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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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REHABILITATION

Addiction rehabilitation represents a vital multidisciplinary approach in aiding individuals' efforts to tackle addiction. As part of the International Federation of Green Crescent, Country Green Crescents assume a pivotal role in addiction prevention, contributing to medical treatment, psychosocial support, support groups and training programs, while also overseeing ongoing pilot initiatives.

Effective Support During the Rehabilitation

Rehabilitation in addiction is a crucial process designed to help individuals with addiction to prevent it, recover healthily and minimize the harm caused by addiction. Rehabilitation addresses the physical, psychological and social impacts of addiction, offering various methods to overcome addiction and support the path to recovery. Addiction rehabilitation represents a vital multidisciplinary approach in aiding individuals' efforts to tackle addiction. As part of the International Federation of Green Crescent, Country Green Crescents assume a pivotal role in addiction prevention, contributing to medical treatment, psychosocial support, support groups and training programs, while also overseeing ongoing pilot initiatives. The aim is to provide effective support during the rehabilitation process, assisting individuals in transitioning to a healthier lifestyle.

Addiction rehabilitation typically adopts a multidisciplinary approach, covering medical treatment, psychosocial support, support groups, stress management, communication skills, problem-solving and various training components.

The rehabilitation process is often tailored to each individual, considering factors such as the duration and type of addiction, as well as the individual's specific needs. This personalized approach offers a roadmap to support individuals in overcoming addiction and maintaining a healthy life.

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What is rehabilitation for substance addiction and how is it implemented?

Substance use, which becomes increasingly damaging as the age of onset decreases, is a disease that ravages all aspects of an individual's life. Today, for treatment of substance use disorder to be effective, it's crucial to address all the losses in a person's life and strive to restore them as much as possible. In this regard, treatment approaches covering biological, psychological, social, family and work-related aspects are employed to address all losses, damages or deficiencies. This is where the concept of rehabilitation comes into play.

Rehabilitation involves utilizing all necessary tools to compensate for the setbacks incurred due to the disease, enabling the individual to reintegrate into society as a healthy member. In essence, genuine treatment for substance addiction lies in rehabilitation. However, the detoxification phase, where withdrawal symptoms emerging from individuals ceasing substance use are addressed, is regarded as part of the treatment process. It's crucial to understand that detoxification alone is merely the initial step in treatment and is never sufficient on its own. If an individual discontinues treatment during the detoxification phase, relapse becomes inevitable. The real treatment, known as rehabilitation, begins afterward. Rehabilitation encompasses all the necessary treatments to prevent the individual from relapsing into substance use. Therefore, rehabilitation services play a vital role in the treatment process.

 

What are the standard approaches employed in substance addiction treatment within the framework of rehabilitation services?

For effective substance addiction treatment, a minimum duration of one year is typically required. Rehabilitation or treatment, can be administered in two primary forms: outpatient or inpatient. The initial phase of treatment, known as detoxification or withdrawal, marks the beginning of the rehabilitation journey. During this stage, patients often receive medication-based treatments aimed at alleviating the physical and psychological symptoms associated with withdrawal. Treatment usually commences on an outpatient basis, with the decision to transition to inpatient care being made based on individual circumstances. Standard therapy techniques are employed for both outpatient and inpatient treatments, although treatment plans are utilized to meet each patient's unique needs. While individualized programs are developed, the therapeutic techniques employed remain largely consistent. Rehabilitation centers embrace comprehensive treatment models encompassing various steps, including psychoeducation, group therapy, individual therapy, occupational therapy, educational reintegration, family therapy, vocational training, covering all significant aspects of an individual's life. Nowadays, substance use disorder is viewed as a family issue, emphasizing the importance of family involvement throughout the treatment process. Substance use disorder is considered a family disease rather than an individual's and successful outcomes are often associated with family participation in treatment. In summary, rehabilitation represents a holistic approach addressing all facets of an individual's life. It's crucial to convey to patients and their families that treatment is a prolonged process, with longer durations of treatment correlating with increased chances of recovery and the real treatment begins after detoxification. Equally vital is guiding patients and families to appropriate treatment resources during their search.

As a leading practice in tackling addiction, the Turkish Green Crescent Society aims to address the physical, psychological and social ramifications of addiction by providing outpatient treatment services through the Green Crescent Counseling Center (YEDAM) and inpatient treatment services through Rehabilitation Centers. The objective is to reintegrate individuals into society as a healthy member, compensating for the setbacks incurred due to addiction and supporting post-detoxification treatments.

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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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