Emerging Trends and New Drugs The French National Monitoring System on patterns of drug use and local drug market

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1 TREND system Emerging Trends and New Drugs The French National Monitoring System on patterns of drug use and local drug market Agnès Cadet-Taïrou Head of TREND Unit French monitoring Centre for Drugs and Drug Addiction EMCDDA-PDU expert meeting, Lisbon, September, 21 th 2016

2 Thread TREND Unit (team) the French Focal point TREND scheme ( and TREND network) Benefits, limitations and challenges 2

3 TREND Unit, role First (1999) Finally Plus Providing early information identifying phenomena before they are seen by classical quantitative indicators Collecting qualitative data from the field analyzing phenomena undetectable by quantitative indicators Providing clues for understanding by cross checking a large range of data The French Focal point of the European EWS on drugs part of the French vigilance system on drugs 3

4 TREND Unit, tools TREND system = a User and Context approach A network + local data collection tools + data synthesis A one year period + occasional rapid information requests SINTES system = a substances approach A network to share information rapidly: new substances / dangerous substances (EWS) A network to collect and analyse substances from DUs I-Trend project (Internet tools for research in Europe on new drugs) Quantitative surveys ENa-CAARUD: National survey on low threshold facilities for DUs Quanti-festif : on techno party environments Cross-checking of partners data Toxico/addicto-vigilance, law enforcement indicators, DRD, General population surveys 4

5 Main principle: triangulation Confrontation of independent sources of information Qualitative data analysed in the light of quantitative data Two levels of triangulation local (the most important one to understand phenomenons) national international context is taken into account 5

6 Trend system: the TREND network TREND cities Lille TREND network : 8 cities ( 1 entered in 2016) + partners (Forensic, Toxicovigilance, Treatments, Harm reduction ) Rennes Paris Metz A common strategy to collect and analyse data Each Trend regional coordinator is also a SINTES coordinator Bordeaux Toulouse Lyon Marseille Gradually implemented in France since

7 Fields Drug users: profiles, patterns of use, representation Substance: name, price, availability, chemical composition Context: context of use, evolution in environments, local market and trafic Consequences: +/- social and health 7

8 TREND, main qualitative observation areas Rural areas and semi-rural «Urban» settings suburbs «Techno» party scenes Squats Streets Low threshold/ harm reduction facilities Alternative party scene Disadvantaged suburbs Specialised care setting Law enforcement services Conventional party scene eg clubbing Gay party scene Private environment Virtual space Internet Professional environment 88

9 Tools at the local level Ideal aim: independant sources Internal tools French CDC French EMCDDA data Qualitative questionnaires (low threshold facilities/ specialisedcare centres) Quanti surveys (mainly low threshold facilities Ethnographic observation Price Barometer TREND Ad hoc investigations Focus groups (forensic, health) Local media screening SINTES Vigilance on substances Addictovigilance toxicovigilance Interviews Key Informants Forensic External tools 9

10 TREND network framework Local network Local tools Analysis city 1 (triangulation) city 2 Synthesis Software : NVivo City n Annual local report and database containing all ethnographic material National network Other partners and indicators Forensic Toxicovigilance Treatment Health data Other outputs of the network Quali surveys Quanti surveys Ad hoc investigtations OFDT (French focal point) National analysis and synthesis Trend national report 10 10

11 What does the system provide? Structural important trends Identification Description Understanding Follow up New significant trends Emerging phenomenon Emerging Trend Needto keepan eyeon it «Flop» 11 11

12 Benefits of TREND system Improvement of state of knowledge Better understanding of contexts and phenomenon A dynamic view A spatial view of the French territory A population approach Reactivity in the French vigilance system on drugs Ability to quickly understand the issue raised by a signal Opportunity to collect information rapidly when necessary Allow implementation of less expensive multi-centric studies Development of an expertise in rapid investigations by the coordinators 12

13 Limitations and challenges (1) Scientific point of view "Blind" or blurred areas and hard-to-reach population in spite of adaptation of scope Country-side Teenagers out of festive events Users scattered in general population Enclosed population (eg. some disadvantage suburbs, minorities) Very widespread phenomenon Alcohol, cannabis use Difficulties to keep focused on all aspects over time. 13

14 Limitations and challenges (2) economic point of view Cost of the city network: around in 2015 (including TREND and SINTES for OFDT) A lot for OFDT Too restrictive for Trend cities Growing weight of local funds For «TREND unit» staff How to reach a balance between And worktime left for TREND scheme (coordination and scientific production) (< 1 full-time equivalent) Need for sustaining and improving quality of collected data Sustaining in-depth analysis Dissemination of results 14 14

15 Thank you for your attention 15

Emerging Trends and New Drugs The French National Monitoring System on patterns of drug use and local drug market

Emerging Trends and New Drugs The French National Monitoring System on patterns of drug use and local drug market TREND scheme Emerging Trends and New Drugs The French National Monitoring System on patterns of drug use and local drug market Agnès Cadet-Taïrou Head of TREND Unit French monitoring Centre for Drugs and

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