psychosocial intervention selective prevention and drug treatment for children and adolescents in...
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PSYCHOSOCIAL INTERVENTION PSYCHOSOCIAL INTERVENTION SELECTIVE PREVENTION AND DRUG TREATMENT SELECTIVE PREVENTION AND DRUG TREATMENT
FOR CHILDREN AND ADOLESCENTS IN HIGH-FOR CHILDREN AND ADOLESCENTS IN HIGH-VULNERABILITY SOCIAL SETTINGSVULNERABILITY 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 ofTemuco)17 Private (NGO’s)
• Annual cost 2005: between 10 and 25 million pesos
• Team: Psychologist2-3 educatorsSocial workerPsychopedagogue
• 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
MODEL OF PSYCHOSOCIAL INTERVENTIONS
J ob skills training
Integrationinto the
community
STAGES OF THE INTERVENTION
INITIAL APPROACH
(street intervention,connection...)
PROFILE DIAGNOSTIC
Of thePOPULATION
(levels of complexity)
INDIVIDUAL PSYCHOSOCIAL
DIAGNOSTIC
(the subject and their peers, family and environment)
INDIVIDUAL SERVICE PLAN
(the subject and their peers, family and environment)
I ndividual companion
ship
Socio-educationalactivities
Family
Getting backin school
SEGUIMIENTO EGRESO
(evaluaciónIndicadoresde Logro)
Drug treatment
TRANSVERSAL AXES OF THE INTERVENTION
Connection
Socio-emotional and adolescent development
Community environment and network
Family
PSYSCHOSOCIAL INTERVENTION
PROCESSS:
Action items
Social integration
Address drug abuse
Reparations
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 CENTERDirected 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 UNITDestined 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.
PSYCHOSOCIALMODALITY
CONNECTION
SOCIAL-EMOTIONALDEVELOPMENT ANDADOLESCENT WORK
ADDRESSES DRUG USE
FAMILY
SOCIAL INTEGRATION
(HEALING: coordination)
COMMUNITY ENVIRONMENTAND NETWORK
COMMUNITY-OUTPATIENTMODALITY
PHYSICAL AND MENTAL HEALTH
SOCIAL-EMOTIONAL DEVELOPMENT AND ADOLESCENT DUTIES
DRUG USE
FAMILY
SOCIAL INTEGRATION
HEALTH (coordination)
MANAGING DEVIANTBEHAVIORS (PIA)
AXES OF THE INTERVENTION, BY MODALITY
Transversal Axes : Coordinate
the Objectives
of theIntervention
MARGINALITY PROGRAM: TREATMENT NETWORK ANDPSYCHOSOCIAL PROGRAMS2004-2005:
X
XI
Detox Units: 4 countrywide
Outpatient-Community: 13 countrywide
Psychosocial programs: 19 countrywide
Residential Center: 6 being implemented
24 back in class programs
www.conacedrogas.cl
www.conace.clChilean drug portal
Agustinas 1235 p. 9
Santiago de Chile
Fono: (56-2) 510.08.00