EMCDDA closing conference of two cooperation projects

The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) hosted the closing conference of its international cooperation projects with the Western Balkans and European Neighbourhood Policy (ENP) region. The two-day event was held on 21 and 22 November 2022, in the margins of Lisbon Addictions 2022, Europe’s largest conference in the area of addictions.

The objective of the two projects is to familiarise the project beneficiaries with EU policies and working methods and to prepare them for consolidated and structured reporting to the EMCDDA.

Under the theme ‘Drugs beyond EU borders: emerging trends and preparedness’, the event focused on cross-border drug-related health and security threats in the Western Balkans and on drug markets and emerging drug-related challenges in the ENP region.

Over 80 participants – from 18 partners, EU institutions and other bodies – attended the meeting (in Lisbon and online) to discuss the results of this cooperation. Among others, experts took a look at the preparedness of health and security services in the regions to address the emerging threat of cocaine trafficking and use. DPNSEE Executive Director Milutin Milošević was among the speakers in the Moderated panel discussion: How prepared are the partners for emerging cocaine trafficking and use?

The meeting also provided a platform for partners to present work undertaken in the framework of the projects aimed at improving knowledge on the drug situation in the region and at scaling up responses.

In cooperation with the Portuguese national focal point (SICAD), the meeting concluded with onsite visits to: a commission for the dissuasion of drug use; a judicial police forensic laboratory; a community-based harm reduction programme; a low-threshold mobile unit for methadone distribution and a drug consumption room.

Visit to the GAT drop-in centre in Mouraria, run by the peers from the population of people who use(d) drugs

Portugal’s Approach to Drug Policy – what works and what does not?

From Movendi’s website

The Swedish Drug Policy Centre (NPC) has published a new report Decriminalisation of Drugs: What can we learn from Portugal?, written by Pierre Andersson, about Portugal’s approach to drug policy and the lessons that can be learned from the country’s decriminalization of drugs.

In drug policy debates reference is often made to Portugal as an example of a country with a successful approach to drug policy. Often, the country’s good results in reducing the drug problem are attributed to the decriminalisation policy instituted in 2001. But knowledge and understanding of the exact policy and its results is not always accurate and well-informed. Therefore, Pierre Andersson has conducted a series of interviews on the ground in Lisbon and studied the reports on Portugal’s drugs policy published in scientific journals in recent years.

The report makes it clear that Portugal’s reforms in 2001 were more far-reaching than the abolition of penalties for using and possessing small quantities of drugs. Above all, they included major efforts to improve services for rapid and effective treatment, and good coordination between various healthcare interventions. This is likely to have contributed to the development that fewer people developed drug dependency, and, as a result, to a reduction in the number of drug-related deaths.

But, the report also shows that the drug-related death rate fell after the reform, when major efforts were made to expand healthcare, only to then increase again to almost the same level as before decriminalisation.

The Swedish drug policy debate often compares the figures for drug-related deaths between Portugal and Sweden. As the new report shows, these comparisons are flawed because the measurement methods differ from between countries. For example, over 75% of all deaths in Sweden that screened positive for drugs are ultimately classified as “drug-related” according to the definition by the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA).

But the corresponding figure in Portugal is below 5%. The report also shows that Sweden undertakes twice as many post-mortem examinations and three times as many forensic analyses as Portugal. Comparisons between the figures make little sense when the methods differ as much as they do.

Concerning drug consumption trends in Portugal, the new report shows that cannabis use has increased among schoolchildren and is now at a higher level than that of the corresponding age group in Sweden.

Countries still have a lot to learn from Portugal’s drug policy, especially with regard to the short waiting time for treatment and the coordination between the various healthcare services. For example, Portugal’s Commissions for the Dissuasion of Drug Abuse (CDT), which people charged with possession or use have to appear before, is quick to make referrals to addiction specialists. The quick and effective response and follow-up increase in all likelihood people’s chances of overcoming – or avoiding – drug use disorders and addiction.

The report also highlights the risk of overlooking some really good lessons from both Portugal and other countries, overshadowed by the framing that decriminalisation in itself is the solution to all drug problems.

The purpose of the report is therefore to contribute to a focused and informed drug policy debate taking into view the initiatives that hold substantial potential to reduce and prevent harm, provide adequate services to all who need it and help prevent drug use and harm among children and youth.

The analysis of Portugal’s drug policy is complemented with a broader overview of ten more European countries which have decriminalised drugs. You can read the additional report “Decriminalization in Europehere>>>.

Comparison of the developments following decriminalisation in these eleven European countries shows that drug-related deaths increased in some countries and decreased in others. It therefore does not seem to be decriminalisation in itself that is the decisive factor in the developments.

To read the report, please follow this link>>>.

 

Bursaries for European Drugs Summer School

The University Institute of Lisbon (ISCTE-IUL) and the EU drugs agency (EMCDDA) will be joining forces once again next summer to hold the ninth European drugs summer school (EDSS) on ‘Illicit drugs in Europe: demand, supply and public policies’. This two-week course will take place in the Portuguese capital from 29 June to 10 July 2020.

Professionals, academics and experts from the Western Balkan region* will have an opportunity to participate in the EDSS this year, thanks to three bursaries being offered through the EMCDDA Instrument of Pre-accession Assistance 7 project (IPA7), which kicked off in July 2019. The aim of the three-year project, running until June 2022, is to ensure that the six IPA beneficiaries (1) are able to participate effectively in the activities of the EMCDDA and the Reitox network upon EU accession.

The bursaries will cover flights and EDSS fees.

The deadline for applications is 26 February 2020 and successful candidates will be notified by 9 March 2020.

To get more information and apply for the bursary follow this link>>>

 

* The six IPA beneficiaries are: Albania, Bosnia and Herzegovina, Kosovo*, North Macedonia, Montenegro and Serbia

Watch EDSS promotional video for more information

Ninth European drugs summer school

The University Institute of Lisbon (ISCTE-IUL) and the EU drugs agency (EMCDDA) will be joining forces once again next summer to hold the ninth European drugs summer school (EDSS) on ‘Illicit drugs in Europe: demand, supply and public policies’. Registration is now open for the two-week course, which will take place in the Portuguese capital from 29 June to 10 July.

Through a multidisciplinary and interactive approach to the drugs problem, EMCDDA scientific experts, leading academics, guest speakers, policymakers and professionals having participated in previous rounds of the EDSS, will prepare participants to meet the complex policy challenges in this field – both in Europe and beyond. The focus of the 2020 course will be hepatitis C.

Week 1 of the summer school, focusing on the ‘Drugs problem: substance use and problems, substance characteristics, and market’, will feature lectures on: the global burden of drug-related problems; drug markets in Europe; detecting new drugs; and prevention approaches in demand-reduction interventions. This session will also focus on the EMCDDA’s epidemiological indicators and their use in informing drug policy.

Week 2, dedicated to ‘Policymaking for drug-related issues’, will include lectures on: drug policies and new challenges (concepts, issues and analysis); the use of evidence to inform decision making; drug laws; and monitoring supply reduction and drug enforcement activity. It will also include group discussion exercises on how to use the knowledge acquired during the course, to sustain drug-related debates. Finally, students will be guided through an analysis of the link between evidence and decision-making, including examples of implementation.

Study visits to outreach facilities and to one of the Portuguese commissions for dissuasion will be organised over the two weeks. During the course, students will also participate in interactive workshops to discuss their own projects and views. The course will conclude with an open debate with guest speakers.

The target audiences for the EDSS are: university students, researchers, professionals and administrators interested in working on drug issues. The previous rounds of the summer school brought together students from the EU Member States as well as from Africa, Asia, Australia and the Americas.

In 2020, students will again be able to apply for scholarships and ‘early-bird’ reductions are also available.

Information and registration is available following this link>>>

Have a look at the promotional video of the European drugs summer school below

United Nations & world leaders condemned for failure on drug policy, health and human rights

329 NGOs call for global leadership to halt global public health emergency and to end egregious human rights violations against people who use drugs.

As the 26th International Harm Reduction Conference comes to a close, hundreds of health professionals, academics, drug policy and human rights experts, frontline workers and people who use drugs released a statement calling on world leaders to urgently address the health and human rights crisis among people who use drugs.

Signatory NGOs shed light on the alarming public health emergency faced by people who use drugs. Between 2009 and 2015, the number of drug-related deaths rose by a worrying 60%. In 2015 alone, this culminated in a total of 450,000 deaths – an estimated 50 deaths every hour. The target to halve the incidence of HIV among people who inject drugs by 2015, set eight years ago, was spectacularly missed by 80%, and HIV prevalence increased by one third among people who inject drugs over the same period. Furthermore, globally, six in ten people who use drugs are living with hepatitis C, while 168,000 people who use drugs were reported to have died of an overdose in 2015 alone.

These health harms are preventable. The evidence, presented at the Conference this week, shows that harm reduction and human rights-centred drug policies can save lives, prevent the spread of HIV and hepatitis C, and promote the dignity and empowerment of people who use drugs. But this requires leadership from both governments and the UN.

Naomi Burke-Shyne, Executive Director of Harm Reduction International (HRI), said: ‘The evidence for harm reduction is indisputable. It is nothing short of disgraceful that governments continue to fail to support and invest in health services for some of the most marginalised people’.

The joint NGO statement also expresses serious concerns over the ability of the UN Office of Drugs and Crime (UNODC) to adequately lead the UN response on this issue. By its very mandate and construction, the UNODC remains more attuned to the law enforcement response to drugs. As a result, UNODC leadership has consistently failed to unequivocally champion harm reduction, human rights and decriminalisation, and has lost further creditability with repeated silence in face of egregious human rights violations. Today, people who use drugs continue to be victims of incarceration, compulsory detention, denial of access to healthcare, corporal punishment, institutionalised violence, stigma and discriminations, and – in the most extreme cases – extrajudicial killings.

In response to the vacuum of political leadership, NGOs conveying in Porto have called for global leadership to protect the human rights of a ‘population under attack’ and demanded that these unacceptable human rights abuses to come to an end.

Ann Fordham, Executive Director of the International Drug Policy Consortium (IDPC), stated: ‘just over ten years left for countries to meet their global commitment to champion health, reduce inequalities, and provide access to justice for all, as enshrined in the UN’s Sustainable Development Goals, there has never been a more urgent need to strengthen political leadership at all levels. Faced with the current crisis, complacency can no longer be tolerated’.

Cooperation with Portugal – the leading country in drug policy

During several events which happened in October, DPNSEE have deepened existing and established new relations with Portugal.

APDES outreach team in action

Our staff member Irena Molnar had an unofficial visit to APDES (Agência Piaget para o Desenvolvimento), a non-governmental which promotes integrated development in their headquarters in Vila de nova Gaia, near Porto. APDES main goal is to intervene with vulnerable communities and people, in order to improve their access to healthcare services, employment and education, working for the empowerment of institutions and individuals, as well as for the reinforcement of social cohesion. They developed several activities in this municipality and cities like Porto, Barcelos, Guarda, Viseu, Setúbal and Lisbon. The services they deliver are related to health, harm reduction and human rights, among others. Irena had a special opportunity to spend a day with the outreach team of GIRUGaia project, inter-disciplinary outreach team that works with drug users. Guided by principles related to harm reduction, it promotes the use of aseptic material and the adoption of lower risk use practices. It also provides services that promote citizenship, health and social inclusion. During several days, with good help of Joana Francisca Canedo, Advocacy and Policy officer in APDES, Irena got introduced to the Portuguese policies and functioning of the system itself, but most important also situation on the ground.

As a part of the TWIST project at Lisbon Addiction 2017 conference, several days later, member organisations representatives and Staff members had an opportunity to meet with various officials and activists from Portugal and learn about their policy and activities. We got an opportunity to informally meet with executive director of APDES, Jose Queiros, with whom we discussed future cooperation of APDES and DPNSEE. We presenting the DPNSEE work and discussed various issues and potential future cooperation. That included support which APDES could offer to DPNSEE member organisations through study visits, know-how exchange and other activities. Lisbon Addictions 2017 and the TWIST project haven’t served only as a great opportunity for learning from academia, but also to reconnect with old and make new connections with wider European specialist in areas related to substance use.

Irena and Milutin with Jose Queiros, executive director of APDES

Just after returning to Serbia, DPNSEE staff members had a meeting with the Ambassador of Portugal His Excellency Augusto Saravia Peixoto and the Deputy Head of Mission Ms Graça Costa Macedo. The meeting was scheduled on the DPNSEE initiative for cooperation.

We had an interesting exchange about the Portuguese drug policy, which is usually seen as one of the most effective in the European Union, agreeing easily that a comprehensive approach involving all stakeholders is necessary for obtaining good results. DPNSEE representatives presented their recent cooperation with their peers in Portugal, especially APDES. The Ambassador and his colleagues offered support in ensuring a wide array of contacts for the visit to Portugal, where a delegation consisting of governmental and NGO representatives from Serbia would have the opportunity to get a full insight into the policy and field activities. Following that visit and on the basis of the priorities established by the new Action Plan Against drugs in Serbia 2018 – 2020, the Embassy will assist with finding most suitable experts that would come to Serbia and bring their experiences to local stakeholders.

His Excellency is also interested to extend cooperation to other countries of the region where he represents Portugal: Bosnia Herzegovina, FYRO Macedonia and Montenegro.

Lisbon Addictions 2017

The second European Conference on Addictive Behaviours and Dependencies – Lisbon Addictions 2017 – was held from 24 to 26 October 2017 building on the success of the first Lisbon Addictions, which took place in September 2015. That conference was originally planned as a small, one-off event to support networking across European addiction professionals. But, organisers were taken by surprise by the enthusiasm that the Conference generated. Participants’ evaluation showed that it provided a unique and valuable opportunity for discourse and networking across the different disciplines involved in this challenging and dynamic area. Lisbon Addictions was therefore made a biennial event.

Vision for Lisbon Addictions 2017 was to provide a European focused Conference but with an international perspective. Therefore, more than 1 200 participants from over 71 countries came to Lisbon, including policy actors, researchers, academia, practitioners, health professionals, governmental and non-governmental representatives, patient organisations, health economists and others. The conference spanned all aspects of the addictions field with wide diversity of the submissions made. Participants had the opportunity to select from over 500 oral presentations, view over 200 posters and hear from over 20 keynote speakers representing some of the most eminent scientists and practitioners working in the addiction field today.

The evaluation of the first conference also indicated a demand to go beyond the usual conference communication formats and complement the programme with an integrated training event to explore a selection of “hot” drug and addiction topics in-depth and build capacity among different stakeholders, using novel interactive dynamic learning formats, knowledge and experience exchange, and multi-sector networking environments. The TWIST project (Training WIth STakeholders – Applying EU drug and addiction research) was prepared as a training strand, with the participation of the target audience (early stage professionals) and other stakeholders. Aim was to meet this need through a two-day training programme embedded within the scope and programme of LxAddictions17. Most of the participants from South East Europe, especially from the civil society sector, were supported by TWIST. The topics, contents and delivery formats of the TWIST training programme were conceptualised and designed through a participatory process with selected EU representatives of the stakeholder groups.

The conference was held in the excellent facilities of Lisbon’s Congress Centre which provides the opportunity to hold large major sessions as well as smaller venues for more intensive and participatory discussions.

Sharing at the conference, either at scheduled sessions or in informal setting, helped build future collaborations between professionals both within Europe and beyond.

The next conference is already scheduled for 23 – 25 October 2019, again in Lisbon.