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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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The initial phase of recovery from addiction begins with discontinuing the use of the substance, allowing the body to start detoxifying. The process of staying away from the substance follows the cessation. Staying away from the substance may not always be easy, and significant changes in one's life may be necessary.

Is quitting the substance enough for recovery?

Quitting the substance is the first step towards recovery but not sufficient on its own. Recovery requires change. There are things in a person's self and life that need to be changed.

Addiction develops in a person over time. Just as the development of addiction requires a process, overcoming addiction also requires a process of change. People often fear treatment at this point because change is intimidating. When individuals are required to change their behaviors, they may step back. At this point, motivation towards change is crucial. The motivation process is an integral part of treatment.

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For an individual, simply quitting the substance and trying to distance oneself without entering the process of change provides temporary solutions. It does not offer a permanent solution. Statements commonly heard from individuals with addiction, such as "they quit for a month but then started again," are directly related to this. When a person quits the substance, they may act as if the whole process is complete, but the crucial aspect is the effort put forth to avoid relapse.

The initial phase of recovery from addiction begins with discontinuing the use of the substance, allowing the body to start detoxifying. The process of staying away from the substance follows the cessation. Staying away from the substance may not always be easy, and significant changes in one's life may be necessary. For example, staying away from environments where substances are used, not meeting friends who use substances, changing phone numbers to prevent those who supply substances from contacting them, etc. A person might even consider changing their living environment.

Adapting to these changes and sustaining them is crucial for the continuity of treatment. During the process of quitting the substance, one should avoid any situation that might remind them of the substance, even the smallest one. Because even if a person quits the substance themselves, the brain continues to desire it. Until the person learns to resist the brain's desires, what needs to be done is to stay away from dangers.

The process of recovery should be seen as a period in which an individual integrates and changes into a substance-free life. The person begins to understand and recognize themselves, attempting to change factors that led to substance use. They also start dealing with the mental issues they face. Thus, they learn not to seek solutions for their mental problems in substances. They learn about the effects of substances on themselves and acquire the necessary knowledge and skills to avoid relapse. They learn to resist the brain's desire for substances. Thus, they prepare themselves for the external world, as there will always be triggering factors and risks in life.

What should be done to avoid relapse?

The period after quitting substance use is as important as the process of quitting itself. The term used for an individual staying away from substances for a while and then returning to use is called 'relapse.' To prevent relapse, it is essential to know the phases of relapse and recognize its signals. The period when the person does not use alcohol or substances is called the 'Recovery Period.' If, thinking that "once won't hurt," the person uses substances even once, they have transitioned from the Recovery Period to the 'Testing Period.' Continuing to use, thinking that the usage is under control, is the 'Continued Testing Period.' When, after a while, the person reaches the frequency and quantities they used before, it is referred to as the 'Resuming Regular Use Period.'

Relapse does not happen immediately; it occurs after specific stages, and signals are given to the person before it happens. Some of these signals include starting to dream about alcohol or substances, reconnecting with the old environment of substance use, neglecting personal care, gaining excessive self-confidence, and thinking positively about alcohol or substances. Avoiding risky environments, recognizing the desire for alcohol or substances, and developing coping mechanisms for dealing with this desire are the primary methods to prevent relapse.

Recovery from addiction may take a long time. Experiencing relapse during the recovery period does not mean that the person cannot quit substances or alcohol. What matters is that when the risk of relapse arises, the person seeks help from professionals and believes that they can stop. In such situations, individuals should not blame or criticize themselves. Changing the environment and giving due importance to this situation can eliminate the risk of relapse.

What is the success rate of addiction treatment?

The compliance of the individual with the treatment and their motivation are crucial in addiction treatment. People with alcohol and substance use disorder often think there is no treatment for this disease. This is a misconception! Being willing and determined makes treatment possible.

Addiction is similar to diabetes; it cannot be completely cured, but it can be managed. Research has shown that during the treatment compliance process, individuals with diabetes are less compliant with treatment compared to people with drug use disorder. However, in drug use, relapse is not only about physical problems. Social, economic, and legal problems also accompany it. Compared to other diseases, drug use becomes more critical as it causes significant destruction in the individual and family, reducing the quality of life.

The treatment of addiction requires a long process. The longer an individual stays in treatment, the higher the chances of success. To continue a successful process, the person needs to remind themselves that they are dependent, not interrupt the treatment process, and the family needs to adapt to the changes in the person's life. Therefore, family support has a significant impact on the process.

The type of treatment varies from person to person. Therefore, the most suitable treatment method should be applied, taking into account what the person needs, their environment, and the risks they are exposed to. It should not be forgotten that receiving professional support during the treatment process increases the chances of recovery.

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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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