The national policy envisages that all treatment interventions, irrespective of their provision, should be evidence based and comply with prevailing guidelines.
Together with the institutes for mental health care, the institutes for addiction e care have organised the Dutch Association of Mental Health and Addiction Care (GGZ Nederland), which supports the quality management of addiction e care by means of the programme ‘Scoring Results’ (Resultaten Scoren), which was launched in 1999.
The national infrastructure for the governance and coordination of the implementation of best practices is as follows: the Minister and the State Secretary for Health, Welfare and Sport (VWS) are advised by the Dutch Association of Mental Health and Addiction Care (GGZ Nederland), the National Health Care Institute (Zorginstituut Nederland) and the Trimbos Institute (Netherlands Institute of Mental Health and Addiction).
In addition, the Minister and the State Secretary can commission further research by the Netherlands Organisation for Health Research and Development (ZonMw), and initiate the development of quality standards and guidelines for best practices by Foundation Scoring Results (Stichting Resultaten Scoren) and the Quality Institute (Kwaliteitsinstituut). These quality standards and guidelines are implemented by the health insurance companies so that only qualified evidence-based best practices are funded. Subsequently, the Dutch Healthcare Authority (NZa) and the Health Care Inspectorate (IGZ) monitor the actual implementation of the best practices.
The accreditation system is operated by the CIBG Agency, which has been defined by the Ministry of Health, Welfare, and Sport (VWS) as follows: ‘The CIBG agency is an executive organisation within the Ministry of VWS which, based on legislation or established policy, makes decisions, registers data, issues permits and permissions, and provides support to committees and boards that have an oversight function in health care.’
Continuing professional development courses are available. In addition, many universities offer undergraduate degrees in addiction e science, and Radboud University offers a master’s degree in Addiction Medicine for students who want to specialise in addiction.