The Fitzwilliam Centre . 0114 30 50 500The Fitzwilliam Centre . 0114 30 50 500
Alcohol: A Local Response
to the National Agenda
Chris Wood – Service Manager, The Fitzwilliam Centre
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So what’s the problem?Binge drinking is a serious problem, not a fringe issue.
Dependency?
The majority of people who drink do so in a responsible manner.
Don’t worry though, because...
National Alcohol Strategy 2012
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FWC Services overviewOur favorite drug
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The good
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The bad
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• So why do we continue to drink?
The ugly
Gynaecomastia
Ascites
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Even the queen drinks
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93,000 57,400
Sheffield
9,000 dependent drinkers
69% 18% 13%
126,000 binge drinking Do we drink that much?
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Vulnerable children?Research findings• Pregnancy and early years• Health risks – Ingestion, SUDI, FAS• Impaired parenting capacity• Exposure • Impact on education (silent voices 2012)• Financial impact• Disrupted households (Troubled Families?)• Impact on emotional development, attachment • Over represented in LAC, NEET, YOT, homeless
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National Message
• Services have been slow to react to problems associated with alcohol misuse. – 1 in 5 (2.5 million) children live with at least 1
increasing risk drinker.– 26,000 babies living with a dependent drinking
parent (Silent Voices 2012)
– Locally alcohol misuse features highly in cases discussed at MARAC.
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• 2369 referrals into Single Entry & Access Point for Alcohol Services in 2011/12
• Represents 1.5% of those ‘eligible’ for referral (high & increasing risk, dependent drinkers)
Referrals
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• 2 young children subject to a child protection plan• An alcohol dependent mother • Partner of a man with a history of mental health
problems • Multiple domestic violence incidents
What ends like this…
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• Binge drinking young woman• Young man using drugs recreationally
…often starts like this
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Identification and referral
• Pathways are not clear• Misconception that it takes a long time to get
into alcohol treatment• Lack of time• Reluctance to be referred • Problems with identification• Asking the wrong questions
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How to screenI haven’t got a
clue! What’s a
unit?
About 10 a
week
How many units do you
drink every week?
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In Sheffield
• Community Pharmacies• Social Care Children & Families Teams• GP Practices• IAPT and Mental Health Services• Health Visitors• SEAP (Open Access Alcohol Services, SHSC)
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Is this a good idea?National•NTA regional leads leading to DH & PHE•National Children's Commissioner•Out of area substance misuse commissionersLocal•Sheffield Safeguarding Children's Board•DAAT•Alcohol Planning & Commissioning Group•Hidden Harm Implementation Group•GP Commissioning Groups•Designated Safeguarding officers for H&SC in Sheffield
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Key Benefits
Correct
pathway into
services
Delivery of
brief intervention Enables provision of service user specific information
Identification
via screening
Quick, easy and engaging format for service user
Dispenses with scoring and unit calculations
Removes non value adding steps
ReferralSupports simple, secure referral 24/7
Re-enforces local pathways
User recognition – promotes appropriate tools, pathway entry points
and offers configurability for user by ‘occupation’ or roleCopyright Sheffield Health and Social Care NHS Foundation TrustCopyright Sheffield Health and Social Care NHS Foundation Trust
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?Questions
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ContactDeborah CundeyChris Wood
Contact Details
Fitzwilliam Centre:
(0114) 3050500
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