Area of
Intervention
TREATMENT ACTIONS
Like in prevention, CADAP still remains highly relevant and useful in addressing the treatment needs of the region through the promotion and implementation of different global, evidence-based initiatives. The programme has contributed to the improvement and accessibility of substance use treatment and harm reduction services through the following actions:
The establishment of working groups on a variety of treatment modalities which have become key for sharing information and experiences among experts.
The introduction of treatment and rehabilitation protocols and practices in rehabilitation centres
The registration of people who use drugs in the treatment system continues to be a major obstacle in most countries which presents many challenges in providing services for those that need them. CADAP 7 continues advocating for a health-based approach to substance use to reduce and eliminate the social stigma associated and, with time and enough resources, provide the adequate services to the key population in need.
SPECIFIC ADVANCES
For CADAP 7 the following approach will be based country by country taking all the specific advancements into consideration:
Kazakhstan
The treatment and rehabilitation system is in process of integration in mental health service system. The Republican Scientific-Practical Centre of Metal Health in Almaty is the coordination body and centre of excellence. There is rehabilitation offer in Kazakhstan including outpatient service and residential rehabilitation centres. Extension of OST will be promoted and supported.
The training curriculum (PRO 1) will include OST guidelines. In the scope of model rehabilitation centre (PRO 2) rehabilitation and readaptation measures will be proposed as integrated part of OST. Extension of OST service to prison settings will be proposed (PRO 3).
Kyrgyzstan
The harm reduction measures are wildly available in the country. OST have long tradition in Kyrgyzstan and is relatively widely available. Abstinence oriented treatment is underdeveloped; the treatment programs are mainly focused on detoxification. One of the priorities for CADAP 7 will be to established model rehabilitation center (PRO 2).
The “Atlantis program” (social rehabilitation and integration program for drug addicts in detention) still exists in Kyrgyzstan. There was established second “clean zone” in women prison in Kyrgyzstan in the scope of CADAP 6. One of the priorities for CADAP 7 will be to support and further develop this approach (PRO 3).
Tajikistan
Treatment system includes in-patient and out-patient offers including: inpatient detoxification, short-term rehabilitation, outpatient relapse prevention, medical and social rehabilitation and OST.
The idea of opening the “Atlantis program” (social rehabilitation and integration program for drug addicts in detention) for women will be discussed with national counterparts Turkmenistan: Officially there are no drug addicts in Turkmenistan, but there exists drop-in centre for ex-drug users. On the basis of this centre all three products/activities will be implemented. The staff of this centre and representatives of Ministry of Health, Ministry of Interior, NGOs, and academics will constitute core of working groups.
Uzbekistan
Uzbekistan has a comprehensive system of narcological assistance to people with drug addictions. Community based approach will be proposed as the best approach in the context of traditional role of Mahalla.
Social and psychological support of Mahalla Committee can be used to found re-adaptation offer for drug addicts in the community. Developing of model of such offer (PRO 2) will be discussed with BC experts.
