An Experience of Shared Quality Standards Quality Management System a t Therapeutic Community Quinta das Lapas

A number of organizations engaged in addiction treatment based on TC concept join together to create the Dianova Network Their objective: bring quality, innovative approaches in addiction treatment and prevention to people of various cultural and geographical origins A long-term common ambition: become an organization recognized for its service quality by addiction professionnals and substance abusers THE DIANOVA NETWORK: A BRIEF HISTORY

A number of organizations engaged in addiction treatment based on TC concept join together to create the Dianova Network

Their objective: bring quality, innovative approaches in addiction treatment and prevention to people of various cultural and geographical origins

A long-term common ambition: become an organization recognized for its service quality by addiction professionnals and substance abusers

DEFINITION OF A COMMON VISION All Dianova members join together to describe the fundamental purpose of their commitment: their corporate vision Dianova's purpose is based on the conviction that, with appropriate support, each person will be able to find within him/herself the resources necessary to achieve success in her/his personal development and social integration

DEFINITION OF A COMMON VISION

All Dianova members join together to describe the fundamental purpose of their commitment: their corporate vision

DEFINITION OF A COMMON MISSION At the same time, it appeared critical to provide the network with a strong definition of their commitment: the mission The Mission of Dianova consists of developing initiatives and programs with the objective of promoting personal self-reliance and social progress

DEFINITION OF A COMMON MISSION

At the same time, it appeared critical to provide the network with a strong definition of their commitment: the mission

THE DIANOVA NETWORK COMMON VALUES A large, democratic survey is implemented to define the network’s common values Commitment to help those addicted to change their life Solidarity to help those who are marginalized or discriminated against Internationality translates into flexible and dynamic initiatives to adequately respond to a variety of situations Tolerance is respect for differences, which translates into a freedom of choice and speech raised to the category of basic human rights

A large, democratic survey is implemented to define the network’s common values

Commitment to help those addicted to change their life

Solidarity to help those who are marginalized or discriminated against

Internationality translates into flexible and dynamic initiatives to adequately respond to a variety of situations

Tolerance is respect for differences, which translates into a freedom of choice and speech raised to the category of basic human rights

INNOVATIVE TREATMENT APPROACHES IN 12 COUNTRIES OF EUROPE & THE AMERICAS Belgium Canada Chile Italy Nicaragua Portugal Slovenia Spain Sweden Switzerland United States Uruguay

Belgium

Canada

Chile

Italy

Nicaragua

Portugal

Slovenia

Spain

Sweden

Switzerland

United States

Uruguay

SHARING BEST PRACTICES IN DIFFERENT COUNTRIES Similar quality management practices adapted to each country’s cultural, social and economical backgrounds Synergetic work teams working in close cooperation with other service providers and local, or international institutions. Implementation of innovative approaches that have shown to be efficicent and cost-effective, from point A to point B Intervention practices grounded on three main domains: Addiction, Youth, Education , and partnerships with university research departments for outcomes evaluation Beyond the systems and philosophies, a strong dedication to keeping a strong focus on promoting the individual’s self-reliance and quality of life

SHARING BEST PRACTICES IN DIFFERENT COUNTRIES

Similar quality management practices adapted to each country’s cultural, social and economical backgrounds

Synergetic work teams working in close cooperation with other service providers and local, or international institutions.

Implementation of innovative approaches that have shown to be efficicent and cost-effective, from point A to point B

Intervention practices grounded on three main domains: Addiction, Youth, Education , and partnerships with university research departments for outcomes evaluation

Beyond the systems and philosophies, a strong dedication to keeping a strong focus on promoting the individual’s self-reliance and quality of life

A VARIETY OF PROGRAMS A variety of prevention and treatment approaches, whether inpatient or outpatient, for a wide array of individual needs Youth developement programs designed to strengthening individual and social abilities and reinforcing protective factors, through remedial adventure and sports activities Primary and secondary education programs for children and adolescents from low-income families, with a strong focus on prevention and development tools ADDICTION YOUTH EDUCATION

A VARIETY OF PROGRAMS

A variety of prevention and treatment approaches, whether inpatient or outpatient, for a wide array of individual needs

Youth developement programs designed to strengthening individual and social abilities and reinforcing protective factors, through remedial adventure and sports activities

Primary and secondary education programs for children and adolescents from low-income families, with a strong focus on prevention and development tools

AN INTERNATIONAL COMMITMENT ACKNOWLEDGED BY THE UNITED NATIONS During its Substantive Session of July 2007, the United Nations Economic and Social Council (ECOSOC) voted to grant Dianova International a "Special Consultative Status“, which applies to three intervention fields: ADDICTION – YOUTH – EDUCATION

AN INTERNATIONAL COMMITMENT ACKNOWLEDGED BY THE UNITED NATIONS

During its Substantive Session of July 2007, the United Nations Economic and Social Council (ECOSOC) voted to grant Dianova International a "Special Consultative Status“, which applies to three intervention fields:

WORLDWIDE SOCIAL IMPACT Personal Development 1.476 Education & School 350 Community Development 1.086 Treatment Program 1.559 PERSONNEL 486 Administration 87 Healthcare 399 BENEFICIARIES In/Outpatients 4.471

Residential Treatment Program... Inspiring the change!

RESIDENTIAL TREATMENT PROGRAM QUALITY OF SERVICE Quinta das Lapas TC Certification ISO NP EN 9001:2000 MULTI & INTERDISCIPLINARY TEAMS Psychiatrist, Physician, Psychologists, Reintegration & Social Operators, Drug counselors, Other Staff THERAPEUTIC COMMUNITY Individualized Program Protocol with IDT COGNITIVE BEHAVIOR MODEL Educational & Therapeutic REINTEGRATION SERVICES Inhouse & Public Measures

Demanding Admission Criteria Beneficiaries’ commitment and motivation Program’s Advantages & Benefits Individual psychotherapy Group therapy Thematic workshops Sports Occupational activities Cultural and leisure activities Educational outings Monitored abstinence Intensity and continuity of treatment Assumption of interpersonal changes under adequate supervision Strong intervention’s potential over the group, while respecting the individual +18 y.o. Male/Female Interest and motivation for treatment Biopsychosocial diagnosis Medical report Clinical exams: HIV, VDRL, HCV, AgHBs, X-ray, hemogram... Criminal record

Individual psychotherapy

Group therapy

Thematic workshops

Sports

Occupational activities

Cultural and leisure activities

Educational outings

Monitored abstinence

Intensity and continuity of treatment

Assumption of interpersonal changes under adequate supervision

Strong intervention’s potential over the group, while respecting the individual

+18 y.o.

Male/Female

Interest and motivation for treatment

Biopsychosocial diagnosis

Medical report

Clinical exams: HIV, VDRL, HCV, AgHBs, X-ray, hemogram...

Criminal record

Management Responsibility Resource Management Output S a t i s f a ç ã o Service R e q u I s I t o s Input NP EN ISO 9001:2000. Main Requirements Improvement of measure analysis Service Realization S A T I S F A C T I O N B E N E F I C I A R I E S R E Q U I R E M E N T S B E N E F I C I A R I E S CONTINUAL IMPROVEMENT OF THE QUALITY MANAGEMENT SYSTEM NP EN ISO 9001:200

ADMISSION TREATMENT REINTEGRATION Equipment Maintenance LOGISTICS Evaluation Suppliers HACCP QUALITY MANAGEMENT TCQL POLICY & KEY PROCESSES Planning, Control, Monitoring, Improvement

Overall Treatment Outcomes Increase in Admissions 19,4% 43 New Beneficiaries 38 Male (88,3%) 5 Female (11,6%) Because everything may rapidly turn to nothing... ... Dianova helps you to initiate change in your life! MY WAY

58% > 6 months 30% > 12 months RETENTION RATE

IN CONCLUSION: IMPACT OF QUALITY IN/OUTSIDE Renewal of QMCS 2008-2011 -> Dynamic methodology Increase of Admission Requests 305% Increase of social positioning Know-how transfer increase Increase of Motivation -> efficiency and effectiveness Reinforced integration within networks (CRI, CLAS) Public acknowledgment of innovation and insight (Hospital do Futuro’05/06 Award, Private Category) Increase of Satisfaction 12,3% ORGANISATION STAFF BENEFICIARIES COMMUNITY SOCIETY

Thank you All