Quality Management System TC Dianova

An Experience of Shared Quality Standards

Quality Management System at Therapeutic Community Quinta das Lapas

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“INNOVATIVE APPROACHES IN TREATMENT AND PREVENTION” – 51ST ICAA CONFERENCE ON DEPENDECIES

LIMASSOL, CYPRUS 02-07 NOVEMBER 2008

• 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

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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

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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

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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

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INNOVATIVE TREATMENT APPROACHES IN 12 COUNTRIES OF EUROPE & THE AMERICAS

• Belgium• Canada• Chile• Italy• Nicaragua• Portugal• Slovenia• Spain• Sweden• Switzerland• United States• Uruguay

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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

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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

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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

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WORLDWIDE SOCIAL IMPACT

Personal Development1.476

Education & School350

Community Development1.086

Treatment Program1.559

PERSONNELPERSONNEL486486

Administration87

Healthcare399

BENEFICIARIESBENEFICIARIESIn/OutpatientsIn/Outpatients

4.4714.471

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Residential Treatment Program...Residential Treatment Program...

Inspiring the change!Inspiring the change!

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RESIDENTIAL TREATMENT PROGRAM

QUALITY OF SERVICEQuinta das Lapas TC

Certification ISO NP EN 9001:2000

QUALITY OF SERVICEQuinta das Lapas TC

Certification ISO NP EN 9001:2000

MULTI & INTERDISCIPLINARY

TEAMSPsychiatrist, Physician, Psychologists, Reintegration & Social Operators, Drug counselors, Other Staff

MULTI & INTERDISCIPLINARY

TEAMSPsychiatrist, Physician, Psychologists, Reintegration & Social Operators, Drug counselors, Other Staff

THERAPEUTIC COMMUNITYIndividualized Program

Protocol with IDT

THERAPEUTIC COMMUNITYIndividualized Program

Protocol with IDT

COGNITIVE BEHAVIOR MODEL

Educational & Therapeutic

COGNITIVE BEHAVIOR MODEL

Educational & Therapeutic

REINTEGRATION SERVICES

Inhouse & Public Measures

REINTEGRATION SERVICES

Inhouse & Public Measures

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Demanding Admission

Criteria

Demanding Admission

Criteria

Beneficiaries’ commitment

and motivation

Beneficiaries’ commitment

and motivation

Program’s Advantages &

Benefits

Program’s Advantages &

Benefits

• Individual psychotherapy• Group therapy• Thematic workshops• Sports• Occupational activities• Cultural and leisure activities• Educational outings

• 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

• 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

• +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

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CONTINUAL IMPROVEMENT OF THECONTINUAL IMPROVEMENT OF THEQUALITY MANAGEMENT SYSTEM QUALITY MANAGEMENT SYSTEM

NP EN ISO 9001:200NP EN ISO 9001:200

Management Responsibility

ResourceManagement

Output

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Service

R

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Input

NP EN ISO 9001:2000. Main Requirements

Improvement of measure analysis

ServiceRealization

SATISFACTION

BENEFICIARIES

REQUIREMENTS

BENEFICIARIES

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QUALITY MANAGEMENT TCQLQUALITY MANAGEMENT TCQLPOLICY & KEY PROCESSESPOLICY & KEY PROCESSES

Planning, Control, Monitoring, ImprovementPlanning, Control, Monitoring, Improvement

ADMISSIONADMISSION TREATMENTTREATMENT REINTEGRATIONREINTEGRATION

Equipment Maintenance

Equipment Maintenance

LOGISTICSLOGISTICS

Evaluation Suppliers

Evaluation Suppliers

HACCPHACCP

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Overall Treatment Outcomes

43 New Beneficiaries

38 Male (88,3%)5 Female (11,6%)

Increase in Admissions19,4%

Because everything may rapidlyturn to nothing...

... Dianova helps you to initiate changein your life!

MY WAY

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RETENTION RATE

58%58%>>6 months6 months




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IN CONCLUSION: IMPACT OF QUALITY IN/OUTSIDE

ORGANISATIONSTAFF

BENEFICIARIES COMMUNITYSOCIETY

Renewal of QMCS 2008-2011 → Dynamic methodology

Renewal of QMCS 2008-2011 → Dynamic methodology

Increase of Admission Requests 305%

Increase of Admission Requests 305%

Increase of social positioning

Increase of social positioning

Know-how transfer increaseKnow-how transfer increase

Increase of Motivation → efficiency and effectiveness

Increase of Motivation → efficiency and effectiveness

Reinforced integration within networks (CRI, CLAS)

Reinforced integration within networks (CRI, CLAS)

Public acknowledgment of innovation and insight (Hospital do Futuro’05/06 Award, Private Category)

Public acknowledgment of innovation and insight (Hospital do Futuro’05/06 Award, Private Category)

Increase of Satisfaction 12,3%

Increase of Satisfaction 12,3%

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Date post:	04-Dec-2014
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Quality Management System TC Dianova

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