DRUG AND ALCOHOL DELIVERY BULLETIN April 2014 Welcome to the April 2014 issue of the Drug and Alcohol Delivery Bulletin. Updates on recent developments and plans include: Alcohol & Drug Partnership (ADP): Learning Event Alcohol & Drug Partnership (ADP): Reporting aided by Alcohol & Drugs Profiles Drug & Alcohol Treatment Waiting Times Drug & Alcohol Information System (DAISy) update Alcohol Brief Intervention (ABI) Delivery in the Wider Settings Lloyds Partnership Drugs Initiative (PDI): Understanding the recovery needs and journeys of children and young people East Renfrewshire ADP : Hidden Populations Research North Ayrshire ADP: Introducing the Harmonised Framework South Ayrshire ADP: Upcoming Events – May/June Engaging Families in Social Work Practice – Event Family Recovery Conference 2014 – May Updated Article - 13 May 2014 - National Prisoner Healthcare Network Substance Misuse Event – June Alcohol Minimum Unit Pricing QUERIES ON THE CONTENT OF THIS BULLETIN: If you have any queries on the content of this bulletin, please contact alcoholanddrugdelivery@scotland.gsi.gov.uk Latest news relating to alcohol and drug policy in Scotland Alcohol & Drug Partnership (ADP) Learning Event: ADP Reporting/Performance Framework - 10 June 2014 In response to a request from the ADP Planning and Reporting Group, an ADP Learning Event: ‘ADP Reporting – Performance Framework’ is being held on 10 June 2014 in Radisson Blu Hotel, Glasgow. There are 2 places are available for each ADP and the event is aimed at ADP co-ordinators/Lead Officers/Information officers/those in your ADP who are responsible for compiling the performance element in ADP Plans and Reports. The event has a peer learning focus, and includes practical workshops on: application of an evidence informed recovery-focussed performance framework, strengthening both the reporting of local impact and contributing to the national picture of effective delivery; and how to build an effective performance measurement and evaluation system, which includes improved information and data collection. You should register for this event on the form sent to ADPs by Thursday 1 May 2014. If you would like any further information about the event please contact Amanda Adams at Amanda.adams@scotland.gsi.gov.uk Alcohol & Drug Partnership (ADP) Reporting aided by Alcohol and Drugs Profiles ADPs are required to report their progress each year in mid-September to their local Community Planning Partnerships (CPPs). In the last two years ISD has provided ADPs with reports in Excel format summarising the latest figures available for the agreed list of core indicators. This year the Scottish Public Health Observatory (ScotPHO) Alcohol and Drugs Profiles are taking over the function of the ADP Core Indicators’ reports. All the indicators that were in the 2013 ADP Reports produced by ISD that are suitable for public viewing are available in the on-line profiling tool, allowing easy comparison between local areas in Scotland. Note that the definitions of the indicators can differ slightly between the 2013 Reports and the current Profiles, but the ADP Planning & Reporting Group supports the move to using the ScotPHO Profiles with the new definitions as ADP national indicators. Some indicators currently shown in the Profiles are more up-to-date than what was provided at the time in the 2013 ADP Reports. Where new data is available, other indicators will be updated over the next few months. For these indicators not suitable for The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland inclusion in the Profiles and not held by ISD but sourced externally, links will be provided to the original publications. Therefore ADPs will have all information needed for their reporting at their fingertips. the Change Log & Caveats page also available from the Profiles home page. The tool allows valid comparison between local areas in Scotland but differences should be interpreted in light of local knowledge. The initial release of the Alcohol and Drugs Profiles (published in September 2013) using the new ScotPHO on-line profiling tool provided information on a host of indicators relating to alcohol and drugs, at ADP and NHS Board level. The Profiles form a key part of an extensively redesigned, comprehensive data resource for the alcohol and drugs field, made available via the ScotPHO website. The website contains links to many more data sources that ADPs can potentially use to evidence any progress made. More information on ScotPHO please contact: Annemarie van Heelsum (ISD) – a.vanheelsum@nhs.net or 0131 275 7099 Background The Alcohol and Drugs Profiles are two of a series of specialist profiles being published on the ScotPHO site, covering a range of public health topics, for example: Smoking and Diabetes. The On-line Profiling Tool (OPT) is designed to replace previous paper reports and Excel-based outputs, allowing more flexibility for users and making it easier to keep the information in the tool up-to-date. They can be found at www.scotpho.org.uk/profiles. Some narrative around the indicators is provided in the Overview Report, available from the ScotPHO Profiles website, and more technical detail is given in the Technical Report. Any caveats and changes are highlighted in Drug & Alcohol Treatment Waiting Times We are pleased to note sustained performance at national level for delivery of the HEAT Standard for drug and alcohol treatment waiting times, which expects that 90% of people receive appropriate treatment within 3 weeks to support their recovery. The report, published by ISD Scotland on 25th March, highlights that: Thirteen of the 14 Health Boards continue to meet the HEAT standard. In October-December 2013, 96.3% of the 11,564 people who started their first drug or alcohol treatment had waited 3 weeks or less, compared to 96.6% in the previous quarter. For alcohol, 97.2% of people (7,412 individuals) waited less than 3 weeks while for drugs the figure was 94.6% (4,152 individuals). The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland In Scottish prisons between October - December 2013, of the 1,192 people who started their first drug or alcohol treatment, 97.5% had waited 3 weeks or less (based on returns from 14 of the 15 prisons). The full report can be accessed via the following link: http://www.isdscotland.org/HealthTopics/Drugs-and-AlcoholMisuse/Publications/. This continued level of high performance pays testament to the efforts of staff working in services throughout the country. At Scottish Government level we continue to offer support to areas to sustain improvements in ensuring fast access to quality treatment for those in need. This work will be supported by the publication and roll out of a set of agreed Quality Principles for Standard Expectations of Care in Drug and Alcohol Services. You may already be aware that waiting times data is included as part of the ScotPHO drug and alcohol profiles which we hope is a useful tool to establish local baselines and assist in goal setting and benchmarking: http://www.scotpho.org.uk/comparativehealth/profiles/online-profiles-tool. Please contact Hilary Smith, Team Leader: ADP National Support, Scottish Government (Hilary.smith@scotland.gsi.gov.uk) should you wish to discuss in more detail. Drug and Alcohol Information System (DAISy) Update After a successful consultation period on the proposed Drug & Alcohol Information System (DAISy), where valuable input from stakeholders was received, the DAISy Project Team have been leading on several work streams, featuring membership from a range of representatives from Alcohol and Drug Partnerships (ADPs), specialist stakeholders, and national organisations, to address the issues raised. The first work stream looked at the comments received around the data items and developed a draft dataset which was recently circulated to stakeholders for final comment. This group will then consider these final comments before the dataset is presented to the DAISy Project Board for approval. The Information Governance work stream recently held its first meeting, with a remit to consider issues around collecting client identifiable data as well as developing necessary information leaflets for clients and staff. Further streams will look at reporting, data definitions and guidance and training materials. The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland A separate piece of work has been undertaken to review the various data collection systems currently in use to ensure that any IT solution that is chosen for DAISy can appropriately integrate with these existing systems and reduce duplication of effort at service level. The outcome of this valuable piece of work will feed in to the Business Case for DAISy and we expect to be in a position to share the results of this exercise with stakeholders towards the end of the summer. At this point, associated timescales for implementation of a new DAISy system will also be outlined. If you would like further information on the DAISy project please contact the Project Manager, Lindsay Mathie via: lindsay.mathie@nhs.net or 0141 282 2267. Alcohol Brief Intervention (ABI) Delivery in the Wider Settings NHS Health Scotland / University of Stirling - Process evaluation of Alcohol Brief Interventions in wider settings (Young People and Social Work) This study focused on the feasibility and acceptability of ABIs in 10 projects delivered to young people and in social work settings between December 2012 and July 2013. It found that it is feasible and acceptable to deliver ABIs in youth settings. Young people felt the projects were welcoming and safe and were positive about the timing and location of the projects. Project staff gave similar responses, emphasizing the importance of locating the projects where young people congregate and making them young person friendly. Organisational factors also affected the feasibility of the projects, including staffing consistency and continuity, staff skill mix, and organisational funding and stability. The study also found that data collection was variable, that it will be difficult to measure impact and it would be difficult to evaluate the effectiveness of ABIs in this setting. The report can be accessed here: http://www.healthscotland.com/docu ments/23021.aspx For further information please contact Garth Reid, NHS Health Scotland: Garth.Reid@nhs.net Lloyds Partnership Drugs Initiative (PDI) Understanding the recovery needs and journeys of children and young people On the 13th March the Partnership Drugs Initiative (PDI) hosted a networking event with the aim of increasing the understanding of the recovery journeys and needs of children and young people whose parents are in recovery from alcohol and other drugs. The session emerged as the PDI has recognised the importance of children and young people also needing the space and time to recover alongside The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland their parent/carer at time that is right for them. There was excellent attendance on the day; practitioners and managers were represented from both statutory and voluntary sector groups and included adult and children’s perspectives. Inputs were received from Joy Barlow, strategic advisor of STRADA and Juliet Harris, Chief Executive of TogetherScotland. These sessions were designed to help provide the background to the evidence base for recovery needs of children, examples provided from the mental health field. And the Children’s Rights perspective, which is now a central element for all services in contact with children and young people with the introduction of the Children and Young People’s Bill. The principal outcome of the day was designed to encourage networking and share with each other: What is currently working well and how to ensure the recovery needs of children and young people are being met? What needs to change or improve? connect with the well-being indicators The importance of partnership approaches The role of universal services Language that children and young people understand Explaining to children and young people what is happening and why Giving children and young people the space and support they want and need Recognising that young people may have their own recovery journey and the need for support for this A detailed write up of the session including the presentations is available on Lloyds TSB Foundation for Scotland’s website: www.ltsbfoundationforscotland.org.u k. The PDI currently have an interest in exploring how to improve the evidence base for children and young people. If you are interested in learning more about this then please contact Elaine Wilson on 0131 444 4025. There was a good level of discussion, some of the main themes emerging: The importance of GIRFEC (Getting It Right for Every Child) and how recovery support needs need to The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland particularly in relation children and social work services Hidden Populations Research – East Renfrewshire The East Renfrewshire ADP has conducted a qualitative Needs Assessment to explore the “hidden population” of problematic drug users in the local area. The aim of the study was to determine the experiences and barriers drug users face when accessing drug treatment services. Service users accessing the local Community Recovery Service were recruited and trained to work as peer researchers and interview participants eligible for the study. Thirty-one individuals participated. Twenty-three were receiving treatment, four were in shared care and four were not accessing treatment. Four themes were evident: barriers to accessing services, positive aspects, negative aspects and pharmacy experience. Stigma was evident throughout discussions, with participants feeling they were looked down upon and “2nd class”. They also reported feelings of stigma when presenting at treatment or community services Several barriers were discussed with participants perceiving that there was not enough information and advertising about drug treatment services. There were concerns around confidentiality, The therapeutic alliance with staff was a positive element for participants, however there was a perception that additional peer support would be beneficial Talk around methadone highlighted that long term use was a concern. As this was an older cohort participants were also concerned around the additional stigma of being a methadone user and a grandparent Some of the matters raised will be addressed at a local level however many of the issues, including stigma must be tackled by the wider society. An action plan will be developed by the local ADP as part of continual improvements. For further information please contact Janice Thomson, East Renfrewshire ADP: janice.thomson@eastrenfrewshire.go v.uk North Ayrshire ADP – Introducing the Harmonised Framework North Ayrshire ADP Workforce Development Group has produced a Framework which purpose is to offer a model harmonising the National The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland Framework for Child Protection Learning and Development in Scotland and the joint Scottish Government /COSLA statement on Supporting the Development of Scotland's Alcohol and Drug Work Force 2010. By using this Framework, managers and practitioners will be able to identify courses which will promote learning and provide professional development. To view the document please click the link below: Harmonised Training Framework For further information please contact Mark Gallagher, North Ayrshire ADP: markgallagher@northayrshire.gov.uk South Ayrshire Alcohol and Drug Partnership: Upcoming Events – May/June 2014 workshops focussing on alcohol and different life stages. The ADP and RecoveryAyr are delighted to be hosting their first ‘Celebrating Recovery in South Ayrshire’ event on Thursday 12th June. The event is open to anyone who would like to hear more about our progress implementing a Recovery Orientated System of Care and hear from local projects. Our evening celebration event will feature a live performance from ‘Ra Ra Razzmatazz’ and a variety of live music! For further information or to register for either event please contact Faye Murfet, ADP Coordinator: faye.murfet@south-ayrshire.gov.uk or visit www.southayrshire.gov.uk/adp Engaging Families in Social Work Practice – Event – Wednesday 14 May 2014 South Ayrshire ADP would like to invite you to two local events taking place in May and June. Conversations about substance use: engaging families in social work practice The ADP are hosting their second annual Whole Population Approach to Alcohol Event, this year focussing on Women and Alcohol. Guest speakers include Professor Moira Plant, Dr Deborah Shipton and Dr Pete Seaman. Participants will also have the opportunity to take part in a variety of This event is for social work professionals who wish to develop their communication skills – particularly in relation to substance use and safeguarding issues. Services for Women It is an interactive, hands on, seminar run by Rhoda Emlyn-Jones who has a wealth of experience working within The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland safeguarding contexts, including managing children’s services and specialist family substance use services and leading the roll out of Intensive Family Support Services across Wales. by substance misuse. You can book your place to attend on Friday 30th May 2014 by filling out the attached registration form or registering directly on Scottish Families’ website: Places are limited to 30 people due to the interactive nature of the seminar which will include pair work, role play, small group and large group discussion. http://www.sfad.org.uk/mediacentre/conference. To book a place, please email c.stark@basw.co.uk telephone 0131 221 9445 or book online at www.basw.co.uk/event/?id=256 Registration Form: Costs including lunch are: BASW Members: £25, Students: £20, NonBASW Members: £35* Please contact Michelle Young for further information: info@sfad.org.uk Wednesday 14 May 2014 10.00am3.30pm Scottish Youth Theatre @ The Old Sheriff Court 105 Brunswick Street, Glasgow G1 1TF. Family Recovery Conference 2014 – Friday 30 May Scottish Families invites you to attend Family Recovery 2014, a conference sponsored by Aberdeen City ADP offering International and Scottish perspective on family recovery. Keynote speakers include Professor Richard Velleman, a leading authority on substance misuse focusing on the impact on families and children, and Dr Jan Ligon from Georgia State University, presenting on reaching, engaging and helping families affected National Prisoner Healthcare Network Substance Misuse Event – Thursday 26 June The National Prisoner Healthcare Network is holding a Substance Misuse Event on the 26th June. The day will provide a national overview of innovation and progress for prison health services for drug, alcohol and tobacco use following the transfer of healthcare to the NHS in November 2011. We will share the successes and challenges of practice emphasising asset-based approaches, co-production and user voices. The emphasis at this interactive day will be on listening, learning, and exploring solutions together. Content includes; The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk. Latest news relating to alcohol and drug policy in Scotland Taking stock of the journey so far, learning and moving forward together What does the data and evidence tell us on need, delivery and impact? Frontline experiences in tackling harm through alcohol, drugs and tobacco Driving improvement through delivery, sharing pathways and building peer support. For enquiries in the meantime, please contact: nhs.healthscotlandalcoholanddrugs@nhs.net Alcohol Minimum Unit Pricing Court delivers opinion on “precedentsetting” case The case to implement a minimum unit price of alcohol in Scotland is to be referred to the Court of Justice of the European Union (CJEU), it was announced on the 30th April 2014. Following the Outer House hearing in the Court of Session last January, Lord Doherty’s judgement in May 2013 provided overwhelming support to the Scottish Government policy of minimum unit pricing. Lord Doherty held that none of the petitioners’ challenges to the minimum unit pricing measures were well founded and that there was no proper basis for the petitioners being granted any of the remedies which they sought. The Scotch Whisky Association’s grounds of appeal to the Inner House of the Court of Session were that Lord Doherty erred in several aspects. The appeal hearing focused on what the aim of minimum unit pricing is, whether this aim could be achieved using alcohol excise duties which would be less distortive to the free movement of goods (article 34 of TFEU) and whether the policy was proportionate to protect public health and therefore justifiable under article 36 of TFEU. It is likely to take over a year to receive a determination from the Court of Justice of the European Union. In 2012 the average length of preliminary reference proceedings from the date of the reference to the date of the judgement was 15.7 months. A determination in a preliminary reference by the CJEU is not a final judgement. The determination will go back to the domestic court which would then decide the case in the light of the CJEU’s ruling. To register for the Drug and Alcohol Delivery Bulletin please register via the newsletters and alerts subscription service The SSKS website features a ‘Drug and Alcohol Portal’ which can support day-to-day work and learning by providing a wealth of material covering a variety of topics within the drugs and alcohol field. You can access the website here: www.ssks.org.uk.