School-Based Drug Use Prevention Multicomponent Model:

Apresentação em tema: "School-Based Drug Use Prevention Multicomponent Model:"— Transcrição da apresentação:

1 School-Based Drug Use Prevention Multicomponent Model:
a Lisbon and Tagus Valley Region Perspective”. Speaker: Isabel Prata Prevention Team - Ocidental Lisbon CRI- DICAD – ARSLVT Co-authors: Carla Frazão, Luísa Pereira, Rui Pedro Silva LISBON ADDICTIONS STRUCTURED SESSION 39 - OCTOBER 26th PREVENTION: FROM EVIDENCE TO ACTION HOW WE ARE WORKING

2 We don’t work in schools, we work with schools.
Schools can and should be concerned about psychoactive substance use prevention issues, but "cannot accept alone responsibility for changing students' health behaviour, including reducing drug use“ UNODC, 2004 "School based education for drug abuse prevention”

3 Three aspects of school-based prevention
To enable teachers and other socio-educational agents with knowledge and skills to develop prevention actions that can be integrated with their usual activities. Supporting the organisation of school principles and practices to deal with situations related to psychoactive substance use To organise partnerships with the community agencies that can complement school functions in that area

4 School Based Prevention
Projects Comprehensive, Multilevel Multicomponent Delivering: - Intensity - Continuity Prevention Level - Universal - Selective - Indicated

5 Main School Based Projects developed with DICAD’s Prevention Teams
Teachers and staff training courses Teachers and staff training courses to implement Life Skill Programs for students Interactive and integrated information and debate sessions Promotion of responsible selling of tobacco and alcohol in the shops located nearby schools. Guidelines to deal with Addictive Behaviours

6 Main School Based Projects developed with DICAD’s Prevention Teams
Guidelines to deal with Addictive Behaviours

7 Guidelines Project (Summary)
Guidelines to deal with psychoactive substance use situations Guidelines Manual Training sessions

8 Guidelines Project Partnerships
School, DICAD’S Prevention Teams Primary Health Care Centres Colaboration: Safe School Police

9 Needs Assessment- Perception of Addictive Behaviours
IMPLEMENTATION STEPS 1 Needs Assessment- Perception of Addictive Behaviours 2 Initial Training 3 Guide Manual Adaptation by Each School 4 Guide Manual Training to Deal with Addictive Behaviours in the Educational Community 5 Monitoring and Case Discussion A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

10 1 Needs Assessment- Perception of Addictive Behaviours
IMPLEMENTATION STEPS 1 Needs Assessment- Perception of Addictive Behaviours Are addictive behaviours with psychoactive substance use an issue for that school? How is the school dealing with these situations? Do school responsible have the need for that partnership and for that project? A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

11 2 Initial Training - Course Subjects
IMPLEMENTATION STEPS 2 Initial Training - Course Subjects Information on addictive behaviours and psychoactive substances Prevention strategies Adolescent development How to build up a comprehensive and collaborative dialogue with teenagers (Introducing some strategies of Motivational Interviewing) A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

12 Guide Manual Adaptation by Each School
IMPLEMENTATION STEPS 3 Guide Manual Adaptation by Each School Guidelines Manual contents summary - Signs and symptoms of psychoactive substance use What to do in the different situations Tips for a collaborative dialogue with adolescents Orientations on how to inform the family. Tips on how to deal with the different reactions of young people and families. Composition and contact of “Reference group”. Creation of the "Reference Group“ Guidelines Manual adapted A implementação do Guião deve envolver em todas a s etapas a co-execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

13 IMPLEMENTATION STEPS 4 Guidelines Manual Training to Deal with Addictive Behaviours in the Educational Community Training sessions (average 3 hours) for - Teachers - Staff Informative sessions - Students - Parents A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

14 Monitoring and Case Discussion
IMPLEMENTATION STEPS 5 Monitoring and Case Discussion Regular monitoring meetings Case discussion – Group and individual cases Case referral when needed Continuous assessment Support to ongoing actions A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

15 ENVIRONMENTAL PREVENTION REGULATION COMPONENT
Guidelines Project is 1 2 3 4 5 SCHOOL BASED PROJECT ENVIRONMENTAL PREVENTION REGULATION COMPONENT UNIVERSAL PREVENTION LEVEL BUT LINKS TO SELECTIVE AND INDICATED PREVENTION A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

16 Global structure of school based prevention with Guidelines Project
School, Primary Care, DICAD’s Prevention Team Procedure Guidelines Manual Life Skills Programs Informative or other interventions Monitoring process Reference Group for SPA Other external partners (Police, Children Protection Institutions, Child psychiatry, clinical psychology…) Collaboration Referral

17 In Summary Organizes school principles and practices to deal with situations; Develops partnerships that allow real teamwork; Promotes teachers and school staff skills to deal with the situations; Suggests a comprehensive approach to addictive behaviours; Considers addictive behaviour as an educational and health issue. A implementação do Guião devem envolver em todas a s etapas a co- execução com a Equipa de Saude escolar. Com funções chave na escola (elemento da direção, elementos do PES, psicóloga e outros técnicos)

18 THANK YOU OBRIGADA

19 Bibliografia European Monitoring Centre for Drugs and Drug Addiction (2009), Preventing later substance use disorders in at-risk children and adolescents: a review of the theory and evidence base of indicated prevention. Thematic papers. Office for Official Publications of the European Communities, Luxembourg (Disponível em: prevention). European Monitoring Centre for Drugs and Drug Addiction (2011). European drug prevention quality standards. A manual for prevention professionals. (L. T. Union, Ed.). Disponível em C.pdf Government of South Australia – Department of Education and Children’s Services (revisão de 2011) Intervention matters – A policy statement and procedural framework for the management of suspected drug related incidents in school.

20 Bibliografia Joint Consortium for School Health (2009) Effective Substance Use Policy – A Knowledege Kit for School Administrators. Disponível em  Carvalho, Joana e Frango, Paula (2011) Linhas de Orientação para a o Desenho da Intervenção Preventiva no Consumo de Substâncias Psicoativas Licitas e Ilícitas, IDT. UNODC (2004) SCHOOLS: school-based education for drug abuse prevention, United Nations, New York. Disponível em UNODC (2015) International Standards on Drug Use Prevention, United Nations, Vienna. Manual com 1ª edição em Disponível em