WORLD HEALTH ORGANIZATION

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WORLD HEALTH ORGANIZATION

• First Consultation of
• The Regional Advisory Panel on
• The Impact of Drug Abuse (RAPID)
• EMRO, Cairo 23-26th September 2002
• HAMID GHODSE

September 2002
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Control of Drug Abuse Dependence

• Reduction of illicit drug supply
• Suppression of illicit trafficking
• Reduction of demand for illicit drugs

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Reduction of Illicit Drug Supply
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Suppression of Illicit Trafficking
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Suppression of Illicit Trafficking (Continued)
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Prevention Reduction of The Illicit Demand For
Drugs
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Treatment of Rehabilitation
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Illicit Drug Demand Reduction

• Measures for Demand Reduction
• Preventative measures
• Treatment measures
• Measures for the rehabilitation and social
  reintegration
• The assessment of drug abuse
• Evaluation
• Development of manpower training

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Preventative Measures

• Objectives of Prevention
• To increase knowledge and understanding of drug
  use and its hazards
• To engender appropriate attitudes and behaviour
• To develop individual coping skills to resist
  pressures
• To generate individual, group and community
  involvement in programmes aimed at reducing
  demand for illicit drugs

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Preventative Measures

• Motivating elements - improving the capacities of
  individual to cope with his/her problems
• deterrent elements
• stigma of drug abuse
• threat of punishment
• fear of personal harm

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Preventative Measures

• Strategies for Prevention
• Information measures
• The scare approach
• The factual approach
• Educational programmes
• Programmed teaching approaches
• Integrated drug reduction in school curricula
• Health education and promotion programmes
• Programmes emphasising personal development
• Improving the individual
• Clarifying personal values
• encouraging positive values

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Preventative Measures

• Strategies for Prevention
• Community Based Programmes
• Advice/Counselling centres
• Drop-in Centres
• Accommodation for homeless youth
• Alternatives to drug use
• Job placement, counselling and training programmes

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Treatment Measures

• Management of the effects of overdose
• Management of emergencies associated with
  withdrawal state
• Medical psychiatric emergencies arising from drug
  use
• Detoxification of addicted individuals
• Maintenance of additional persons to an
  appropriate agonist
• Administration of a narcotic antagonist which
  blocks the effects of opiates
• Helping addicted persons to achieve a drug-free
  existence

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Measures for the Rehabilitation Social
Reintegration

• Improving the educational qualifications and
  skills of client
• Educational upgrading
• Vocational training
• Supportive social approaches
• supportive family programmes
• half-way houses
• drop-in centres
• residential programmes
• Supportive occupational approaches
• job-finding and placement programmes
• community work projects
• Therapeutic committees

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The Assessment of Drug Abuse

• Informed opinion
• sources of informed opinion
• obtaining and using informed opinion
• limitations of informal opinion
• The use of surveys
• the use of existing data
• conducting field surveys
• the sample survey
• studies of natural groups
• The interpretation and use of assessment data