Prior to beginning
| Autor | Efrem Milanese |
| Páginas | 29-46 |
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Prior to beginning
3.1 Where to start?
The question is: if I want to conduct a community treatment process, where do I begin?
Answer: It depends on where I am. The possibilities are almost endless. I might
be an organization in a high-risk community that works with addicts, using an insti-
tutionalized model, or an organization that only works in prevention in schools, or an
informal group interested in “doing something,” or a group connected to activities in a
parish, or a school, or an interested, committed individual, a political leader, etc.
Here are some steps in the process:
• Building a team.
• Initiating a common training process.
• Conducting basic training.
• Developing differentiated operational profi les.
• Developing an organizational model.
• Identifying the local community (territory).
3.2 Building an initial team
Action:
Build a team.
Objectives:
Select and bring together a minimum number of operators.
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COMMUNITY TREATMENT OF ADDICTIONS AND THE CONSEQUENCES OF EXTREME EXCLUSION
Process:
Follow two lines simultaneously:
• Identify and select individuals on the basis of operational identifi cation (work in the
same area, prior knowledge, etc.)
• Combine individuals with a formal profession and individuals with professional
experience in the fi eld (preparation through experience).
Target group:
• Professional operators in the areas of public health and social work, with expe-
rience in prevention and rehabilitation areas.
• Technical operators with experience in prevention and rehabilitation areas.
• Former peer operators (individuals who have completed a rehabilitation process
with positive results) and peer operators.
Goal:
• Build an operational resource network of approximately 20 units, in order to form
a team of approximately six or seven units (initial minimum size).
Diffi culties:
• The need for the initiative’s leader to have a team of individuals with whom he/she
identifi es, especially ideologically and affectively.
• Reciprocal jealousy between professional operators (doctors, psychologists, etc.)
and non-professional operators.
• The difference in language and salaries between professional and non-professional
operators.
• The diffi culty of working as a team with an active drug-dependent individual or
with a person who suffers extreme exclusion.
• Teams formed in the context of a low threshold process may generate a low level of
differentiation in roles and tasks.
• Individuals who come together in an innovative project in the “social” area are
especially characterized by ideological and affective (identifi cation-oriented) moti-
vations.
Good practices:
• From the beginning working toward building a network of operational resources
that is as broad as possible.
• Beginning with a group of operators who do not belong to the target group (former
peer operators, professionals, technicians, etc.) and gradually introducing peer
operators.
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