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Title: Substance and Alcohol Use Disorder: Clinical, Social and Political challenges (in 2021 exceptionally delivered as synchronous webinar)
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: 2021-05-17
Date end: 2021-05-28
About duration and dates: Two weeks (“module weeks”) + three days for a written assignment (submission deadline: four weeks after the end of “module week”)
Classification: advanced optional
Mode of delivery: Distance-based
Course location:
Institute of Tropical Medicine and International Health,
Charité – Universitätsmedizin Berlin
Campus Virchow-Klinikum
Augustenburger Platz 1, 13353 Berlin, Germany
ECTS credit points: 3.5 ECTS credits
SIT:
108 hours SIT
Contact: 60 hours (38 hours lectures/workshops + 12 hours field visits + 4 hour guided group work + 4 hours presentations + 2 hours exam)
Self-study: 48 hours (23 hours private reading during “module week” + 4 hours preparation of group presentation + 21 hours for written assignment after “module weeks”)
Language: English
Description:
At the end of the module students will be able to
• develop an appropriate strategy for a country or region of choice to improve the response to AUD/SUD
• Critically discuss the broader health, societal and economic impact of AUD/SUD globally and in different countries and regions and debate health policies for (and against) people who use drugs at a global level and for selected countries exemplary at nation/region level
• Analyse 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
• Explain the aetiology as well as intrinsic and extrinsic risk factors contributing to substance and alcohol use disorders.
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 67% 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. Describe 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:
• The current understanding of reward deficiency syndrome, AUD and SUD (lecture) (3h)
• AUD/SUD and psychiatric comorbidities (lecture) (3h)
• Self-study (3 h)
Day 2
• Treatment of AUD (lecture) (1.5 h)
• Opioid Substitution Therapy (lecture) (1.5 h)
• Field Visits in Berlin (3 h)
• Self-study (3 h)
Day 3:Day 3
• Presentations of field visits (1 h)
• Epidemiology and societal and economic impact of SUD/AUD (2 h)
• The concepts and evidence base of “harm reduction”: acceptance and prevention (lecture) (1 h)
• Comprehensive care for people who use drugs (lecture) (1 h)
• Harm reduction: a global overview (1 h)
• Self-study (3 h)
Day 4
• AUD/SUD and somatic comorbidities: HIV HCV (1 h)
• AUD/SUD and somatic comorbidities: TB (1 h)
• Case presentation (Manipur) (1 h)
• Field Visits in Berlin (3 h)
• Self-study (3 h)
Day 5Discussion on field visits (1 h)
• The
• “War on Drugs” (Myanmar, Colombia, Afghanistan) (2 h)
• Trauma and Drugs (1.5 h)
• Global Commission on Drug Policies (1.5 h)
• Self-study (3 h)
Day 6
• The role of nursing in comprehensive care for people who inject drugs (1.5 h)
• Women who use drugs – case studies of Nepal and Myanmar (1.5 h)
• Field Visits in Berlin (3 h)
• Self-study (3 h)
Day 7
• Presentation of field visits (1 h)
• AUD/SUD – Psychiatric Disorders – Imprisonment – Care behind bars (1 h)
• Prison setting and AUD/SUD (group work) (1 h)
• Cannabis (1.5 h)
• Cannabinoids as therapy (1.5 h)
• Self-study (3 h)

Day 8
• Diamorphin therapy (1.5 h)
• Ketamin, LSD and Psychobilin as treatment for AUD/SUD (1.5 h)
• Field Visits in Berlin (3 h)
• Self-study (3 h)
Day 9
• Discussion of field visits (1 h)
• New concepts as treatment (e.g. Ibogaine, Ayahuasca) (1 h)
• WHO Policy on AUD/SUD (1 h)
• Open stage (3 h)
• Self-study (3 h)
Day 10
• Open stage (3 h)
• Written exam (2 h)
• Feedback & Evaluation & Instructions for essay (1 h)
Methods:
The course uses participatory learning, based on lectures with discussions (38 hrs), supervised/guided group work (4 hours) and field visits (12 hours), preparation and presentation of the field studies (8 hours) as well as self-directed learning (23 hrs), and a written assignment (21 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: 24
Students have to attend 85% of the module week.
Selection:
Participants are selected on a first come first served basis.
Fees:
962,50 € Troped MScIH students and alumni
1.203,13 € for guest students incl. Diploma
Scholarships: None
tropEd accreditation: Accreditation in Lisbon, January 2019 (2 ECTS). Reaccredited in EC Conference, December 2019 (3.5 ECTS. This accreditation is valid until December 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: 2021-03-11 09:39:29 (W3C-DTF)

Fifteen years of the tropEd Masters in International Health programme: what has it delivered? Results of an alumni survey of masters students in international health

L. Gerstel1, P. A. C. Zwanikken1, A. Hoffman2, C. Diederichs3, M. Borchert3 and B. Peterhans2

1 Royal Tropical Institute, Amsterdam, The Netherlands
2 Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
3 Institute of Tropical Medicine and International Health, Charite – Universit€atsmedizin Berlin, Berlin, Germany