Preventive Cities Program Universidad del Salvador Saint Petersburg College.

Preventive Cities Program Universidad del Salvador Saint Petersburg College

Disorder

Substance: Actors

Environment:FamilyCutltureSociety

Host

Three-way discomfort

Physical level

Psychiatric level

Society level

DEPENDENCY

Brain disorders Drug availability Social Adaptation

Drug Problem: a complex phenomenon

Preventive Cities

Early initiation in drugs and alcohol... Early initiation in drugs and alcohol...

...more chances to develop drug ...more chances to develop drug addiction problems.addiction problems.

For each cent invested in For each cent invested in prevention... prevention...

...4 to 5 dollars are saved in ...4 to 5 dollars are saved in treatment and delinquency policiestreatment and delinquency policies

>> EPIDEMIC OUTBREAK EPIDEMIC OUTBREAK

Psicosocial transmission Psicosocial transmission (T)(T)==

Individual family vulnerability Individual family vulnerability (V)(V)++

ExposureExposure(friends, drug availability, media, (friends, drug availability, media,

legislation) legislation) (E)(E)++

Social acceptance of drugs Social acceptance of drugs (A)(A)

A POST-MODERN TECHNOLOGY A POST-MODERN TECHNOLOGY DISORDERDISORDER

BasesBases

ofof

A Drug A Drug

EpidemicEpidemic

- Increasing family dissolutionIncreasing family dissolution

- Global Criminal Economy at local scalesGlobal Criminal Economy at local scales

- Low productive and poor workforce insertionLow productive and poor workforce insertion

- High levels of school dropoutsHigh levels of school dropouts

- State dissolutionState dissolution

- Citizen apathy regarding city life and of social Citizen apathy regarding city life and of social organizationsorganizations

>> “AMERICAN” EXPERIENCE “AMERICAN” EXPERIENCE

Points of sale Points of sale Damage notion Damage notion Preventive work at community at school levelsPreventive work at community at school levels

The < work in the communityThe < work in the community

The < damage notionThe < damage notion+ consumption+ consumption

+ social acceptance+ social acceptance

The > damage notionThe > damage notion

The > Preventive community actionThe > Preventive community action- Consumption- Consumption

- social acceptance- social acceptance

Preventive Methodology

1. Preventive City

Actors Political StructureInstitutionsTechnical StructureCommunity Participation

2. Key Concepts of ResilienceSocial Capital Human Capital

3. Preventive Culture4. Preventive Services

Primary

Secondary

Tertiary

Three-Circle Theory(Book: “Preventive City” Marchioni – Yaria)

Motor Nucleus

Participant

NucleusConnection through information

PREVENTIVE CITY

Interaction and Retroaction between:

> Public Organizations

> Community Organizations

> Technicians

local municipal gov. neighborhood school institutions

ACTION AT

MOTOR GROUP OR MANAGEMENT OF THE PREVENTIVE ASSOCIATION

a. Creation of change-promoting groups

b. Main objective: increase envolvement of problem-related

individuals

c. Form group identity

d. Develop skills for needs and resource analysis

e. Create training, planification and evaluation processes

Areas:Areas:– CommunityCommunity >> preventive community comission preventive community comission– FamilyFamily >> parent associations parent associations– SchoolSchool >> school preventive center school preventive center– WorkWork >> work preventive center work preventive center– HealthHealth >> assistance preventive center assistance preventive center– DrugphoneDrugphone >> primary assistance centerprimary assistance center

ADMISSION CENTERS

SELF HELPGROUPS

PREVENTIVE ASSISTANCE

CENTER

THERAPEUTIC COMMUNITIES

FROM LESS TO HIGHER COMPLEXITY

>> COMMUNITY PREVENTIVE FORCECOMMUNITY PREVENTIVE FORCE

ELEMENTS OF THE PREVENTIVE ASSISTANCEELEMENTS OF THE PREVENTIVE ASSISTANCE

LEADERSHIP TRAINING AND CREATION OF PREVENTIVE

ORGANIZATIONS

EARLY DETECTIONBY SOCIAL AND FAMILY

PRESSURE

PREVENTIVE ASSISTANCE NETWORK

ACTION IN HIGH RISK SOCIAL ZONES

SERVICES OFFERED IN THE AREA

PROMOTION OF PROTECTIVE FACTORSPROMOTION OF PROTECTIVE FACTORSPROMOTION OF RESILIENT FACTORSPROMOTION OF RESILIENT FACTORS

ASSISTANCE CENTERS

PREVENTIVE CITIES

HEALTH ORGANIZATIONS

YOUTH SOCIAL ORGANIZATIONS

UNIVERSITIESPARENTS

SCHOOLS

COMMUNTY ORGANIZATIONS

TALK CENTERS COMMUNITY PREVENTIVE FORCE

COMMUNITY PREVENTIVE FORCE

PREVENTIVE NETWORK

AREAS

FAMILYSCHOOLSYOUTHCOMMUNITYWORKRELIGIOUSHEALTHPUBLIC ORG.MEDIA

ASSISTANCE NETWORK

AREASPRIMARY ASSISTANCEDESINTOXICATION PROGRAMSTHERAPEUTIC COMMUNITIES

PARENT ASSOCIATIONSSCHOOL PREVENTION CENTERSYOUTH ORIENTATION CENTERSCOMMUNITY INFORMATION CENTERSWORK PREVENTIVE CENTERSRELIGIOUS PREVENTIVE CENTERSPRIMARY ASSISTANCE CENTERS

PLANNED-CHANGE MODEL

(Theory of Change / LIPPIT)

a. Development of the need to change sensibilization processb. Establishment of a change-based relationship :

b.1 To deserve trust in the communityb.2 To distribute tasks

c. Tasks required for change: Diagnosis Action Plans Seek support in the subject groupd. Change- permanence Must be strengthened Must be part of the systeme. End the process

PREVENTIVE CITIESPREVENTIVE CITIES

SAN NICOLAS

LUJAN

MAIPU

BERISSO

SAN PEDRO

LOS HORNOS(La Plata)

9 DE JULIO

OLAVARRIA

LAPRIDA

CNEL. ROSALES

ITUZAINGO

BERAZATEGUI

SAN MIGUEL

LA MATANZA

BENITO JUAREZ

RESULTS IN DRUG CONTACT RESULTS IN DRUG CONTACT POPULATION OLDER THAN 16 YEARS OF AGEPOPULATION OLDER THAN 16 YEARS OF AGE

Comparative Study 1997 / 1999Comparative Study 1997 / 1999

Global contact with illicit drugs decreased 8,06 %Global contact with illicit drugs decreased 8,06 %

First drug contact decreased 50 % First drug contact decreased 50 %

9,70 % decrease in Drug Abuse 9,70 % decrease in Drug Abuse

• IV DRUG USE DECREASED FROM 8 TO 12 %IV DRUG USE DECREASED FROM 8 TO 12 %1993 / 19991993 / 1999

• Needle sharing decreased from 8 al 0,5 %

1993 / 1999

LOWER ALCOHOL LEVELS IN DRIVING TESTSLOWER ALCOHOL LEVELS IN DRIVING TESTS

0%

1%

2%

3%

4%

5%

6%

7%

8%

1996 1997 1998 1999 2000

1996: 8 %1996: 8 %

1997: 4 %1997: 4 %

1998: 4 %1998: 4 %

1999: 3 %1999: 3 %

2000: 2 %2000: 2 %

ADDICTIVE POPULATION REACHED BY ADDICTIVE POPULATION REACHED BY PREVENTIVE POLICIESPREVENTIVE POLICIES

17 %17 %

INFECTED WITH AIDSINFECTED WITH AIDS

ADDICTIVE POPULATION NOT REACHED BY ADDICTIVE POPULATION NOT REACHED BY

PREVENVTIVE POLICIESPREVENVTIVE POLICIES (other districts)(other districts)

85 % infected with AIDS85 % infected with AIDS

Research conducted at the Infectious Diseases Hospital Muniz, Research conducted at the Infectious Diseases Hospital Muniz,

Buenos Aires, Argentina, in collaboration with Dr. J. BenetucciBuenos Aires, Argentina, in collaboration with Dr. J. Benetucci

Salto, preventive city, the beginning of the actionThe Universidad del Salvador, TECSAL Foundation and the local government of SALTO, signed an agreement of cooperation, technical assistance and Complementation to implement the Program of Preventive Cities, with the commitment of all sectors of the community. More than 400 people attended the signature ceremony.