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EMCDDA Treatment data collection strategy - progress report May 09. Dagmar Hedrich , on behalf of the TWG Presentation at the meeting of the Scientific Committee, 15 June 2009. Historical changes in treatment have taken place in the past decades in Europe, e.g.

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emcdda treatment data collection strategy progress report may 09

EMCDDA Treatment data collection strategy - progress report May 09

Dagmar Hedrich, on behalf of the TWG

Presentation at the meeting of the Scientific Committee, 15 June 2009

historical changes in treatment have taken place in the past decades in europe e g
Historical changes in treatment have taken place in the past decades in Europe, e.g.
  • Opioid substitution develops into the major response to opioid use: 9-fold increase of OST from 1993-2007
  • Diversification of pharmacological treatment approaches opioid dependence
  • “Normalisation”: Increasing role of office- based (GP) treatment
  • More attention to stimulants and other non-opioid treatment
  • Treatment in prison no longer confined to ‘prison treatment units’
diversification of data sources on drug treatment
Diversification of data sources on drug treatment
  • Treatment monitoring systems (based on TDI) well established
  • Substitution ‘registries’ of some sort
  • [Data on sales of relevant pharmaceutical substances - available nat level]
  • Reimbursement statistics, Health insurance data, hospital statistics
  • + technological innovations in monitoring
treatment working group
Treatment working group
  • Chair: Roland Simon
  • Start: Summer 2007
  • Members: up to 10, both scientific units involved
  • Submission of draft proposal to NFPs: May 2009
  • Input and discussion: November 2009
structure of draft document
Structure of draft document
  • Historical perspective
  • Context and objectives
    • EMCDDA Mission
    • EU AP
  • Conceptual framework
    • Treatment need / needs; treated population; availability; quality/outcome
  • Status-quo: current collection instruments
    • Aims, periodicity, achievements and limitations
  • Future development of data collection
slide6

ST 24

Access to

treatment

TDI

SQ 27

treatment

programmes

SQ 27

treatment

quality

emcdda data collection tools on access to drug treatment
EMCDDA data collection tools on access to drug treatment
  • TDI:
    • First treatment in life and first treatment in reporting year;
    • Clients in continuous treatment (pilot) NEW in 2008
  • ST24: NEW in 2008
    • Estimates on overall level of treatment provision (individuals or episodes / PDUs / POUs).
    • Estimates on opioid substitution/maintenance treatment
    • Information on data flow betw register/client information systems substitution/maintenance treatment and TDI
definition of treatment
Definition of “treatment”
  • TDI protocol: “Drug treatment is defined as any activity that directly targets individuals who have problems with their drug use and which aims to improve the psychological, medical or social state of those who seek help for their drug problem”.
  • ST 24 and SQ 27: … treatment comprises all structured interventions with specific pharmacological and/or psychosocial techniques aiming at reducing or abstaining from the use if illegal drugs
  • Services provided at IN/OUTpatient drug treatment agencies