EMCDDA

KEY INDICATOR: Treatment KEY INDICATOR: Treatment demanddemand

  

Objective of indicator

To provide comparable, reliable and To provide comparable, reliable and anonymous information on the anonymous information on the numbernumber and and characteristicscharacteristics of people treated for of people treated for their drug use in the Member States. their drug use in the Member States.

Purpose of information

Indirect indicator of trends in problemIndirect indicator of trends in problem drug drug useuse

Identification of patterns of drug useIdentification of patterns of drug use

Basis for other methodologies on Basis for other methodologies on problem drug use prevalence estimationproblem drug use prevalence estimation;;

Identify patterns of use of services Identify patterns of use of services and and plan and evaluation of servicesplan and evaluation of services

Policy relevance

        Monitor trends in prevalence and Monitor trends in prevalence and characteristics of userscharacteristics of users

        Plan and asses resources, and evaluate Plan and asses resources, and evaluate service uptake by users service uptake by users

        service management, service management,

        outcome evaluation –EU action Planoutcome evaluation –EU action Plan

How to implement the indicator: Guidelines

A joint EMCDDA/Pompidou A joint EMCDDA/Pompidou Group protocol (TDI protocol), Group protocol (TDI protocol),

given definitions and guidelines given definitions and guidelines for data collectionfor data collection

  

Guidelines

** What is drug treatmentWhat is drug treatment ? ?• ** Which substances are notifiedWhich substances are notified• * * When treatment starts and finish When treatment starts and finish

(treatment episode)(treatment episode)-     -     * * Time and area of reporting Time and area of reporting -     -     * * How many times a person should How many times a person should

be be counted in the time and area counted in the time and area covered covered (control of double counting)(control of double counting)

* * Variables to be collected per caseVariables to be collected per case

Instruments for data collection

        

o   --   National Reitox Reports National Reitox Reports (simplified (simplified standard tables)standard tables)

- - TDI tables (detailed tables) TDI tables (detailed tables)

Process of guidelines development (1996

to 2001)       Identification and in-depth analysis of Identification and in-depth analysis of

existing national reporting systems existing national reporting systems       Identification and in-depth analysis of Identification and in-depth analysis of

existing national reporting systems existing national reporting systems       Development of working agreed Development of working agreed

standards (use of Pompidou Group standards (use of Pompidou Group protocol as reference)protocol as reference)

    Assessment of feasibilityAssessment of feasibility … …

Guidelines development processIn cooperation with the Pompidou (Council of Europe)

AND…AND… Extensive field-testing Extensive field-testing

    Final protocol Final protocol       Adoption by Scientific Committee Adoption by Scientific Committee

(Dec 2000) and Management Board (Dec 2000) and Management Board of of EMCDDA EMCDDA (2001(2001))

Some problems encountered

          Differences in services provision and Differences in services provision and organisationorganisation

                Differences in methodological approach to Differences in methodological approach to treatment information in some countriestreatment information in some countries

                  Differences in geographical and services Differences in geographical and services coverage between countries coverage between countries

    Modifications of national reporting systems Modifications of national reporting systems are costly and require institutional are costly and require institutional commitmentcommitment

Work process with treatment demand

information Methodology development Methodology development         Definitions – concepts –> TDI Definitions – concepts –> TDI

protocol protocol         Technical instruments Technical instruments         Institutional agreementsInstitutional agreements        Field-testing Field-testing        Data collection and databases Data collection and databases

developmentdevelopment

…And quality assessment

              Coverage analysisCoverage analysis

              Validity and reliability Validity and reliability

Steps for using treatment demand information

  To iTo identify topics and questionsdentify topics and questions         Relevance of problems (policy needs; Relevance of problems (policy needs;

cocaine, cannabis…)cocaine, cannabis…)      Appropriateness of treatment Appropriateness of treatment

information information       Feasibility with data collected Feasibility with data collected

Starting point

      EMCDDA initiative:EMCDDA initiative: individually, with individually, with groups of experts, with other groups of experts, with other organisationsorganisations

      Formal demands:Formal demands: Annual Report, EU Annual Report, EU

Action Plan on drugsAction Plan on drugs       Initiatives from other indicators:Initiatives from other indicators: New New

trends, infectious diseases trends, infectious diseases

Different levels of analysis

1- 1- National National : : cross national (all EU cross national (all EU countries, selection of countries, selection of

countries) countries) ;;

2- 2- AggregatedAggregated : : individual data individual data (centrally vs national level with (centrally vs national level with common protocol) common protocol)