Title: Substance and Alcohol Use Disorder: Clinical, Social and Political challenges
Keywords: psychosocial
Vulnerable groups (in general)
Public Health
Chronic Health Problems
Addiction
Country: Germany
Institution: Germany - Institute of Tropical Medicine and International Health, Berlin
Course coordinator: Dr. Till Kinkel
Date start: 2020-05-11
Date end: 2020-05-15
About duration and dates: One week (“module week”) + two days for a written assignment (submission deadline: four weeks after the end of “module week”)
Classification: advanced optional
Mode of delivery: Face to face
Course location:
Institute of Tropical Medicine and International Health,
Charité – Universitätsmedizin Berlin
Campus Virchow-Klinikum
Augustenburger Platz 1, 13353 Berlin, Germany
ECTS credit points: 2 ECTS credits
SIT:
60 hours SIT
Contact: 30 hours (20 hours lectures/workshops + 3 hours field visits + 3 hour guided group work + 2 hours presentations + 2 hours exam)
Self-study: 30 hours (13 hours private reading during “module week” + 2 hours preparation of group presentation + 15 hours for written assignment after “module week”)
Language: English
Description:
At the end of the module students
• Explain the aetiology as well as intrinsic and extrinsic risk factors contributing to substance and alcohol use disorders.
• Discuss treatment and comprehensive care options for people who use drugs
• Describe the epidemiology of SUD/AUD at a global level and for selected countries exemplary at national and/or regional level
• Discuss the broader health, societal and economic impact of AUD/SUD globally and in different countries and regions.Debate health policies for (and against) people who use drugs at a global level and for selected countries exemplary at nation/region level
• Propose a strategy for a country or region of choice to improve the response to AUD/SUD
Assessment Procedures:
A 45 minutes closed book multiple choice exam (ca. 30 questions, accounting 33% to the overall mark)
The exam will cover theoretical aspects of the module. The student passes the exam if ≥ 60% of the questions are answered correctly. Exams will be marked within 7 days after the end of the “module week” and immediately communicated to the students.
If the student fails s/he can re-sit (up to 2 times) on a date agreed on with the module coordinator (preferably within 4 weeks after the module).

A written assignment (1500-2500 words, accounting 66% to the overall mark).
The assignment assesses the capability of the student to analyse a real world situation and to translate the content of the module into public health approaches. For the assignment students are asked to select a country or region within a country and to:
1. Analyse the epidemiology of SUD/AUD in the particular state/region (10% weight in the assignment’s grading)
2. Describe the Health and Societal Impact of SUD/AUD in the particular state/region (20% weight in the assignment’s grading)
3. Analyse current responses to SUD/AUD at medical and (governmental and non-governmental) political/societal level (20% weight in the assignment’s grading)
4. Propose ways to improve the countries response to AUD/SUD (30% weight in the assignment’s grading) and
5. Identify potential barriers for implementation of the proposed interventions (20% weight in the assignment’s grading)
Each student will receive an individual feedback on the assignment and a grade using a rubric matrix. Students pass the assignment if they gain 60% or more of the achievable points. If a student fails the assignment, s/he is allowed to revise and resubmit the assignment considering the comments provided by the marker.
Content:
The course will cover the following topics:
Day 1 morning: Lecture: “The current understanding of reward deficiency syndrome, AUD and SUD” (3h) (Lecturer: TK)
Day 1 afternoon: Lecture: “AUD/SUD and psychiatric comorbidities – part 1” (3h) (Lecturer: ST)
Day 1 evening: Self-study (3 h)
Day 2 morning (a): Lecture: “AUD/SUD and psychiatric comorbidities – part 2” (1h) (ST)
Day 2 morning (b): Lecture: “AUD/SUD and somatic comorbidities” (2 h) (TK)
Day 2 afternoon: Guided field visits in pairs/small groups to various service and care providers for people who use drugs in Berlin. (3 h) (TK & “guides”)
Day 2 evening: self-study/Preparation of a 10 minutes presentation of the visit (3 h)
Day 3 morning (a): Presentations of the self-studies (1 h) (Lecturers: TK, ST, MM)
Day 3 morning (b): Lecture/discussion: “Treatment and care approaches to SUD/AUD” (2 h) (TK, ST, MM)
Day 3 afternoon: Lecture: “Epidemiology and societal and economic impact of SUD/AUD” (3h) (TK)
Day 3 evening: Self-study (3 h)
Day 4 morning (a): Lecture: “The “war on drugs” and evidence based policies” (1.5h) (ST, MM)
Day 4 morning (b): Lecture: “Community empowerment of the marginalized” (1.5h) (MM)
Day 4 afternoon: Supervised/Facilitated group work in pairs/small groups: “Meet the expert: people who use drugs”. Here the students get the opportunity to meet people who use drugs with different backgrounds and histories for in-depth conversations/interviews (3 hours) (TK, ST, MM)
Day 4 evening: Self-study/Preparation of a 10 minutes presentation of the “meet the expert” session (3 h)
Day 5 morning (a): Presentations of the self-studies.(1 h)
Day 5 morning (b): Preparation of the written assignment: Definition of the expectations (2 h)
Day 5 afternoon (b): Written multiple choice exam (2 h)
Day 5 afternoon (c): Feedback and evaluation (1 h)
Day 5 evening: Self-study (3 h)
Methods:
The course uses participatory learning based on lectures with discussions (20 hrs) and field visits (3 hours), supervised/guided (3 hours) and non-supervised (2 hours) group work (3 hours), presentations of the field studies (2 hours) as well as self-directed learning (13 hrs), and a written assignment (15 h)
Prerequisites:
Successful completion of the core course.
English TOEFL test 550 or 213 computer-based or 79/80 internet-based or IELTS band 6.0.
Attendance:
Max. number of students: 15
Students have to attend 85% of the module week.
Selection:
Participants are selected on a first come first served basis.
Fees:
500 € Troped MScIH students and alumni
625 € DIPH and DTMPH students
750 € Other students (e.g. short course students)
Scholarships: None
tropEd accreditation: Accreditation in January 2019, in Lisbon.
This accreditation is valid until January 2024.
Remarks:
Participants might get in contact with people living with AUD/SUD inside and outside therapeutic programs. A non-judgmental and respectful approach to people living with AUD/SUD is therefore required.
Participants pledge themselves to the principles of medical confidentiality whenever there is contact to people living with AUD/SUD.
Preparatory reading is not required.
Email Address: Till.kinkel@gmail.com
Date Of Record Creation: 2019-02-15 09:51:48 (W3C-DTF)
Date Of Record Release: 2019-02-15 15:02:45 (W3C-DTF)
Date Record Checked: 2019-02-15 (W3C-DTF)
Date Last Modified: 2019-07-15 14:32:48 (W3C-DTF)

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