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DESCRIPTION:

Centres of Integrated Responses:

Centro de RespostasIntegradas (CRI) de Aveiro

Centro de RespostasIntegradas (CRI) de Castelo Branco

Centro de RespostasIntegradas (CRI) de Coimbra

Centro de RespostasIntegradas (CRI) de Guarda

Centro de RespostasIntegradas (CRI) de Leiria

Centro de RespostasIntegradas (CRI) de Viseu

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THE SCOPE OF ACTIVITIES:

Promote the integration, harmonization and qualification of preventive interventions in the area of addictions in the central region of Portugal

Promote and develop programs and projects at the local level through CRI prevention teams

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THE ORGANIZATION IS RESPONSIBLE FOR:

• Coordinating drug prevention
• Advisory role
• Developing drug prevention programmes and/or policies
• Monitoring substance related problems in order to apply the results to improve drug preventio
• Monitoring drug prevention interventions or programmes
• Supervising the implementation of drug prevention (e.g. providing advice and guidance)
• Implementing drug prevention e.g. family- and school-based programmes
• Providing training on substance use prevention
The priority actions are:
• School Intervention - Development of own and national projects that cover students, teachers, employees and parents
• Intervention in recreational contexts - Development of actions in academic parties, music festivals and in night-time recreation areas
• Intervention in the workplace - Development of actions with public and private companies

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DESCRIPTION:

Division for Intervention on Addictive Behaviours and Dependencies of the Regional Health Administration of Lisbon and Tagus Valley - Prevention Area

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THE SCOPE OF ACTIVITIES:

This division coordinates the implementation of prevention intervention in the geographical area of Lisbon and Tagus Valley and has six prevention teams that intervene in different geographic areas:

• Central Lisbon Prevention Team – majority of the parishes of Lisbon City • Ocidental Lisbon Prevention Team – Sintra, Amadora, Cascais, Oeiras • Oriental Lisbon Prevention Team – 5 parishes of the city of Lisbon, counties of Alenquer, Arruda dos Vinhos, Azambuja, Benavente, Vila Franca de Xira, Loures e Odivelas • Ribatejo Prevention Team – counties of Abrantes, Alcanena, Constância, Entroncamento, Ferreira do Zêzere, Mação, Ourém, Sardoal, Torres Novas, Tomar, Vila Nova da Barquinha, Cartaxo, Golegã, Rio Maior, Santarém, Almeirim, Alpiarça, Chamusca, Coruche, Salvaterra de Magos • Peninsula Setubal Prevention Team – counties of Almada, Seixal, Alcochete, Barreiro, Moita, Montijo, Palmela, Setúbal e Sesimbra

Oeste Prevention Team – counties of Alcobaça, Bombarral, Caldas da Rainha, Nazaré, Óbidos, Peniche, Torres Vedras, Cadaval, Lourinhã, Sobral de Monte Agraço, Mafra.

This division coordinates the implementation of prevention intervention in the geographical area of Lisbon and Tagus Valley within the six preventions Teams, seeking to implement prevention interventions guided by principles based on scientific evidence, using the logical model and advocating multicomponent, structured and continued interventions.

Annually defines a prevention regional plan of action, that aims to develop interventions that contemplate different levels of prevention from environmental, universal, selective and indicated, - as well as resorting to different components - regulatory, informative and life skills.

The intervention occurs in different settings or contexts – mostly in schools, but also workplace, community, professional qualification centers, foster institutions, family, university, recreative settings (music festivals, university parties, etc), justice court/prisons, police, etc.

The prevention interventions aims to train the strategic population that intervene with the target population to implement different kind of strategies: informative interactive sessions, life skills programs, and implement regulatory strategies within schools and other settings.

The preventive interventions occur in conjunction and are planned with other strategic partners that intervene with the final target population, among them other health institutions with responsibility for health promotion, or institutions that intervene in the protection of children and young people at risk.

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THE ORGANIZATION IS RESPONSIBLE FOR:

• Coordinating drug prevention
Regional Coordination implies articulation and planning of prevention programmes with National General-Directorate for Intervention on Addictive Behaviours and Dependencies that need to be implemented at regional and local level. Coordination of the six Prevention Teams involves: training; technical support; co-working; monitoring of the prevention activities; creation, training and collection of data – Informatic system to monitor prevention activities;
• Decision-making in drug prevention (Including development of policies)
• Advisory role
• Developing drug prevention programmes and/or policies

Developing drug prevention programmes, articulation and planning of prevention programmes with National General-Directorate for Intervention on Addictive Behaviours and Dependencies and/or policies, likeMe&Others Life Skills Program.

Implementation of other life skills Programmes:

• Trilhos Life Skills Program – Portuguese Program created by Porto Unity Prevention – involves 3 years implementation 7th grade to 9th grade;

• CAPPYC – Cannabis Abuse Prevention Program for Young Consumers (CAPPYC) (prepared by the Foundation for Assistance against Drug Addiction-FAD-2014),

• Portuguese adaptation of “Parenting Wisely” Family Skills Program

• Other programmes were also adapted / implemented by the prevention teams, based on the principles of effective prevention, with a minimum of 8 sessions / 10 hours of intervention per target group, including "TásRede" for selective and indicated prevention levels

• Short-term skills development programmes have been developed, also with outcome evaluation (minimum of 4 hours and maximum of 10 hours of application per target group), that are integrated in a multicomponent intervention;

Implementation of a regional project at environmental level “Guidelines to deal with addictive Behaviours in school context”, which involves the operationalization of legislation in face of the consumption of tobacco, alcohol and illicit substances in the school context and foster institutions, early detection and intervention, referral of families and/or young people at risk to the responses of the indicated prevention area from our Division. This project aims to increase the application of Portuguese legislation within schools, train the strategic population for an early detection and motivational approach among students at risk and their families, to avoid random drug testing, and to promote the use of constructive and pedagogical approaches. Involves process and outcome evaluation (results presented at Lisbon Addictions Conference 2017). Another intervention at environmental level is the project of “Alcohol and Tobacco Responsible Selling”, this project has been implemented in different contexts: recreational / music festivals (eg. Rock in Rio – 2 years of implementation), community (surrounding school context, integrated with the “Guideline to deal with addictive Behaviours”, includes intervention near cafes, bars and supermarkets). Aims to increase social responsibility on alcohol and tobacco sellers towards prevention, increase applicability of the Portuguese laws, decrease minors access and alcohol/ tobacco consumption(forbidden to minors of 18 in Portugal). Involves process and outcome evaluation.
• Implementation of informative programmes, integrated within Life Skills Program and/or “Guidelines to deal with addictive behaviours”. This programmes are structured, process and outcome evaluation included, using interactive approaches, and co-constructed with young people (final population targeted).
• Monitoring substance related problems in order to apply the results to improve drug prevention
• Monitoring drug prevention interventions or programmes
• Supervising the implementation of drug prevention (e.g. providing advice and guidance)
• Conducting prevention research e.g. evaluation of drug prevention programmes, epidemiological studies in the general and student population
• Implementing drug prevention e.g. family- and school-based programmes
• Providing training on substance use prevention
The majority of the life skills programmes, informative programmes and “guidelines do deal with addictive behaviours in school context” imply training of the strategic population, and/or supervision/monitoring.
Training of the prevention teams to ensure the effective implementation and /or supervision of the prevention programmes
• Other tasks: Creation, training of Prevention Teams and data collection – Information system to monitor prevention activities - “Prevensis”

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THE SCOPE OF ACTIVITIES:

Ensure the execution of local programs to reduce the use of psychoactive substances and prevent addictive behaviours.

To plan, coordinate, execute and promote, in its specific geographic coverage, the evaluation of prevention programs.

To provide technical support to the execution of local and regional prevention projects and programs.

To provide technical reports about proposals of regional projects presented by public or private institutions that apply to financial supports in the prevention area.

To promote the execution of diagnostics related to the intervention needs on a local and regional level on the prevention of addictive behaviours and addictions axis. To define priorities and type of prevention interventions and the necessary resources, specifically with projects and programs co-financed.

To plan and promote the articulation between institutions and the participation of the institutions of the community, private or public, in the development of prevention actions, within the national programs promoted by SICAD (General-Directorate for Intervention on Addictive Behaviours and Dependencies)

To ensure, on a regional level, the articulation with SICAD to develop programs and projects.

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THE ORGANIZATION IS RESPONSIBLE FOR:

• Coordinating drug prevention
• Decision-making in drug prevention (Including development of policies)
• Advisory role
• Developing drug prevention programmes and/or policies
The institution develops indicated drug prevention actions, such as a psycho-social consultation for adolescents/young people with drug use at an early stage, aiming to intervene early in the scope of addictive behaviour and other related problems. This consultation also provides psycho educational support to the families or to the professionals of the entities where some of these young people may be institutionalized.
• Monitoring substance related problems in order to apply the results to improve drug prevention
• Monitoring drug prevention interventions or programmes

The institution develops actions to monitor drug use prevention projects, co-funded by SICAD, and developed by other local/regional entities with which the institution collaborates in the field of drug prevention. These actions consist in giving support to the teams to develop the prevention projects, in the different phases of application, execution and report of the activities developed.

• Supervising the implementation of drug prevention (e.g. providing advice and guidance)
• Implementing drug prevention e.g. family- and school-based programmes
The institution implements drug prevention programs in school / community context as well as in the family environment. This universal prevention programs aim to reinforce protection factors and to reduce the risk factors, working to acquire and reinforce socio-emotional competencies. The programs “Eu e os Outros” (“Me and Others”) and “Ordago! Afrontar el Desafio de las Drogas” in its Portuguese version (“Atlante! Enfrentar o Desafio das Drogas” - Atlante! Meeting the drug challenge”), which are classified on the EMCDDA website as good practices
Also within the scope of these programs, the institution provides the training of professionals on substance use prevention, since they belong to other entities that are partners in the implementation of these programs.
• Providing training on substance use prevention
• Other tasks

THE SCOPE OF ACTIVITIES:

Ensure the execution of local programs to reduce the use of psychoactive substances and prevent addictive behaviours.

• To plan, coordinate, execute and promote, in its specific geographic coverage, the evaluation of prevention programs
• To provide technical support to the execution of local and regional prevention projects and programs
• To provide technical reports about proposals of regional projects presented by public or private institutions that apply to financial supports in the prevention area
• To promote the execution of diagnostics related to the intervention needs on a local and regional level on the prevention of addictive behaviours and addictions axis. To define priorities and type of prevention interventions and the necessary resources, specifically with projects and programs co-financed
• To plan and promote the articulation between institutions and the participation of the institutions of the community, private or public, in the development of prevention actions, within the national programs promoted by SICAD (General-Directorate for Intervention on Addictive Behaviours and Dependencies)

To ensure, on a regional level, the articulation with the SICAD to develop programs and projects.

All activities of the ARS Alentejo – DICAD, are on a local and regional level.

THE ORGANIZATION IS RESPONSIBLE FOR:

• Coordinating drug prevention
• Decision-making in drug prevention (Including development of policies)
• Advisory role
• Developing drug prevention programmes and/or policies

The institution develops indicated drug prevention actions, such as a psycho-social consultation for adolescents/young people with drug use at an early stage, aiming to intervene early in the scope of addictive behaviour and other related problems. This consultation also provides psycho educational support to the families or to the professionals of the entities where some of these young people may be institutionalized.

• Supervising the implementation of drug prevention (e.g. providing advice and guidance)
• Implementing drug prevention e.g. family- and school-based programmes

The institution implements drug prevention programs in school / community context as well as in the family environment. This universal prevention programs aim to reinforce protection factors and to reduce the risk factors, working to acquire and reinforce socio-emotional competencies. They are the programs “Eu e os Outros” (“Me and Others”).Also within the scope of these programs, the institution provides the training of professionals on substance use prevention, since they belong to other entities that are partners in the implementation of these programs.

• Providing training on substance use prevention

DESCRIPTION:

Scope: Northern Region of Portugal

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THE SCOPE OF ACTIVITIES:

• plan, coordinate, implement and evaluate intervention programs to prevent addictive behaviours and addictions
• collaborate in the definition of national strategies and policies for the prevention of addictive behaviours, the reduction of psychoactive substance use and dependencies, and the evaluation of those strategies and policies
• provide technical support for the implementation of prevention programs and projects in the Northern region of Portugal
• promote the assessment of regional and local intervention needs, define priorities, intervention and resources to be allocated
• evaluate and supervise the functioning of public child and youth care units
• coordinate regional and local intervention entities, encouraging the participation of public or private community institutions in the development of prevention actions, within the framework of prevention programs promoted by the General-Directorate for Intervention on Addictive Behaviours and Dependencies (SICAD)
• draw a regional prevention action plan
• provide consulting, supervision and technical support to schools, ONG, civil society institutions in the prevention area, concerning the implementation and evaluation of prevention projects for addictive behaviours and dependencies
• implement structured prevention programs in the community/ school
• promote training and awareness activities in the prevention area for professionals working in communities and schools
• promote,conduct studies and research in the field of addictive behaviours and dependenciesDICAD has also been investing in creating local indicated prevention responses for children and youngsters at risk concerning addictive behaviours and dependencies,in order to promote access to health services
• DICAD articulates its entire intervention with the General-Directorate for Intervention on Addictive Behaviours and Dependencies (SICAD)

DICAD also cooperates with other public services (health care, social care, justice services, educational services, municipalities), with NGO´s and other civil society institutions, with public and private universities in the northern region of Portugal.

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THE ORGANIZATION IS RESPONSIBLE FOR:

• Coordinating drug prevention
• Decision-making in drug prevention (Including development of policies)
• Advisory role
• Developing drug prevention programmes and/or policies
• Monitoring substance related problems in order to apply the results to improve drug prevention
• Monitoring drug prevention interventions or programmes
• Supervising the implementation of drug prevention (e.g. providing advice and guidance)

In order to improve evidence-based preventive interventions at universal and selective level, and to guarantee the quality of preventive intervention in the Northern Region, DICAD promotes institutional and community support in the field of consulting, supervision and technical support with schools, ONG’s and other institutions in the implementation and evaluation of additive behaviors and dependencies prevention projects in the scope of promotion of personal and social skills, parental competencies, among others; it also supports prevention projects co-financed by SICAD through monitoring, consulting and technical support.

DICAD has Integrated Response Centers throughout the Northern Region, whose Prevention Teams also develop the direct implementation of structured and evidence-based prevention programs within the community, including programs for the development of personal, social and parental skills in schools and at community level.

• Conducting prevention research e.g. evaluation of drug prevention programmes, epidemiological studies in the general and student population

In order to increase knowledge about addictive behaviours and dependencies at regional level (northern Portugal), DICAD has been investing in the validation of prevention programs for developing personal and social skills (eg. validation of the Risks & Challenges 2.0 Program) and in the validation of evaluation instruments, namely the construction of a protocol for the Evaluation of the Results of Therapeutic Interventions (ASSIST-WHO validation questionnaire for the screening of alcohol, tobacco and other substances), in collaboration with the Commission for the Dissuasion of Drug Addiction (SICAD) of Porto, the University of Minho and the Catholic University of Porto.

• Implementing drug prevention e.g. family- and school-based programmes
• Providing training on substance use prevention

Aiming at improving training, awareness-rising and dissemination of evidence-based knowledge about addictive behaviours and dependencies in the Northern Region, DICAD promotes training and awareness-rising activities in the prevention area with community professionals, teachers, parents / families, operational assistants and university students, and other youngsters. The training actions mainly focus on the development of personal and social skills and on topics related to prevention of addictive behaviours and dependencies.