Cannabis, alcool, tabac… Avec le Repérage Précoce et l’Intervention Brève, se sentir légitime pour en parler.

<< Background >>Care, health, and social care professionals face numerous challenges related to the use of addictive substances among their patients or beneficiaries: a growing diversity of products, a lack of resources, training, and information, and pressures to take preventive action without being prepared. They express a strong need for training to feel empowered to address the issue: to better understand the products, master the Early Detection and Brief Intervention (EDBI) tool, exchange with peers, and know who to refer people to.The populations concerned are also interested in discussing the issue. In Belgium and France, health authorities recommend strengthening prevention and information and reiterate the importance of providing professionals with the tools to play a preventive role. Addictions France and the Patient Education Center wish to expand the RPIB-alcohol training to cannabis and tobacco, reach more aid and social professionals, and offer these training courses in areas underserved by the offer, with a format that encourages appropriation, experimentation, exchange, and knowledge of existing relays.<< Objectives >>The project aims to address field issues related to alcohol, tobacco, and cannabis consumption by training and equipping aid, health, and social professionals working in the beneficiaries' living spaces. The aim is to strengthen their skills and their sense of legitimacy in addressing the subject of consumption with a patient or beneficiary. The training questions their representations regarding the notions of product/pleasure/dependence, aims to increase knowledge about the three substances, and promotes the appropriation of the Early Detection and Brief Intervention (RPIB) and the Risk and Harm Reduction (RDRD) approaches. The meetings increase knowledge of second-line structures specializing in addictions (knowing who to refer to). The project also encourages a wide dissemination of the RPIB and RDRD approaches, the sharing of practices between professionals in the same area, and the wide dissemination of tools. All of this contributes to increasing the quality of life of the beneficiaries and strengthening the prevention skills of the professionals targeted by the project.<< Implementation >>The implementation of the project included the creation of a framework for collaboration between the two partner associations (French and Belgian), regular meetings between the two teams (face-to-face/remote), the cross-promotion of the partners' knowledge, the definition of the target audience and the means of communication of the offer (platform; newsletters; social networks, etc.). It was necessary to identify 4 training locations meeting the accessibility criterion for a professional public working in rural areas, to jointly develop and disseminate the training offer (visuals, program, registration, questionnaire). Subsequently, the two associations worked to adapt the training content to the expectations of the participants questioned during registration, to the implementation of the 4 training cycles (2 and a half days each). These locations are: Virton, Libramont (Belgium), Sedan and Givet (France). The final activities of the project consisted of the evaluation of the training, the choice of platforms for disseminating the project, the organizations to contact for the dissemination of the results (in France and Belgium), the joint writing of the summaries, press releases and the activity report.<< Results >>CAN AL TA trained 60 aid, health, and social care professionals working in the homes of beneficiaries in Early Detection and Brief Intervention (EDI) and raised their awareness of Risk and Harm Reduction (RDRD). Home should be understood as the house, the shelter, or the street, the daily living space of the beneficiaries. The initiative targeted professionals rarely targeted by this type of training, through an innovative format addressing several substances (alcohol, tobacco, cannabis) and divided into four 2.5-day cycles in four locations (Sedan, Givet, Libramont, Virton), thus covering a Franco-Belgian area and encouraging cross-border participation. The participants, although from various professions (nursing assistants, family caregivers, home care workers, educators, nurses, social workers, coordinators, etc.), formed homogeneous groups at the local level, confirming the program's relevance to diverse audiences with shared needs. The training filled a gap in the target areas, where few similar initiatives existed. In Sedan and Givet, the participants were French and Belgian. The discussions illustrated the richness of the cross-border approach.