Treatnet: A Program to Increase Addiction Treatment Capacity World-wide

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Treatnet A Program to Increase Addiction
Treatment Capacity World-wide
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Capacity Building Plan for UNODC Treatnet
Program What are we trying to do?

• The purpose of the UCLA-led Capacity Building
  component for the UNODC Treatnet Program is to
  develop a set of training materials and a
  training plan for trainers from 20 Resource
  Centres established by UNODC. To accomplish this
  task, we will
• 1. Conduct a training needs assessment.
• 2. Determine priority training/skill
  development topics.
• 3. Create a set of training modules to address
  2.
• 4. Conduct a set of training, supervision and
  mentoring activities with two trainers from each
  of the resource centres.
• 5. Collect information to contribute to the
  project evaluation.

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Overview of Capacity Building/Training Plan
Schedule

• Background of Capacity Building Activities
• Dec (2005) Project initiation meeting in Vienna
• Jan-May (2006) Conduct Needs Assessment,
  including site visits by resource center
  directors to 4 host sites.
• June (2006) Meet with Centres and Consortium
• Mar-Sept (2006) Training Materials developed with
  ongoing contact with consortium and network
  members
• Sept (2006) (Cairo) 10 day meeting to review
  training materials (volumes and modules) with 2
  trainers from each centre.
• Oct-Nov 2006 Revision of training materials
  with feedback, plus translation of some materials

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Overview of Capacity Building/Training Plan
Schedule

• Schedule of Activities (continued)
• Nov-Dec 2006 3 week intensive training visits
  by 2 trainers to training sites.
• Jan (06)-May 1 (07) 4 month period of pilot
  training in 20 resource centers with telephone
  supervision, feedback and mentoring by training
  team.
• May-July (07) Evaluation activities and report
  preparation
• June(07) Revision of modules with feedback
• July (07) Final meeting of Phase I.

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Who are the Trainers and What is the Training
Plan?
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Treatnet Trainers An Important New
International Resource in Drug Abuse Knowledge

• Treatnet Trainers are the first individuals who
  will be given the UNODC designation as experts in
  drug abuse training.
• Following completion of all training
  requirements, Trainers will be designated as
  UNODC Treatnet Trainers
• As a member of the first generation of Treatnet
  Trainers, this group will make a major
  contribution to the expansion of knowledge about
  drug abuse worldwide.
• The success or failure of the Treatnet project
  will be determined by the skills that Treatnet
  Trainers will develop as effective communicators
  of drug abuse knowledge.

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Trainers Participating in Cairo Meeting

• Brazil
• Graziella Barbosa Barreiros
• Danny Martyn Van De GroesPsychosocial Attention
  Centre for Alcohol and Other Drugs
• China
• Min Zhao, MD, PhD
• Han Hui Chen, MD, PhDShanghai Drug Abuse
  Treatment Centre
• Colombia
• Francisco Hernan Sierra Lopera, MD
• Luis Fernando Giraldo Ferrer, MD, PhDEmpresa
  Social del Estado Carisma

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Trainers Participating in Cairo Meeting

• Egypt
• Khaled Seigy, M.D.
• Wael Mansour
• Al Matar Hospital
• India
• Jayasriee Subramanian, MPhil
• Adline Andrews, MAT T Ranganathan Clinical
  Research Foundation
• Indonesia
• Parulian Sandy Noveria, MD
• Diah Setia Utami, MDThe Drug Dependence Hospital

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Trainers Participating in Cairo Meeting

• Iran
• Setareh Mohsenifar, MD, PhD
• Hamid Reza Taherinakhost, MSIranian National
  Centre for Addiction Studies
• Kazakhstan
• Yuriy Rossinskiy, MD, PhD
• Oleg Yussopov, MDNational Scientific Centre on
  Medico-Social Problems of Drug Addition
• Kenya
• Sarah Nyambura Wamunyu, BA
• Harrison Maina Kihara, RNMinistry of Health,
  Mathari Hospital

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Trainers Participating in Cairo Meeting

• México
• José Antonio Rivera Rojas, MD
• Claudia Liliana Mata Lozano, Ph.DCentros de
  Integración Juvenil, A. P.
• Nigeria
• Akinwande Akinhanmi, MD
• Imisioluwa Ibikunle, MSc ARO Neuropsychiatric
  Hospital

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Trainers Participating in Cairo Meeting

• Russia
• Alexandra Shishkova, MS
• Timofey GalankinRegional Research Centre of
  Narcology and Psychopharmacology affiliated to
  St. Petersburg Pavlov State Medical University
• Sweden
• Dieter Carlsson
• Daniel RuseborMaria Ungdon

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Treatnet Trainers An Important New
International Resource in Drug Abuse Knowledge

• Purpose of a Treatnet Trainer
• To deliver training on topics of drug abuse that
  will improve the skills of health care clinicians
  and administrators in local treatment
  organization (Phase I).
• To expand training activities to the entire
  country or region for UNODC (Phase 2)

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Treatnet Trainers An Important New
International Resource in Drug Abuse Knowledge

• Knowledge and Skills to be developed by Treatnet
  Trainers
• Accurate, empirically-supported, up to date
  knowledge on an array of drug abuse knowledge.
• Teaching skills to effectively communicate the
  knowledge and skills to clinical practionners and
  other audiences in your organization and later to
  wider audiences

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Translating materials

• After your Cairo training
• October and November, 2006

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Why adaptation is important?

• Different cultures and religions
• Different social and political policies
• Differences in services provided
• Different professionals
• Different target populations
• Different clients
• Particular needs
• Different drug consumption patterns

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Training Program Materials
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Need Assessment A Brief Summary

• The following topics received the most interest.
• Motivational Interviewing
• Relapse Prevention (CBT)
• Client Assessment
• Program management
• Youth treatment services
• Building Service Networks
• Family treatment services
• Co-occurring treatment services
• Drugs and the brain
• Brief interventions
• Harm minimization
• Basic knowledge of drugs
• Program evaluation methods
• Medications for addiction treatment

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Proposed Plan for Materials Development

• Bundle the topics into related themes and
  create 4 Volumes consisting of 3 related
  modules.
• Volume on Screening, Assessment and Treatment
  Planning
• Volume on Psychosocial Treatments
• Volume on Pharmacotherapy and Special Populations
• Volume on Program Management and Service
  Development

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Plan for Volume Organization

• Each Volume will have the following structure
• I. Introduction and Overview
• II. How to Conduct Training Sessions
• III. Module 1
• IV. Module 2
• V. Module 3
• Resources for Trainers
• References

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Content of Volume A Screening, Assessment and
Treatment Planning

• 3 Modules
• 1. Screening and Brief Interventions
• 2. Client/Patient Assessment
• 3. Treatment Planning

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Content Volume B Psychosocial Treatment

• 3 Modules
• 1. Basic Counseling Skills
• 2. Motivational Approaches
• 3. Cognitive Behavioral Therapy (relapse
  prevention)

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Content of Volume C Detoxifcation and
Pharmacotherapies

• 3 Modules
• 1. Pharmacotherapies for Alcohol,
  Benzodiazepines, Stimulants, Volatile Substances
  and Cannabis
• 2. Pharmacotherapies for Opiate Addiction
• 3. Special Population Issues
• Women
• Adolescents
• Individuals with Co-occurring Disorders

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Contents of Volume D Program Management/Service
Development

• Topics include
• Strategies to improve service delivery (NIATx)
• Clinical Supervision
• Harm Minimization
• Program evaluation

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Training Program Schedule
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Ready to open your calendar?
Lets schedule all the activities
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Overview of Capacity Building/Training Plan
Schedule

• Sept (2006) (Cairo) 10 day meeting to review
  training materials (volumes and modules) with 2
  trainers from each centre.
• Oct-Nov 2006 Revision of training materials
  with feedback, plus translation of some materials
• Nov-Dec 2006 3 week intensive training visits
  by 2 trainers to training sites
• Jan (06)-May 1 (07) 4 month period of pilot
  training in 20 resource centers with telephone
  supervision, feedback and mentoring by training
  team.

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Activities during 3 week intensive visit

• Each Trainer will focus on one Volume
• They will receive an overview of some material in
  other Volumes
• They will visit treatment centres
• They will practice conducting training sessions

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Activities during 3 week intensive visit

• Work on Primary Volume will consist of
• Attending a participating in lectures by Master
  training team
• Participating in demonstrations and role plays
• Conducting practice training session
• Filling our questionnaires and feedback forms
• Demonstrating knowledge of topic and ability to
  deliver effective training sessions

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Activities following 3 week intensive training
visit and before local training begins

• Finalizing Plan for training sessions in home
  region
• Reading completed trainers guide
• Finalizing translation and cultural adaptation

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Jan-April 2007 Local Training Activities

• Expected Accomplishments
• Conduct at least 4 training sessions
• Collect Pre-Post data around training sessions
• Collect data from trainees for evaluation
• Participate in monthly conference calls with
  Master training team
• Conduct 10 ASIs
• Complete all requirements for UNODC Expert
  Trainer Certification

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Conduct 4 Training sessions

• Deliver 4 training sessions with local
  organization staff
• Approximately 1 training session per month during
  Jan-April with at least 10 trainees per session
• Preferably deliver training sessions on different
  modules in the Volume
• Audience should be clinical staff who can use the
  skills
• Each training session should take one full day

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Collect Pre-Post Training Session Evaluation
before and after every training session

• At each training session, one of the very first
  actions is to distribute the pre-assessment,
  allow time for it to be filled out and collect it
  from participants. Quickly review to assure
  completion of form.
• At the end of the training session, distribute
  the post-assessment, allow time for it to be
  filled out and collect from participants.
  Quickly review to assure completion of form

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Collect data from trainees on a monthly basis

• During each training session, trainees will be
  asked to use some of the tools they have learned
  in their clinical activities (eg. conduct ASIs,
  use cognitive behavioral therapy handouts, etc).
• On a monthly basis, check back with trainees to
  inquire about how many of which tools have been
  used with their clients.
• On a monthly basis, this data is transferred to
  the Master training team

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Training Impact as of Sept 1, 2007

• Over 100 training sessions conducted in 22
  countries
• Over 2000 individuals trained in one-day training
  plus follow-up mentoring
• Training materials to be adopted by a number of
  countries as core national addiction training
  package
• Influenced National Drug Plan for at least 4
  countries

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Training Package as Presented on the Website

• http//www.uclaisap.org/InternationalProjects/html
  /unodc/training-package-intro.html

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Locations for materials

• Treatnet site
• Training package site www.uclaisap.org/Internatio
  nalProjects/html/unodc/training-package-intro.html
  
• Presentation site www.uclaisap.org
• E-mail rrawson_at_mednet.ucla.edu

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Thank you