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18/10/2024

5th Istanbul Initiative Summit Brought Together Leading Names on Addiction and Public Health

Istanbul Initiative is a global network of NGOs dedicated to advocating for prevention and recovery efforts. Launched with its first summit in 2019, the initiative focuses on preventing addictions and developing sustainable public health policies. The 5th Istanbul Initiative Summit was held on October 8-9, 2024, ahead of World Mental Health Day. This two-day hybrid event was held at the headquarters of the Turkish Green Crescent Society, with more than 50 participants from over 30 countries. During the 5th Istanbul Initiative Meeting, Country Green Crescents also participated and shared their knowledge and experiences in the field of addiction from Jordan, Albania, Somalia, and Ethiopia, South Africa, and Nigeria. Representatives from various countries delivered impactful presentations on addiction prevention strategies and successful practices. The event concluded with closing speeches from Türkiye's Minister of Family and Social Services, Ms. Mahinur Özdemir Göktaş, and the Deputy President of the Turkish Green Crescent Society, Ms. Sümeyye Ceylan. With its commitment to collaboration and innovative approaches, the Istanbul Initiative remains a key platform for advancing efforts in addiction prevention and public health worldwide.

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PSYCHOSOCIAL SUPPORT

Country Green Crescents affiliated with the International Federation of Green Crescent play a crucial role in supporting social cohesion in preventing addiction and organizing activities to prevent it. Country Green Crescent, aiming to reach every segment of society, conduct awareness campaigns in collaboration with social service professionals, public institutions, non-governmental organizations, and local governments to carry out a comprehensive and effective struggle against addiction.

What Does Psychological Support Serve in Addiction Treatment?

Addictions bring along various psychological problems. Depression, suicide risk, anxiety, panic attacks, sleep disorders, psychological trauma, attention deficit, hyperactivity, impulsive behavior, anger control issues, self-harm; are the most common problems accompanying alcohol and substance use.

Individuals with addiction often turn to alcohol or substance use as a coping mechanism for their problems. During this process, a vicious cycle is formed between the individual's addiction and the psychological problems they experience. Often, individuals start using substances or alcohol, believing that it positively affects them and alleviates their troubles, continuing the usage. However, this temporary relief is short-lived, and over time, the impact diminishes, adding another layer of difficulty to the individual's problems.

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Breaking this vicious cycle is essential in addiction treatment. In this context, individuals are informed about their current or potential problems, and the interaction cycle between these problems is explained in detail. For example, the increase in alcohol and substance use in the case of depression can be explained by the individual turning to alcohol for emotional relief or the worsening of depression making it difficult to regulate usage. On the other hand, the triggering effect of alcohol and substance use on depression, although initially providing a positive feeling to the individual, can worsen depression over time and reduce the effectiveness of antidepressant medications. This cycle continues as described.

Conveying this cycle to the individual and making them realize that substance use is not the correct solution to cope with their difficulties during this process is of critical importance. Teaching the individual proper coping methods is also part of the treatment. Therefore, psychological support plays a significant role in the treatment of individuals with addiction.

Additionally, psychological support also plays a critical role in the prevention process after the abandonment of addictions. Addiction is a condition that improves but does not completely disappear. For instance, an individual may feel good when they stop using alcohol, but if they start using it again, they re-enter the same cycle of addiction. Therefore, preventing re-use and ensuring long-term effectiveness constitute essential stages of the treatment process.

What Does Social Support Serve in Addiction Treatment?

In addiction treatment, besides the detoxification process of the body from substances, the restructuring of the individual's life is also necessary. This is because alcohol and substances change various aspects of a person's life. For example, disruptions in areas such as work, education, family, and friendships have increased. The individual starts losing confidence in themselves and feeling isolated. This is where social support comes into play. A Social Worker shows the individuals with addiction what they were able to do before the entry of alcohol/substances into their life and demonstrates that they can achieve it again. Throughout the treatment process, the Social Worker supports and motivates the individual, plans for the utilization of free time, and organizes activities suitable for the individual's skills.

As is known, addiction is a recurring condition. If an individual has a lot of free time, the recurrence of the disease is more common. Therefore, evaluating free time is of great importance in the treatment process. Social workers help reintegrate the individuals with addiction into social life. Providing educational support, directing them to vocational training courses, and supporting their hobbies enable the individual to play an active role in social life again. Simultaneously, by following the individual and evaluating their performance in the adaptation process, commitment to the treatment process is increased, ensuring the successful continuation of the treatment.

Addiction and Social Work

Addiction is a social problem encompassing biological, psychological, and social elements. The multidimensional nature of this problem makes it challenging for singular steps taken towards a solution to be successful. Therefore, the path to developing permanent solutions in the field of addiction involves increasing interdisciplinary work areas. Professionals involved in these interdisciplinary studies should focus on the individual, the individual's environment, and the structure of the system the individual is in, and plan for comprehensive healing. Social workers play a crucial role in these interdisciplinary studies.

The social work profession aims to increase the well-being of individuals at the micro (individual, individual, and family), macro (society), and mezzo (neighbor, friend, treatment group) levels. While achieving this goal, social workers use roles such as mediation, counseling, mediation between services, and advocacy, struggling for the applicant to maintain psychosocial functionality within the community.

Social workers specializing in addiction initially conduct a detailed assessment of the addicted individual, their family, and social risks. They share this assessment with the treatment team. After this assessment, psychosocial factors affecting the addicted individual's life are determined, and intervention strategies are developed based on these factors. The interventions are tailored to the individual, starting from where the client is and are planned to have the quickest impact on the client's well-being.

Green Crescent Counseling Center (YEDAM) Social Work Support

For example, social workers working at the Green Crescent Society of Turkey's outpatient psychosocial support service, the Green Crescent Counseling Center (YEDAM), after conducting the comprehensive assessment mentioned above, quantitatively measure the client's social risks and needs with the Social Risk Index (SORI). They create and implement an intervention plan according to the Social Work Matrix (SÇM) to ensure the individual's social participation, meet social needs, make arrangements for social life, and conduct counseling. During this process, the client is directed to social rehabilitation activities. Social workers enhance the quality of all these planned intervention steps and quickly achieve results by developing institutional collaborations. Within this intervention process, social workers periodically evaluate the client's social risks and track the impact of interventions on the increase and decrease of social risks through the Social Risk Index (SORI) on a monthly basis.   (+ button will be close here.)

Due to its multidimensional social problems, addiction necessitates a comprehensive analysis and monitoring process that is multidimensional, holistic, and comprehensive. The social worker carries out the support process with skills such as listening, confidentiality, trust relationship, approval and acceptance, assessment, treatment planning, goal setting, and continuous monitoring.

Why Are Leisure Time Activities Essential in Addiction Treatment?

Addiction is a brain disease requiring biopsychosocial intervention. Social intervention, which is part of addiction treatment, involves restructuring the social environment of the individuals with addiction and covers processes of adapting to society after treatment.

To ensure the sustainability of recovery in addiction treatment, the individual should change their lifestyle and acquire new skills. In this context, leisure time activities, a concept that can be extensively addressed, come into play. Hobbies, sports, social, and cultural activities are among leisure time activities that divert individuals from addiction. Proper utilization of free time is crucial in preventing substance and alcohol use and other addictions. The importance of leisure time activities in addiction treatment is supported by scientific studies.

Social reintegration is a significant component of rehabilitation. Increasing the social functionality of the individual and reintegrating them with society is a crucial step for a life free from addiction. Addiction, defined as a biopsychosocial disease, forms a process that can be successful with the existence of leisure time activities within social adjustment programs, along with medical treatment.

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On August 21, 2024, the 5th Youth Advocacy Forum was held, bringing together young participants aged 18-30 from various countries. The forum, which focused on the theme of "Electronic Cigarettes and Electronic Products" was also graced by the presence of representatives from different Green Crescent organizations. Among them, Muhammad Galaev, Head of the Youth Information Block at Dagestan Green Crescent, delivered a remarkable and insightful speech, drawing attention to his personal experiences. In his address, Mr. Galaev reflected on his participation in the 67th Session of the United Nations Commission on Narcotic Drugs (CND), which was organized by the United Nations Office on Drugs and Crime (UNODC). He shared key moments from a particularly meaningful side event he attended, titled “The Role of Sports and Mental Health in Preventing Addiction.” His reflections underscored the importance of promoting mental well-being and encouraging active lifestyles as effective strategies in protecting individuals from substance abuse. Moreover, Mr. Galaev took the opportunity to express his heartfelt appreciation for the unwavering support provided by the International Federation of Green Crescent Societies during the CND. He emphasized how the Federation’s presence and contributions at such global platforms enhance the visibility of civil society’s role in advocating for healthier, addiction-free communities. The forum proved to be a significant platform for young advocates, allowing them to exchange experiences, raise awareness on pressing issues like electronic nicotine delivery systems, and discuss collaborative solutions aimed at preventing addiction in future generations.

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Green Crescent provides scholarship support to master's, doctoral and medical residency students conducting thesis research on tobacco-cigarettes, alcohol, drugs, technology, gambling and other addiction forms at universities, institutes and research centers outside of Türkiye and the Turkish Republic of Northern Cyprus (TRNC). The aim is to contribute to Green Crescent's areas of addiction research.Green Crescent aims to be a source for national and international efforts against addiction, fostering scientific research to contribute to addiction literature, aid in the development of policies and action plans, and support the growth of young researchers. To achieve this goal, Green Crescent has launched the International Graduate Thesis Research Scholarship Support Program, starting in 2024, to provide support for qualitative and quantitative research in many fields from health sciences to social sciences. The scholarship program offers a total of USD 3600 for master's students and USD 7200 for doctoral and medical residency students. The application deadline for the program is June 30, 2024.Green Crescent’s International Graduate Thesis Research Scholarship Support Program will consider thesis research in the following areas: Tobacco Use and Addiction Drug Use and Addiction Alcohol Use and Addiction Technology Use and Addiction Gambling and other forms of behavioral addiction In the 2024/U1 Period International Graduate Thesis Research Scholarship Support Program, Green Crescent will provide scholarship support in line with its strategic plan and goals for research in the specified following areas:Alcohol Addiction Evaluations of the effectiveness of alcohol consumption prevention efforts among young people National and international legal regulations on alcohol consumption and implementation results The effect of family values on alcohol consumption The effect of alcohol industry activities on alcohol addiction The effect of alcohol on public health in the context of violence and traffic accidents The effects of alcohol use in OECD countries in the context of developed and developing countries Problems caused by alcohol use in traffic The activities of the alcohol industry on social media platforms The effect of the pandemic period on alcohol addiction Tobacco Addiction Studies on the frequency of use of electronic cigarettes/heated tobacco products Etiological studies on electronic cigarettes/heated tobacco products Assessments of knowledge, attitude and behavior on the use of electronic cigarettes/heated tobacco products The effects of electronic cigarettes/heated tobacco products on human health Assessments of knowledge, attitudes and behaviors related to hookah use Evaluations of the effectiveness of tobacco use prevention efforts Studies on the effects of flat packaging Evaluations of the effectiveness of smoking cessation services on a national and international basis. National and international legal regulations on the consumption of tobacco products and implementation results Regional activities of the tobacco industry and their impact on consumption behavior Comparative studies examining the transposition of the Framework Convention on Tobacco Control into domestic legal systems Studies examining the opinions of smokers and health sector workers on the inclusion of electronic cigarettes in smoking cessation practices Studies on passive smoking Studies on tobacco control policy instruments in Türkiye and the world (e.g. price and taxation, sales procedures, age restrictions, etc.) The effect of the pandemic period on tobacco addiction Studies examining the relationship between infectious diseases and tobacco products Ethical problems that will arise from the tobacco industry's positioning in the health sector (with new statuses such as pharmaceutical companies) Current status, setbacks and needs in smokefree airspace implementations Research examining the reasons for the recent increase in the prevalence of tobacco use among women in all age groups Studies investigating compliance with smoke-free airspaces Drug Addiction Investigating factors influencing the use of different drugs Etiological studies on the causes of drug addiction Studies on the frequency of cannabis use among university youth/ Studies on the frequency of drug use among university youth Evaluations of the effectiveness of activities to prevent drug use among youth The effects of drug use/multiple drug use on public health (e.g. unemployment, discord in family life, dropping out of education, etc.) Studies to develop reintegration models that would enable individuals with a history of drug abuse/addiction to take part in business life Examination of trends in the misuse and abuse of prescribed medicines Studies for the development of analytical methods for the detection of new psychoactive/drug substances Studies that examine regional trends in the legalization of drugs Studies comparing the  drug policies of Türkiye with those of regional and global organizations Studies examining the role of civil society organizations in the fight against drug addiction in the context of international examples Problems caused by drug use in traffic Studies investigating the abuse of addictive drugs and active substances in the health sector The effects of the pandemic on drug addiction Prodrug use and preventive studies Drug use in women/pregnant women and its effect on infants/neonatal mortality Investigating the effects of parental drug use on children and the family structure Investigating the frequency and reasons for drug use among children/youth raised without parents Drug use among disadvantaged individuals and examples of preventive good practices Behavioral Addictions (Studies on digital gaming, gambling, excessive use of social media, excessive use of smartphones and online pornography) Etiological studies on the causes of behavioral addictions (Example: Genetic factors, psychopathology, environmental factors, peer relationships, mental resilience, etc.). Studies on the prevalence of behavioral addictions on a large scale National/international policies and legal regulations on behavioral addictions DSM-5 or ICD-11 based scale development studies on behavioral addictions Studies on the treatment of behavioral addictions (psychotherapy and medical/pharmacological treatment) Studies examining the relationship between digital game addiction and gambling addiction The effects of the pandemic on behavioral addictions Studies supporting the conscious use of technology in school-age children General Studies that examine the effectiveness of psychotherapeutical approaches in addiction treatment practices Studies that examine the moral and philosophical dimensions of addictions Studies that examine the relationship between family relationships and addiction processes (e.g. domestic violence, etc.) Spirituality-based approaches in prevention and treatment practices related to addictions Social work activities related to addictions Comparisons of the social policies among countries on addiction Substance abuse and addictions in the workplace (alcohol, illicit substances, digital gaming and gambling addiction) Examining the effectiveness of prevention activities related to addiction Studies that examine the level of knowledge and attitudes of healthcare professionals regarding addictions Possible effects of energy drinks on young people Studies examining the relationship between addiction and criminal behavior Relationship between consumption and addiction Relationship between addiction and venues Social and economic impacts of practices and policies related to addictions Examination of the changes in the social and emotional behavior of individuals (adolescents, young people) under treatment and intervention: Longitudinal study For detailed information on the 2024/U1 Period International Graduate Thesis Research Scholarship Support Program, you can refer to the application guide provided below. The scholarship results are expected to be announced within a minimum of 3 months from the application deadline.For further inquiries, you can contact scholarship@yesilay.org.tr for detailed information.International Scholarship Application Guide:https://www.yesilay.org.tr/assets/uploads/pdf/international-scholarship-application-guide-v2.pdf International Graduate Thesis Research Scholarship Support Program Application Form:https://www.yesilay.org.tr/assets/uploads/pdf/international-graduate-thesis-research-scholarship-support-program-application-form.docx 

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