Integrated Plan to Fight Crack and Other Drugs
“Crack, We Can Beat It!” Program
Assistance and health care for drug users, prevention of drug use and fight against drug trafficking are the axes of the Program
Launched in December 2011, the “Crack, We Can Beat it!” will invest R$4 billion by 2014 to, in cooperation with states, municipalities and civil society, increase the supply of health care to drug users, fight drug trafficking and criminal organizations and enhance actions to prevent drug use. The program is divided into three areas:
• Care: Increase the capacity of assistance and care to patients and families;
• Prevention: Strengthen the safety net against drug use; and
• Authority: Fight drug trafficking and adopt constant proximity policing.
Provides for the structuring of the assistance network Count on Us to assist persons addicted to crack and other drugs as well as their families, in overcoming addiction and promoting their social reintegration.
The network includes increasing and upgrading health care through the use of health facilities to assist patients in different situations.
Specialized wards in general hospitals of the Unified Health System (SUS)
By 2014, 2,460 beds will be created and some 1,140 existing ones will be upgraded for short-term hospitalizations during withdrawal symptoms and in cases of severe intoxication. To encourage the increase in the supply of beds, the daily hospitalization fee has risen from R$57 to up to R$300.
Street Health Clinics
A total of 308 Street Health Clinics will be implemented to provide assistance on wheels in areas with the highest incidence of use of crack and other drugs, in municipalities with population above 100,000. The clinics’ professionals include physicians, nurses, psychologists, social workers, occupational therapists and social agents.
Psychosocial Care Centers for Alcohol and Drugs (Centros de Atenção Psicossocial para Álcool e Drogas - CAPSad)
The CAPSad will be open 24 hours, seven days a week, providing continuous treatment, including overnight shelter for up to 400 people per month. By 2014, 175 units will be implemented throughout the country.
By 2014, 408 units will be created to assist adults, in addition to 166 units exclusively for 10 to 18 year olds. The Sheltering Units provide residential care for up to six months, so as to maintain the clinical stability and support the social reintegration of drug users in partnership with the CAPSad.
Support for Therapeutic Communities
Civil society institutions that cater for drug addicts and their families will receive funds from SUS. To this end, they must meet the criteria established by the National Sanitary Surveillance Agency (Agência Nacional de Vigilância Sanitária - ANVISA) and the Ministry of Health, so as to ensure integration to the psychosocial assistance network and an environment that respects the rights of patients and their families. All institutions will be linked to the National Register of Health Institutions (Cadastro Nacional de Estabelecimentos de Saúde - CNES).
Since the program’s inception, the Ministry of Health has authorized the transfer of R$41.5 million to strengthen the health care network in São Paulo, Rio de Janeiro, Pernambuco, Ceará, Bahia, Federal District and Rio Grande do Sul. These funds are aimed at covering the costs of the existing Psychosocial Care Centers (Centros de Atenção Psicossocial - CAPS) and the creation/qualification of new services, including 77 beds in specialized wards; 21 CAPSad operating on a 24 hour basis; 8 child/youth sheltering units and 18 adult sheltering units. Together, these services total 487 places, of which 410 are sheltering/hospitality units and 77 are for short-term hospitalization.
The new type of funding for CAPS was defined on December 23, 2011 and incorporates the annual amount of R$213.7 million to the maximum federal transfers for medium and high complexity health services, rendered to States, Municipalities and the Federal District.
Communication actions will be undertaken with the population to prevent the use of crack and other drugs in schools and communities.
Drug Use in School Prevention Program
Training of 210,000 educators and 3,300 military police officers under the Drug Abuse Resistance Education Program (Programa Educacional de Resistência às Drogas - PROERD) for the prevention of drug use in 42,000 public schools. The program will benefit 2.8 million students per year.
Prevention in the Community Program
Provides distance training for 135,000 community leaders and municipal councilors by 2014, as well as to 35,000 religious leaders, who will work in the prevention of drug use and develop preventive measures and an appropriate approach to situations requiring referral to the services’ network offered to the community.
They will also train 35,000 health and social work professionals, in addition to 30,000 law enforcement professionals.
Communication and Advertising Campaigns
Three media interventions will be organized each year, aiming to inform, guide and warn the population on the use of crack and other drugs.
The toll-free number (132) that provides guidance and information about drugs (VivaVoz) was transformed into a public utility. The three-digit number aims to facilitate access by citizens.
Regional Reference Centers (Centros de Regionais de Referência - CRRs)
Consolidation of the current 49 centers, which operate within public institutions of higher education, with a twofold increase in the number of places offered and the creation of 16 new CRRs by 2014, totaling 112,000 places for permanent training of health, social assistance, justice and public security professionals.
Aims at integrating the police intelligence services and increase the cooperation between Federal Police, Federal Highway Police and state police; constant proximity policing in areas of drug use in the cities, as well as revitalizing these areas.
Police operations will focus on the borders, in line with the operations contained in the Strategic Border Plan, and in areas of drug use, especially the so-called “crackland” (cracolândias).
Intelligence and investigation actions will also be strengthened to identify and arrest drug traffickers and dismantle criminal organizations engaged in the trafficking of illicit drugs. Federal Police and Federal Highway Police forces will be strengthened with the hiring of more than 2,000 police officers.
The initiative also includes implementing constant proximity policing in areas with high rates of drug use, where video surveillance cameras will be installed to assist people who work, live or pass through these areas. The hope is that the use of cameras, both mobile and stationary, will contribute to inhibit crimes, especially drug trafficking.
The professionals who will work in these areas are trained in proximity (community) policing and will encourage community involvement in the fight against drug use, to enhance violence and crime prevention efforts.
The Program also entails adapting regulatory frameworks. The Executive Branch has sent to Congress two Bills: one establishing the National Public Information System on Security, Prisons and Drugs (Sistema Nacional de Informações de Segurança Pública, Prisionais e sobre Drogas - SINESP) and the other amending the Code of Criminal Procedure and the Law on Drugs, with a view to streamlining the transfer of ownership of drug trafficking proceeds.
The Federal Government has also announced its support for three other bills currently before the National Congress, specifying the crime of participation in criminal organizations; money laundering; and protective custody of foreigners upon warning (red notice) from Interpol.
For further information visit the program’s web portal at www.brasil.gov.br/enfrentandoocrack