PSYCHOSOCIAL INTERVENTION SELECTIVE PREVENTION AND DRUG TREATMENT FOR CHILDREN AND ADOLESCENTS IN HIGH-VULNERABILITY SOCIAL SETTINGS

TECHNICAL FACTSHEET FOR PSYCHOSOCIAL PROJECTS Target population: highly socially-vulnerable children and adolescents Coverage (2005):50 children and adolescents ( estimated avg. per project) Number of projects: 18 (I, II, IV, V(2), VI, VII, VIII; IX(2), X, RM (3) Project Support: 1 Public (I. Municipality of Temuco) 17 Private (NGO’s)

Annual cost 2005: between 10 and 25 million pesos Team:Psychologist 2-3 educators Social worker Psychopedagogue Financial duration: Yearly

PSYCHOSOCIAL INTERVENTION GENERAL OBJECTIVE To prevent and effectively address drug use and favor educational, work and social reinsertion of children and adolescents in highly- vulnerable social situations and exclusion.

SPECIFIC OBJECTIVES Avoid and reduce drug use among children and adolescents in situations of vulnerability or social exclusion in the districts. To foster re-connecting with the family and/or with significant adults. To foster social insertion of socially vulnerable children and adolescents, and their families, into existing local neighborhood networks. To sensitize the community and the families about this population as rights-bearing individuals and the co- participation and responsability for their reinsertion. To strengthen the multi-sector neighborhood networks.

PSYCHOSOCIAL INTERVENTION MODALITY  Projects carried out by the NGO, oriented towards prevention of drug use and social insertion, by reinforcing youth’s interpersonal and social skills, empowering them for an alternative development and life plan.

INTERVENTION SETTINGS Street work Socio-educational interventions Interventions in the educational setting Interventions in the workplace setting Individual follow-up Interventions in the family setting Work through networks

THEORETICAL BASIS GUIDING THE PROGRAM The rights-based social policy approach. Promotion and empowerment approach. Resiliency approach. Competencies-based model (emphasis on strengths, not on weaknesses). Not creating dependency on aid. Development approach (childhood and adolescence). Respect of the person, their skills, and the progressive development of their autonomy. Ecosystem and networks approach.

HETEROGENEITY IN SOCIALLY VULNERABLE POPULATIONS  Children and adolescents from 10 to 20 years old  Social vulnerability  Street life (living in or hanging out in) · Gang formation · Idleness and vagrancy · Informal work sector · Commercial sex work They are transversal to the following: - Drug use. - Unlawful behavior. - Failing in the formal educational system

BACK IN CLASS PROGRAM: INTER-SECTOR FUNDING ( MINEDUC-CONACE- Citizen Security -SENAME) “Funds for renewed schooling” to support initiatives coordinated with the psychosocial teams, in order to offer a flexible education pertinent for this population, in order to ensure their remaining in the formal system, and better using “Chile is Qualified” or an alternative system for renewing academic development.

TREATMENT NETWORK OUTPATIENT _ COMMUNITY Seeks to serve clients of moderate to high complexity and of intensity in the therapeutic development of drug use problems and the associated consequences, such as marryig psychosocial work with social insertion. RESIDENTIAL CENTER Directed towards youth with problematic drug use and intense bio-psychosocial issues, which requires supervision and a highly structured and protective environment, in order to overcome drug use and avoid relapse. In 2004, two of these centers were established. DETOX UNIT Destined for those youth that show intoxication, in a abstinent and dependent syndrome, and that require a closed therapeutic space to carry out the detoxification process. At present, there are 4 detox centers in the country.

COMMUNITY-OUTPATIENT TREATMENT MODALITY  Modality for moderate to high complexity in the therapeutic approach required for drug use problems and the associated health consequences, which is complement to psychosocial and social insertion work done in the neighborhood district.  Clinical team with a community focus, specifically on adolescents (3 to 4 professionals). Outpatient clinic and site visits. Clinical and pharmacological support. Close relationship with the psychosocial team.

To attend to at-risk children and adolescents demonstrating drug use problems and the associated consequences, and their families; they require help and usually access the program directly or are referred by other organizations. Support, treat, advise and cooperate with the psychosocial teams con los equipos psicosociales that work with these children and adolescents on drug addiction, in their field work area. SPECIFIC OBJECTIVES

 Offers clinical and pharmacological support, in close relation with the integral intervention carried out by the psychosocial team.  Focuses on the same population emphasized in psychosocial intervention programs : CONACE’s psychosocial projects; SENAME, NGOs working with street children, etc.) or, as well, that form part of healing programs for victims of sexual abuse (SENAME) OUTPATIENT-COMMUNITY PROGRAM  Clinical health team de with experience in drugs and in adolescents, with a community profile.  Outpatient and on-site field intervention.

PSYCHOSOCIAL MODALITY  CONNECTION  SOCIAL-EMOTIONAL DEVELOPMENT AND ADOLESCENT WORK  ADDRESSES DRUG USE  FAMILY  SOCIAL INTEGRATION  (HEALING: coordination)  COMMUNITY ENVIRONMENT AND NETWORK COMMUNITY- OUTPATIENT MODALITY  PHYSICAL AND MENTAL HEALTH  SOCIAL-EMOTIONAL DEVELOPMENT AND ADOLESCENT DUTIES  DRUG USE  FAMILY  SOCIAL INTEGRATION  HEALTH (coordination)  MANAGING DEVIANT BEHAVIORS (PIA) AXES OF THE INTERVENTION, BY MODALITY Transversal Axes : Coordinate the Objectives of the Intervention

MARGINALITY PROGRAM: TREATMENT NETWORK AND PSYCHOSOCIAL PROGRAMS : X XI Detox Units: 4 countrywide Outpatient-Community: 13 countrywide Psychosocial programs: 19 countrywide Residential Center: 6 being implemented  24 back in class programs

Chilean drug portal Agustinas 1235 p. 9 Santiago de Chile Fono: (56-2)