Spain Country Drug Report 2019

Quality assurance

The newly adopted Spanish National Strategy on Addiction 2017-24 links scientific evidence, quality and evaluation. For example, quality and evidence constitute two of the eight guiding principles, and evaluation and quality are one of six transversal areas. These principles are strategic objectives within the different action areas. The Autonomous Community Drugs/Addictions Plans also explicitly address quality within their strategies and action plans, particularly in recent years.

At the national level, there is no accreditation system for interventions in demand reduction. At autonomous community level, there are large differences between autonomous communities and action areas. Accreditation criteria are in place at community level for harm reduction and for use of opioids for harm reduction purpose. In the field of prevention, quality assurance is less systematised. Evaluation criteria may also differ between the communities.

All the autonomous community drug plans provide for training activities for professionals, aimed primarily at municipal prevention technicians and healthcare service professionals. Five autonomous communities offer university master’s courses on drug dependency and seven offer postgraduate courses. The main non-governmental organisations also have continuous training plans for their staff.

The European Drug Prevention Quality Standards, and many related materials (training courses, implementation guides, etc.), have been translated and adapted.

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Methodological note: Analysis of trends is based only on those countries providing sufficient data to describe changes over the period specified. The reader should also be aware that monitoring patterns and trends in a hidden and stigmatised behaviour like drug use is both practically and methodologically challenging. For this reason, multiple sources of data are used for the purposes of analysis in this report. Caution is therefore required in interpretation, in particular when countries are compared on any single measure. Detailed information on methodology and caveats and comments on the limitations in the information set available can be found in the EMCDDA Statistical Bulletin.