Cuba
MINSAP — Ministerio de Salud Pública Cuba’s Ministry of Public Health manages all drug and alcohol treatment nationally through community mental health centers. A national substance abuse hotline — Línea Confidencial Antidrogas — is operated under MINSAP coordination.
- Website: infomed.sld.cu/minsap
- Address: Calle 23 No. 654, El Vedado, Havana, Cuba
- Hotline: Línea Confidencial Antidrogas (national; coordinated by MINSAP)
- Source: MEDICC Review — Cuba Community Mental Health
Dominican Republic
CND — Consejo Nacional de Drogas(National Drug Council) — The primary policy body for drug prevention, treatment, and coordination. The operational enforcement arm is the DNCD (Dirección Nacional de Control de Drogas).
- Website: consejodedrogasrd.gob.do
- Address: Ave. México esq. 30 de Marzo No. 419, Oficinas Gubernamentales, Bloque “C”, Gazcue, Santo Domingo, R.D.
- Phone: +1 809-221-4747 / 809-221-8019
- Email: [email protected]
Haiti
MSPP — Ministère de la Santé Publique et de la Population (Ministry of Public Health and Population) — In the absence of a dedicated drug agency, MSPP is the governmental body responsible for all substance abuse prevention and health policy.
- Website: mspp.gouv.ht
- Address: 2, Avenue Christophe, Port-au-Prince, Haiti
- Phone: +509 2945-3800
- Note: Regional coordination supported by PAHO/WHO given Haiti’s current crisis conditions.
Jamaica
NCDA — National Council on Drug AbuseUnder the Ministry of Health and Wellness; established 1983, responsible for public education, prevention programs (including school-based R.E.A.D. program), policy, and legal/medical research on drug abuse.
- Website: ncda.org.jm
- Phone: 876-564-HELP (876-564-4357)
- Source: Jamaica Information Service
Trinidad and Tobago
NADAPP — National Alcohol and Drug Abuse Prevention ProgrammeUnder the Ministry of Health; coordinates prevention, demand reduction, and supports NGOs in drug treatment and rehabilitation.
- Website: health.gov.tt — NADAPP
- Address: 4-6 Queen’s Park East, Port of Spain 101002
- Phone: +1 868-217-4664, Ext. 12602–12621
- Tobago Division: 7 Montessori Drive, Glen Road, Scarborough; Phone: +1 868-639-3395, Ext. 47075/47076
Notes on Coverage
- French Guiana is an overseas territory of France, covered by French public health law and OFDT (Paris).
- Falkland Islands/Malvinas are a British Overseas Territory under UK health authority.
- Puerto Rico is a U.S. territory — covered under SAMHSA and the Puerto Rico Department of Health’s Division of Behavioral Health.
- Smaller Caribbean island nations (Barbados, Grenada, St. Lucia, Belize Bay Islands, etc.) are supported by the Caribbean Public Health Agency (CARPHA) and CICAD/OAS technical assistance programs.


