Strategic Plan for Anti-Drug Policies 
City of Prague 
For the period 2002 to 2006

Table of Contents:

STRATEGIC PLAN FOR ANTI-DRUG POLICIES CITY OF PRAGUE FOR THE PERIOD 2002 TO 2006:

1. Introduction ……………………………………………………………….  3

2.Initial thesis ………………………………………………………………..  3
2.1. Evaluation of the program “Together against drugs 1998 – 2000”
          2.2. Evaluating the fulfilment of the yearly plan
2.3. Evaluating the following period

 3. Characterisation of the drug scene in the City of Prague…………………..   5
3.1. Trends of drug use in the City of Prague
3.2. Minimal network of services in the area of drug prevention

4. 	Goals of anti-drug policies in the City of Prague for the period 2002 to 2006…………………………………………………………………………   6                    
    4.1.National strategy for the anti-drug policies for the period of 2001 - 2004
    4.2. Anti-drug policies for the City of Prague
4.2.1. 	Primary prevention
4.2.2. 	Secondary prevention
4.2.3. 	Tertiary prevention

5. Financing of anti-drug policies…..………………………………………...     9

6. International co-operation………  ……………………………………….    10

7. Tools of the anti-drug policies for the City of Prague.................................    11 
7.1. 	Drug prevention
7.2. 	Repression
7.3. 	Organisational provisions for the anti-drug policies of the City of Prague
7.4. 	Co-operation in the area of anti-drug politics in the City of Prague 

8. Conclusion………………………………………………………………...... 16

9. Appendix…………………………………………………………………...  17
9.1. Dictionary of expressions used
9.2. List of facilities for drug prevention in the City of Prague

1. 	Introduction 

The resolution of the government of the Czech Republic No. 1045 on 23 October 2000, entrusts the mayor of the City of Prague to form the long-term strategic plan of anti-drug policies in agreement with the national strategy, which was accepted in the above resolution.

The basic materials, in which the strategic plan for anti-drug policies for the City of Prague for the period of 2002-2006 arose out of, is the national strategy of anti-drug policies and the Conception of the anti-drug policies of the City of Prague for the period of 1998-2000, “Together against drugs 1998-2000” and the “Strategy for the prevention of social pathological phenomenon among children and youth under the competence of the resort of the Ministry of Education, Youth and Physical Education for the period 2001-2004.”
 
The City of Prague will undertake through their Strategic plan such precautions, which will lead to decreasing the supply, accessibility of drugs and demand for it. A balanced decrease in the supply and demand for illegal drugs is the long-term key strategies for influencing the drug scene. The basis on anti-drug policies is a balanced approach to the lowering of the supply of drugs – in the area of repression and lowering the demand for drugs –the area of prevention. 

In the area of lowering demand, Prague is prepared to support the necessary activities leading to its reduction, with the main stress on the activity of primary prevention, but also curing dependence, re-socialisation programs and activities assisting the minimising of the health risks for problem drug users.   

The City of Prague realises that the effective precautions are only able to achieve their results through long-term efforts and co-operation with the state organs and non-state organisations, and similarly through a wide group of society.  Co-operation with international subjects, the use of pieces of information and the results of anti-drug strategies of individual countries, the co-ordination in the joint approach in the fight against drugs, and especially in view of the integration of the Czech Republic into the European Union.

2.Initial thesis 

2.1. 	Evaluation of the program “Together against drugs1998 – 2000”

The City of Prague in the past period supported a number of programs in the area of primary, secondary and tertiary prevention, which were in accordance with the priorities of the commitments of the anti-drug policies of the City. The program for the period of 1998-2000 established five key priorities:

•	According to the real needs of building, expanding and support for an effective complex system of care of individuals suffering from dependence of addictive substances and their effective co-ordination and control
•	Primary prevention directed at children, adolescence and young people with the goal of lowering the demand for addictive substances.

•	Secondary and tertiary prevention directed at increasing the access and effectiveness of therapeutic care, including minimising the health risks associated with the use of drugs, finding the possibilities for re-qualification, providing social assistance for individuals abstaining after the completion of care. 

•	Co-ordination activities in the area of lowering the demand and the legal repression directed especially at decreasing the supply of drugs, its street access and the suppression of organised drug crime.

•	Definition of the priority commitments for the individual years in effect, of the accepted document “Together against drugs”, enabling the realisation of the Program.

2.2 	Evaluating the fulfilment of the yearly plan  /1998 - 2000/

In Prague, an Anti-drug Commission is established, which is an advisory organ to the Council of the City of Prague. The co-ordination of anti-drug activities and the preparation of materials for action are entrusted to the anti-drug co-ordinator, who methodically directs ant-drug co-ordination for the City. This is how the interconnectedness is ensured for the entire city.

The City supports a number of activities of drug prevention and allocates financial donations out of its budget. A public selection process was announced on the basis of a theme established specially for each year of the duration of the anti-drug conception with respect to the area, in which the program of primary drug prevention was written for. If it dealt with, for example, a program of anti-drug activities in the schools specific primary drug prevention, programs for the free time of children and young people, several sports programs and physical education, cultural etc. 

2.3 Evaluating the following period

1/ Primary prevention (the goal is to avoid the illness before its emergence)
Positives:
Support for programs of specific drug prevention in the nursery schools and in remedial and special schools; programs for families; support for minimal prevention programs at individual schools; education of professional groups; publications and educational activities. 
Negatives – were unable to influence to this point:
Multiple pronged approach to managing the activities of primary drug prevention, lacking a coherent accreditation system 

2/ Secondary and tertiary prevention (secondary prevention is implemented after the illness emerges, but before it caused damage; the goal of tertiary prevention is to avoid additional damage; and is implemented after the illness has caused damage)  
Positives:
Maintaining a good level of presently provided services; support for activities of newly created projects.
Negatives:
Lack of capacity in the institutional detoxification, especially for the age category to 15 years old; minimal development of emergency services in the area of detoxification 

3/ Building a system of anti-drug policies
The area of methodology and education 
Positives:
Interdisciplinary education in the problems of drugs (its key part has became a part of the international project of the Council of Europe DDRSTP II); Education of general practitioners and teachers; Documentation and information centre; Evaluation of quality and effectiveness of services and programs in the primary, secondary, and tertiary prevention; education of anti-drug co-ordinators; regular meetings of the anti-drug co-ordinator of the City and the City Council for the City of Prague; control of the effectiveness of supported programs and the use of financial resources allocated for it 
Negatives:
Stagnation in the volume of financial resources dedicated to the anti-drug policies; unable to implement specialised survey of the necessity of services and effectiveness of using the current capacity.

3. Characterisation of the drug scene in the City of Prague 

3.1 	Drug use in the City of Prague

Data corresponding to the situation in the entire Czech Republic
In the year 2000 it was possible on the basis of demonstrable trends of drug use to indicate:
- Marihuana is the most common and most frequently used drug; its growth for personal use is wide in the Czech Republic. 
- Pervitin belong among the synthetic drugs of Czech origin; it is the second most used drug in the Czech Republic.
- Heroin is the third most used drug. In the last year there was a sharp increase in the number of deadly cases of overdose (46 dead in Prague alone), of which significantly contributed the so-called “white” heroin.
- Cocaine and crack remained on the margins of interests of consumers. 
- Ecstasy belongs to the group of synthetic so-called “dance drugs”, whose use in the Czech Republic, similar to that in other EU countries, is popular and widespread.
- Other substances: 
The use of organic solvents (thinner) remains at a relatively constant level. These substances are abused primarily by under-aged youths from a socially weaker group of society.
There was seen an increasing trend in the abuse of prescription drugs – psychological drugs without a doctor’s recommendation.
In an alarming way there has been an increase in the use of alcohol and tobacco, the abuse of prescription drugs and first-time and repeated experience with non-alcohol and non-tobacco drugs among children and youths. The age limit has repeatedly decreased for the first experience with intoxicating and psycho-tropic substances
From the prevalent estimates it emerges that in the Czech Republic there are at least 26,000 of the so-called problem users of drugs.
The most frequent use of pervitin a heroin among problem users is through injection (64 %). 

3.2 	Basic network of services in the area of drug prevention in the City of Prague

The programs of the Prague state and non-state organisations, which are currently in operation, and to which the City of Prague donates financial resources from its budget:

TYPE OF PREVENTION: 
Primary prevention - specific:
Programs of primary prevention with competence for all of Prague; especially the long-term interactive programs designed for: 
•	Children and youths of Prague schools and school facilities
•	Families
•	Teachers 
•	Doctors
•	Police
•	Social workers, employers and employees of assistance professions

Primary prevention – unspecified /positive alternatives/:
•	Free-time, interest group activities
•	Sports programs
•	Cultural programs

Secondary prevention
•	Field programs
•	Safe facilities to spend free time
•	Methadone programs
•	Detoxification units
•	Emergency care for drug addicts /including facilities for children up to age 15/
•	Emergency care for children and families of drug addicts
•	Short-term residence care for young drug addicts
•	Short-term and intermediate- term residence care for adult drug addicts
•	Treatment for users with hepatitis B and C
•	Intermediate residential treatment for young drug addicts
•	Long-term treatment for adult drug addicts

Tertiary prevention
•	Follow-up treatment programs

Other activities
•	Self-help groups
•	Information centre and educational programs

4. Goals of the anti-drug policies of the City Prague for 2002 to 2006

The central motive of the anti-drug policies of the City of Prague is the effort to save the citizens of Prague from the negative consequences of drugs in all its connections and support his individual decision for a life without drugs. The City will for the long-term participate in activities which offer citizens protection from the supply of illegal drugs, and which help in gaining bits of information and skills to help them make the personal decision for a life without drugs. In cases where it is needed there must be access to advisory, treatment and re-socialisation assistance

4.1 	National strategy for anti-drug policies for the period of 2001 - 2004

Prague, as the capital of the Czech Republic, supports the goals of the anti-drug policies as they are defined in the National strategy for anti-drug policies for the period of 2001 - 2004:

•	Stop the growth of drug use and lower the number of deaths, as a consequence of its use;
•	Provide to the families and the individuals, who come into contact with drugs and are solving the problems associated with its use, the appropriate accessible, timely and professional assistance;
•	Lower the accessibility of all types of drugs (including alcohol and tobacco), especially for children and young people;
•	Ensure appropriate financial resources, create and put into practice a new system of financing programs of anti-drug policies with respect to the reform of the public administration;
•	Maintain the existing network of provided services;
•	Create a coherent system of education in the area of anti-drug policies and increase the specialised capabilities of the employees;
•	Actively take part in the implementation of international activities and programs for suppressing the supply and demand of drugs; 
•	Improve the quality of the system for co-ordinating the anti-drug policies on a horizontal
and vertical level
•	Integrate the entire community into the prevention of drug use with special emphasis on the local community. 

The established goals cannot be achieved without accepting responsibility for completion of the tasks and without active integration of the institutions of public administration on all levels, state and non-state institutions and organisations and the whole society into anti-drug activities.
The anti-drug policies of the Czech Republic and the City of Prague is formed by four pillars: 

Primary prevention			
Activities directed to the prevention of drug use, for example postponing the first time children and young people have contact with drugs	
Harm reduction
Activities directed to the lowering of health and social damage for drug users, who have not at the current time decided on a life without drugs
Treatment
A spectrum of programs for treatment towards abstinence, available for drug users, who have freely decided on a life without drugs
Repression
The collection of legal measures and activities to suppress the supply of drugs 

4.2.  Anti-drug policies for the City of Prague

The responsibility of the City of Prague depends on the interconnectedness and support of the elements of a complex system of care in all areas of drug prevention, in co-operation with the elements that deal with repression, in the collection of data, in co-ordinated operation of activities of a city-wide sphere, in following and evaluating the effectiveness of individual programs and in support of developing basic city programs of drug prevention. 

Drug prevention is not only prevention of the emergence of dependence of addictive substances. According to the definition of the World Health Organisation /WHO/ this area also includes precautions for the prevention of the emergence of other damages, which are related to the use of addictive substances directly or indirectly.

In ensuring primary drug prevention the City of Prague considers it essential to gradually hand over part of the competence to the city areas of Prague 1 to 22, especially for the reason that it is necessary to look out for the locally specific conditions and needs. The result will be ensuring a greater effectiveness of the programs and easier possibility reverse controls of the use of financial resources. The local communities have a significant role in the primary drug prevention with their bond to the environment, family and offices of the local areas, primarily in the formation and expansion of preventative, free time and sports programs for children and young people. The handing over of competence must be implemented with active support and co-operation with the City of Prague and financially as well, with feed back in the Strategic plan for anti-drug policies for the City of Prague for the period 2002 - 2006. 

4.2.1 	Primary prevention

The main goal is to prevent contact with drugs.

In the area specific primary drug prevention it is necessary to support the implementation of such programs for children and young people, that influence their ideas, attitude to drug issues and in the results of their behaviour in the sense of rejecting drugs in their lives. The decisive factors influencing the probability of experimenting with addictive substances in adolescents are primarily:
•	The level of information
•	The quality and strength of the anti-drug attitudes
•	An active ability to confront the offer of drugs in a high-risk situation.

For this reason it is necessary to incorporate into the activities of primary drug prevention as wide a public as possible. The preventative project should be based on the basic principles of an effective anti-drug activity:
•	Timeliness – the program starts early and is relevant to the age group
•	Program is small and interactive
•	Program includes a large part of the schoolchildren - students
•	Program includes acquiring relevant social skills and skills necessary for life
•	Program takes into account the local specifics
•	Program uses positive models
•	Program includes legal and illegal addictive substances
•	Program includes the lowering of access to addictive substances
•	Program is systematic and long term
•	Program is presented in a qualified and trustworthy manner
•	Program is complex and uses multiple strategies 
•	Program counts on complications and offers good possibilities for dealing with them

Specific drug prevention must be focused in three key areas:
•	Increasing awareness about the risks of using addictive substances
•	Creating and support for anti-drug attitudes
•	Strengthening the ability and practice of skills to reject offered drugs
 
The area of non-specific drug prevention is financially supported by the City of Prague through grants written each year in the area of social and health care, supporting church activities, prevention of criminality, sports and physical education, free time activities for children and youth, culture

4.2.2 	Secondary prevention 
The main goal is to support the anti-drug activities to help achieve abstinence. 

The City of Prague supports programs, which offer families and individuals, which come into contact with drugs and are solving problems associated with its use, relevant accessible and professional assistance in an effort to lower the social and health risks and damages arising from the use of drugs. A basic effort is achieving abstinence and the prevention of relapse.
To assure this goal serves the support of a program of a basic web of services in the area of treatment of dependence with organisations operating in Prague.

4.2.3 	Tertiary prevention
The main goal is the protection of society from the results flowing from high-risk and dangerous behaviour of problem drug addicts/social, health, legal and economic/.

In achieving the main goal of all the anti-drug activities, that is abstinence, it is the task of this anti-drug category to prevent relapse and assist the quality incorporation of the former users into a normal life without drugs.
When the drug addiction remains with an individual it is necessary to support activities of harm reduction and substitution. In the area of prison, a program was initiated for dependence in the carrying out of the punishment.

5. Financing the anti-drug policies for the City of Prague and controlling the effectiveness of programs and the use of financial resources

The City of Prague announces each year public offerings for the allocation of financial awards from its budget for projects specific to drug prevention. This deals primarily with support for activities throughout the city of secondary and tertiary prevention. Among the provided services today, the non-state organisations have a significant and non-representative role, which forms a significant part of the basic web of services in the area of drug prevention in the City of Prague. From the standpoint of the existing system in the area of prevention, treatment and re-socialisation treatment the non-state organisations do not offer only additional or services which are not standard but offer programs, which today are offered by the state in a limited capacity, or in some cases not at all. They are services without which the anti-drug policies cannot be effective and implemented to their full value. Therefore there must be the same right to quality and effectiveness in effect as in the case of the state organisations and the same conditions for their operation.

Support for specific primary drug prevention is implemented and carried out by the anti-drug co-ordinator for the city areas of Prague. The area of primary drug prevention is indirectly supported by the budget of the city as part of a grant of sports, free time for children and youths, social, cultural and national minorities, it is necessary to create feedback to the anti-drug co-ordinator.

The area of reducing the supply of drugs is fully in the competence of the repressive organs of the city and state. Here the anti-drug policies blend together with the program of crime prevention.

Through the Municipality of the City of Prague there are each year allocated financial grants for the projects of specific anti-drug prevention from the state budget, which is approved by the Interdepartmental anti-drug Commission Offices of the Government of the Czech Republic.

Vigorous controls:

Control of the implementation of supported projects from the side of specialisation, that is whether during the course of the project relates to the stated and supported request for the operation of the anti-drug co-ordinator for the City of Prague and the anti-drug co-ordinator of the city areas. Contractually all members of the organisation are bound to regular presentation of the ongoing and completed report of the implementation of the project. Failure to fulfil the contractual conditions will be a reason to stop the financing of the project.

Financial controls are multiple layered. 
1.	Contractually all organisations are bound to take records of the provided donations separately, for the provided calculation of allocated grant, records of the grant and a presentation of the inventory of the invoices and the cash receipts. The withdraw of resources, allocated to the City of Prague from the state budget, is directed by Law No. 218/2000 Coll., for the budgetary rules and Principles for allocating grants for non governmental non-profit organisations (Government order No. 114 from 7 February 2001). 
2.	Random controls are undertaken by the Ministry of Finance Czech Republic, Ministry of Health Czech Republic, Supreme Audit Office, and relevant financial Offices
3.	Ongoing and final financial controls are taken by the Department for internal controls and audits of the Municipality of the City of Prague

6. International co-operation

The use of OPL is one of the most serious problems throughout the world. This includes the social, health, safety, economic and political spheres of the life of society, and practically in all countries of the world. With its supranational character (the ability to cross state borders, regions or geopolitical groups) the problems of the use of drugs represents a typical are that cannot be solved without wide international co-operation emerging from international treaties and conventions, without implementation of programs of regional co-operation and bilateral agreements between individual states.

The international dimension of the fight against drugs requires sensitive co-operation. This must emerge on the basis of shared primary principles on the use of existing tools (development, dialogue in the area of technical equipment, finance, business and politics, prevention, treatment and re-socialisation, co-operation in the are of justice and internal affairs). Co-operation with international institutions (UNDCP), the countries of the EU, as well as other neighbouring countries must continue and be further developed.
For the complexity of the solutions to anti-drug policies it is essential to co-operate with the City of Prague and other cities, especially European, and primarily in connection with the accession of the Czech Republic into the European Union. From 1995, Prague is a member of the organisation ECAD /European Cities Against Drugs/. This co-operation is necessary to expand upon and actively take part in the implementation of the international activities and programs, especially in the area of lowering the access of drugs and supply of it. Further, to make contacts with workers responsible for that area, the wider anti-drug prevention with the goal of exchanging experiences and gaining new information. In this sense it is valuable to maintain and deepen co-operation with the capital cities of Slovakia and the Netherlands and Manchester, in which in the previous period there was already established close contacts in the area of anti-drug policies.

7. Tools of anti-drug policies in the City of Prague for the period of 2002 to 2006

7.1. Anti-drug prevention

1. Primary anti-drug prevention 

Anti-drug commission Council City of Prague
-	Advisory organ of the Council City of Prague – representative members are balanced according to the provisions of the Council of the government of the Czech Republic so that they represent all organs of the anti-drug policies; supplemented by the department of Education for the Municipality of the City of Prague – the regional school co-ordinator for prevention of socially pathological phenomenon
-	Public offering of a project specific for anti-drug prevention
-	Preparing the foundation for materials for the Council of the City of Prague and the City Council for the City of Prague 
-	Proposals for the implementation of measures of anti-drug policies of the City of Prague according to the current situation
-	Incorporating the activities of the anti-drug prevention of the City of Prague with activities throughout the Republic
Entrusted to: Council City of Prague 
Time period: Continuous

Activity of the anti-drug co-ordinator of the City of Prague and the city areas of Prague
-	Anti-drug co-ordinators of the city areas Prague are the advisory organs for the anti-drug co-ordinator in the City of Prague 
-	Anti-drug co-ordinator of the City of Prague systematically directs the anti-drug co-ordination of the city areas in the City of Prague 
-	Anti-drug co-ordinator of the City of Prague is a member of the anti-drug commission of the Council of the City of Prague and an advisory organ before the MPK ÚV ČR
-	Co-ordination and systematic support for the drug prevention activities in the City of Prague in co-operation with the regional school co-ordinator for the prevention of socially pathological phenomenon
-	Integrating the preventative programs of the individual city areas
-	Control of the effectiveness of the implemented programs; co-operation with organs offering services in the field of prevention of drug addiction
-	Co-operation with the Working group for the prevention of socially pathological phenomenon with the Department of Education of the Municipality of the City of Prague 
-	Co-operation with the MPK ÚV ČR and resorts, which the given problem relates to (Ministry of Education, Youth and Physical Education of the Czech Republic, Ministry of Labour and Social Services of the Czech Republic, Ministry of the Interior of the Czech Republic, Ministry of Health of the Czech Republic, Ministry of Finance of the Czech Republic)
Entrusted to:  City of Prague and the city areas of the City of Prague
Time period: Continuous 

Information and documentation activities in the area of drug prevention for the City of Prague
-	Inform the public about the anti-drug policies of the city and its individual activities
-	Collect information about the anti-drug programs of the individual city areas of Prague in co-ordination with the regional education co-ordinator for the prevention of socially pathological phenomenon
-	Informing about the finance of the policies of the city in the area of anti-drug policies
-	Create and information network (information centre, World Wide Web presentations etc.)
-	Surveys and evaluating the current situation in the City of 
-	Standardisation of the method of evaluating the effectiveness
Entrusted to: The anti-drug co-ordinator City of Prague, City Centre of Social Services and Prevention for the City of Prague
Time period: Permanent activity

Support for the school anti-drug programs
Specific primary anti-drug prevention:
•	Participation in the prevention programs implemented in the schools at all levels from the pre-school upbringing at the nursery schools, later at the primary schools, schools for special needs students, secondary specialised schools, secondary specialised trade schools, specialised trade schools, trade schools, secondary schools, upper specialised schools, special schools, private schools and church schools and nature schools, and other school facilities
•	Expanding the treatment of school psychologists
•	Education of teachers, behavioural advisors and school practitioners of prevention of socially pathological phenomenon in the area of socially pathological phenomenon in co-operation with the regional practitioner in charge of the methodology for preventive activities into whose competence falls the co-operation with the school practitioner of the methodology for the prevention in schools and schools facilities
•	“Peer” programs and its development
•	Experience and adaptation courses

Non-specific Primary drug prevention directed towards children and youths:
•	Free time, interest activities
•	Sports programs
•	Cultural programs
Entrusted to: City of Prague and the city areas of the City of Prague
Time period: Continuous

Co-operation in the implementation of the project of the prevention of socially pathologically phenomenon in children and youths under the competence of the resort of the Ministry of Education, Youth and Physical Education

In agreement with the Methodical instructions of the Ministry of Education, Youth and Physical Education for the prevention of socially pathological phenomenon in children and youths no.: 14514/2000-51 from the 29 August 2000, which establishes the areas of prevention/ drug addiction, alcoholism and smoking, criminality and delinquency, virtual drugs – computers, television, and video, pathological games – gambling, truancy, harassment, vandalism and other forms of violent behaviour, xenophobia, racism, intolerance and anti-Semitism/, there were formed systematic tools for implementing preventative measures in these areas in the Department of Education.  

Working group for the prevention of pathological phenomenon in the Department of Education for the Municipality of the City of Prague	
Regional school Co-ordinator for the Municipality of the city of Prague for the Prevention of socially pathological phenomenon	
The head of the teacher-organisation department and teacher-organisation section	
Systematic prevention activities of socially pathological phenomenon in teaching- psychological advising in the cities areas of the City of Prague	
Director of the school	
Behavioural advisors	
School practitioners of the Methodology of the prevention of Socially pathological phenomenon	

Entrusted to: City of Prague and the city areas of the City of Prague
Time period: Continuous

Support for programs of primary drug prevention directed especially towards the family
-	Support for the goal-directed activities of the advising centre for drug addiction for the family. Increase the awareness of the family and endangered groups (high-risk) groups in society
-	Support the specific activities leading to the giving out of information about drug problems to the families through concerned employees, schools, the media etc. 
Entrusted to: City of Prague and the city parts of the City of Prague
Time period: Continuous

Primary prevention directed to at-risk groups
-	Support of programs of specific primary drug prevention directed at incorporating the high-risk groups of society (socially weak families, the Roma, minorities and the foreign language speaking community) into the civil society in the problems localities of Prague, including incorporating the young generation into interest group activities 
Entrusted to: City of Prague and the city areas of the City of Prague
Time period: Continuous

System of timely intervention 
-	To put into effect in the City of Prague a system of timely intervention, with the use of existing institutions, supplemented with other facilities necessary for the adequate coverage of the entire country
						Entrusted to: City of Prague and the city areas of the 
						City of Prague
Time period: Continuous

Permanent visibility of the anti-drug policies of the City of Prague
-	Engage a wider public in the anti-drug policies of the city
-	Integrate the individual city areas into the campaign
-	Engage the media
-	Recruit well-known personalities of the social-cultural and business life
-	Increase the level of public awareness about the risks and the prevention of abusing OPL
-	Address the targeted population of children and adolescents
-	Address the parental public
-	Address representatives of public institutions 
-	Use the experiences of other European cities 
-	Ensure a complex, systematic, and long-term character to the campaign 
-	Create traditions (continual activities)
-	Set up seminars about the anti-drug policies of the City of Prague with the participation of representatives of other European cities 
-	In co-operation with the Department of Education, the Municipality of the City of Prague sets up seminars for the prevention of socially pathological phenomenon in children and youths 
Entrusted to: City of Prague 
Time period: Continuous

2. Secondary anti-drug prevention 

Support for a project of complex treatment for drug addicts in the City of Prague
Entrusted to: MPK ÚV ČR, resorts, City of Prague
Time period: Continuous 
Contact centre
- Support the establishment of the contact centre in the previously uncovered Western part of the city
Entrusted to: City of Prague
Time period: 2002 
- To further an appropriate ground program support the establishment of a contact centre for users of drugs among the Roma
Entrusted to: MPK ÚV ČR, City of Prague
Time period: 2002, Continuous
     
3. Area of tertiary prevention
- Support the existing network of re-socialisation facilities, protected housing, protected workrooms and re-qualification of institutions
Entrusted to: Council of the government of the Czech Republic - MPK, City of Prague
Time period: Continuous

- Support for the creation to work opportunities
Entrusted to: City of Prague, resorts
Time period: Continuous

- Support for social activities supplementing methadone programs
Entrusted to: City of Prague, resorts
Time period: Continuous

7.2. Repression

Co-operation and co-ordination of activities in the area of lowering the demand and legal repression directed at lowering the supply of drug, its street access and suppressing the organised drug criminality.
 
There should be effective co-operation and co-ordination of the subjects of prevention and repression. Repression clearly falls under the competence of the organs active in criminal proceedings, but the City of Prague initiates and supports:
- Systematic education of police and employees of prison facilities in the question of drug prevention.
Entrusted to: Institutions chosen in a public offering announced by the City of Prague
Time period: Continuous

- Existing programs and the introduction of other specific programs for individuals dependent on OPL in prison and the period of the carrying out of the punishment.
Entrusted to: Institutions chosen in a public offering announced by the City of Prague, prison services of the Czech Republic
Time period: Continuous 
- Maximum use of existing legislation for the effective fight against organised drug criminality, including the production, distribution and dealing of drugs
Entrusted to: City Police City of Prague, Police of the Czech Republic, NPDC, organs active in criminal cases
Time period: Continuous 

- Imposing alternative punishments. Co-operation with courts, especially with workers in probation and mediation services. 

- Conducting random controls for the presence of drugs in the organisms of certain professional groups, for example in drivers as a profession. Recourse for the use of alcohol, Detection of drugs in the urine

- Pressure on the dealer’s network. Focusing on the location, where drugs are offered and in co-operation with the Police of the Czech Republic, City Police of the City of Prague and with the NPDC to not allow dealers to sell their establishments. 

- Improve the communication between the street workers and repressive elements, especially with the City Police of the City of Prague. The exchange of information about the current drug scene in the City of Prague

- A goal-directed reduction and fighting drug criminality in the transportation intersections of the City of Prague, for example in the main train station.

- Reducing the accessibility of addictive substances

-	Reducing the accessibility is the most effective when the majority of the population is recruited for the effort, if it is attached to the lowering of demand and if there exists the possible treatment for addicts, because the lowering accessibility will not in and of itself had an adequate effect.
-	Lowering the accessibility – examples:
•	Forbid the production of certain substances
•	Special prescription for using certain substances
•	Age limits for accessibility of alcohol and tobacco products
•	Price regulation – belongs among the most effective. A higher price can partially discourage a younger population, which is relatively less solvent, which applies to alcohol, tobacco products and for other addictive substances.
•	Limiting the use of certain substances in certain situations, when influence by addictive substances can mean endangerment for individuals and their surroundings. To this belongs the prohibition of the use of alcohol and other addictive substances when driving a motor vehicle, prohibition concerning the use of alcohol and other addictive substances during sporting events, cultural programs etc.

7.3. Organisational ensuring of the anti-drug policies for the City of Prague

City Council City of Prague	
		
Council City of Prague	
		
Anti-drug Commission of the Council City of Prague	
		
Anti-drug co-ordinator City of Prague	
		
Anti-drug co-ordinator city areas 
City of Prague	

7.4. Co-operation in the area of anti-drug policies in the City of Prague

The anti-drug co-ordinator of the City of Prague co-operates with:

1.	As a part of the Municipality of the City of Prague 
•	Department of Education – SKU Municipality City of Prague – Regional school co-ordinator for the prevention of socially pathological phenomenon in children and youths 
•	Department of Art Education, Youth and Physical Education – OMT Municipality City of Prague
•	Department of Social Care and Health – SOC Municipality City of Prague
•	Co-ordinator for the prevention of Criminality – OKR Municipality City of Prague
•	Roma Co-ordinator – SE/SZ 4 Municipality City of Prague
•	Co-ordinator for the affairs of national minorities– SE/SZ 4 Municipality City of Prague

2. 	With city organisations
•	City Centre Social Services and Prevention City of Prague
•	City Police City of Prague
•	City hygiene station

3. 	With state institutions 
•	Council of the government of the Czech Republic – Inter-resort anti-drug Commission 
•	Police of the Czech Republic
•	Ministry of Health Czech Republic
•	Ministry of Education, Youth and Physical Education Czech Republic
•	Ministry of the Interior Czech Republic
•	Ministry of Labour and Social Affairs Czech Republic
•	Ministry of Justice Czech Republic
•	Ministry of Defence Czech Republic
•	Ministry of Finance Czech Republic
•	Hygienic station City of Prague
•	Organisations, which deal with prevention, treatment and re-socialisation treatment in the area of drug addiction

4. 	With non-state organisations, which deal with prevention, treatment and re-socialisation treatment in the area of drug addiction 

8. Conclusion

The City of Prague creates the conditions for quality, rational and thorough carrying out of the anti-drug policies, especially support for activities ensuring a balanced approach to this problem. Each year the city frees up from its budget financial resources for specific anti-drug prevention, which helps solve the problems associated with the use of drugs within the city.

In agreement with the approved “Strategic plan of anti-drug policies of the City of Prague for the period 2002 to 2006”, there will be a theme established each year on which there will be a public bidding process for financial grants for projects of specific drug prevention. To achieve this it is essential to update the information of the developments in the drug scene, follow trends of development of new approaches in the area of effective drug prevention and follow and support examples of good work in individual types of treatment.

With respect to the volume of resources included in the budget of the city for anti-drug policies and the demands of its effective use, the City of Prague will support the introduction of new programs of newly developed non-state organisation and other subjects, if there would be a fundamental contribution to drug prevention. The aim is to support the expansion of activities of established educational organisation as part of this plan of anti-drug policies.

9. Appendix:

9.1.  Dictionary of used expressions

The illegal market for drugs has, like any market, its demand side and supply side. According to this is divided even the main methods.
1/ On the supply side the focus is:
•	Repression (police, customs agents, courts), which tries to eliminate criminal activities in the production, transit and sale
•	Administrative control, which guards against the escape of legal drugs, substances serving in the production of synthetic drugs and auxiliary substances on the illegal market/in the Czech Republic for example the Department of Inspections of intoxicating and psycho-tropic substances in the Ministry of Health Czech Republic)
•	Control of the Agricultural production of crops, which are the source for acquiring natural drugs
2/ On the demand side there is focus on primary, secondary and tertiary prevention – according to the definition of the World Health Organisation WHO these methods include:
•	Primary prevention – prevention of the use of drugs among the population, which is currently not in contact with, or at least postpone the contact with drugs 
•	Secondary prevention - timely intervention, advice and treatment for individuals, who are already affected and harmed by using drugs
•	Tertiary Prevention - rehabilitation or re-socialisation, follow-up treatment, support for abstinence
•	The boundaries between secondary and tertiary prevention is not always conceptualised in a completely unified manner. Documents of the UN in the most recent period define it in the following way:
•	Secondary prevention - timely intervention, education and advice for individuals, who already are find themselves in contact with drugs (individuals experimenting, recreational users and low to medium problem users)
•	Tertiary prevention - treatment, rehabilitation of re-socialisation and follow-up treatment for addicts with major problems
•	Early intervention – the goal is to begin treatment as soon as possible, which improves the results of the treatment, is cheaper and less time consuming that assistance provided to individuals with developed problems.
•	Harm reduction – an English phrase, which refers to limiting damages. This position gained significance especially in connection with the AIDS epidemic. If it is not possible or realistic to provide treatment with the goal of abstinence from addictive substances, then it is at least possible to limit the damages, which continued use of drugs or alcohol causes. Sometimes it is possible in this way to establish good relationships and begin more intensive treatment. To this also belongs substitution treatment (see further), provided injection syringes and needles to those addicted to drugs in order to lower the risk of spreading AIDS and hepatitis. For similar reasons, drug addicts are provided with free disinfectant and condoms. Some facilities offer even light food, short-term shelter, the possibility to shower, social assistance and advice. 
•	Substitution (substitution treatment) – a majority takes this to mean methadone, which is given to replace heroin, gained illegally and taken through injection. With such treatment is necessary to supplement other methods, such as psychotherapy or advice. Patient should avoid taking other addictive substances including alcohol.
•	Methadone – an addictive substance belonging to the same group as heroin. It has a longer effect and is taken orally. As a substitute for treatment it is given as a relatively safer replacement drug to patients addicted to opiates, which are not possible or capable of undergoing treatment oriented towards abstinence. According to American sources about one-third of patients, for which methadone is used are able to stabilise their condition, in a third their condition varies, and in a third the treatment with methadone is unsuccessful.

 In: prim. MUDr. Karel Nešpor, CSc., doc. MUDr. Hana Pernicová, CSc.,
 Dictionary of prevention of problems caused by addictive substances, issued by the State Health Department, Prague in co-operation with 3. Medical Faculty of Charles University, published by FORTUNA, 2nd. Expanded edition, Prague 1997

9.2. List of organisation and their facilities for drug prevention in the City of Prague, whose activities are supported as part of a public selection process for financial grants from the state budget of the MPK ÚV Czech Republic and from the budget of the City of Prague and which fulfils the conditions established by the City of Prague and the central offices of the Czech Republic.