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PDF (Lessons learned in drug abuse prevention: a global review)

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LOCAL<br />

Community Psycho-Prophylactic Programme for<br />

Children and Families<br />

REGION:<br />

Eastern Europe<br />

COUNTRY: Poland<br />

Organisation: The Powiśle<br />

Foundation<br />

TARGET GROUPS:<br />

● High-risk children (6-12 years)<br />

who display substantial<br />

educational disruption and<br />

who are surrounded by an<br />

environment of crime and<br />

<strong>drug</strong> addiction<br />

● Families<br />

28<br />

SETTINGS:<br />

● Therapy centres<br />

● Home<br />

● Schools<br />

IMPLEMENTING AGENTS:<br />

● Social workers<br />

● Psychotherapists<br />

PROJECT PURPOSE:<br />

To provide psychological and<br />

social support to children and<br />

their families who are at a<br />

high risk of <strong>drug</strong> <strong>abuse</strong> <strong>in</strong> an<br />

urban neighbourhood<br />

COST: An annual average of<br />

US$ 235,500<br />

DURATION: 11 years and<br />

ongo<strong>in</strong>g<br />

A draw<strong>in</strong>g made by one of the children attend<strong>in</strong>g the Troubled Youth Centre.<br />

Background:<br />

In Poland, <strong>drug</strong> and alcohol <strong>abuse</strong> <strong>prevention</strong> programmes have ma<strong>in</strong>ly consisted of<br />

universal <strong>prevention</strong> activities such as runn<strong>in</strong>g educational classes <strong>in</strong> schools, or poster<br />

campaigns. Throughout the country, there are small local programmes that aim at the<br />

early <strong>prevention</strong> of <strong>drug</strong> <strong>abuse</strong> amongst high-risk groups, <strong>in</strong>clud<strong>in</strong>g families with members<br />

who have an addiction problem. The project presented here is <strong>in</strong> l<strong>in</strong>e with the <strong>prevention</strong><br />

policies issued by the Drug Department of the M<strong>in</strong>istry of Health, and is contextualised<br />

by a wider national effort to start preventative work with children and families that are<br />

threatened with marg<strong>in</strong>alisation, at an early stage. It is also <strong>in</strong> l<strong>in</strong>e with State guidel<strong>in</strong>es<br />

on educational and social care reform, which focus on deliver<strong>in</strong>g services at the local<br />

level through small community <strong>in</strong>stitutions.<br />

Political and economic changes weaken<strong>in</strong>g social bonds, and the reduction of the role<br />

of the state <strong>in</strong> ensur<strong>in</strong>g its citizens’ welfare, have affected the lives of many families <strong>in</strong><br />

Poland over the last decade. The opportunity for children and youth to take free classes<br />

after school has drastically decreased and the level of unemployment has gone up.<br />

Addictions amongst youth may stem from family breakdowns and the lack of family<br />

care and discipl<strong>in</strong>e <strong>in</strong> their up-br<strong>in</strong>g<strong>in</strong>g, which together can lead to emotional problems<br />

and personality disorders <strong>in</strong> children. The Community Psycho-Prophylactic<br />

Programme is address<strong>in</strong>g children and families <strong>in</strong> need of psychosocial help <strong>in</strong> order to<br />

function effectively as families.<br />

In Warsaw, there has been a rise <strong>in</strong> the rate of addiction, especially amongst youth. The<br />

programme is run <strong>in</strong> Powiśle, Warsaw, the urban area with the highest rates of unemployment,<br />

crime and addiction. Approximately 50,000 people live <strong>in</strong> Powiśle, an area<br />

characterised by enclaves of poverty alternat<strong>in</strong>g with new hous<strong>in</strong>g estates and modern<br />

office build<strong>in</strong>gs. People who are poor, unemployed and without education, mak<strong>in</strong>g a<br />

liv<strong>in</strong>g out of theft, illicit trade and social benefits, live <strong>in</strong> many of the overcrowded<br />

social flats <strong>in</strong> this area. Many of these are migrants from the countryside who moved<br />

to Warsaw 20-30 years ago. The level of difficulty of everyday life often affects parents'<br />

ability to pay adequate attention to the upbr<strong>in</strong>g<strong>in</strong>g of their children. These children are<br />

be<strong>in</strong>g left alone to grow up on the street, surrounded by other, similarly-troubled<br />

children; they cope with this situation as well as they can. They often have severe<br />

emotional problems and an extremely poor <strong>in</strong>tellectual, cultural and social heritage,<br />

and tend to avoid school. Before the implementation of the programme, Powiśle was<br />

one of the most dangerous districts <strong>in</strong> the centre of Warsaw, with the largest number

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