1. Delivery Systems for Substance Abuse Treatment An International Conference Istanbul, Turkey September 5-7, 2005 Sponsoring Organizations: USIP UNODC, UCLA SAMHSA, MERC, WHO, ISAM

2. Conference Overview 65 Substance Abuse experts gathered from 23 countries September 5-7, 2005 in Istanbul, Turkey Conference Goals: –Share information on the substance abuse challenges facing individual countries and broader regions –Promote regional cooperation on substance abuse issues –Discuss the integration of substance abuse treatment services with primary care, mental health, and social service systems in countries with developing systems

3. Steering Committee Mohammed Afifi - SARC/Palestine Thomas Babor - UCHU/USA Terry Chambers - ISAJE/USA Gabriele Fischer - Medical University of Vienna/Austria Tarek M.S.A. Gawad - ISAM/Cairo University/Egypt Albert Hasson - UCLA/USA Conference Manager Richard Isralowitz - Ben Gurion University/Israel Nasser Loza – Behman Hospital/ Egypt Vladimir Poznyak - WHO/Switzerland Solomon Rataemane - University of Limpopo/South Africa Richard Rawson - UCLA/USA Conference Co-Chair Jack Stein - NIDA/USA Juana Tomas-Rossello - UNODC/Vienna Darren Urada - UCLA/USA Conference Co-Chair

4. Co-Sponsoring Organizations United States Institute of Peace (USIP) United Nations Office of Drugs and Crime (UNODC) University of California, Los Angeles (USA) U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) U.S. Agency for International Development’s Middle East Cooperation (USAID/MERC) U.S. National Institutes on Drug Abuse (NIDA) World Health Organization (WHO) International Society of Addiction Medicine (ISAM)

5. Africa –Kenya –Mauritius –Morocco –South Africa –Uganda North America –United States Europe –Austria –Finland –Spain –Switzerland –United Kingdom –Russia –Slovak Republic –Slovenia –Ukraine Middle East –Egypt –Jordan –Iran –Iraq –Israel –Lebanon –Palestine Authority –Turkey Country Representation

6. General Themes Substance Abuse Delivery Systems – Past and Present (Rawson, Urada, Uchtenhagen) Integration of Substance Abuse with other Systems – Benefits and Challenges –Primary Care (Babor) –Mental Health (Grella) –Social Systems (Stenius)

7. General Themes Special Populations –Women (Mordecovitch) –Prisoners (Azarakhsch –Infectious Diseases (Farrell) –HIV/AIDS (Farrell, Azarakhsch) Economic Considerations (Weisner) Current Pharmacotherapies (Fischer, Elkashef)

8. Research to Practice –SAMHSA (Mitchell/Curie) –UNODC (Tomas-Rossello) –NIDA (Stein) –UCLA (Rawson) Next Steps –Continuing and Future Joint Work –Information sharing General Themes

9. Outcomes DVD: “Drug Abuse Treatment and International Cooperation” –Currently available Website: www.uclaisap.org/dssat/2005www.uclaisap.org/dssat/2005 UNODC and UCLA – TREATNET Capacity Building: International Network of Drug Dependence Treatment and Rehabilitation Resource Centres Kenya and Israel – USAID: Cooperative Development Research Program (Under Review) UCLA and Kenya – Assessment of Drug Use and HIV in Kenya Prisons (Under Development) South Africa and USA – NIDA’s International Collaboration on Drug Addiction Initiated Regional data sharing among Middle Eastern, African, and European countries with the goal of forming Epidemiological Work Groups (REWGs)