The Italian National Action Plan on Drugs 2010-13 states that drug treatment and other interventions should be continually assessed through a systematic evaluation of their safety, efficacy, acceptability, ethics, financial sustainability and the degree of customer satisfaction. In general, the monitoring and continuous evaluation of effects of interventions should be based on rigorous evaluations; however, apart from some scientific projects conducted in recent years, no systematic evaluations of the interventions implemented in Italy are available.
In Italy, health services are accredited through the National Health System, which is delegated to the individual regions/autonomous provinces; services for drug users are part of this system. The regions/autonomous provinces maintain their complete independence in formulating local policies and strategies, as well as planning, accrediting and organising the treatment services. The local health authorities (ASL) carry out a planning and operational role: they define and implement the evidence-based operational procedures with the aim of implementing homogeneous and coordinated interventions in their territories. The ASL check and verify the quality of the assistance provided and the development of agreed common programmes and are responsible for the organisation and for the activities of public services for addictions. Regions and autonomous provinces increasingly assess the quality of drug treatment with the support of guidelines. A number of Italian prevention centres are supporting and implementing the European Drug Prevention Quality Standards, Phase II.
Some regions have reported the implementation of continuing education courses on substance use problems for psychologists.