Intergovernmental Committee on Drugs A N N UAL REP O RT 2013 - 2014 NATIONAL DRUG STRATEGY 2010-2015 TABLE OF CONTENTS TABLE OF CONTENTS ...................................................................................................2 1.1 OVERVIEW ............................................................................................................3 1.2 NATIONAL DRUG STRATEGY 2010 - 2015................................................................3 1.3 THE NATIONAL DRUG RESEARCH CENTRES OF EXCELLENCE ....................................3 1.4 DRUGS AND ALCOHOL IN AUSTRALIA ....................................................................4 2.1 KEY ACHIEVEMENTS ..............................................................................................6 2.2 MEETINGS .............................................................................................................6 2.3 SUB-STRATEGIES ...................................................................................................7 2.4 IGCD COST SHARED FUNDING MODEL PROJECTS ...................................................8 2.5 FUTURE WORK ......................................................................................................9 APPENDIX A………………………….................................................................................... 10 APPENDIX B… ........................................................................................................... 12 REFERENCES ............................................................................................................. 14 INTERGOVERNMENTAL COMMITTEE ON DRUGS 2 INTRODUCTION 1.1 OVERVIEW This annual report provides an overview of the activities undertaken by the Intergovernmental Committee on Drugs (IGCD) over the period 1 July 2013 to 30 June 2014, under the National Drug Strategy 2010-2015. The information provided in this report demonstrates the significant work undertaken by health and law enforcement officials under the National Drug Strategy framework. 1.2 NATIONAL DRUG STRATEGY 2010 - 2015 The National Drug Strategy aims to build safe and healthy communities by minimising alcohol, tobacco and other drug related health, social and economic harms among individuals, families and communities. The National Drug Strategy is a joint venture between Australian, State and Territory Governments and the non-government sector. It promotes a partnership approach by providing a shared vision, a structure for coordinated action between government and the non-government sector, and cooperation between health, law enforcement and education agencies. The National Drug Strategy aims to minimise the harms of drug use using a three pillar approach of demand reduction, supply reduction and harm reduction. The IGCD reports through the Mental Health Drug and Alcohol Principal Committee (MHDAPC), which oversees the work of the IGCD and progresses recommendations and outcomes to relevant Ministers. 1.3 THE NATIONAL DRUG RE SEARCH CENTRES OF EXCELLENCE Under the National Drug Strategy, the Australian Government provides core funding to three National Drug Research Centres of Excellence (the Centres). These are the National Drug and Alcohol Research Centre (NDARC), the National Drug Research Institute (NDRI) and the National Centre for Education and Training on Addiction (NCETA). The functions of the Centres are to facilitate evidence based policy development and community awareness with the overarching aim of reducing the harms associated with alcohol, tobacco and other drug misuse. INTERGOVERNMENTAL COMMITTEE ON DRUGS 3 NDARC is leading the Collaborative Network which provides a forum for regular discussions on the latest drug and alcohol research with the aim of improving the interface between policy and research. During this period, the Collaborative network has developed a new online publication to provide information on what is happening at each of the national research centres in one central portal and to disseminate new information on Australia’s drug and alcohol use, related harms, treatments and policies. 1.4 DRUGS AND ALCOHOL IN AUSTRALIA The use of drugs in the Australian population impacts on individuals, families, communities and the economy. Each year it contributes to thousands of deaths, significant illness, disease and injury, social and family disruption, workplace concerns, violence, crime and community safety. Alcohol and tobacco remained the most widely used drugs in the Australian population in 2013 with 15.8% of people in Australia aged 14 years and older using tobacco and 78.2% consuming alcohol in the past year. The percentage of the population aged 14 years and older reporting daily smoking in 2013 was 12.8% and this has almost halved since 1991. However, smoking rates have been historically been reported as much higher among people from low socioeconomic groups, those who are unemployed, homeless or imprisoned, those with a mental illness and those with other drug or alcohol dependency. In 2010, smoking rates were higher in regional and remote areas compared with urban regions, and daily smoking rates for Aboriginal and Torres Strait Islander Australians are almost three times as high as the national daily smoking rate. Detailed findings from the 2013 National Drug Strategy Household Survey are scheduled to be released in late 2014. In 2013, 25.7% of Australians aged 12 and older reported drinking at levels that put them at risk of injury on a single occasion at least once a month in the past year, and 17.6% reported drinking at levels that put them at risk of harm over their lifetime (AIHW 2014). In 2013, 15.0% of the population aged 14 years and older had used an illicit substance in the past year. Cannabis was the most commonly used illicit drug with 10.2% of the population using cannabis in that past 12 months. This was followed by pain-killers/analgesics for non-medical purposes (3.3%), ecstasy (2.5%), meth/amphetamine (2.1%) and cocaine (2.1%) (AIHW 2014). While there was no significant increase in meth/amphetamine use in 2013, there was a change in the main form of meth/amphetamine used. Use of powder decreased significantly from 51% to 29% while the use of ice (or crystal methamphetamine) more than doubled, from 22% in 2010 to 50% in 2013. Data from the 2011 Australian School Students Alcohol and Drug Survey show that use of alcohol by young people has continued to decline slightly. The main driver of this INTERGOVERNMENTAL COMMITTEE ON DRUGS 4 trend has been an increase in abstinence by school students aged 12-15 years (21.6% in 2008 to 32.2% in 2011). A small increase in abstinence was also seen for students aged 16-17 years (8.3% in 2008 to 10.7% in 2011). However, for those that drank in the last week, 37% reported doing so at levels associated with single occasion risk for adults. The rapid emergence and widespread availability of new psychoactive substances presents challenges for health regulation and law enforcement in Australia and overseas. A key challenge remains the ease and speed with which new substances may emerge which are not captured under drug control legislation. The non-medical use of pharmaceuticals is an emerging issue. In 2013, 4.7% of people aged 14 years or older reported having misused a pharmaceutical drug in the past 12 months, increasing from 4.2% in 2010 (AIHW 2014). Encouragingly, the overall population use of most drugs has declined over the last decade or remained stable at low levels in recent years. However, there is some evidence to suggest that people who are using alcohol and other drugs are experiencing greater harm. Alcohol-related hospital separations have increased over time from 29,891 in 2001-02 (AIHW 2003) to 61,125 in 2009-10 (AIHW 2010). The number of drug and alcohol treatment episodes where alcohol is the principal drug of concern has increased over the past nine years from 41,886 in 2001-02 (AIHW 2003) to 67,450 in 2009-10 (AIHW 2010). INTERGOVERNMENTAL COMMITTEE ON DRUGS 5 ACTIVITIES OF THE IGCD 2013-2014 2.1 KEY ACHIEVEMENTS The IGCD has continued its efforts to reduce the demand for and supply of alcohol and other drugs, as well as minimising the harms caused by these drugs. Key achievements of the IGCD for the reporting period have included: IGCD Annual Stakeholder Forum. National Workshop on New Psychoactive Substances – July 2013. The Drug and Alcohol Service Planning Model was finalised – September 2013. The release of the Pharmaceutical Drug Misuse Framework for Action – December 2013. The New Psychoactive Substances Framework was endorsed by the Standing Council on Health – April 2014. The release of the updated Pharmacotherapy Guidelines – May 2014. The National Aboriginal and Torres Strait Islander Peoples Drug Strategy was endorsed by the Mental Health Drug and Alcohol Principal Committee – May 2014. 2.2 MEETINGS The IGCD met on 3 occasions during the reporting period: 18 July 2013 – Hobart 6 November 2013 – Adelaide 16 April 2014 – Perth IGCD heard presentations from the following during these meetings: Australian National Council on Drugs Turning Point Alcohol & Drug Centre University of South Australia INTERGOVERNMENTAL COMMITTEE ON DRUGS 6 TNS Australia National Indigenous Drug and Alcohol Committee To progress the agenda and work plan of the IGCD, the IGCD Executive held 7 teleconferences during the reporting period. Stakeholder forum The third annual IGCD stakeholder forum was held in Adelaide on 7 November 2013. The forum was attended by 77 representatives from a diverse range of stakeholder groups. The forum enables the sharing of information and feedback from interest groups in the drug and alcohol sectors and is one element of the commitment of the National Drug Strategy. A summary of the forum is provided at Appendix B. National workshop on New Psychoactive Substances In July 2013, a workshop was held in Hobart to discuss a national response to New Psychoactive Substances. As an outcome of the workshop the New Psychoactive Substances Framework was completed. The health-related components of the framework were endorsed by the Standing Council on Health in April 2014. 2.3 SUB-STRATEGIES In November 2013, the MHDAPC endorsed the termination of the existing working groups once their respective Sub-Strategies/ Statements of Priorities were completed, and for them to be replaced with time-limited project teams for specific future tasks. The seven sub-strategies/ statements of priorities under the National Drug Strategy 2010-2015 include: Alcohol; Tobacco; Illicit Drugs; Pharmaceutical Drugs Misuse; Research and Data; Workforce Development; and Aboriginal and Torres Strait Islander Peoples Drug Strategy. INTERGOVERNMENTAL COMMITTEE ON DRUGS 7 2.4 IGCD COST SHARED FUN DING MODEL PROJECTS The IGCD Cost Shared Funding Model (CSFM) is used to fund projects of national significance in the drug and alcohol field. Each State and Territory, as well as the Australian and New Zealand Governments, participate in the IGCD CSFM, contributing a proportion of funding based upon the latest Australian Bureau of Statistics population figures. No contributions were sought for this reporting period due to existing funds available to utilise. In 2013–2014 the following CSFM projects were active: Updating of the Pharmacotherapy National Clinical Guidelines for Medication-Assisted Treatment of Opioid Dependence – approved by SCoH and released May 2014. The development of a nationally agreed population based model for drug and alcohol services planning – finalised and noted by AHMAC September 2013. The development of the Pharmaceutical Drug Misuse Framework for Action – approved for release by SCoH December 2013. National measures of alcohol-related crime in Australia. Opioid Substitution Treatment Pharmacotherapies – Analysis of current arrangements and possible changes. Increased forensic capability on Novel Psychoactive Substances. National Pharmaceutical Drug Misuse Framework for Action – implementation project. Research into alternative nicotine delivery systems such as e-cigarettes and smokeless tobacco. Progress work on an Indigenous adaption to the National Drug and Alcohol Service Model. INTERGOVERNMENTAL COMMITTEE ON DRUGS 8 2.5 FUTURE WORK The IGCD 2014/15 workplan has identified the following priority areas for action: Development of the next National Drug strategy Alcohol-related injury, violence and harms Preventing Fetal Alcohol Spectrum Disorder and reducing alcohol consumption during pregnancy Responding to changing patterns of alcohol advertising, promotion and sponsorship activity and changing patterns and trends in alcohol access and availability Implementation of the New Psychoactive Substances Framework Responding to increasing overdose trends Development of a reporting framework and baseline report to inform reporting of the outcome indicators under Part Seven of the National Tobacco Strategy 2010-18 Methamphetamine Use INTERGOVERNMENTAL COMMITTEE ON DRUGS 9 Appendix A: IGCD membership 2013 - 2014 IGCD Member Jurisdiction Neil Guard* (Chair from 1 January 2014) Drug and Alcohol Office, Western Australia Brett Guerin (Former Chair to 31 December 2013) Victoria Police Dean Miller * (Deputy Chair) South Australia Police Colleen Krestensen * Australian Government Department of Health Nic Arthur Australian Customs and Border Protection Services Anthony Coles* Australian Government Attorney-General’s Department Kate Waterhouse Australian Government Department of Education Patrick Paroz New South Wales Police Fiona Wynn* New South Wales Ministry of Health Judith Abbott Victorian Department of Health Timothy Hansen Victorian Police William Kingswell Queensland Health Bill Graham* Queensland Police Gary Kirby Western Australia Health James Migro Western Australian Police Simone Cormack Drug and Alcohol Services, South Australia Sylvia Engels Tasmania Health Donna Adams Tasmania Police Deirdre Logie Department of Health, Northern Territory Tony Fuller Northern Territory Police Helene Delany* ACT Health Directorate David Pryce* ACT Policing Oliver Poppelwell Ministry of Health, New Zealand INTERGOVERNMENTAL COMMITTEE ON DRUGS 10 Carolyn Read New Zealand Police * Membership on the IGCD Executive committee. The Australian Crime Commission and the Australian National Preventive Health Agency both have observer status on the IGCD. The IGCD Secretariat is provided by the Commonwealth Department of Health. The Australian National Council on Drugs (ANCD) has a standing invitation to present at IGCD meetings on recent activities. The National Drug strategy recognises the important relationship between the ANCD and the IGCD. INTERGOVERNMENTAL COMMITTEE ON DRUGS 11 Appendix B: IGCD Stakeholder Forum Summary INTERGOVERNMENTAL COMMITTEE ON DRUGS (IGCD) STAKEHOLDER FORUM 7 NOVEMBER 2013 The Third IGCD Stakeholder Forum was held in Adelaide on 7 November 2013 at the Hotel Grand Chancellor, with 77 attendees from a range of interest and backgrounds including service providers, peak organisations, consumers, industry and government representatives. The purpose of this event is to provide an opportunity for those with a role under the National Drug Strategy to come together and share information and identify priorities and opportunities. The Forum was opened by a Welcome to Country to delegates by Ms Issabella Norvil and was facilitated by Professor Steve Allsop of the National Drug Research Institute. An update of the progress made under the National Drug Strategy over the previous 12 months was provided by Superintendent Brett Guerin, retiring Chair of the IGCD. His update included a summary of the work around New Psychoactive Substances, the significant progress on the Workforce Development Strategy, and the National Aboriginal and Torres Strait Islander Peoples Drug Strategy. A number of presentations from experts were provided this year, including Professor Dan Lubman (of Turning Point Alcohol and Drug Centre), Professor Michael Farrell (on behalf of the three Alcohol and Other Drug Research Centres of Excellence), and Professor Margaret Hamilton AO and Assoc. Professor Robert Ali (on behalf of the Australian National Council on Drugs). Following these formal presentations, the format of the Forum shifted to a more open and free-flowing format, with attendees encouraged to take the lead in identifying the issues for discussion and participate in a series of facilitated discussions. Through these sessions, a number of policy priorities, opportunities and challenges, success stories and updates on progress of work were identified, including: Ensuring appropriate information is provided to the community on the harms of alcohol and other drugs, including new and emerging trends, dangers and substances; Providing increased opportunities for real and meaningful engagement and consultation for consumers and the alcohol and other drug sector; Recent success in tackling tobacco in Australia highlighted that difficult decisions can be taken when the community is well-informed and supportive; INTERGOVERNMENTAL COMMITTEE ON DRUGS 12 The importance of building two-way dialogue between research and service delivery to ensure interventions are evidence-based and that research targets areas where there are gaps in best-practice interventions; Maintaining strong partnerships and information exchange across and between governments, the non-government sector and treatment services and providers; Recognising that demand for illicit drugs and the associated harms, particularly for methamphetamine, remain a key concern for IGCD and the community. The importance of ensuring a high quality alcohol and other drug workforce is retained; and Some of the barriers for people being able to access effective treatment options, including the issue of stigma. IGCD committed to bringing a summary of the views expressed at the forum to the Mental Health, Drug and Alcohol Principal Committee for ongoing consideration in future work-planning. In closing the forum, Superintendent Brett Guerin indicated a desire to see the Forum continue to evolve and become stronger, flagging that it may be appropriate for future Forums to be reframed as “National Drug Strategy” Consultation Forums, highlighting the joint ownership of all stakeholders in the National Drug Strategy. The feedback received on the Forum this year indicated that participants found the discussions useful and productive. The IGCD would like to thank all those who participated and provided input to the Forum. INTERGOVERNMENTAL COMMITTEE ON DRUGS 13 References Australian Institute of Health and Welfare (AIHW) 2011. 2010 National Drug Strategy Household Survey report. Drug statistics series no. 25. Cat. no. PHE 145. Canberra: AIHW. Australian Institute of Health and Welfare (AIHW) 2003. Alcohol and other drug treatment services in Australia 2001-02: report on the national minimum data set. AIHW cat. No. HSE 28. Canberra: AIHW. Australian Institute of Health and Welfare (AIHW) 2010. Alcohol and other drug treatment services in Australia 2008-09: report on the national minimum data set. Drug treatment series no. 10. Cat no. HSE 92. Canberra: AIHW. Cancer Council Victoria (CCV) 2012. Australian secondary school students use of tobacco, alcohol and over the counter and illicit substances in 2011. Centre for Behavioural Research in Cancer, Cancer Council Victoria. INTERGOVERNMENTAL COMMITTEE ON DRUGS 14