12.20 12.20 Impact of drug and alcohol misusedemocracy.thanet.gov.uk/documents/s40103/Draft...
Transcript of 12.20 12.20 Impact of drug and alcohol misusedemocracy.thanet.gov.uk/documents/s40103/Draft...
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Impact of drug and alcohol misuse and criminality on Thanet residents
20th November 2014
Thanet Community Safety Working Party Report
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KCC Public Health Team Alcohol Pathways Project
Roles and Responsibilities
Organisation
Public Health England
Local Authorities – Director of Public Health
Role
National lead on PH issues. Has direct responsibility for some services e.g. vaccination, Health Protection, Information, training; support local PH
monitoring the performance of the drug treatment system (local & national targets)
Lead for improving public Health & Wellbeing, Health Promotion and addressing Health Inequalities (+others)
DPH: control bulk of funding for Drugs and Alcohol and is responsible for delivering the outcomes of the local Health and Wellbeing Strategy
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KCC Public Health Team Alcohol Pathways Project
Organisation
Health & Wellbeing Boards
Clinical Commissioning Groups
Role
Local authorities and CCGs have an equal and joint duty to prepare plans using JSNAs and JHWSs through the HWB
Clinical Commissioning Groups (CCGs) have an important role in public healthcare and are statutory members of HWBs
Responsible for commissioning the majority of healthcare services for Thanet’s population - £199m budget
NHS Commissioning Board sit on the HWBs (responsible for Prison DA services)
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Drugs
* Directly age standardised drug specific mortality rate per 100,000 per district - 2006 to 2012 (Source: Public Health Mortality File, PHO)
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Service referrals/treatment completions Drugs
Source of referral into treatment: 2013/14 KDAAT
100%
Seen within 3 weeks of referral
99% Kent
70%
Complete treatment in a planned way
64% Kent
Thanet
Kent
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Alcohol
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Thanet Alcohol Profiles (2014)
Best locally
Better than regional average
Worse than regional average
Worst locally
Source: LAPE 2014
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Service referrals/treatment completions Alcohol
Source of referral into treatment: 2013/14 KDAAT
99%
Alcohol clients across Kent seen within 3 weeks
93% nationally
75%
Complete treatment in a planned way
67% Kent
Thanet
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Crime
All
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Alcohol Related Arrests
Alcohol related arrests 2011/12 2012/13 2013/14
Driving whilst unfit (drink) 31 51 40
Drunk and disorderly 266 165 192
Drunk and incapable 1 0 1
Drunk in a public place 4 1 0
Drunk in charge of child 10 5 2
Drunk in charge of motor vehicle 9 6 9
Section 4 Public Order Act 34 21 20
Section 4 Public Order Act - Racially aggravated 6 8 7
Section 5 Public Order Act 54 37 33
Total 415 294 304
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30% 3%
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Domestic Violence
Location No. of visitors 2010/11
No. of visitors 2011/12
No. of visitors 2012/13
No. of visitors 2014/15
% increase / decrease *
Thanet 49 71 117 215 +84%
Service provision: Domestic Abuse One Stop Shops offer free advice, information and support from a range of agencies under one roof to help victims of domestic abuse.
Source: Kent & Medway domestic abuse Strategy Group
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Dual Diagnosis:
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Children and Young People
Quarterdeck – summer programmes NEET QEQM AE staff talks; EK College; Marlowe; Princes Trust
Operation Caddy (police dogs in schools) Hang 10 outreach- cannabis targeted groups
private children's homes; KYDIS x15 Thanet seen Parent support programme; wavelength –family work
YISP planned
KIASS programmes provide targeted individual and group work in schools and are increasing liaison with other agencies to coordinate responses to emerging issues e.g. YP heroin use.
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Programme Highlights
Drug Testing on Arrest (DTOA) was introduced in Thanet custody on 2nd April 2012.
Key Findings:
2/3 of individuals tested overall were identified as positive for Class A substances
DIP contacts increased by 75%
76% of individuals referred commenced treatment
Reduction in re-offending after 6 months
DRRs issued exceed all others in the county
Number of Restrictions on Bail (ROBs) has trebled
Neighbourhood Responsibility Panel and DTOA research
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Programme Highlights 2
QEQM hospital pilot for alcohol (+ drugs) brief interventions started in May
Total number of patients screened = 2,148
AE 267
Maternity 1,182
Endoscopy unit 821 patients
52 referrals to treatment services have been made
60% of those referred have begun treatment.
This compares to only 9 recorded referrals for the whole of 2012/13 for this hospital site
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• Effective campaigns e.g. reducing the strength • Optimise Health input into licensing process • Raise awareness – staff training • Increasing local business/ organisations signed up
to PHRD • Dual diagnosis • School participation • Thanet Alcohol Plan • HI, employment, housing, service re-organisation…
Challenges
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Thanet outcomes for October 2014 : 317 Brief interventions delivered 90 new referrals received 80% successful alcohol closures 40% successful drug closures
Address stigma around treatment
Increased referrals
Social return on investment
Life changing/Life saving
Sustainable recovery
Work with families, carers and strategic partners / Air Football / Citizens Trust
Turning Point – integrated Drug & Alcohol Service
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Myth Busting!
• Higher income households are twice as likely to drink excessively than lower 22/10
• At least 1:10 adults will have an alcohol problem in their lifetime
• UK alcohol consumption has increased by 9% over 30 years-
general trend in other EU countries is 9% decrease
Choice of drug for young people is alcohol
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For more information visit: http://www.kmpho.nhs.uk/lifestyle-and-behaviour/alcohol/