Menahra

Title of the training

Outlines /sessions

Contact person

Principles of Harm Reduction

20-24 Oct. 2007, INCAS, Tehran

No. participants: 10 (7 form Afghanistan and 3 from Iran)

• A general overview of harm reduction and methadone maintenance treatment.
• Maintenance treatment versus detoxification
• MMT duration, termination and dosage
• Special cases in MMT and drug interaction
• Side effects and usual client problems
• Buprenorphine maintenance
• Basics of voluntary counselling and testing (VCT)
• Discussion on harm reduction issues

Dr. Behrang Shadloo

Knowledge Hub Manager

Iranian National Center for Addiction Studies (INCAS)

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Voluntary counselling & testing for HIV/AIDS

30 Dec. 2007- 3rd Jan 2008, INCAS, Tehran

No. participants: 20 from Iran

• Principles of VCT
• Ethical issues
• How to conduct VCT

-        Pre- test counselling

-        Testing

-        Post- test counselling

Psychotherapeutic care for methadone maintained clients- I

15-20 Dec. 2007, INCAS, Tehran

No. participants: 30 from Iran

• Basic counselling skills
• Motivational interviewing
• Cognitive behavioural therapies in addiction
• Family therapy
• Practical points in psychosocial therapy of substance users

Psychotherapeutic care for clients in maintenance Treatment- II

26-31 Jan. 2008, INCAS, Tehran

No. participants: 45 from Iran

• Basic counselling skills
• Motivational interviewing (MI)
• Cognitive behavioural therapies (CBT) in addiction
• Family therapy (with more role playing and group works)
• Rehabilitation, residential care and therapeutic community (TC)

Structured assessment of substance abuse & high-risk behaviours

2-6 Feb. 2008, INCAS, Tehran

No. participants: 15 from Iran

• Training on application of main questionnaires used in addiction researches including:

-        ASI (Addiction Severity Index)

-        OTI (Opiate Treatment Index)

-        ICD-10 and Structured Interview for DSM-IV (SCID-I)

-        Severity of Dependence Scale

-        ARI (AIDS/HIV Risk Inventory)

-        BBV-TRAQ (Blood Borne Virus Transmission Risk Assessment Questionnaire)

-        WHO Quality of Life Questionnaire

-        Beck Depression Inventory

-        Zung Depression questionnaire

Harm reduction & substance abuse treatment in prison settings

26-28 Apr. 2008, INCAS, Tehran

No. participants: 40 from Iran

• Epidemiology of addiction
• Review of drug related harms
• Gender differences in addiction
• Definitions, effectiveness, cost effectiveness and facilities for harm reduction services
• Harm reduction in prison setting
• How to visit a client in a harm reduction centre,
• Outreach services
• An introduction to addiction treatment (detoxification and maintenance treatment)
• VCT
• A field visit from prison (Ghezel Hesar) and a women-only DIC
• 2-hour panel session with DCHQ for the participants.

OST Training Mission

No. participants: 8 from Pakistan

• Importance of starting OST programs in Pakistan, especially the methadone maintenance programs.
• Group discussions

Substance abuse treatment course

28 Feb-05 Mar 2009, INCAS, Tehran

No. participants: 10

• Maintenance treatment for opioid dependence

-        MMT

-        BMT

• Opioid detoxification

-        Clonidine

-        Methadone

-        Buprenorphine

-        Naltrexone

MDM group tour study

24-28 Oct. 2009, Tehran

No. participants: 2 from Afghanistan

• Implementation of methadone maintenance programs (INCAS, MOH)
• Opium Tincture (INCAS, NGO of Congress 60)
• Mental health services (INCAS)
• Communication/advocacy (INCAS, DCHQ)
• Drug analysis (MOH)
• Site visits of a women-only Drop-in centre, a triangular clinic, and a private clinic with OST service.

Harm reduction activities for female drug users & female prisoners

22 - 26 Nov. 2009, INCAS, Tehran

No. participants: 17 from Afghanistan

• Addiction (definitions, epidemiology)
• Gender differences in addiction and its related harms
• How to visit a client in a harm reduction centre?
• Harm reduction centres and outreach services
• Detoxification and relapse prevention
• Harm Reduction: definitions, effectiveness, cost effectiveness
• Harm Reduction acts
• Discussion: Challenges in installation of HR programs
• Harm Reduction in prison setting
• VCT: counselling basics in HIV/AIDs
• VCT: pre test counselling
• VCT: post test counselling
• VCT : Role playing

Harm reduction : Basic and services

22-27 May 2010, INCAS, Tehran

No. participants: 8 from Afghanistan

• Epidemiology of drug use and its related harms
• Gender differences in addiction
• Harm Reduction (definitions, effectiveness, cost effectiveness, acts, centres, and harm reduction in prison setting)
• How to visit a client in a harm reduction centre
• Outreach services
• Opioid agonist maintenance treatment
• An overview on needle syringe programs (NSP)
• Introduction on HIV and other BBIs
• STIs and safer sex and condom promotion
• VCT
• A field visit from prison (Ghezel Hesar) and 2 DICs was organized: one of them was women-only and the other one was men-only.

HIV prevention and care among drug users

25-30 Dec. 2010, INCAS, Tehran

No. participants: 10 from Afghanistan

• Basics of addiction
• Principle of agonist maintenance treatment
• Gender issues in addiction services
• Harm reduction (definitions, effectiveness, and cost effectiveness),
• Harm reduction in prison setting
• Harm reduction centres and outreach services
• How to address comorbid psychiatric disorder in HR setting,
• An introduction to Iranian national methadone protocol
• STIs, safer sex and condom promotion
• VCT: Basics of counselling in HIV/AIDS and pre and post counselling
• How to address HIV in HR setting
• Link between addiction and immigration: an epidemiological overview
• Psychosocial services added to HR services
• How to address TB in HR setting, and
• An introduction to “NA” activities in I.R of Iran
• Field visit of one DIC and Congress 60 an opioid users NGO

Agonist maintenance treatment for opioid dependence

25-29 Sep. 2011, INCAS, Tehran

No. participants: 11 from Afghanistan

• An introduction to agonist maintenance treatment
• Assessment in addiction medicine
• Care planning
• Guidelines of providing methadone maintenance treatment
• Procedures and guidelines of providing buprenorphine maintenance treatment
• Psychosocial services added to agonist maintenance services
• How to address polysubstance (stimulant) in agonist maintenance treatments
• Comorbid physical & psychiatric disorders
• Special populations
• Monitoring and evaluation of agonist maintenance services

Booster training of agonist maintenance treatment workshop

26-28 Feb. 2012, Kabul, Afghanistan

No. participants: 22 from Afghanistan

• Current situation of drug related harms in Afghanistan
• An introduction to MMT pilot project in Kabul
• Procedures and guidelines of providing agonist maintenance treatment.
• Country level procedures for distribution and supervision of agonist maintenance medications, and
• “Maintenance orientation” as an important predictor of MMT outcome

Agonist Maintenance Treatment for Opioid Dependence

10-21 Oct. 2012, INCAS, Tehran

No. participants: 1 from Afghanistan and 30 from Iran

• Neurobiology of Opioid Addiction
• Principles of Opioid Agonist Maintenance Treatment
• Drug Education
• Epidemiology of Drug Use
• Assessment in Addiction Medicine
• Motivational Interviewing (MI)
• Stages of Methadone Maintenance Treatments: Induction, Stabilisation, Continuation and Termination Phases
• Buprenorphine Maintenance Treatment
• Comorbid Psychiatric Disorders among Opioid Agonist Clients
• Polysubstance Use in Opioid Maintenance Treatments
• Opioid Maintenance Treatments among Special Populations: Adolescence, Pregnant Clients
• Pain Management among Agonist Maintained Clients
• Psychosocial Service to Enhance Maintenance Treatments