Table 18 OL: Overview of policies and frameworks for prevention in recreational settings

 

1) How is the Outreach work concept defined in national policy papers?

2) How is the Outreach work concept defined by relevant professional groups?

3) Do national policies refer explicitly to Outreach work?

4) Do regional and local strategies exist that refer to Outreach work?

5) Short analysis of the legal situation of Outreach work services

6) Macro-level information on the total number of Outreach work services

7) Do any kind of (mandatory or optional) guidelines for Outreach work exist?

8) How is training for Outreach work staff organised and carried out?

9) Can the demand for training be described and assessed?

10) Which professional groups are predominant among Outreach work staff?

11) Are research funds and research projects for Outreach work available in the country?

Impeding factors

Facilitating factors

BE

n.a.

See Annex 1

No

Yes

e.g.: strategy in French community

n.a.

n.a.

4

n.a.

Professional Outreach workers train former drug users to contact their peers

Harm reduction training for peers

Psychosocial workers (university)

Trained peers

Psychiatrist

Volunteers

n.a.

DK

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

DE

No definition

No

Yes

It’s legal, same rules as for therapists

Impeding: funding

n.a.

n.a.

n.a.

Professional organisations, institutions, welfare organisations, NGOs

n.a.

Social workers

Scarce

EL

No explicit definition

It is implicitly included in the aims of the Action Plan defined as mobile units of crisis intervention and immediate help

No

Yes

mainly Athens

There is no legal framework (it’s foreseen in the near future)

n.a.

Five agencies, some with different programmes in different places

also some NGOs

No

Training carried out by KETHEA and OKANA

The type of training depends on the programme

No extensive description

Emerging demand for training

Implementation of seminars

1) Social workers

2) Sociologists and psychologists

3) Former drug users for streetwork programmes

Euro-Snowball II: € 13,330

And what about you?: € 44,551

ES

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

FR

It is within harm and risk reduction policy

No distinction between mobile and ‘settled’ structures

Yes

cooperation between regions/departments

No internal coordination, lack of training for actors involved, lack of references (missions, objectives, actions)

Implementing the concept

Needle exchange programmes: 118

Automatic distributors of prevention kits: 227

Methadone buses: 2

Outreach work teams (équipes de proximité): 5

No

n.a.

n.a.

Teams that include various professionals such as:

educators, social workers, health professionals

Evaluation of programme on risk reduction - report will be available soon

IE

No explicit definition

The role of Outreach work is included in ERHA (five points)

No

Yes

n.a.

n.a.

Very difficult to quantify; the concept is not well defined and may be mixed with other services as needle exchange

Mandatory guidelines are delivered as part of preparation course for Outreach work staff in the initial stages

Training is primarily carried out by the service under which the worker is employed

There are no formally recognised courses in Ireland

Courses available: general courses for individuals working in the drugs area

In-service training courses available for Outreach

The demand for formal training leads to accreditation

Community workers willing to work with drug users at different stages;

Outreach workers from the Board of Health are psychologists and sociologists

 

IT

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

LU

No definition

No

No

n.a.

n.a.

4 +/-

No

Given by national prevention centre

No

Social workers; educators; psychologists

Through concept of harm reduction

NL

No official definition; there are guidelines with recreational settings

No (done by local authorities)

Yes

small-scale projects (pubs, bars)

There are no legal restrictions for pubs or discos;

training for staff here is optional, thus not attended;

government ended on-site pill testing

Important issue for government is safety; maybe more focused in criminality but health prevention closely follows it

n.a.

Are being written now (based on the English)

Train-the-trainers’ organised by Trimbos

Lack of funding; money is essential for training

Prevention workers (university level)

Field workers (vocational education)

Funding is provided by Ministry of Health, Welfare and Sport and Dutch Health Research and Development Council

Local projects are funded by municipalities

Trimbos sent a research proposal

AT

No official definition; it’s an important part of drug network service

No national strategy

Yes

cooperation local/regional

There are legal constraints regarding pill testing

Outreach work is a way to reach and work with drug users without getting into legal problems

1 to 5 in most provinces

20 to 25 in Austria

No

(minimum standards have been in discussion for some time)

There is no defined professional training

It is covered in social workers’ courses and youth work

Broad demand for drug-specific training in the field of recreational settings

In Vienna there has been training in this field during the last year

Social workers

Psychologists

Educators

No earmarked research funds

Research is one of the main elements of ChEckiT!

PT

Definition: Decree-Law (183/2201)

Yes (see mentioned diploma)

Adapted to local needs

Lack of specific training for professionals

The existence of a legal framework and specific budget at central level

Centralised at the IDT and Ministry of Labour and Welfare

Yes

Included in the already mentioned diploma

Training is limited

It is delivered by Outreach workers themselves

Demand is high but not formally assessed

Psychologists

Social workers

Not yet planned by IDT

FI

It is known as ‘youth work oriented’

Briefly (see above mentioned answers)

Rarely

Some forms as pill testing may be considered illegal; agreement on this between key ministries is very unlikely

Harm reduction approach is strongly supported

7 to 10

No

Each organisation has its own training

Not at present

Health, social and youth work professionals Volunteers trained

Research carried out by research institutions specialised in drugs: Stakes; Finland’s Academy

SE

As a task of social service and recreational setting (two objectives)

Yes (divided in internal and external)

Yes

They operate on a formal basis, they are not low-threshold services

More swift than common welfare units

n.a.

No

There is a working group that is formulating guidelines

University educations

Programmes at high school level directed at recreation leaders and persons working in the social sector

The National Board of Health and Welfare has been directed to investigate the demand and to give recommendations

Social workers

National research funds

County administration boards have funds for local projects

UK

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

NO

To work with hard to reach groups; catching clients models

Its importance has been highlighted over the past years in several reports and national strategies

Often included

No legal status

n.a.

63 Outreach entities

n.a.

Seminars organised regularly

Further education is needed

Evaluation skills should be improved

Social workers

No specific funds available