1. LOCAL PASS A Local approach towards the reduction of PsychoActive Substance uSe Renée Otte February 5, 2015

2. Introduction Changing substance use patterns  Changing drug markets & diffusion of trends New Psychoactive substances: NPS

3. Introduction Monitoring systems: –European –National –Local? Information gap EU/national  local level Example: GHB  Local PASS

4. Local PASS European research consortium 5 countries 9 partners 1 overall aim: Reducing drug use & its harms in Europe –Sharing knowledge –Raising awareness –Toolbox

5. Local PASS partners

6. Local PASS Toolbox –Early identification, risk assessment, interventions –Before tipping point –Local level

7. Benefits Short term –Improved collaboration –Quick response –Tailored to target group Long term –Reduced drug use –Less drug-related problems –Lower costs

8. Methods Key informant interviews Literature reviews Focus groups Online survey Identification Risk assessment Interventions

9. Results: Identification Early identification panel  Appoint ‘Key data collector’ Outreaching data collection Findings: (Online) Panel meetings Emergency mechanisms Barriers & facilitating factors

11. Results: Risk Assessment Early risk assessment panel Two levels: –Rapid assessment –Full assessment Risks: Scale Data collection: Triangulation Checklist with criteria

13. Results: Interventions Early intervention panel Based on Risk Assessment Key factors –Close contact with users –Collaboration –Both prevention and harm reduction

15. Fictious example “Krokodil” Russian adolescents Czech Republic: Availability heroin  Krokodil  Trend? Risks? Interventions?

16. To be continued Local level pilots Prevention paradox Challenge: Start in your own locality!

17. Thank you!