Best wishes and warmest children and youth Evidence-based drug - PowerPoint PPT Presentation

09/12/2019 Prevention that WORKS! Healthy and safe development of children and youth Prevention that WORKS! Healthy and safe development of Best wishes and warmest children and youth Evidence-based drug prevention regards from Mr. Y. Fedotov, = Effective practices supporting UNODC Executive Director and children and youth develop healthy and safe in spite of Dr. Gilberto Gerra, Chief of the vulnerabilities UNODC Drug Prevention and Follow us on Twitter!!! Health Branch @UNODC_PTRS Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth 271 million people (5.5%) used drugs in 2017 with 35 million with drug use disorders WHY IS THIS SEMINAR IMPORTANT? 1

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth We need prevention that WORKS! EVIDENCE-BASED PREVENTION Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth International Standards on Drug Use Prevention Evidence-based prevention UNODC/WHO Second Updated Edition = Strategies the effectiveness of which has been demonstrated by scientific studies (not intuition, common sense, gut feeling, tradition, happiness, etc.) 2

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth International Standards UNODC, WHO and on Drug Use Prevention 100+ experts from 47 countries • Valentina Baltag • Shima Shakory-Bakhtiar • Faten Ben Abdel Aziz • Nandi Siegfried • Giovanna Campello • Vladimir Poznyak • Asma Fakhri • Gilberto Gerra • Elena Gomes de Matos • Hanna Heikkila • Ludwig Kraus • Dzmitry Krupchanka • Susan Norris • Heeyoung Park Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Flow diagram Flow diagram Collect Select Search Select studies from studies with scientific relevant global good databases studies experts methodology 3

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Effectiveness of strategies Example of family- plus school-based prevention Example from Campbell et al., 2002 Crowley et al., 2014 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Evidence-based prevention also prevents other risky behaviours and promotes development 4

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Perception of risk important, Common-sense understanding of etiology but not the only factor People do not They start to know the use drugs danger of drugs Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Being in school or not matters Past-month use among youth in school and out (12 th grade age) Parents matters 60 55.9* 50 41.1* 40 33.7 31.4* 31.8* Percentage 30 27.5* 22.1 20.2 20 18.1 15.6 9.5* 10 4.6 0 Cigarettes Alcohol Binge alcohol Any illicit drug Marijuana Nonmedical use of prescription-type drugs Dropouts Students Difference between 12th grade aged students and 12th grade aged dropouts is statistically significant at the 0.05 level - SAMHSA, Center for Ramirez et al. 2004; see also Lac & Crano, 2009 Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health (NSDUHs), 2002 to 2005, 2006 to 2010 (revised March 2012), and 2011 to 2014. 5

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Adverse childhood experiences and inequality Science-based understanding of vulnerabilities Bellis et al. Adverse child Higher income Lower income experiences individuals with 4 individuals with 4 associated to or more ACEs: or more ACEs: substance abuse 4% 12% Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Vulnerabilities that are common to many risky Vulnerabilities that are common to many risky behaviours – Individual behaviours – School and family Hawkins & Catalano, 1992 Hawkins & Catalano, 1992 6

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Vulnerabilities that are common to many risky behaviours - Community Prevention of many risky behaviours Hawkins & Catalano, 1992 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Family skills training and life skills education prevent violence, youth violence, crime and child maltreatment This includes preventing violence (youth violence and child maltreatment) 7

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Evidence-based $1 : $10 prevention is cost-effective Spoth et al., 2008 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth 29 countries currently piloting family skills globally with UNODC Kazakhstan Evidence-based Uzbekistan Bosnia and Herzegovina Tajikistan Albania Kyrgyzstan North Macedonia Turkmenistan Montenegro prevention is based Serbia Iran Pakistan Afghanistan Lebanon on studies from all State of Palestine Panama Kenya Nicaragua Ethiopia Honduras over the world Ivory Coast Costa Rica Senegal El Salvador Brazil Tanzania Guatemala Dominican Republic Mexico 8

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth 16 countries piloting life skills in schools globally with UNODC Bosnia and Iran Herzegovina Pakistan North Afghanistan Macedonia Lebanon Montenegro State of Serbia Strong commitments Palestine Croatia El Salvador Guatemala Nigeria Cote d’Ivoire Senegal Brazil Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth 2030 agenda 2030 agenda 3.5 Strengthen prevention & treatment 16.1 Reduce violence & 16.2 Eliminate violence to children 9

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth UNGASS 2016 Outcome Document EVIDENCE-BASED PREVENTION STRATEGIES Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth International Standards on Drug Use Prevention UNODC/WHO Second Updated Edition 10

09/12/2019 Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Prenatal and infancy visits PREGNANCY AND INFANCY Prevention that WORKS! Prevention that WORKS! Healthy and safe development of children and youth Healthy and safe development of children and youth Prenatal and infancy visits Prenatal and infancy visits Description Evidence • A trained nurse/social • No new reviews, 1 RCT (USA) from 1st edition worker visits mothers-to- • Can prevent substance use later in life be and new mothers to • For children: less internalizing disorders, better school provide parenting skills scores and address a range of • For mothers: less substance use impairment issues (health, housing, • Cost-effective: prevent health and social welfare costs employment, legal, etc.) • WHO: recommended to prevent child maltreatment • Specific focus on women in particularly difficult circumstances 11