Integrated Drug Policy in Portugal

Transcription

1 Integrated Drug Policy in Portugal National Conference on Alcohol and its Social Impacts in the Czech Republic 2017 Prague.26.September Manuel Cardoso Deputy General-Director SICAD General-Directorate for Intervention on Addictive Behaviours and Dependencies

2 summary Portugal, The Country The National Coordination The National Plan for the reduction of addictive behaviours and dependencies The National Alcohol and Health Forum The Dissuasion Model, Decriminalization Operational Plan for Integrated Responses

3 Portugal The Country

4 Portugal Resident population North/South territorial units maximum length East/West territorial units maximum length km 218 km Surface Km 2

5 A National Health Service Treatment Public Network Portugal Five Geographic Areas 22 CRI Integrated Units (Treatment, Harm Reduction, Prevention and Reintegration) 45 - Drug Treatment Teams (and more 32 outpatient units) 3 CT Therapeutic Communities 4 UD Detoxification Units 2 CD Day Centers 3 UA Alcohol Units 18 CDT Commissions for the Dissuasion of Drug Addiction

6 The National Coordination For Drug Problems, Drug Addictions and the Harmful use of Alcohol

7 Coordination Structure For Drug Problems, Drug Addictions and the Harmful use of Alcohol Interministeral Council * Chaired by the Prime Minister Technical Commission *Chaired by the National Coordinator National Coordinator Executive Role Health Ministry Suplementary Role National Council Representatives Of Constitutional Bodies And Civil Society Subcommittees

8 Technical Commission Constitution Foreign Affairs Finance Area PNRCAD Home Affairs National Defense Justice National Coordinator Executive Role Environment Agriculture Economics Labour Context Education Health Social Security Science and Higher Education

9 The National Plan PNRCAD

10 1999-1st Portuguese National Strategy Against Drugs Decriminalisation drug use should be understood as one measure in the comprehensive drug policy Prevention Integrated Approach Social reintegration Decriminalisation Evaluation Harm reduction Treatment HUMANISM PRAGMATISM Supply Reduction

11 Research And Information Training And Communication International Relations And Cooperation Quality Demand Field: Life Cycle Types Of Interventions Structure of The National Plan PNRCAD Operation Plan For Integrated Responses Referral Network / Articulation In The Framework Of The Addictive Behaviours And Dependencies Contexts Supply Field: Illicit Drugs And New Psychoactive Substances Alcohol, Medicines And Anabolisers Gambling COORDINATION (Interministerial s Plan) Budget Evaluation National Alcohol and Health Forum

12 Research And Information Training And Communication International Relations And Cooperation Quality Demand Field: Life Cycle Structure of The National Plan PNRCAD Operation Plan For Integrated Responses Types Of Interventions Contexts Supply Field: Production Accessibility Availability Marketing Referral Network / Articulation In The Framework Of The Addictive Behaviours And Dependencies National Alcohol and Health Forum COORDINATION (Interministerial s Plan) Budget Evaluation

13 Plan for the Reduction of Addictive Behaviours and Dependencies NATIONAL POLICY TO REDUCE ALCOHOL RELATED PROBLEMS National Coordination Clear Targets Referral Network National Alcohol and Health Forum DATA BASE

14 The National Alcohol and Health Forum

15 National Alcohol and Health Forum Public health Social and solidarity organizations Education and universities Public administration NGO Trade Unions Municipalities Media and advertising Common platform for stakeholders at national level to pledge to reduce alcoholrelated harm Youth and family organisations Professional bodies Scientific societies Production and retailing

16 PT Alcohol and Health Forum 3 Statements Under 18 Work Base Driving No drinking when: Pregnancy and breastfeeding

17 PT Alcohol and Health Forum Members & Commitments Organisations in the Forum Commitments Public Administration (21) 28 Municipalities (4) 4 Public-private organisations (7) 4 Universities (6) 8 Scientific Societies and Professional bodies (8) 6 Production and retailing (11) 16 ONG e IPSS (15) 17 Trade Unions (2) commitments; 74 organisations TOTAL 85

18 45 PT Alcohol and Health Forum Type of Commitments Enforcement Treatment Commercial Communication Counselling Prevention Research Media Activities Consumers Information Other Trainning Awareness Raising

19 The Dissuasion Model Decriminalization

20 Portuguese Policy Prevention Coordinated Public Health-oriented Approach Treatment Dissuasion Harm Reduction Based On 5 Pillars: Reintegration

21 The Dissuasion Model Law No. 30/2000: The consumption, acquisition and possession for own consumption of plants, substances or preparations constitute an administrative offence and can not exceed the quantity previewed for individual use for a 10 days period. Exceeding this quantity, criminal procedures take place. The drug addict is considered a sick person in need of health care; The dissuasion intervention provides an opportunity for an early, specific and integrated interface with drug users; The dissuasion intervention is aimed and targeted to the drug users characteristics and individual needs.

22 The Dissuasion Model THE USE OF DRUGS IS STILL FORBIDDEN CDT Commission for Dissuasion of Drug Addiction Unlike models from other countries where Drug Courts were created with streamlined procedures under the Ministry of Justice, the Commissions for the Dissuasion of Drug Addiction privilege the health approach.

23 President and two other members Commission for Dissuasion of Drug Addiction Composition Multidisciplinary technical support team: - Psychologists, Social Service Workers, Lawyers and Administrative Appointed by the Minister of Justice and by the Minister of Health Prepares a report with all facts and makes a previous evaluation that supports the decision. Evaluates Motivation of the user to undergo for treatment. Guarantees the function of the referral network.

24 Police Authority Commission for dissuasion of drug addiction Procedure Commission Psychological and social Evaluation: Hearing of the user Decision A person is found at a public place in possession or using drugs; Occurrence police report; The substance is seized; The user is brought to the commission in a maximum delay of 72h. Motivation work Execution of penalties by law enforcement authorities Situation regarding drug use; Psychosocial situation; Previous register. File proceedings When the suspension period expires and the user stopped to use drugs without record of relapse, or if penalties were carried out

25 Commission for Dissuasion of Drug Addiction Employment and Training Services Network Police Authorities Treatment Addicts Centre Schools Coordination between services with responsibilities in this area Health Centre Indicative Prevention Answers Welfare Services Prisons

26 Operational Plan for Integrated Responses P O R I plano operacional de respostas integradas

27 Operational Plan for Integrated Responses (PORI) P O R I plano operacional de respostas integradas The Operational Plan for Integrated Responses (PORI) is a structural measure, at national level, that promotes accurate assessments and the development of integrated interventions at local level (territories). PORI obeys to sequential phases and is achieved through the implementation of Integrated Responses Programs (PRI).

28 Strategic Principles Against Social Exclusion Partnership Establishment of common objectives Participation Involvement of intervenients (individuals and entities) Territoriality Delimited context for intervention Integration Complementarity of local interventions

29 National Assessment P O R I plano operacional de respostas integradas 92 selected for intervention 163 territories identified 896 entities involved Ministry of Education Social Security Security Forces Autarchies Health Institutions Public Employment Agencies Professionals Non-Governmental Organisations Local Network Social Reintegration Institute Local Administrative Authorities Schools Health Regional Administrations Child Protection Agencies

30 Our Mission Promote the reduction of use of psychoactive substances, the prevention of addictive behaviours and the decreasing of dependencies.

31 Thank you!