented. These quality standards and their...

BACKGROUND:

Coolmine’s implementation of quality standards involves a period of change management, strategic planning, and national policy development.

METHODS:

A narrative case study focusing on national policy and internal strategic planning.

CONCLUSIONS:

From 2000, Coolmine embarked on a change management journey that kept the organisation at the forefront of drug and alcohol treatment in Ireland and internationally while maintaining fidelity to the Therapeutic Community. The strategy for quality assurance is replicable across similar organisations.

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...

BACKGROUND:

In the field of harm reduction (HR), an established quality assurance system with implemented quality standards is rather rare in practice. Together with limited evidence in this area, this leads to an imbalance in the basic segments of drug demand reduction and their lack of compatibility and alignment in terms of therapeutic continuity.

AIMS:

The paper presents case study analysis of the context and a description of the original quality management system in harm reduction at the national level.

METHODS:

The case study design is based on a narrative review from a search of...

INTRODUCTION:

Quality Standards (QS) are an important priority in European drug policy, although the extent of their application remains unclear. The FENIQS-EU project (Further ENhancing the Implementation of Quality Standards in drug demand reduction across Europe) was set up to foster the use of QS. The objective of this paper is to present the main findings of the first 18 months of this project.

METHODS:

A multi-method study design was used to assess the application of QS. It consisted of:

1) an online survey and brief interviews with key stakeholders in various areas of drug demand...

Background:

People who have problems with using opioids or other drugs and inject them have shorter lives than most people. Liver diseases, especially, contribute to this. Checking liver stiffness might help find liver problems early. This study looks at how common liver disease is in people who use drugs and how different factors like types of drugs used, hepatitis C, alcohol, weight, age, diabetes, and cholesterol affect liver stiffness.

Methods:

From May 2017 to March 2022, data was collected from 676 people in Western Norway. Most were getting treatment for opioid addiction, while some...

Alternatives to Incarceration (ATI) encompass multi-sector approach on strategies and programs designed to divert individuals with substance use disorders away from conventional imprisonment. These alternatives address treatment, support, and supervision, tackling the underlying causes of criminal conduct that is while curbing recidivism rates and fostering effective rehabilitation and societal reintegration.

According to the OAS, the drug treatment court (DTC) model stands out as one of the most renowned and extensively researched Alternatives to Incarceration (ATI). It functions both before...

Background:

Since 1996, an urban community-based organization has been providing screening, testing, overdose prevention, referrals, and access to treatment for substance use disorders (SUD) and communicable diseases such as HIV through its Life Points harm reduction program.

Methods:

In 2021, the organization recruited a convenience sample of people who use drugs for a survey focused on substance use, healthcare, and barriers to SUD services. Community health workers conducted outreach and collected data using an encrypted identifier. Paper surveys were entered into Qualtrics for analysis...

Background

Since 1996, an urban community-based organisation whose primary mission is to serve diverse94 and emerging community health needs has provided screening, testing, overdose prevention and training, referrals, and access to treatment for substance use disorders (SUD) and communicable diseases such as HIV through its Life Points harm reduction program.

Methods

As a partner in a State survey in 2021, the community organisation recruited a convenience sample of people who use drugs to participate in a survey focused on their substance use, healthcare, and barriers to SUD services...

BACKGROUND: Drug dependence is a public health problem that requires trained professionals to effectively address this issue. The aim of this study was to analyse postgraduate university training programs specialising in addictions in Spain.

METHODS: An exhaustive review of the scientific literature was conducted, and information was collected on university training programs specialising in addictions in Spain. A descriptive documentary analysis of the curricula of Master’s and other postgraduate degrees at Spanish universities was performed. Postgraduate and continuing education programs...

Specific patterns of substance use have been found to correlate with an elevated risk of suicidal thoughts, attempts, and mortality by suicide. However, this relationship is multifaceted and influenced by various intersecting factors, including the type and quantity of substances consumed, as well as biological and social determinants. The Canadian Centre on Substance Use and Addiction, in collaboration with the Mental Health Commission of Canada, presents a comprehensive examination of these factors in their latest report titled "Intersections of Substance Use and Suicide: Evidence and Key...

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...

This miniguide is one of a larger set, which together comprise Health and social responses to drug problems: a European guide. It provides an overview of what to consider when planning or delivering health and social responses to stimulant-related problems, and reviews the available interventions and their effectiveness. It also considers implications for policy and practice.