General-Directorate for Intervention
on Addictive Behaviours and Dependencies
Ministry of Health - Portugal
NACIONAL PLAN FOR REDUCING
ADDICTIVE BEHAVIOURS
AND DEPENDENCIES 2013-2020
Executive Summary
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
GO 1.
Prevent , dissuade, reduce and minimize the problems associated with the consumption of psychoactive substances, addictive behaviours and dependencies
DEMAND
FIELD
GO 5.CROSS-CUTT
(INFORMATION AND RE COMMUNICATION, INTEEnsure the quality of services provided to the citizens and the sustainability of policies and interventions through the
creation of knowledge, professional COMMUNICATION, INTE AND COOPERA
creation of knowledge, professional training , communication and of international relations and cooperation
GO 2. Reduce the availability of illicit drugs and new psychoactive substances In the market GO 3
SUPPLY
FIELD
Ensure that the availability, access and consumption of licit psychoactive substances In the market, is made in a
f d i d i i k d
GO 3.
safe manner and not inducing a risk and harmful use/consumption
GO 4. Provide safe and legal gambling opportunities , not inducing addictive behaviour
TING THEMES
ESEARCH, TRAINING AND ERNATIONAL RELATIONS ERNATIONAL RELATIONS ATION, QUALITY
)
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
UNIVERSAL
Addressed to the general population or subgroups of the population. It is not evaluated the degree of risk of individuals or groups, this being unknown or variable
being unknown or variable
PREVE
INDICATED
Defined taking into account the assessment of individual risk, is addressed to individuals who present some risk factors or symptoms that present some risk factors or symptoms that suggest a disturbance
SELECTIVE Addressed to groups that share risk factors,
being the level of risk different among individuals. The risk level of the groups can be defined on the basis of socio demographic and defined on the basis of socio-demographic and contextual indicators
NTION
ENVIRONMENTAL Whose strategies aimed at the social norms, that is, global strategies that intervene at the level of society and of social systems These level of society and of social systems. These strategies are aimed at changing the cultural, social, physical and economic environments that interfere with the individual choices of psychoactive substance use
UNIVERSAL
Addressed to the general population or subgroups of the population. It is not evaluated the degree of risk of individuals or groups, this being unknown or variable
being unknown or variable
PREVE
INDICATED
Defined taking into account the assessment of individual risk, is addressed to individuals who present some risk factors or symptoms that present some risk factors or symptoms that suggest a disturbance
SELECTIVE Addressed to groups that share risk factors,
being the level of risk different among individuals. The risk level of the groups can be defined on the basis of socio demographic and defined on the basis of socio-demographic and contextual indicators
NTION
ENVIRONMENTAL Whose strategies aimed at the social norms, that is, global strategies that intervene at the level of society and of social systems These level of society and of social systems. These strategies are aimed at changing the cultural, social, physical and economic environments that interfere with the individual choices of psychoactive substance use
UNIVERSAL
Addressed to the general population or subgroups of the population. It is not evaluated the degree of risk of individuals or groups, this being unknown or variable
being unknown or variable
PREVE
INDICATED
Defined taking into account the assessment of individual risk, is addressed to individuals who present some risk factors or symptoms that present some risk factors or symptoms that suggest a disturbance
SELECTIVE Addressed to groups that share risk factors,
being the level of risk different among individuals. The risk level of the groups can be defined on the basis of socio demographic and defined on the basis of socio-demographic and contextual indicators
NTION
ENVIRONMENTAL Whose strategies aimed at the social norms, that is, global strategies that intervene at the level of society and of social systems These level of society and of social systems. These strategies are aimed at changing the cultural, social, physical and economic environments that interfere with the individual choices of psychoactive substance use
UNIVERSAL
Addressed to the general population or subgroups of the population. It is not evaluated the degree of risk of individuals or groups, this being unknown or variable
being unknown or variable
PREVE
INDICATED
Defined taking into account the assessment of individual risk, is addressed to individuals who present some risk factors or symptoms that present some risk factors or symptoms that suggest a disturbance
SELECTIVE Addressed to groups that share risk factors,
being the level of risk different among individuals. The risk level of the groups can be defined on the basis of socio demographic and defined on the basis of socio-demographic and contextual indicators
NTION
ENVIRONMENTAL Whose strategies aimed at the social norms, that is, global strategies that intervene at the level of society and of social systems These level of society and of social systems. These strategies are aimed at changing the cultural, social, physical and economic environments that interfere with the individual choices of psychoactive substance use
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Prevent and redu f l d l foetal develo pathologies psyc
PREGNANCY
AND
POSTPARTUM
PERIOD
Raise awareness the impact o Mobilise tea responses to m and technical f Ensure priority ac d th i t and their partneEnsure access to to th
SPECIFIC AIM uce the incidence of anomalies and disturbances of
d b ll h f
IS INTEND TO opment caused by CAD, as well as the occurrence of
in the pregnant, resulting from the consumption of choactive substances and medicines not prescribed
and inform pregnant women and their partners for of their addictive behaviours in foetal development am that at the level of primary health care, develop maternal-infant health through a process of training ramework on the part of the specialised services in CAD ccess to specific care to pregnant women with CAD di t th i bl d l l f i k i ers, according to their problems and levels of risk in
the development of pregnancy o specific social responses that increase adherence herapeutic measures necessary to couple with CAD
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Reduce the impact of risks resulting f identifying prematurely inadequate beha
YOUNG
identifying prematurely inadequate beha consumption patterns o
Ensure early preventive responses that pro
YOUNG
PEOPLE
FROM 10 TO
24 YEARS
the processes of fam Raise awareness of those directed involve
Develop accountability procedures of p
FROM 10 TO 14 YEARS
Develop accountability procedures of p Differentiate preventive messages accordi Improve the Knowledge and articulation b existence of differentiated interventions acc Extend the study and identification o Develop lines Raise awareness and inform pre-adoles account the physical and sexual proc account the physical and sexual proc Discourage the consumption of psychoactive community members, through the provi
SPECIFIC AIM from exposure to CAD in teenager development and delaying its start,
aviour patterns predisposing to the development of CAD in particular IS INTEND TO aviour patterns predisposing to the development of CAD, in particular of psychoactive substances such as binge drinking and/or drunkenness
omote socio emotional competences, foster resiliency and strengthen mily, school and social binding, according to the stage of development
d to the risks of exposure to CAD, empowering them in the context of parenting skills parents and guardians by the risk behaviours of the minor in the CAD parents and guardians by the risk behaviours of the minor in the CAD
context, particularly in the context of alcohol legal regime ing to the motivational style of the pre-adolescent (sensation seekers, sensation avoiders) between networks of responses aimed at this age group, ensuring the cording to the risk levels detected for pre-adolescents exposed to CAD or already with CAD of the factors and processes that increase the risk of development of
addictive behaviours without substances in this critical period of action aimed at dimensions inherent to risk perception within CAD scents on the risks and consequences associated with CAD, taking into cesses of transformation and development characteristic of this phase cesses of transformation and development characteristic of this phase e substances, prevent the occurrence of risk behaviours and empower ision of access to information on the legal regimes on consumption of psychoactive substances
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
39
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Structuring measure of national sc CAD and seeks to mobilise the sy
•Build a global network of preventio
h b l
OPERATION
I h k l d•Increase the scope, accessibilit •Develop a process o st
OPERATION
PLAN
FOR
INTEGRATED
RESPONSES
•Increase the knowledge
RESPONSES
•Definition of Programs of In •Definition of Programs of In integrate interdisciplinary (prevention, dissuasion, risk and ha C tit ti f T it i l N l •Constitution of Territorial Nucleu
manage, articulate, monitor and e of addictive behaviours and depend well as other entities that are invo
WHAT IS IT cope that promotes integrated intervention within the framework of ynergies available in the territory through the participation of public entities (SICAD and ARS,I.P.) and Civil Society
WHAT ARE THE GOALS integrated and complementary responses, within the framework of on, dissuasion, risk and harm reduction, treatment and reintegration
h ff d h ff f h d
b h h f ddi i b h i d d d i
y, the effectiveness and the efficiency of the interventions, directing them to specific groups of continous improvement of the quality of intervention through the rengthening of technical component – scientific and methodological
HOW DOES IT WORK e about the phenomenon of addictive behaviours and dependencies
•Promote coherent and sustainable interventions over time
•Elaboration of national diagnosis •Identification and selection of territories of priority intervention
ntegrated Responses (PRI) while local intervention programmes that ntegrated Responses (PRI) while local intervention programmes that
and multisectorial responses, with some or all types of intervention arm reduction, treatment and reintegration) derived from the results of the diagnostics of the territories identified as priorities di ti b di f h PRI f t it th t th t t
us as coordination bodies of each PRI of a territory, that they want to
evaluate the nature and the development of intervention in the field dencies. Integrate entities responsible for implementing each PRI, as olved in the territory and that are relevant to the implementation of the objectives set for each PRI. Structuring measure of national sc
CAD and seeks to mobilise the sy
•Build a global network of preventio
h b l
OPERATION
I h k l d•Increase the scope, accessibilit •Develop a process o st
OPERATION
PLAN
FOR
INTEGRATED
RESPONSES
•Increase the knowledge
RESPONSES
•Definition of Programs of In •Definition of Programs of In integrate interdisciplinary (prevention, dissuasion, risk and ha C tit ti f T it i l N l •Constitution of Territorial Nucleu
manage, articulate, monitor and e of addictive behaviours and depend well as other entities that are invo
WHAT IS IT cope that promotes integrated intervention within the framework of ynergies available in the territory through the participation of public entities (SICAD and ARS,I.P.) and Civil Society WHAT ARE THE GOALS integrated and complementary responses, within the framework of on, dissuasion, risk and harm reduction, treatment and reintegration
h ff d h ff f h d
b h h f ddi i b h i d d d i
y, the effectiveness and the efficiency of the interventions, directing them to specific groups of continous improvement of the quality of intervention through the rengthening of technical component – scientific and methodological
HOW DOES IT WORK e about the phenomenon of addictive behaviours and dependencies
•Promote coherent and sustainable interventions over time
•Elaboration of national diagnosis •Identification and selection of territories of priority intervention
ntegrated Responses (PRI) while local intervention programmes that ntegrated Responses (PRI) while local intervention programmes that
and multisectorial responses, with some or all types of intervention arm reduction, treatment and reintegration) derived from the results of the diagnostics of the territories identified as priorities di ti b di f h PRI f t it th t th t t
us as coordination bodies of each PRI of a territory, that they want to
evaluate the nature and the development of intervention in the field dencies. Integrate entities responsible for implementing each PRI, as olved in the territory and that are relevant to the implementation of the objectives set for each PRI.
General-Directorate for Intervention on Addictive Behaviours and Dependencies
40
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
System which seeks to regula entities involved in the treatm
REFERRAL/
entities involved in the treatm access to care and services
ARTICULATION
NETWORK
IN THE SCOPE OF
ADDICTIVE
Definition, in a logic of p
architecture of different res
problems ,
BEHAVIOURS
AND DEPENDENCIES
Structuring with differenInteraction / articulation dependencies, since earl
differentiated and adequate appro
that make it p
WHAT IS IT ate the complementary relations and technical support between the ment of addictive behaviours and dependencies and promote patient
WHAT ARE THE PILLARS ment of addictive behaviours and dependencies and promote patient
they actually need as well as sustain the integrated system of inter-institutional information
roximity of health care and accessibility to the citizens, of a dynamic
sponses, specialised and appropriate to the level of severity of their
, showing flows of referencing, articulation, referral and intervention
ntiated levels of intervention, the articulation between the Primary,
Specialised and Hospital Health Care among others n between services that assist people with addictive behaviours and
y detection, through the application of screening tools, to the more
ach for the risk assessment of the situation in which the person is,
possible to follow the evolutionary manifestations of this pathology. System which seeks to regula
entities involved in the treatm
REFERRAL/
entities involved in the treatm access to care and services
ARTICULATION
NETWORK
IN THE SCOPE OF
ADDICTIVE
Definition, in a logic of p
architecture of different res
problems ,
BEHAVIOURS
AND DEPENDENCIES
Structuring with differenInteraction / articulation dependencies, since earl
differentiated and adequate appro
that make it p
WHAT IS IT ate the complementary relations and technical support between the ment of addictive behaviours and dependencies and promote patient
WHAT ARE THE PILLARS ment of addictive behaviours and dependencies and promote patient
they actually need as well as sustain the integrated system of inter-institutional information
roximity of health care and accessibility to the citizens, of a dynamic
sponses, specialised and appropriate to the level of severity of their
, showing flows of referencing, articulation, referral and intervention
ntiated levels of intervention, the articulation between the Primary,
Specialised and Hospital Health Care among others n between services that assist people with addictive behaviours and
y detection, through the application of screening tools, to the more
ach for the risk assessment of the situation in which the person is,
possible to follow the evolutionary manifestations of this pathology.
PARTNE
PARTICIPATION
INTEGR
adapted from the strategic approach of Fight Against Poverty and S
ERSHIP
TERRITORIALITY
ATION
41
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
NONE / LOW
RISK LEVEL
LOW RISK CONSU ABSTINENCE CONSUMPTION LOW RISK CONSUOF
LEVEL OF CONSUMPTION
LEVEL I
LEVEL OF INTERVENTION
Adapted from Springer, IOM - J.F. & Phillips policy, programs and pratice. Washington: C Manual Técnico e Cd-Rom, Lisboa: CLIMEPSI
MODERATE HIGH MPTION HARMFUL MPTION RISK HARMFUL
CONSUMPTION DEPENDENDENCIESEVERE DEPENDENCE
LEVEL III
LEVEL II
s, J. (n.d.), The Institute of Medicine Framework and its implication for the advancement of prevention CARS e de Ferreira-Borges, C. e Cunha Filho, H. (2007), Intervenções Breves: Álcool e Outras Drogas – NONE / LOW
RISK LEVEL
LOW RISK CONSU ABSTINENCE CONSUMPTION LOW RISK CONSUOF
LEVEL OF CONSUMPTION
LEVEL I
LEVEL OF INTERVENTION
Adapted from Springer, IOM - J.F. & Phillips policy, programs and pratice. Washington: C Manual Técnico e Cd-Rom, Lisboa: CLIMEPSI
MODERATE HIGH MPTION HARMFUL MPTION RISK HARMFUL
CONSUMPTION DEPENDENDENCIESEVERE DEPENDENCE
LEVEL III
LEVEL II
s, J. (n.d.), The Institute of Medicine Framework and its implication for the advancement of prevention CARS e de Ferreira-Borges, C. e Cunha Filho, H. (2007), Intervenções Breves: Álcool e Outras Drogas – NONE / LOW
RISK LEVEL
LOW RISK CONSU ABSTINENCE CONSUMPTION LOW RISK CONSUOF
LEVEL OF CONSUMPTION
LEVEL I
LEVEL OF INTERVENTION
Adapted from Springer, IOM - J.F. & Phillips policy, programs and pratice. Washington: C Manual Técnico e Cd-Rom, Lisboa: CLIMEPSI
MODERATE HIGH MPTION HARMFUL MPTION RISK HARMFUL
CONSUMPTION DEPENDENDENCIESEVERE DEPENDENCE
LEVEL III
LEVEL II
s, J. (n.d.), The Institute of Medicine Framework and its implication for the advancement of prevention CARS e de Ferreira-Borges, C. e Cunha Filho, H. (2007), Intervenções Breves: Álcool e Outras Drogas –
General-Directorate for Intervention on Addictive Behaviours and Dependencies
42
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Alarm signals Behaviour disturbance PROBLEMS IN Selective an LEVEL I Behaviour disturbance Low risk consumption Consumption of risk Multiple chronic diseases
Harmful consumption Slight dependence Selective an Ea Ear Bri Community Slight dependence LEVEL II Harmful consumption Dependence Polyconsumption Risk behaviours Comorbidity Indic Bri Community Integ Risk an R y R Severe dependence Poly consumption Integ P Detoxifi LEVEL III Physical co morbidities Poly consumption
Serious Psychopathology Hospitalization Treatment Risk an R HEALTH CARE NTERVENTION
nd indicated prevention Primary Health Care:• Functional Units nd indicated prevention arly Detection rly intervention ef intervention y intervention programs • Functional Units Specialized Health Care: • Centre of Integrated Responses – Technical Team Specialized in CAD (Prevention)
(Prevention)
Specialized Health Care: • Centres of Integrated Responses -cated Prevention ef Intervention y intervention programs grated treatment nd Harm Reduction R i t ti
Centres of Integrated Responses Technical Team Specialized in CAD • Alcohol Units
• Therapeutic Communities • Day Areas / Day Centres
• Community Mental Health Teams/Units Reintegration • Intensive Support Teams for Smoking y /
Cessation
grated treatment Program STOP
cation / Withdrawal
Specialized Health Care: • Centres of Integrated Responses -Technical Team Specialized in CAD • Alcohol Units
• Therapeutic Communities n for psychiatric pathology
Programs with opioids nd Harm Reduction Reintegration
• Therapeutic Communities • Detoxification Units Hospital Health Care: • Local Mental Health Services •Medical and Surgical Specialities ServicesMedical and Surgical Specialities Services
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Reduce substances –
and disman particular organ cooperat
Strengthen cooperation and i
ILLICIT
SUBSTANCES
AND
Reduce the production, traf Contribute to ensure a high border of the EU, in order psychoactive
NEW
PSYCHOACTIVE
SUBSTANCES
p y Prevent the diversion of prec
chemical substances asso Strengthen cooperation international and European ag
Streng Strengthen cooperatio identification of pheno Explore possible links be Explore possible links be Increase prevention activi Increase the trainin
SPECIFIC AIM the availability of illicit drugs and new psychoactive (NPS) in the market, through prevention, dissuasion ntling networks involved in illicit drugs trafficking, in
IS INTEND TO nised crime, intensifying judicial, police and customs
ion, both domesticaly and internationally, as well as border management
inter-institutional coordination, in the strategic and operational plans ffic and consequently the supply of illicit drugs and new psychoactive substances h and equivalent level of control along the external r to improve the prevention of illicit drugs and new e substances entry in the European Union territoryy p y cursors and pre-precursors of illicit drugs and other ociated with their manufacture, imported to the EU n and coordination with the bodies and competent encies, such as Europol, Eurojust and the EMCDDA gthen judicial cooperation in the European context on between the Information Services regarding the omena, agents and trends, upstream judicial bodies etween production and trafficking of drugs and the etween production and trafficking of drugs and the
financing of terrorism ities in the area of drug-related crime, especially in money laundering g and the knowledge for law enforcement services
45
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
46
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
LICIT
Make sure that the carried out in a safe th
LICIT
SUBSTANCES
ALCOHOL
Establish in accordance with the drafting of monitoring/surveillance of mar contingencies and propose improvemen Explore the issues related to the avail Foster with economic operators and the
SPECIFIC AIM provision, sale, access and consumption of alcohol on the market, is manner and not an inducer of use/consumption of risk and harmful, hrough education, regulation, appropriate regulation and supervision
IS INTEND TO f the legislation in force, Decree-Law no. 50/2013, of 24 January, the rketing and make an assessment of the results obtained, identify the nts in the implementation of this law, with a focus on risk behaviours ability of alcohol, marketing, and the advertising, the analysis of the regulation and the evaluation of its applicability eir representative associations, best practice initiatives, in particular self-regulation and communication strategies near the consumers
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General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
49
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
General-Directorate for Intervention on Addictive Behaviours and Dependencies
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Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Consolidate the know
Contribute to a better understanding of the the impact of the measures a comprehensive and integrated system of i
INFORMATION
AND
RESEARCH
Invest in standardized data collection an Promote a culture of registration, monitoring appropriate instruments, and a culture ofPromote research and enhance the Improve the ability of detection and evalu and security, privileging the networking Ensure the transmission and a more effec
SPECIFIC AIM
IS INTEND TO wledge infrastructure, and to carry out a timely analysis, holistic and
comprehensive of the situation IS INTEND TO phenomenon of addictive behaviours and dependencies, as well as adopted at national, regional and local level, in the perspective of a information on which to lay the policies and interventions (national Information System on Psychoactive Substances, CAD)
PRIORITIES nd in the development of scientifically proven indicators at European
and international level, considered relevant to the policies adopted g and evaluation of interventions – based on common metadata and
sharing the results, in order to maximize the effectiveness in its use e exchange and transfer of knowledge, ensuring the strengthening of
synergies and avoiding duplication of resources y g g p uation of emerging trends susceptible to pose a risk to public health and the intersectoral cooperation at national and international level ctive application of information and knowledge for the development
of policies and their evaluation of policies and their evaluation Consolidate the know
Contribute to a better understanding of the the impact of the measures a comprehensive and integrated system of i
INFORMATION
AND
RESEARCH
Invest in standardized data collection an Promote a culture of registration, monitoring appropriate instruments, and a culture ofPromote research and enhance the Improve the ability of detection and evalu and security, privileging the networking Ensure the transmission and a more effec
SPECIFIC AIM
IS INTEND TO wledge infrastructure, and to carry out a timely analysis, holistic and
comprehensive of the situation IS INTEND TO phenomenon of addictive behaviours and dependencies, as well as adopted at national, regional and local level, in the perspective of a information on which to lay the policies and interventions (national Information System on Psychoactive Substances, CAD)
PRIORITIES nd in the development of scientifically proven indicators at European
and international level, considered relevant to the policies adopted g and evaluation of interventions – based on common metadata and
sharing the results, in order to maximize the effectiveness in its use e exchange and transfer of knowledge, ensuring the strengthening of
synergies and avoiding duplication of resources y g g p uation of emerging trends susceptible to pose a risk to public health and the intersectoral cooperation at national and international level ctive application of information and knowledge for the development of policies and their evaluation of policies and their evaluation Consolidate the know
Contribute to a better understanding of the the impact of the measures a comprehensive and integrated system of i
INFORMATION
AND
RESEARCH
Invest in standardized data collection an Promote a culture of registration, monitoring appropriate instruments, and a culture of Promote research and enhance the Improve the ability of detection and evalu and security, privileging the networking Ensure the transmission and a more effecSPECIFIC AIM
IS INTEND TO wledge infrastructure, and to carry out a timely analysis, holistic and
comprehensive of the situation IS INTEND TO phenomenon of addictive behaviours and dependencies, as well as adopted at national, regional and local level, in the perspective of a information on which to lay the policies and interventions (national Information System on Psychoactive Substances, CAD)
PRIORITIES nd in the development of scientifically proven indicators at European
and international level, considered relevant to the policies adopted g and evaluation of interventions – based on common metadata and
sharing the results, in order to maximize the effectiveness in its use e exchange and transfer of knowledge, ensuring the strengthening of
synergies and avoiding duplication of resources y g g p uation of emerging trends susceptible to pose a risk to public health and the intersectoral cooperation at national and international level ctive application of information and knowledge for the development of policies and their evaluation of policies and their evaluation
TRAINING
Improve the quality of the se empowering profe implementation of policies an
the increase of the qual
TRAINING
AND
COMMUNICATION
TRAINING
Improve/update the knowledge the promotion of training activith i f i i i i of interv Also to be considered in the de that may benefit from traininff ti f th h
effectiveness of the approache and social reinte
SPECIFIC AIM ervices provided to the citizens in the field of CAD, essionals of the services with responsibilities in the nd development of interventions, in order to allow ification and specialization of responses in various contexts and areas of intervention
IS INTEND TO contexts and areas of intervention
of the parties involved in the field of CAD, through
i ki i h d h
ies, taking into account the contexts and the types vention considered in the different lyfe cycle stages
finition of the strategic guidelines are the contexts ng interventions, as added value to the quality and
h l d it i CDT CRI h lth
es: school and community, prison, CDT, CRI, health egration units, employment, guardianship services
51
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Ensure compliance representation in internation behaviours and depende framewor
INTERNATIONAL RELATIONS
AND COOPERATION
Ensure the fulfilment of int increase national ca i Ensure national representation
COO O
E Develop and consolidate rela Promote the dissemination o
CAD, along w Contribute decisive
SPECIFIC AIM e with the international commitments and national nal fora dealing with the phenomenon of addictive encies, developing cooperation actions, within the
IS INTEND TO rk of existing bilateral and multilateral mechanisms
ternational commitments in the field of CAD and to pacity to influence the decisions taken in European institutions, international and regional cooperation n in multilateral or regional organisations and in the EU institutions, as well as in other international fora
ations of bilateral or multilateral nature, in the CAD area f projects and national best practices in the field of with other countries and international organisations ely to the Integrated border management, based on cooperation between the competent authorities Contribute to the achiev
through communication information and the visibil the n
TRAINING
Disseminate, in due t contributes to the visibili adap
TRAINING
AND
COMMUNICATION
COMMUNICATION
adap Disseminate the technical-scient priority the management anCOMMUNICATION
It was identified as priorities fo adult population, the employment contexts anp y
In this context it must be ensure information with the use of ne improvement of institutional w
SPECIFIC AIM vement of the strategic objectives of the PNRCAD,
that encourages the sharing and dissemination of ity of the results of the actions taken, considering needs of policy-makers, professionals and citizens
IS INTEND TO ime, harmonized and coherent information, which ty of the results, using the most appropriate tools, pted to different recipients and different lyfe cycles pted to different recipients and different lyfe cycles tific knowledge oriented to the citizen, turning as a nd dissemination of appropriate information to the needs of different target groups
PRIORITIES or intervention in these matters, the young and the e area of prevention, school, road, recreational and nd the addictive behaviours related to alcohol, new , psychoactive substances and illicit substances ed that the dissemination of objective and reliable ew techonologies, in particular the promotion and websites, as well as the production and publication in paper and electronic support
General-Directorate for Intervention on Addictive Behaviours and Dependencies
52
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Ensure continuous improveme in the field of CAD, based on
Guarantee and give sequence to
QUALITY
Inventory practices and prog Harmonize practices based on Organize a system of certific demand, in articulation with Involve public and priv universities and other stakeho implementation of a system of
Promote processes of quality entities/se entities/se
SPECIFIC AIM ent in the quality of services provided to the citizens
technical models and benchmarks and scientifically validated IS INTEND TO
validated
o a quality policy initiated in the previous Strategic Plan grams, validated, certified or accredited at national and international level n knowledge management and its dissemination by
professionals cation and accreditation of programs in the field of h the national entities responsible for crediting and accreditation of programs vate entities, Orders and Professional Associations, olders considered relevant to the construction and f certification and accreditation of programs under the CAD y certification in close articulation with the various ervices responsible in the field of CAD intervention ervices responsible in the field of CAD intervention
53
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Subsi M O INTERMINISTERIAL COUNCIL *Headed by the NATIO COORDIN Prime Minister Executive TECHNICAL COMMISSION *Headed by the National Coordinator National Coordinator SUBCOMMITTEES idiary functions MINISTER OF HEALTH NATIONAL COUNCIL ONAL NATOR Advisory Functions functions REPRESENTATIVES OF CONSTITUCIONAL BODIES AND CIVIL
General-Directorate for Intervention on Addictive Behaviours and Dependencies
54
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
55
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
PRIME-M
National Coordinator (SICAD General Diretor) 5 personalities to be designated by the Prime-Minister
PRIME M
National Association of Local Youth Associations Alcohol beverages trade and industry representatives
National Confederation of Family Associations Union of Journalists
National Confederation of Parents' Associations
NAT CO Associations of students in higher education and
secondary education
Civic associations active in the field of the fight National Youth Council
*Or de against AIDS
Union of Portuguese Mutual Organizations Professional associations active in the field of drugs and drug addiction
Ministe
o
Na Coo
MINISTER*
Judiciary Higher Council Regional Governments of Azores and Madeira
MINISTER
National Association of Local Districts National Association of Portuguese Municipalities
Attorney General's Office
Portuguese University Chancellors’ Council Coordinating Council of Polytechnic Institutes Portuguese Association of Private Higher Education ATIONAL
OUNCIL
Churches and religious communities settled in Portugal Episcopal Conference
Union of Portuguese Mercy Institutions elegation in
Union of Private Institutions of Social Solidarity Portuguese Federation of Institutions linked to Drugs and Drug Addiction Fighting the
er of Health
r in the
ational ordinator
Ensure the coordina dependencies (CAD) co dependencies (CAD) co Structure of Coordination for Dr of Alcohol to Gambling Depen
COORDINATION
Ensure representation at al representatives with com
E t ti t ll
Ensure the creation or mainte Ensure representation at all
with relevance on the P
Ensure that the competent bo civil society partners to enrol PNRCAD and the actions p
SPECIFIC AIM tion of policies related to addictive behaviours and overed by PNRCAD, through the enlargement of the
IS INTEND TO overed by PNRCAD, through the enlargement of the
ugs Problems, Drug Addiction and the Harmful Use ndence and Harmful Use of Medicines and Anabolic Steroids IS INTEND TO l levels of the members of the Government and its petences in PNRCAD in the bodies of Coordination Structure
l l f th i tit ti l t d i il i t
enance of forums for dialog and cooperation in the CAD areas covered by PNRCAD levels of the institutional partners and civil society PNRCAD areas or in the organs of the Coordination Structure CAD areas covered by PNRCAD odies of the Public Administration, institutional and
l in the respective activities plans the objectives of lanned in the respective Action Plans, to ensure its implementation
57
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
59
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
Carry out int
Develop a follow-up model that quality and the results of int
EVALUATION
Disseminate data arising f Implement a cost accounting s ord ord Develop a regular evaluation m to the goals established in the p Promote specific lines of res Establish a benchmarking sy
well as the more c
SPECIFIC AIM ernal and external evaluation of PNRCAD 2013-2020
IS INTEND TO t allows to know the main indicators of production, ervention, programs and projects at local, regional and national level and national level from the implementation of the model to partners, through regular reports system for projects, programs and interventions, in der to provide indicators for its financial evaluation der to provide indicators for its financial evaluation model of the evolution of the key indicators related plan, in order to facilitate the regular review of the same search on the impact and benefits of interventions stem to identify and disseminate best practices, as cost-effective interventions, programs and projects
61
General-Directorate for Intervention on Addictive Behaviours and Dependencies
Executive Summary of the Nacional Plan for Reducing
Addictive Behaviours and Dependencies 2013-2020
NATIONAL HEA COORDINATION STRUCTURE TECHNICAL COMMISSION OF THE INTER-MINISTERIAL PRIORITY HEALT POGRAMS NATIONAL PRO AND SECTORAL PLANS COUNCIL FOR DRUGS
PROBLEMS, DRUG ADDICTION AND THE HARMFUL USE OF ALCOHOL PLANS P ADMI ACTIVITIES PRO AND BUSSINESS OTHER COMMITMENTS OTHER PRIVA SUBCOMISSIONS FNAS FORUM AN PUBLIC CONSU SS LTH PLAN PNRCAD TH GRAMS ACTION SHARED RESPONSABILITY AND PARTNERSHIP IN THE IMPLEMENTATION OF IMPLEMENTATION OF ACTIONS INCLUDED IN THE ACTION PLAN PUBLIC NISTRATION OGRAMS S PLANS R PUBLIC AND S ACTION PLANS R PUBLIC AND ATE ENTITIES – NATIONAL M ON ALCOHOL D HEALTH LTION CIVIL SOCIETY SOCIETY
