Monitoring, evaluating and steering outpatient drug care facilities in the city of Hamburg

Speaker: Marcus-Sebastian Martens (Zentrum für Interdisziplinäre Suchtforschung der Universität Hamburg /ZIS/; Center for Interdisciplinary Addiction Research of the University of Hamburg /CIAR/, Germany)

The city of Hamburg provides more than 45 state-aided but NGO-driven projects or facilities for drug and alcohol addicted clients, with more than 19000 registered treatment episodes in 2009 (data of low-threshold services are not included into that number). The outpatient aid given in Hamburg to drug and alcohol clients is outstanding, not only compared to other cities within Germany, but also within Europe. Since 1997 a monitoring system (BADO) has been in place in Hamburg, which collects standardized data on treatment and client characteristics, using an identifier to control different treatment episodes for the same person while guaranteeing a high level of personal data protection. The client data collected is far beyond the data for the Treatment Demand Index (TDI) or the German Core Dataset (KDS). NGOs and the funding administrations are equally represented at the BADO organization. The data collection, processing and analysis are carried out by third-party scientific institutes. The BADO Organization interprets and publishes its results annually. Moreover, it delivers requested analysis to various stakeholders of the drug care system, and therefore provides the basis for the evidence-based steering of aid for outpatient drug and alcohol clients. The process of establishing the BADO system in Hamburg will be presented, selected treatment-related outcome results highlighted, and BADO’s use in steering various administrative bodies (as well as NGOs and treatment facilities) discussed.

CV: Marcus-Sebastian Martens is a senior scientist at the University Hospital of Hamburg Clinic for Psychiatry, Center for Interdisciplinary Addiction Research (ZIS). He is a trained psychologist, neuropsychologist and psychotherapist. He has been working for 18 years in the field of drug addiction treatment. In 1992 he began working as a drug counselor at residential treatment rehabilitation facilities, mainly responsible for diagnostics, assessments and therapy. In 2001 he joined the Center for Interdisciplinary Addiction Research at the University of Hamburg as a scientist. His responsibilities in this role include monitoring and reporting on more that 400 drug treatment facilities in Germany. Through workshops and teaching he has trained the staff of drug care units in diagnostics, treatment approaches, documentation standards and data interpretation. Moreover, he has published research results in scientific journals, manuals and reports. He has been involved on a European level as an expert in various missions to Turkey, Cyprus and Poland. In 2008/2009 he was the European resident advisor to the Romanian Anti-Drug Agency. He is also the leader of the TREAT component within the Central Asia Drug Action Program (CADAP 5) of the European Union.