Rome Consensus 2.0
The Rome Consensus for Humanitarian Drug Policy was created in 2005 and developed as a partnership between the Italian Red Cross, the International Council on Security and Development and the Villa Maraini Foundation. The initiative was established to address the specific dimensions of the drug problem based on existing knowledge and best practices of the past 40 years. The aim was to promote, within the International Red Cross and Red Crescent National Societies, a health-based approach to drug related suffering, and to prompt humanitarian action in this area. The Rome Consensus was signed by 121 Red Cross Red Crescent National Societies worldwide.
One of C4’s latest goals is to re-launch as the Rome Consensus 2.0, building upon past success. The Red Cross and Red Crescent Societies needs partners in humanity, especially in this stigmatized field, to brighten an international debate on how to tackle the drug problems and how to respond to the needs of the most vulnerable. Our new declaration seeks to first foster consensus while broadening reach to secure new signatories from around the world, and to provide a best practices reference model on humanitarian drug policy for the future.
Police Treatment and Community Collaborative
The Police, Treatment, and Community Collaborative (PTACC) is a collaborative alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy, whose mission is to strategically broaden community behavioral health and social service options available through law enforcement diversion.
In March 2017, an inaugural National Pre-Arrest Diversion Summit was held at the headquarters of the International Association of Chiefs of Police. The summit was attended by representatives from 39 organizations from across the nation. PTACC was established that same spring with the purpose of providing vision, leadership, advocacy, and education to facilitate the practice of pre-arrest diversion across the United States. PTACC is the national voice of the pre-arrest diversion and deflection field.
Recovery Chronicles Project
While a fair amount has been written about the advocacy and social support movements for addiction, relatively little about the related clinical, financial and research policies have been gathered. While the field itself may be relatively young, many of the early pioneers are advancing in years, there is now a risk that this history will be lost.
To address this challenge, C4 has started the process of documenting this valuable information in the form of video interviews. We are also reaching out to collectors of historical materials related to addiction and recovery to establish an informal network of resources for future historians and students to access.
C4 has been deeply involved in policy formulation and execution. We understand that this work includes navigating difficult processes and requires many divergent and often unrelated skill sets. While there is much well-intentioned advocacy, it rarely translates into effective policy at the operational level. Drawing upon our experience in policy development at the national and international levels, C4 is assembling the curricula, as well as a group of seasoned professionals, to establish a series of “policy boot camps” to create cadres of public sector policy activists effectively implement policy at the local and national levels.
Value Based Incentives
C4 roots are in financial policy, and were created in response to the “managed cost” corrections of the early 90’s. Many of our early policy recommendations are just now becoming mainstream, none more so than the rapid transition from “fee for service” reimbursement transactional systems to “value-based incentive” service purchase models. This contemporary iteration of “outcomes-based purchasing” is a foundational tenet of C4’s philosophy. As CMS has started a rapid movement towards such systems, it has become abundantly clear that both payors and providers lack the core competencies to execute such systems. C4 is currently working with the University of Pittsburgh Program Evaluation and Research Unit (PERU) program to develop relevant curricula and training materials for all stakeholders.
Cross Cultural Policy Collaboration
C4 has spent much effort nationally and internationally on historically and culturally traumatized populations. It is important to us to go beyond the traditional transfer and acculturation model for effective trauma mitigation strategies so we can better understand the exact process of acculturation. Currently C4 is cross pollinating an extremely successful native American adolescent trauma mitigation program to urban and rural milieus in Jamaica.