The italian interactive system for addiction data management High risk drug use and drug treatment in Europe 2014 Bruno Genetti Lisbon 24-26 September 2014 Rationale Italian legislation governing drugs explicitly calls for the establishment of a drug addiction monitoring centre as well as the constant monitoring of the phenomenon, in terms of both supply and demand On a European level, the EMCDDA has established data output standards, to ensure the uniform description of the varying magnitudes of the phenomenon across Europe On an international level, UNODC periodically collects information on the drug phenomenon using another set of standards, which differ in part from those applied at national and European levels The Department for Anti-drug Policies (DAP) must equip itself with an integrated system for the collection and management of information and the production of outputs in accordance with national, European and international standards Project Objectives To put into effect an interactive system for the management of information on drugs in order to fulfil national, European and international information obligations To adopt standard procedures for information handling and quality monitoring at local, regional and national levels Management Characteristics Provides the DAP and Regional monitoring centres with operational support for the analysis of quality control data in order to fulfil national, European and international information obligations, in line with monitoring centre objectives and activities Analyses the epidemiological indicators for drug addiction by means of an automatic procedure, in accordance with national, European and international standards Prepares, by means of an automatic procedure, tables and graphs for inclusion in reports, in fulfilment of national, European and international information obligations Provides the opportunity to develop additional indicators in addition to the pre-existing standards, it also prepares ad hoc regional reports, in accordance with the requirements of the DAP monitoring centre Provides the opportunity to perform real-time analysis of data collected in fulfilment of national and the European information obligations Data sources and flows Primary prevention Alternatives to incarceration Justice system interventions Ministry of Justice Drug-related crime Ministry of Education, Universities and Research Drug use among special populations Drug production, supply and trafficking Price and purity Prevalence from non-healthcare sources Ministry of Defence GPS Survey 2012 pop. 18-64 years of age SPS 2012 Survey pop. 15-19 years of age Law enforcement operations National Monitoring Centre for Addictions Drug use among special populations (DTLR) Drugs operations and seizures Ministry of the Interior Department for Antidrug Policies Drug-related traffic accidents Acute drug-related deaths Socio-medical treatment centres "AquaDugs" and "Ariadrugs" projects NNIDAC (National Network for Drugand Alcohol-related Accidents) Users in treatment Treatment outcomes Drug-related hospital admissions Social exclusion Ministry of Health Warning system Regions Treatment provided by Local Drug Addiction Services (Ser.T) and in prison facilities Primary prevention Socio-medical treatment centres Prevention of drug-related accidents Drug-related infectious diseases Drug-related crime High-risk drug users Drug-user deaths The National Interactive System on Addiction Receiving and storing information flows Quality control and data cleaning Data analysis The Interactive System Interactive navigation: automatic updating of the indicators - charts and graphs - selecting filters available in the left menu Selezione della REGIONE Drafting standard reports pdf format or export of tables and charts (such as images or figures) Adopting standard procedures: the Treatment Demand Flow TDI Protocol 2.0 and 3.0 DPA (National Focal Point) Treatment Demand Flow and N.I.S.A. TDI Protocol 2.0 and 3.0 Dataset quality analysis - COVERAGE COVERAGE Coverage provided by the archive DATI DI CONTATTO GRUPPI DI PRESTAZIONI SOSTANZE D’USO ESAMI HBV ESAMI HCV ESAMI HIV Selezione della REGIONE Dataset quality analysis - COMPLETENESS Tables Completeness of the archives Selezione dell’ASL Selezione della REGIONE Dataset quality analysis - CONSISTENCY Consistency analysis Completeness of the archives Selezione dell’ASL Selezione della REGIONE Opportunity to export the subject codes that produce data inconsistencies Data analysis – TDI Table Selezione della REGIONE Data analysis – TDI Delta System Selezione della REGIONE Standard Procedure Output The European network of information systems on addictions Thank you for your attention Presidency of the Council of Ministers Department for Anti-drug Policies