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Update on the implementation of Lions Quest Skills for Adolescence UNODC – LCIF collaboration

h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

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Page 1: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Update on the implementation of

Lions Quest Skills for AdolescenceUNODC – LCIF collaboration

Page 2: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

UNODC-WHO International Standards on Drug Use Prevention

Page 3: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Recent mandates

Sustainable Development Goals, December 2015:• Developing agenda 2030!• Goal 3 – target 3,5

UNGASS 2016 Outcome Document:“Increase the availability, coverage and quality of scientific evidence-based prevention measures and tools that target relevant age and risk groups in multiple settings..”

Page 4: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj
Page 5: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Prevention educationDescription

• Teachers/students interactive activities to learn and practice a range of personal and social skills

• Refusal abilities to allow young people to counter social pressures to use substances

• Personal and social skills to cope with challenging life situations in a healthy way

• Discuss social norms, attitudes and expectations associated with substance use and its consequences

• Discuss normative nature of substance use• Also relevant for older adolescents

LIONS QUEST SFA √√

Page 6: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

UNODC - LCIF Pilot ImplementationImplementation modality • In collaboration with relevant Ministries and Lions Clubs:

• Inception meeting

• Translation of the material

• Cultural adaptation

• Education of experts

• Initiation of school session

• Follow up session

• Evaluation

Page 7: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

UNODC - LCIF Pilot ImplementationResults phase one

Republic of Serbia (June 2014 – July 2015)[75 teachers, 1350 students, 22 schools]

Montenegro (October 2015 – October 2016) [81 teachers, 1475 students, 17

schools]

North Macedonia(October 2015 – October 2016)[76 teachers, 1467 students, 47

schools]

Page 8: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

UNODC - LCIF Pilot ImplementationResults phase one

Page 9: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) in the prevalence of Usage of Alcohol (comparing the start and end time) within the same group – Serbia

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how much drug use increased during the

study period in both groups. It is not the prevalence of consumption in the year.

5

3.2

6.2

8.59

7.4

0

1

2

3

4

5

6

7

8

9

10

t0 t1 t0 t1 t0 t1

Ever alcohol Alcohol last 30 days Intention - use Alochol next 3months

D (%

)

* p<0.05; ** p<0.01

**

**

*

**

**

**

Intervention

Control

Page 10: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) in the prevalence of Smoking of Cigarettes (comparing the start and end time) within the same group – North Macedonia

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how much drug use increased during the

study period in both groups. It is not the prevalence of consumption in the year.

0.2-0.5

0

-1.9

3.3

1.7

0.7

2.3

-4

-2

0

2

4

6

8

10

t0 t1 t0 t1 t0 t1 t0 t1

Ever cigarettes Cigarettes last 30 days Cigarettes last 7 days Cigarettes next 3 months

* p<0.05; ** p<0.01

**

D (%

)

*

*

Intervention

Control

Page 11: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) in the prevalence of Smoking of Marijuana (comparing the start and end time) within the same group – Montenegro

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how much drug use increased during the

study period in both groups. It is not the prevalence of consumption in the year.

0.2

0.8

-0.3

2.4

3.6

1.3

-0.5

0

0.5

1

1.5

2

2.5

3

3.5

4

t0 t1 t0 t1 t0 t1

Ever marijuana Marijuana last 30 days Marijuana next 3 months

D (%

)

* p<0.05; ** p<0.01

*

*

**

Intervention

Control

Page 12: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

UNODC - LCIF Pilot Implementationchallenges vs lessons learned

- Comprehensive material 40 sessions- Implementation modality ( elective subject) - Length of the programme pilot ( 1 year)- Teachers have other programmes to pilot,

not enough time - Maintaining the interest of students and

teachers for the programme

- Abbreviated version implemented (27 sessions)

- Various implementation modality per school/municipality/country

- Length suggested to be expanded- Prioritization of the school curriculum- Follow up session, support from the local

institutions /organizations

EXPANSION based on findings

Page 13: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

2014-15

2300 Students>100 teachers

31 schools

2015-16

>1800 Students >100 teachers

57 schools

2015-16

>1800 Students >100 teachers

31 schools

2017-2019

>1600 Students >75 teachers

28 schools

2018-2020

>3600 Students >100 teachers

15 schools

??

2018-20

500 Students19 teachers

9 schools

2018-20

700 Students 23 teachers12 schools

2018-20

450 Students 19 teachers10 schools

2019-2021In progress

425 Students 20 teachers

5 schools

2019-2021In progress90 teachers20 schools

Up to 20,000 students

Page 14: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Advocacy & networking

lqsfa-see.net

Page 15: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Lessons learned

• Programme delivers statistically significant results in terms of substance use and intentions to use (limitation: one year implementation period, reduced number of sessions)

• Cultural adaptation of the programme (both initial and final) provides better understanding on the applicability of the programme and material

• Support from the national relevant institutions and Lions Clubs is crucial for sustained implementation

• Follow up/booster sessions provides excellent results in view of monitoring and adjusting the implementation modality

Page 16: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) in the misperception on smoking feeling relaxed after smoking cigarettes among non-current users only

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how

much drug use increased during the study period in both groups. It is not the prevalence of consumption in the year.

p=0.10

p=0.42

p=0.06

p=0.02

p=0.67

p=0.02

-1

0

1

2

3

4

5

t0 t1 t0 t1 t0 t1

Montenegro North Macedonia Serbia

Rela

tive

diff

irenc

e

Intervention Comparison

Page 17: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) misperceptions on alcohol feeling relaxed after drinking alcohol among non-current users

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how

much drug use increased during the study period in both groups. It is not the prevalence of consumption in the year.

p=0.76

p=<0.01

p=0.18

p=0.20

p=0.45

p=0.81

-6

-5

-4

-3

-2

-1

0

1

2

3

4

t0 t1 t0 t1 t0 t1

Montenegro North Macedonia Serbia

Rela

tive

diff

irenc

e

Intervention Comparison

Page 18: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) normative belief on marijuana Smoking Marijuana improve popularity (non-current users)

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how

much drug use increased during the study period in both groups. It is not the prevalence of consumption in the year.

p=0.59p=0.17

p=0.70

p=0.34

p=0.85

p=0.04

-2

-1

0

1

2

3

4

t0 t1 t0 t1 t0 t1

Montenegro North Macedonia Serbia

Rela

tive

diff

irenc

e

Intervention Comparison

Page 19: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Relative difference (Δ%) in the prevalence of majority of friends smoking cigarettes (non-current users)

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how

much drug use increased during the study period in both groups. It is not the prevalence of consumption in the year.

p=0.11

p=0.84

p<0.01p=0.1

p=0.2

p=0.01

-4

-2

0

2

4

6

8

t0 t1 t0 t1 t0 t1

Montenegro North Macedonia Serbia

Rela

tive

diff

irenc

e

Intervention Comparison

Page 20: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

t0 t1 t0 t1

Montenegro-Boys Montenegro-Girls

Mea

n

Intervention Control

*

**

**

Relative difference (Δ%) in the prevalence of smoking cigarettes during the last 30 days

The Δ% is calculated using the difference between the initial and final prevalence in each group for each drug, that is, is how

much drug use increased during the study period in both groups. It is not the prevalence of consumption in the year.

Page 21: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Also, against youth violence and child maltreatment

Page 22: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

SDGs as an Interlinked Web

Page 23: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Acknowledgment:

Ekaterina KolykhalovaMilos Stojanovic

Bojan MilosavljevicMelva Ramirez Noemi Gomez

Inza FofanaZiad El Khatib

Nina Fabiola Montero SalasCelina Herrera

Matthew Kiefer Ariel Dickson

Kimberly AndersonNational Lions Clubs

Ministries of Education, Teachers and other governmental counterparts.

Page 24: h } v Z ] u o u v ] } v } ( > ] } v Y µ ^ l ] o o ( } } o v hEK t> /& } o o } ] } v · 2020. 3. 4. · 5hodwlyh gliihuhqfh û lq wkh suhydohqfh ri 6prnlqj ri &ljduhwwhv frpsdulqj

Contact and more details Wadih Maalouf, Ph.D.Global Programme Coordinator

Division of OperationDrug Prevention and Health Branch

Prevention, Treatment and Rehabilitation Section

[email protected]

Twitter:

@wmaaloufun@UNODC_PTRS


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