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REPORT OF THE VISIT TO VIETNAM JANUARY 21-26, 2018
HANOI, HOCHIMIN
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
2
Directors: USA: Igor Koutsenok, MD Professor of Psychiatry University of California San Diego School of Medicine Tel: +1 858 699-3809 E-mail: ikoutzenok@ucsd.edu Ukraine: Irina Pinchuk, MD, PhD Director, Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse Ministry of Health, Ukraine Tel: +380 44 468-3215 E-mail: attc.ukraine@gmail.com
Директори: США: Ігор Куценок, ДМ професор психіатрії Каліфорнійський Університет Сан-Дієго, Школа медицини Тел. +1 858 699-3809 E-mail: ikoutzenok@ucsd.edu Україна: Ірина Пінчук, д.м.н., с.н.с. Український науково-дослідний інститут соціальної і судової психіатрії та наркології МОЗ України Тел. +380 44 468-3215 E-mail: attc.ukraine@gmail.com
Фінансується згідно з Надзвичайним планом Президента щодо зменшення тягаря СНІД через управління службами психічного здоров’я та залежності
www.ATTCnetwork.org
Report prepared by (in alphabetic order): Sherry Larkins, PhD Irina Pinchuk, MD, PhD. Yulia Yachnik, MD
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
3
Day 1
Delegates from international ATTCs visited Hanoi Medical University, where North Vietnam ATTC is
located. We were introduced to Vietnam ATTC team and got information about their organizational
structure, principles of work and main activities. We were impressed by their broad range of activities
and by those results they achieved.
While presenting, Dr. Hoang Vu showed important background information which influenced the local
ATTC goas and focus during first years of work. He showed the importance of connecting PEPFAR
goals and local needs for developing activities. The red line of all operating efforts should be reducing
the epidemy and achievement of 90-90-90 goals. And for today Vietnam succeed to achieve 70-67-93
indicators.
Another important issue is having national champions – to promote the ATTC activities and advocate
among stakeholders and policymakers.
It seemed very helpful in ATTC work the support from government due to existing vice president
lobby of drug related policy.
Interesting, that Vietnam ATTC came to idea to get social university as a partner, which supports our
idea tha main ATTC goals cant be achieved only with medical universities efforts.
Pilot project of Drug courts seemed quite interesting and applicable to Ukraine but before this, as Dr
Hoang Vu mentioned, effective community-based treatment should be organized.
Operating only in frames of technical assistance Vietnam ATTC showed the variety of activities that
can be implemented: pre-service and postgraduate training, trainings for trainers, clinical mentoring,
clinical practical training sites, technical support of research and pilot projects, evaluation.
Visit to Sexual Health Promotion Clinic showed on practice the importance of cooperation with local
stakeholders and benefits for both sides. We got acknowledged with clinic structure, operating mode,
ideology and approach to managing problems in MSM.
Also we received information about research of Suboxone in patients with HIV, which helped us to
understand how ATTC can be linked to research practice and how in this case ATTC can support the
research.
Output for Ukraine:
- Leaders & partners. 1. We should pay attention on local opinion-makers in order to draw them
to ATTC (local champions). 2. We realized the importance of close education basis and due to
this, it is necessary to think about university-partners in Kiev.
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
4
- We should consider the possibility to find a local partner with possibility to develop local clinical
practical training site.
- We payed attention on AB operating, incl. number of participants and regular meetings. It
seems reasonable to think how to manage extensive Ukrainian AB.
- In Ukraine there is a need of support of penitentiary system in order to deal with SUD related
issues.
Picture 1. In order from left to right: Irina Pinchuk, MD, PhD, I-ATTC Director, Ukraine; Yulia Yachnik, MD, I-ATTC Project Coordinator, Ukraine
Picture 2. Near HMU. In order from left to right: Irina Pinchuk, MD, PhD, I-ATTC Director, Ukraine; Yulia Yachnik, MD, I-ATTC Project Coordinator, Ukraine
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
5
Day 2
Visit to Nam Tu Liem District health center (MMT and OPC) showed the importance of close
location and collaboration of MMT and HIV clinic, which helps to keep clients in the program.
Location in the general hospital helps to reduce the stigma. Open methadone dispersion site
impressed by its easy accessibility.
Picture 3. In Nam Tu Liem District health center We continued meeting with ATTC partners by visiting Network of People who Use drug – “Going
home” Alliance office. They told about their experience, outreach work, counseling.
Output for Ukraine:
- We recognized the importance of connection ART and MMT and in relation to this –
multidisciplinary trainings and trainings of FD, who can prescribe methadone and ART in
Ukraine.
- Training to those who provide peer support, harm reduction and primary counseling.
Day 3
Visiting the community-based drug treatment at Thu Duc sowed us the possibility of connection
MMT and recovery program under Ministry of Social Policy jurisdiction.
Connection of medical and social care shows good results in terms of increasing the quality of
services and quality of life of clients.
Showing the example of good practice such center can become practical training center for other
specialists.
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
6
We gained the information about structure, legislation aspects, funding, linkages with medical
structures, staffing and operating procedures, including aftercare and follow up procedures.
Visit to Psychiatrist hospital was very helpful in order to see the variety of training programs that can
be supported by ATTC - Pre-service training for students and postgraduate training for specialists of
general practice working in methadone clinics. Also we were impressed by real patients story which
made the theme more alive and emotional.
Patients opinion about open methadone site showed the different perspective – open sites help to
seem ‘reformed’ person in the eyes of community and police.
Picture 4. Visiting the community-based drug treatment at Thu Duc
Picture 5. Visiting psychiatric hospital
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
7
Picture 6. Visiting psychiatric hospital
Output for Ukraine:
- In order to increase number of MMT patients to reach 90-90-90 goal it is necessary to consider
the possibility to open methadone clinics not only in MOH facilities but in social facilities also
located in the community.
- Cooperation with Ministry of Social Policy looks perspective in the direction of education
specialists.
- We should consider the possibility of methodological support of such pilot project in Kiev with
support of regional Department of Social Policy.
- The need of advocacy for MMT among specialists and patients in Ukraine
Day 4
Visiting South Vietnam ATTC and meeting with site PI, Dr. Do Van Dung. We recognized the
structure and main activities of ATTC and discussed many organizational issues starting from GPRA
forms collecting to invoicing and web-site development. We learned about invoicing procedures and
staffing.
Also we were introduced to N team and got possibility to know more about distance learning through
ECHO system and Zoom, organization of trainings, technical support, evaluation and developing
programs.
Output for Ukraine:
- It is necessary to consider ECHO training model based either in ATTC or in collaborative
university. Maybe pilot project with partners.
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
8
Picture 7. South Vietnam ATTC office. With Vietnam, South Africa and Ukraine ATTC Teams
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
9
Summary Visiting Vietnam ATTC gave us opportunity to see the organizational structure, functions, activities and operating modes of ATTC which resulted in better understanding of our field of work and in inspiration to conduct it. Additionally we had an opportunity to meet our colleagues from South Africa, who are also at the beginning of ATTC way and to discuss challenges and goals.
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
10
Appendix A. List of Delegates
# Name of Participant Professions Affiliation ATTC based
1 Sherry Larkins, PhD. ISAP Program Director
UCLA Vietnam
2 Beverley Cummings Technical Advisor SAMHSA South Africa
3 Sara Becker, Assist. Prof. Project Director Brown University School of Public Health
South Africa
4 Ntokozo Goodman Sibeko Co-Director University of Cape Town South Africa
5 Ben Piper Brown University School of Public Health
South Africa
6 Adele Pretorius Brown University School of Public Health
South Africa
7 Iryna Pinchuk, MD, PhD, Prof.
Director
Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse of Ministry of Health of Ukraine
Ukraine
8 Yuliia Yachnik, MD Research Associate
Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse of Ministry of Health of Ukraine
Ukraine
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
11
Appendix B. Agenda of visit
January 21-26, 2018, Hanoi, HoChimin
AGENDA DAY 1: MONDAY – JANUARY 22, 2018
TIME ACTIVITY LOCATION NOTES/ PIC
8:30-9:00 HMU bus to pick
up at 8:30 at
Metropole Lobby
to travel to Hanoi
Medical
University
Hanoi Medical
University
1 Tôn Thất Tùng, Kim
Liên, Đống Đa, Hanoi
Toan Thinh
(vutoanthinhph@gmail.com,
0912525836)
9:00-10:30 Meet with
REGIONAL
PEPFAR TEAM
HMU Dr. Hoang Vu, Dr. Nadine Rogers,
Thuong Nong to give overview of
Building/Growing an International HIV
ATTC
10:30-12:00 Meet with
VHATTC- HMU
team ; UCLA PI,
Sherry Larkins,
PhD
HMU Building/Growing an International HIV
ATTC; Supporting site efforts and
SAMHSA/PEPFAR efforts
12:00-2:00 LUNCH Luncheo with Dr Ke
(VUSTA Hai Phong), Dr
Tam (VAAC), SAMHSA
and VHATTC team
Venue to be determined
Linh Giang
(giangchi2001@yahoo.com)
Thuy Anh (thuyanh@hmu.edu.vn)
2:00-3:00 Tour VHATTC
Program; Tour
Sexual Health
Promotion Clinic
Meet with
VHATTC key
trainers/ clinical
HMU Thuy Anh (thuyanh@hmu.edu.vn)
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
12
staff
Q&A
3:00-3:30 Return to Hotel
DAY 2: TUESDAY - JANUARY 23, 2018
TIME ACTIVITY LOCATION NOTES
8:00 HMU bus to pick
up at 8:00 at
Metropole Lobby
to travel to Nam
Tu Liem District
Health Center
Lien Co, Nam Tu Liem,
Hanoi
Linh Giang
(giangchi2001@yahoo.com)
Huu Anh (huuanh81@gmail.com)
8:30- 10:30 Visit Nam Tu
Liem District
health center
(MMT and OPC)
Lien Co, Nam Tu Liem,
Hanoi
Linh Giang
(giangchi2001@yahoo.com)
Huu Anh (huuanh81@gmail.com)
11:00-12:00 Visit Vietnam
Network of
People who Use
drug – “Going
home” Alliance
office
De To Hoang, Hanoi Thuy Anh (thuyanh@hmu.edu.vn)
Linh Giang
(giangchi2001@yahoo.com)
12:00-1:30 BACK TO
HOTEL
Afternoon
Flight TBD
Flight to HCMC
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
13
DAY 3: WEDNESDAY – JANUARY 24, 2018 – UMP
TIME ACTIVITY LOCATION NOTES
Person in charge
8:30-9:30 Travel from Hotel to
University of
Medicine and
Pharmacy, HCMC
University of Medicine and
Pharmacy
217 Hong Bang, Phong 11,
Quan 5 HCMC
Chu Thi Nhu TRang:
Email:
nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
9.30 –
11.00
Visiting the
community-based
drug treatment at
Thu Duc
Thu Duc Clinic: 15 Đường
số 5, Hiệp Bình Chánh, Thủ
Đức, Hồ Chí Minh
Hospital: 766 Võ Văn Kiệt,
Phường 1, Hồ Chí Minh
Vu Thi Tuong Vi
Email: tuongvipac@gmail.com
Phone: +84 90857 7767
11.00 –
11.12.00
Meeting DOLISA
HCMC for
community- based
drug treatment
Thu Duc Clinic Vu Thi Tuong Vi
Email: tuongvipac@gmail.com
Phone: +84 90857 7767
12.00 –
13.30
LUNCH Thu Duc Chu Thi Nhu TRang:
Email:
nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
13.30 –
14.30
Travel from Thu Duc
to Psychiatrist
hospital
University of Medicine and
Pharmacy
217 Hong Bang, ward 11,
Quan 5 HCMC
Chu Thi Nhu TRang:
Email:
nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
14.30 –
16.00
Visiting Psychiatrist
hospital
- Pre-services for
Hospital: 766 Võ Văn Kiệt,
Phường 1, Hồ Chí Minh
Dr. Nguyen Song Chi Trung
Phone: +84 989 987 665
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
14
medical students at
hospital
Training on
substance use
disorder diagnosis
for doctors
Email:nschitrung@yahoo.com
16.00 –
16.30
Return to Hotel Chu Thi Nhu TRang:
Email:
nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
DAY 4: THURSDAY – JANUARY 25, 2018 - UMP
TIME ACTIVITY LOCATION NOTES
Person in charge
8:30-9:00 Travel from Hotel
to University of
Medicine and
Pharmacy,
HCMC
University of Medicine
and Pharmacy
217 Hong Bang, Phong
11, Quan 5 HCMC
Nguyen Viet Ngoc
Phone: +84 1282 105101
Email:nguyenvietngocxg@gmail.com
9:00-10:00 Meet with site PI,
Dr. Do Van Dung
And PAC HCMC
VHATTC Office, Floor
15University of
Medicine and Pharmacy
217 Hong Bang, Phong
11, Quan 5 HCMC
Building/Growing an International HIV
ATTC
Dr. Do Van Dung
Email: dovandzung@gmail.com
Phone: +84 918 382 253
10:00-
10:45
Meeting with
VHATTC-UMP
team
re-services
University of Medicine
and Pharmacy
217 Hong Bang, ward
Vu Thi Tuong Vi
Email: tuongvipac@gmail.com
Phone: +84 90857 7767
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
15
activities
- In-services activities
11, District 5 HCMC
10:45-
11:30
Meet with
Clinical, Training
and Admin Staff
University of Medicine
and Pharmacy
217 Hong Bang, ward
11, District 5 HCMC
Detailed Agenda forthcoming
Chu Thi Nhu Trang:
Email: nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
11:30-
13:30
LUNCH BREAK TBD Le Huynh Thi Cam Hong:
Phone: 0903 863011
Email: camhong3011@gmail.com
13:30 –
14:00
Tour VHATTC;
ECHO
Conference
Room;
University of Medicine
and Pharmacy
217 Hong Bang, ward
11, District 5 HCMC
Introduction about online training
Chu Thi Nhu TRang:
Email: nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
14:00-
16:00
Participation in
real ECHO
training (optional)
University of Medicine
and Pharmacy
217 Hong Bang, ward
11, Quan 5 HCMC
Floor #12A, Floor #1
Detailed Agenda forthcoming:
Chu Thi Nhu Trang:
Email: nhutrang.hi09@gmail.com
Phone: +84 0977 057 521
Dr. Nguyen Nhat Vinh - HAIVN
Afternoon
Flights
TBD
Центр обміну технологіями в сфері залежностей (ЦОТЗ)
Каліфорнійський Університет
в Сан Дієго
Школа медицини
Український науково-
дослідний інститут соціальної
і судової психіатрії та
наркології МОЗ України
16
Ukrainian ATTC (Addiction Transfer Technology Center) had pleasant and fruitful meeting with
colleagues from Vietnam ATTC and South Africa ATTC in Vietnam. The meeting was organized with
SAMHSA and PEPFAR support in order to gain knowledge about international ATTC activities and
operating mode, and to exchange experience with colleagues. The Ukrainian ATTC is based in
structure of Ukrainian Research institute of Social and Forensic Psychiatry and Drug Abuse Ministry
of Health of Ukraine. By this project Ukraine received the opportunity to know about and implement
the unified standards in the field of addiction treatment and to broadly discuss this topic with
international colleagues and experts.
Vietnam is amazing country with interesting culture and folklore, kind and open people, delicious food
and enormous traffic. We hope that our colleagues will visit Ukraine soon and we will have the
opportunity to introduce them our activities and national traditions.
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