DRUG & ALCOHOL CORPORATE ACTION PLAN
2005/06
1
WEST LOTHIAN DRUG AND ALCOHOL CORPORATE ACTION PLAN 2005/06
The information in the following template will comprise the Drug and Alcohol Corporate Action
Plan for 2005/06. For reporting purposes the drug pillars and alcohol priorities have been
combined as follows: Culture Change and Communities
Prevention, Education and Young People
Provision of Support and Treatment Services
Protection, Controls and Availability
Drug and Alcohol Action Teams are asked to demonstrate progress against the following drug
and alcohol national priorities. Where there is local data in support of performance eg. local
indicators or milestones, these should be shown. Responses should be confined to one page
per priority.
If the national priority is not relevant at local level then the reason for this should be outlined
(eg. No waiting times for treatment services).
National Priorities: Drugs
 Reduce the proportion of under 25’s reporting use of illegal drugs.
Target: Reduce the proportion of under 25’s reporting use of illegal drugs in the last month and
previous year substantially, and heroin use by 25%, by 2005.
 Increase the number of drug misusers in treatment services.
Target: Increase the number of drug misusers in contact with drug treatment and care services in
the community, by at least 10% every year.

Increase the number of drug misusers successfully completing treatment.

Increase the number of drug misusers moving onto training, education and employment.

Reduce waiting times for drug treatment and rehabilitation services.
 Reduce drug related deaths.
Target: Reverse the upward trend in drug-related deaths and reduce the total number, by at least
25% by 2005
 Reduce the proportion of under 25s who are offered illegal drugs.
Target: Reduce the proportion of young people under 25 who are offered illegal drugs
significantly, and heroin by 25%, by 2005.
Target: An increase in the weight of Category A drug seizures of 10%, by 2006.
Target: An increase in detection of offences for supply or intent to supply Category A drugs by
10%, by 2006.
National Priorities: Alcohol
 Reduce binge drinking, because of the harmful social and individual consequences.

Reduce hazardous or at risk drinking by children and young people because of the particular
health and social risks.
Targets: To reduce the incidence of adults exceeding weekly sensible drinking levels from:
33% to 31% for men between 1995 and 2005 and to 29% by 2010;
13% to 12% for women between 1995 and 2005 and to 11% by 2010.
Targets:
To reduce the frequency and level of drinking from 20% of 12-15 year olds to 18%
between 1995 and 2005 and to 16% by 2010.

To provide equitable, accessible and inclusive services to address the needs of those who
experience problems with alcohol and those affected by others’ alcohol problems.
National Priorities: Drugs and Alcohol
 Reduce harm to children affected by substance misusing parents / carers.

Reduce drug and alcohol related crime, and reassure communities of this.
2
The Drug & Alcohol Action Team: 2004/05.
Name: West Lothian Drug Action Team
Number of meetings in 2004/05: Strategic DAT: 2
Signature of Chair:
Operational DAT: 6
Date:
Action Team Members :
Name
Designation
Organisation
.
No. of meetings
attended 2004/05
(inc reps as necc)
Strategic DAT
D. McGrouther
A. Linkston
A. MacKinnon
M. Massaro
J. Coupland
M. Ferguson
P. Gabbitas
J. McArthur
H. Smith
DAT Chair / Councillor
Chief Executive
Principal Officer – Policy
& Equality
Development Manager
(Sexual Health & Drugs)
Chief Superintendent
Manager, WLDAS
Chief Executive
West Lothian Council
West Lothian Council
West Lothian Council
2
2
2
Lothian NHS Board
2
Lothian & Borders Police
Voluntary Action WL
West Lothian Healthcare
NHS Trust
West Lothian DAT
West Lothian DAT
2
2
1
Senior Manager (Health
& Planning)
Counselling Manager
West Lothian Council
1
WLDAS
1
OP DAT Chair
Development Officer
Research & Development
Officer
Alcohol CPN
Director of Performance
Management
Clinical Director
Clinical Nurse Manager
Drugs Strategy Coordinator
Manager
Detective Chief Insp.
Alcohol Commissioner
Regional Manager
Tobacco Issues Worker
Life Long Learning
Manager
Lead Clinician
Service Development
Manager
Education Officer
Service Development
Officer – Social Work
West Lothian Council
West Lothian DAT
West Lothian DAT
6
4
5
Alcohol Problem Service
WL Healthcare Division
2
3
CDPS
CDPS
Edinburgh Prison
2
2
1
ELCA
Lothian & Borders Police
Lothian NHS Board
Scottish Drugs Forum
WLDAS
West Lothian Council
1
3
5
2
5
4
Locality Drug Clinic
Cyrenians
6
5
West Lothian Council
West Lothian Council
5
3
Development Officer
Research & Development
Officer
2
2
Attending
A. Gee
H. Watson
Operational DAT
A. MacKinnon
J. McArthur
H. Smith
I. Davidson
J. Jack
F. Watson
I. Burns
J. Mathieson
M. Walker
K. Anderson
F. Hume
G. McArthur
B. Pringle
B. Waddell
R. Simpson
L. Gillies
F. Monaghan
K. Hurst
3
M. Massaro
J. Berkley
P. Nicolson
A. Gee
M. Ferguson
G. Cottrell
R. Tipper
L. Johnson
H. Turley
J. Swan
Development Manager
(Sexual Health & Drugs)
Manager, SWDT / DTTO
Development Manager
(secondment)
Manager, SWDT
(secondment)
Chair, Tobacco Issues
Group (TIG)
Manager
Locality Manager
Lead Clinician
Service Development
Officer (C&F)
Housing Manager
WLDAC Chair
Lothian NHS Board
3
West Lothian Council
6
West Lothian Council
2
West Lothian Council
6
WLDAS
WL Healthcare NHS
Trust
CDPS
West Lothian Council
6
1
West Lothian Council
West Lothian Council
1
2
WLDAS
WLDAS
1
1
2
2
Attending
J. Sinclair
J. McColl
S. Innes
G. Lyell
W. Guild
D. Lowson
B. Burnett
G. Wilson
E. Anderson
C. Cunningham
L. Harkins
Education Worker
Wise Up on Drugs
Worker
Sergeant
Social Inclusion Manager
Detective Inspector
Drugs Worker
Cannabis Interest Group
Choose Life
Drugs Worker
Senior Community
Dentist
Community Safety Officer
Lothian & Borders Police
Lothian NHS Board
Lothian & Borders Police
CDPS
WL Healthcare NHS
Trust
West Lothian Council
WLDAS
Lothian Primary Care
NHS Trust
City of Edinburgh Council
Action Team Support Funding:
2004/05 Allocation : £ 59,585.00
Carry Forward :
£ 5,006.07
Total :
£ 54,578.93
Category of Spend
Staff
Office
Training
Sundry Supplies
Underspend (post vacant)
Expenditure £
51,179.84
290.19
452
2,656.90
5,006.07
4
1
1
1
1
1
1
1
1
PERFORMANCE CONTRACT 2005/06 – 2006/07:
The additional £XX,000 per annum in [dates] is expected to result in
1. An increase in the numbers entering treatment (as reported through
SMR24 returns) from [number] to [number].
2. A reduction in waiting times for [treatment intervention], from [length
of wait] to [length of wait] (as measured through the national waiting
times framework
3. An increased range of interventions available by [date] for [location]
to provide a [specific intervention] to [client group].
NB. This is a simple example of what a performance contract may look
like. DAATs will wish to amend details according to the local situation
and information, and may need to include specifics as required from
local partners. The final performance contract will be worked out
through negotiations with the Scottish Executive.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Signed:
DAAT Chair
NHS Chief Executive
Directors of SW
Scottish Executive
5
Support & Treatment Tables : 2004/05.
NON-RESIDENTIAL SERVICES IN ACTION TEAM AREA:
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
SPECIFIC GROUPS
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
*£171k
(L)
533
266
390
48
4
4
4
4
4
4
4
4
4
WLDAS – Arrest Referral
DA
*£171 (L)
65
11
21
6
4
4
4
4
4
4
4
4
4
Y
WLDAS – Prison Throughcare
(combined spend with Arrest
Referral & Counselling)
DA
*£171 (L)
84
54
97
8
4
4
4
4
4
4
4
4
4
Y
WLDAS – Back on Track
DA
£80 (L)
77
64
101
27
1
4
4
4
4
4
4
4
5
Y
Y
WLDAS – Headway
DA
£108 (L)
73
42
220
13
4
4
4
4
4
4
4
4
4
Y
Y
D
252,466
(N)
150
137
252
8
212
4
4
4
2
4
4
4
4
4
Y
N
Y
Y
N
N
N
D
56,912
(N)
230
145
190
0
72
5
4
5
5
4
4
5
5
5
N
N
Y
Y
N
N
D
225,200
(L)
117
129
991
113
4
2
4
4
4
4
4
2
4
Y
N
N
Y
Y
N
Problem
Locality Drug Clinic
Social Work
(SWDT)
Drug
Team
6
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
Y
N
Crisis Management
DA
Y
Community Rehabilitation
WLDAS – Counselling
Y
Brief / Minimal Interventions
4
Mutual Support Groups
Over 65’s
4
Volatile Substance Abuse
Homeless People
4
Family Support
Psychostimulant Users
4
Home Visits
Equality Groups
4
Counselling (Group and 1-1)
Ethnic Minority Groups
4
Advice & Information
Dual Diagnosis
4
Education/Training/Employment
Pregnant Women
4
Y
Aftercare
Women
1
Y
Prison Throughcare & Aftercare
Under 16s
102
Y
Criminal Justice SW Intervention
No. of Planned Discharges
829
Y
Needle Exchange
Total Attendances
437
N
Outreach Clinics
No. of Active Clients
832
N
Substitute Prescribing
New Clients
£670k (L
& N)
N
Day-Care
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
DA
Community
Drug
Service (CDPS)
Detoxification
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
West Lothian Drug & Alcohol
Service (WLDAS)
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
Y
Y
N
Y
Y
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Alcohol Problem Service (APS,
Lothian-wide service)
A
749,456
67
13
116
77
5
4
4
2
4
4
4
4
4
Y
N
N
Y
N
N
N
N
N
Y
Y
Y
Y
N
Y
Y
N
N
633
188
371
4
760
5
4
4
2
4
4
4
4
4
Y
N
N
Y
N
N
N
N
N
Y
Y
Y
Y
N
N
Y
N
N
N/A
N/A
3
4
4
4
4
4
4
4
5
N
N
N
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
(N)
Ward and
Resource
Team Lothian
wide
2 Alcohol CPNs
A
68,036
(N)
Youth Action Project (YAP)
DA
127,500
(L)
43,500
(LTSB/
DAT)
Needle Exchange
Network (NEON)
Lothian wide service
D
90,881
(N)
52
109
322
N/A
5
4
4
4
4
4
4
3
4
N
N
N
N
Y
N
N
N
Y
Y
N
N
N
Y
N
Y
N
N
Needle Exchange Pharmacy
Lothian wide service
D
63,000
(N)
96
134
5
267
9
N/A
5
4
4
4
4
4
4
3
4
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
Edinburgh & Lothians Council
on Alcohol (ELCA)
A
4,968 (L)
8,204 (N)
87
73
277
3
40
5
4
4
4
4
4
4
2
4
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
N
N
Libra
A
4,979
1
1
1
1
5
1
4
4
4
4
5
5
4
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
Y
N
Hearth Project
DA
86,835
(Big
Lottery +
LTSB
funded)
29
38
160
N/A
4
4
4
4
4
4
4
4
4
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
N
N
Outreach
*Specific Group Codes:
1= Drug and/or alcohol service dedicated solely to the specific group.
2= Drug and/or alcohol service with specialist workers, dedicated clinics, or facilities for the specific
group.
3= Drug and/or alcohol service which has undertaken specific action to attract specific group.
4= Drug and/or alcohol service which treats clients from the specific groups but has no specialist
facilities.
5= Drug and/or alcohol service which does not treat clients from the specific group.
Dedicated Drug and/ or Alcohol Service – A service with dedicated workers or facilities for supporting alcohol and/ or
drug misusers, where the focus of the intervention is on alcohol and/ or drugs during 2003/04.
Number of New Clients – Number of clients attending the service for (a) the first time ever or (b) it has been at least six
months since their last attendance at the services during 2003/04.
Number of Active Clients – Number of clients for whom treatment and /or dedicated support is being managed in
accordance with a care plan at the service during 2003/04.
Number of Planned Discharges – Number of clients from each service who completed a treatment or support
intervention , or moved from one treatment and /or support provider to another in a planned way during 2003/04.
7
RESIDENTIAL SERVICES IN ACTION TEAM AREA: There are no residential services in West Lothian
SERVICE
REMIT
NUMBER
TOTAL
ADMISSIONS
FROM
OF BEDS
ADMISSIONS
ACTION TEAM AREA
N/A
N/A
N/A
N/A
N/A
DEDICATED SERVICES USED OUTWITH ACTION TEAM AREA:
SERVICE
REMIT
Alcohol Problems Service Detox and
Assessment Ward
Castle Craig Clinic
Detox and Assessment
Royal Edinburgh Hospital
Detox and Assessment
Peebles
NUMBER OF CLIENTS
REFERRED
310 – total admissions
(Lothian wide)
3
Phoenix House
Detox and Rehabilitation
Glasgow
1
1
Green Door
Detox and Assessment
Falkirk
1
1
Detox 5
Detox and Assessment
Harrogate
3
3
SWDT :
Brenda House
Detox and Assessment
Edinburgh
1
1
Pheonix House
Detox and Assessment
Glasgow/Edinburgh
10
10
Ronachan House
Detox and Assessment
Tarbert
3
3
Links Project
Detox and Assessment
Edinburgh
17
17
SHARED CARE: (Drugs Only)
Number of GP Practices signed up to local shared care scheme
Number of pharmacists signed up to local shared care scheme
Number of dispensings of methadone mixture
Number of supervised dispensings of methadone mixture
NEEDLE EXCHANGE: (Drugs Only)
SERVICE TYPE
NUMBER OF FACILITIES
Specialist
0
LOCATION
DETAIL ANY TARGETED GROUPS
N/A
NUMBER OF
CLIENTS ADMITTED
58 – from West
Lothian (19%)
3
TOTAL
ANNUAL
SPEND
NHS provision
£16,575 (April
December 2004)
£1,484 (April
December 2004)
£2,750 (April
December 2004)
£8,980 (April
December 2004)
–
–
–
–
SWDT Annual
Spend on
Residential
rehabilitation =
£131,000
17 in NES, 1 in GP Scheme
20
34,364 (April - November 2004)
9,786 (April – December 2004)
NUMBER OF NEEDLES / SYRINGES DISTRIBUTED
0
8
NUMBER OF NEEDLES / SYRINGES RETURNED
0
Outreach
Community Pharmacies
2
3
9,794
30,574
PREVENTION SERVICES: (Alcohol Only)
How many dedicated alcohol prevention services have been funded by the Action Team using existing monies:
ADULT SERVICES
3 (APS, ELCA, WLDAS) WLDAS is a drug & alcohol service
CHILDREN’S SERVICES
2 (YAP, WLDAS) YAP is a non-treatment service
9
4,394
16,239
Action Team Progress – Culture Change and Communities.
National Priority: Reduce binge drinking.
Target: Reduce the incidence of adults exceeding weekly sensible drinking levels
from: 33% to 31% for men between 1995 and 2005, and to 29% by 2010
13% to 12% for women between 1995 and 2005, and to 11% by 2010.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:

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Information from the Scottish Executive Criminal Justice statistics highlights that 103 drunkenness offences were recorded
in West Lothian in 2003. This has fallen from 110 recorded in 2002.
Youth Action Project has engaged with 3426 people on the streets of West Lothian during 2003/04. 1230 of these young
people are regular users of the service. YAP statistics highlight that alcohol use and its effects are the highest recorded
issues discussed by young people with staff. 429 young people have used the service more than twice to seek specific
advice on alcohol issues.
In the DAT area in 2003/04 90 patients were discharged from hospital with alcohol poisoning being recorded as the
primary or secondary reason for admission. This represents a 23% decrease from the previous year’s statistics. (Source
ISD – SMR01)
The DAT awaits the results of further data collection. It is hoped this will provide improved results at local authority level.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:
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Community engagement money was secured through the Community Safety Partnership fund, and four cinema
advertisements highlighting the potential dangers of cannabis, alcohol, drug and solvent use are being shown in the local
cinema until October 2005.
The DAT have created a credit-card sized information card, detailing local services available to individuals with substance
use issues, which includes alcohol.
Plans to review the community alcohol database are in place.
‘Chill Out Zone’ created an educational leaflet addressing issues surrounding spiked drinks.
Schools worker post in place to provide alcohol training for teachers using the ‘Respect it’ pack.
‘Wise Up on Drugs’ worker in place to educate parents on substance misuse issues while in their workplace.
Arrest Referral (WLDAS) – development of intervention techniques in order to increase service contact for those with
alcohol problems.
WLDAT have produced a leaflet funded by the Scottish Executive Alcohol Communications monies targeting young
women and highlighting issues surrounding binge drinking, drink spiking and personal safety. The leaflet also details a list
of useful contacts and was launched at a local nightclub in March 2005.
WLDAT held a public forum on young women and binge drinking in March 2005.
WLDAT supported Scottish Executive and Lothian & Borders police festive communications campaigns and Scottish
executive women & alcohol campaign.
Lothian and Borders Police have designed a ‘safer drinking’ information page on their web site.
Lothian and Borders Police Divisional Support teams attend ‘hot spots’ on a regular basis at the request of station
Sergeants to deal with and monitor youth problems in that particular area.
The Licensing Department carried out a bottle-marking scheme in areas of Livingston and noticed a marked decrease in
alcohol supplied to young people within those areas.
WLDAS - Comprehensive substance programme with alcohol component offered to all West Lothian Secondary Schools
WLDAS - Series of alcohol free bars at local Health Fairs/Fun days for different age ranges
Audit done to highlight the impact of Respect It training for teachers in secondary schools
There has been a continuation of alcohol education in schools by the Drug Awareness Officer.
YAP liased with young people regarding Lothian & Borders police safer drinking campaign to highlight the risks and
dangers associated with binge drinking.
YAP peer education project – there are now 12 young people fully trained in the issues of substance use and they are now
facilitating informal discussion within local community groups.
YAP streetwork sessions increased to include 2 teams out on Friday evenings and an extra session on Saturday evenings
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:
10
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Review of licensing hours – the DAT awaits the outcome of the Nicholson recommendations.
Maintain regular contact with members of the licensing trade in order to highlight their responsibilities in relation to alcohol
issues.
Integrity Testing (Test Purchase) of alcohol involving young adults aged 16-17 years.
Lothian and Borders Police aim to reduce drink-driving offences further through enforcement.
There will be continued involvement with Pub Watch meetings and training/ information given to staff.
An updated input to year 5 high school classes has been developed with the introduction of an alcohol-based scenario
along with the regularly used drug one.
Since October 2004 all reported crimes to Lothian and Borders Police now have a category for recording whether or not
alcohol was involved. Figures will be available towards the end of this year.
Lothian & Borders Police plan to achieve target reductions in road crash casualties through enforcement of drink driving
legislation. Indicator for this being the number of persons reported for the major contributory offences of drink/ drugs
driving.
YAP peer education project – a further 10 young people are currently being trained.
YAP will provide alternative activities to binge drinking for young people in partnership with community education.
YAP will address the issue of binge drinking by providing information and advice to local communities on support services.
Further integration of local alcohol services, including weekly referral reviews
WLDAS – Training on early interventions
WLDAS one-to-one counselling & relapse prevention work
Needs Assessment study of long term drinkers who persistently come to the attention of police and A & E
WLDAS - Joint work with more vulnerable groups of young people between schools drugs co-ordinator and Back on Track
WLDAS plan to build safer drinking messages into Sexual Health training and education
Action Team Progress – Culture Change and Communities.
National Priority: Reduce drug and alcohol related crime and reassure communities
that effective action is being taken.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:
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Information from the 2001/02 Scottish Household Survey shows that 23% of people in West Lothian have had (very
common or fairly common) experience of neighbourhood problems: people drinking or using drugs. This figure shows a
2% increase from the previous year and a 1% increase on the National average.
Figures from Lothian & Borders police indicate that drugs related offences in West Lothian have fallen from 1129 in 2002
to 1029 in 2003. This represents a decrease of 9% in recorded offences.
In West Lothian in 2003 75% of drug-related offences recorded by Lothian & Borders police were for possession, 24%
were for possession with intent to supply and 1% for “other” drug-related offences.
The incidence of drunk driving has steadily fallen in West Lothian since 2000 from 405 offences recorded to 379 offences
recorded in 2003. This indicates a 6% decrease.
There was a 6% increase in the number of drunkenness offences recorded in 2003 in Scotland. West Lothian figures
highlight a 6% decrease in the number of drunkenness offences recorded in 2003.
Lothian and Borders Police report that crimes of violence show a 61% solvency rate from Jan 04 to date.
One third of Anti Social Behaviour Orders in West Lothian are alcohol related.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:
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Crimestoppers campaign launched in summer 2004, focusing on drug and alcohol related crime and encouraged
individuals to come forward and report criminal or suspicious behaviour.
Community engagement initiative –‘Know the Score’ Parents Guide to Drugs were distributed locally along with drug,
alcohol, tobacco and volatile substance service information cards.
Outreach homelessness service – bridging the gap between clients being discharge from services and released from
prison to finding suitable accommodation.
Implementation of the Arrest Referral scheme with funding through the Community Safety Partnership.
Appointment of Community Wardens to aid in re-assuring local communities within West Lothian. Wardens have received
initial drugs & alcohol training.
YAP – Implementation of service offering alternatives to alcohol & drug use, e.g. sport, music, art & drama.
Lothian & Borders police have increased police visibility and accessibility in line with existing ‘Force Supporting strategies’
11
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and support pub-watch schemes, that enable licensees to keep out troublemakers and reduce alcohol related violence/
disorder.
WLDAC public forum was held in December 2004 focusing on Scotland’s Licensing Laws and emerging alcohol issues.
Continued high visibility patrols by local officers when possible and again increased use of the Divisional Support Team for
‘problem’ areas.
Ongoing Drug Awareness inputs by Lothian and Borders Police to High Schools and increasingly primary level in West
Lothian.
A Community Engagement Initiative in Blackburn was positive by lettering households with drug and Crimestoppers
information in response to complaints and crime figures.
Appointment of a police co-ordinator to work in conjunction with West Lothian Council with regards to Anti Social
Behaviour orders.
YAP now provide a direct referral route to the Youth Justice Support Team.
YAP work in partnership with the Community Safety Wardens and Neighbourhood Response Team to address anti-social
behaviour amongst young people throughout West Lothian.
Early intervention work with young people through WLDAS Back on Track Project
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:












WLDAS – continue Arrest Referral project (subject to funding)
West Lothian Drug Awareness Officer to pilot a scheme to record more information about youths drinking and action taken
by police.
Lothian and Borders Police are supporting the ‘Choices for Life’ event at Ingliston, Edinburgh in June 2005 targeting all
Primary 7 children from West Lothian. The event will include drug awareness information in an informal, fun environment.
YAP - discussing the possibility of being able to access leisure facilities for free or discounted rates.
YAP plan to increase streetwork sessions in partnership with the Neighbourhood Response Team in specific areas
throughout West Lothian known to have a higher proportion of substance misuse issues.
YAP are providing group work sessions with young people who have been referred due to their misuse of substances in
the community.
Continuation of work with young offenders in HMYOI Polmont
WLDAS will increase their participation in HMP Edinburgh Drug Referral Team
Continuation, subject to funding of the women offenders group work programme run by Criminal Justice Team and
WLDAS
Continuation, subject to funding, of prison throughcare and fast tracking to treatment services
Improve the links between prison housing link officers and treatment services
Improve links with HMP Cortonvale and local treatment services
12
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce hazardous or at risk drinking by children and young people
because of the particular health and social risks.
Target: Reduce Frequency and level of drinking from 20% of 12 – 15 year olds to
18% between 1995 and 2005, and to 16% by 2010.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:



SALSUS indicates in the DAT area that 34% of 13 year olds and 58% of 15 year olds in 2002, who admitted to having
ever drunk alcohol, reported drinking five or more drinks at least once on the same occasion in the last 30 days.
It was also reported that 28% of 13 year olds and 50% of 15 year olds in West Lothian had vomited as a result of drinking
too much. 2% of 13 year olds and 3% of 15 year olds had been admitted to hospital overnight as a result of drinking
alcohol. Additionally, 6% of 15 year olds had been seen by a doctor or taken to A & E due to the effects of drinking too
much alcohol.
The WLDAS Audit of Drug Education within Schools (2004) found that 100% of schools in West Lothian were delivering
drug education to S1, S2 and S3 pupils. The audit also highlighted that 82% of S4 and S5 pupils and 36% of S6 pupils
received drug education in West Lothian.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:









Implemented recommendations from recent schools audit.
Increased the amount of substance education given in schools.
Hearth Project has appointed 2 additional workers.
YAP has developed a database to record qualitative information.
YAP streetwork sessions ensure that young people have up to date knowledge of substance misuse issues.
Lothian & Borders Police plan to enforce legislation concerning the unlawful supply of alcohol to young people, measured
through number of persons reported via relevant offences.
Teacher Training on the implementation of ‘Respect It’ alcohol education programme.
Developed a cinema campaign targeting young people’s substance use.
Extension of Back on Track service (WLDAS) for drug users to include 16 – 18 year olds, including referrals from Polmont
Young Offenders.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










YAP plan to enhance their database in order to record more comprehensive information.
WLDAT in partnership with YAP plan to repeat the West Lothian Young People’s Street Survey.
Encourage Licensees to support the ‘proof of age’ schemes to deter under-age drinking.
YAP will continue to promote and disseminate materials and information relating to substance use.
YAP will improve links with the Chill Out Zone in order to enhance the health and substance misuse advice available to
young people from specialist health workers.
WLDAS plan to attract more under 25s to their service.
WLDAS will evaluate the ‘Respect It’ alcohol education programme.
WLDAS will provide alcohol education for 3rd year pupils in West Lothian Secondary Schools.
WLDAS will extend age range of referrals to 21 for Back on Track Project.
WLDAS plan to develop treatment protocols for under 16’s.
13
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce the proportion of young people reporting use of illegal
drugs.
Target: Reduce proportion of under 25’s reporting use of illegal drugs in the last
month and previous year substantially, and heroin use by 25% by 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:





The West Lothian Young People’s Street Survey (2002) highlights that 18% of young people (12 – 18) questioned
admitted to using cannabis regularly.
SALSUS (2002) reports that 2% of 13 year olds and 10% of 15 year olds in West Lothian reported that they usually take
drugs once a week or more. Reported prevalence of weekly drug taking is not significantly different from reported national
prevalence in either age group (national figures: 2% of 13 year olds and 7% of 15 year olds report using drugs once a
week or more).
The West Lothian Young People’s Survey (2002) questioned youths aged 12 – 18 outside school hours and found that
58% of males had used drugs compared to 44% of females. Similarly in 2000 more males (48%) reported having used
drugs than females (41%).
SMR24 data indicates that in 2003/04 46% of new clients accessing drug treatment services in West Lothian were under
25 years old. This shows a 1% increase from the previous year’s data.
In 2002/03 47% of new clients reporting heroin use were aged under 25 years old. This figure has fallen to 42% in 2003/04
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:






Extension of Back on Track service for drug users to include 16 – 18 year olds, including referrals from Polmont Young
Offenders. The number of referrals from Polmont will measure this extended service alongside successful outcomes/
planned discharges.
Cannabis Interest Group with support from WLDAT is using the local boxes on SMR24 forms for a 6 month period in order
to assess the extent of cannabis use in West Lothian and determine the form of cannabis used, regularity of use and
dependency.
Running cinema advertising campaign targeting young people, that highlights the dangers of alcohol, tobacco, solvents
and re-affirming the legal situation surrounding the re-classification of cannabis.
An information card has been made widely available detailing local drug and alcohol services.
Further development of the ‘Wise Up’ project offering drug and alcohol education in the workplace for parents & carers.
Distribution of 5000 copies of the Know the Score information leaflet on volatile substances throughout West Lothian via
Youth Action Project streetwork service.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










YAP plans to improve links with the Mental Health Promotion Group and address the relationship between mental health
issues and cannabis use.
YAP peer education project will work in partnership with the police drugs awareness officer to highlight substance misuse
issues within schools.
WLDAS - Extension of Back on Track age range to 21 to increase the number of young people accessing services
Cannabis Interest Group along with WLDAS, ASH Scotland and Scottish Drugs Forum will host the 1 st National Cannabis
and Tobacco Conference in Edinburgh.
Cannabis Interest Group will report on the 6-month pilot to establish the extent of cannabis use in West Lothian.
West Lothian Drug & Alcohol Service will publish audit of substance education in West Lothian Secondary Schools and
recommendations.
Education Services together with WLDAS will launch the revised School Policy for Drug Education and Dealing with Drug
Related incidents in Schools.
Training for teachers on how to implement the new Drug Related Incidents Policy.
The cross cutting DAT/Children’s Services Group will revise guidelines for dealing with drug related incidents for staff in
residential establishments and will explore treatment options for under 16s.
Further development of the schools drug co-ordinator post to implement the recommendations from the audit of drugs
14

education and to ensure a more co-ordinated approach to drug education in schools.
Further development of the Wise Up programme for parents.
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce harm to children affected by substance misusing parents /
carers through improved multi-agency support to parents and children.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:






SMR24 data highlights that in 1999/00 25% of new clients entering drug treatment services in West Lothian lived with
dependent children. This figure has fallen to 11% in 2003/04.
In West Lothian 1% of clients entering drug treatment services in 2002/03 and 2003/04 had a presenting issue of
pregnancy. The Scottish average has risen from 3% of clients in 2002/03 to 5% of clients in 2003/04.
According to SMR02 data less than 1% of maternity rates (a pregnancy which results in a live or stillbirth) in West Lothian
recorded drug misuse in 2000/01, 2001/02 and 2002/03.
In 2003, 36% of SWDTs clients had children, this figure has risen to 54% in 2004.
WLDAS, CDPS, Locality Drug Clinic and SWDT reduce harm to children affected by drug using parents by prioritising
treatment for parents. Stable drug use contributes to creating a better environment in the family home.
All drug treatment services in West Lothian adhere to recommendations from GOPR and Hidden Harm
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:











Children’s Services Management Group held a seminar on children and families affected by substance misuse targeting
social workers, voluntary organisations, practitioners and policy makers in West Lothian.
Further development of Back on Track support work for young people experiencing parental substance misuse.
West Lothian Drug and Alcohol service have continued working in partnership with the Social work Drug Team,
Community Drug Problem Service and Hearth project in order to maintain a multi-agency approach to providing support to
children affected by substance misusing parents.
Social Work Drug Team has implemented a more effective recording and monitoring system for information concerning
children of clients.
Copies of GOPR have been circulated widely to practitioners working in West Lothian.
Links established with SW Teams and the Children’s’ Reporter.
Integrated Drug Service developed in West Lothian, linking adult treatment services more closely to voluntary agencies
offering family support.
CDPS staff very involved in Child Protection IRDs and CCPCs – significant part of all staff caseloads.
SWDT have improved access to substitute prescribing via Locality Drug Clinic for drug using parents.
WLDAT facilitated a seminar to discuss and feedback comments on the draft Pan-Lothian Child Protection guidelines.
YAP in partnership with SureStart has been raising awareness of substance misuse issues with young Mum’s.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:









Develop Integrated Drug Service to include SW input and Family Support (pending additional funding).
Strengthen operational links between Substance Misuse Services and Obstetric Services.
Develop multi-agency training in line with Getting Our Priorities Right guidance, aimed at health, social work and voluntary
sector covering parental substance misuse issues, child protection and early years/antenatal neonatal care incorporating
inter-agency guidelines for ‘Working with Children Living in Families with Problem Substance Misuse’.
SWDT aim to increase the number of client cases involved in care of children by 10%.
SWDT will increase their number of clients working jointly with Children & Families social work team.
SWDT will continue to work closely with local drug services.
All drug treatment services in West Lothian will continue to monitor and implement appropriate recommendations from
West Lothian DATs Corporate Action Plan and 3-year strategy in relation to children affected by substance misuse.
YAP peer education project is working with families from local communities to increase understanding of young people’s
substance use and improve communications within families on this topic.
Locality Drug Clinic and CDPS plan to introduce a new data collection system to collect more information on children of
15




drug users. It is hoped that WLDAS will also become involved in this initiative.
WLDAT will provide joint multi-agency training on children protection court hearings.
Further development of Back on Track support work for young people experiencing parental substance misuse.
Continuation of the multi-agency approach to providing support to children affected by substance misusing parents
between West Lothian Drug & Alcohol Service, Social Work Drugs Team, Community Problem Drug Service, Locality
Clinic and Hearth Project.
Enhancement of West Lothian Family Support Network.
Action Team Progress – Provision of Support and Treatment Services.
National Priority: To provide equitable, accessible and inclusive services to address
the needs of those who experience problems with alcohol.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:


Capacity of current services in DAAT area by Tier:–
Tier 1 = Information and awareness raising is available to everyone in a variety of settings, through a range of services in



the community.
Tier 2 = WLDAS, ELCA, Libra
Tier 3 = Alcohol Problem Service (3 Alcohol CPNs) and consultant psychiatrist
Tier 4 = Access to Royal Edinburgh Hospital – 438 (12 beds) (APC) – potential bed occupancy Lothian wide. WL used
19% of the total in 04/05.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:









WLDAS have been more proactive in providing a home counselling service for individuals who cannot attend external
appointments.
WLDAT have used community engagement money towards cinema advertisements, detailing the potential dangers of
excessive alcohol consumption.
WLDAT developed a website to run for the duration of the cinema advertisment campaign providing information and
advice on alcohol misuse and local contact details.
Adverts highlighting the dangers of binge drinking have been included in several issues of the Unreel magazine, which is
freely available at the local cinema.
Alcohol funding has allowed ELCAs user group to continue.
Third Alcohol CPN post has been established in West Lothian.
Local launch of new women and alcohol leaflet “ Everything You Need for a Good Night Out” in local nightclubs.
West Lothian Public Forum on Women & Alcohol was held in March 2005.
WLDAT/EIU Integrated Care seminar was held in November 2005.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:












A needs analysis of problem drinkers who consistently end up in A& E and police custody is planned for 2005.
Develop CPN led local Relapse Prevention Group.
Increase the range of interventions offered in line with the HTBS Report.
Repeat the West Lothian Young People Street Survey to further determine the extent of alcohol misuse locally.
Further develop two new assessment clinics established by WLDAS.
WLDAS will continue to provide a home counselling service for individuals who cannot access external appointments.
WLDAS will continue to offer 2 homeless outreach clinics.
WLDAS in partnership with WLDAT will continue to seek funding for the Arrest Referral Scheme which makes contact with
potential clients who have never accessed services.
WLDAS will seek continued funding for prison throughcare.
Extend the national waiting times framework to measure alcohol services.
ELCA are planning additional development and increased promotion of their service.
ELCA will strive to establish links between counselling and tenancy support services.
16
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Reduce waiting times for drug treatment and rehabilitation services.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:

Five services participate in the Scottish Executive Waiting Times Framework (Community Drug Problem Service, Social
Work Drug Team, West Lothian Drug and Alcohol Service, Harm Reduction Team and Locality Drug Clinic) for West
Lothian DAT. All five services have successfully completed information for each quarter.
According to the Drug Treatment Waiting Times Framework:

In quarter 1, 45% of clients in West Lothian were assessed within 3 weeks of being referred to a service. (Scottish
average was 55%)

In quarter 2, 44% of clients in West Lothian were assessed within 3 weeks of referral to a service. (Scottish average was
54%)

In quarter 3, 40% of clients in West Lothian were assessed within 3 weeks of referral to a service. (Scottish average was
42%)

All drug treatment services in West Lothian have an average waiting list of 4 weeks.

Social Work Drug Team sees all clients within 7 days of referring the service.

The waiting list for the Locality Drug clinic has reduced from 6 months in April 2004 to 8 – 10 weeks in December 2004.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:












WLDAT facilitated an EIU Integrated Care workshop in November 2004, involving multi-agency representation including
drug, alcohol and tobacco treatment services, housing and mental health.
A new Maintenance clinic was set up in Whitburn to meet the demand from clients affected by GPs not opting into the new
GMS contract for drug misuse.
A shared waiting list was established between all drug agencies – treatment, voluntary and SW.
Waiting times reduced significantly.
There has been a 29% increase in the number of SWDT clients accessing short and long-term rehabilitation between
2003 and 2004.
Services in West Lothian are more integrated and there is an agreement between drug treatment services on shared
priorities.
Locality Drug Clinic has developed an interim assessment tool with SWDT, WLDAS and CDPS that has resulted in a
reduction in the time from a client first being seen by a service to being prescribed from 3 visits to 2 visits.
TAPS, which emerged due to a gap in service as a result of the GMS contract, has now been fully integrated into the
Locality Drug Clinic in West Lothian. The maintenance wing now sees 50 patients.
WLDAT held a seminar targeting the prison service and through-care workers highlighting the importance of service
availability for prisoners on release.
All drug treatment services in West Lothian prioritise clients leaving prison and provide a rapid referral route for prisoners
on release. Clients who require maintenance treatment and naltrexone are seen on the day of release.
WLDAS have established two new assessment clinics.
WLDAS have extended their evening appointment system.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










WLDAT hope to obtain continued funding for the Locality Drug Clinic to ensure that short waiting times are maintained and
a fully integrated service is provided in West Lothian.
Develop the Integrated Drug Service further to include more SW input, voluntary sector support and treatment capacity.
Develop dedicated Opiate Community Detox Service.
Establish close links with the DTTO Team – due in June 2005, and develop a Fast-Track Service.
Provide more input for clients with a history of abuse.
SWDT plan to increase the number of clients accessing the Locality Drug Clinic by 10%.
SWDT also plan to increase the number of clients accessing residential rehabilitation services by 10%.
WLDAS will reduce waiting times by a further 20%.
Further WLDAS commitment to and successful development of integrated care with the Locality Clinic and its partner
agencies.
WLDAS will provide a fast track to treatment for highly motivated clients.
17
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

WLDAS - Continued development of integrated locality model.
All drug treatment services in West Lothian will continue to monitor waiting times and report to DAT.
WLDAS are seeking funding for an additional worker for Headway rehabilitation project.
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Increase the number of drug misusers in contact with treatment and
care services.
Target: Increase the number of drug misusers in contact with treatment and care
services in the community by at least 10% every year until 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:
Year
Target number
Actual number
Difference
1998/99
242
242 (Baseline Year)
1999/00
266
267
-1
2000/01
292
232
- 60
2001/02
321
233
-88
2002/03
353
316
-37
2003/04
388
434
+46
(Based on SMR24 returns)
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:










Arrest Referral Scheme offering early intervention has been re-established.
WLDAS have continued to strengthen their links with NEON.
Training events on crack cocaine, cocaine and heroin supporting the implementation of Mind the Gaps.
Seminar to explore the service delivery implications of the extended guidance on the provision of safer injecting
equipment.
West Lothian Drugs & Alcohol Concern held a public forum on Volatile Substances, exploring and highlighting the potential
dangers.
Enhanced community engagement through cinema advertisements of website containing information and advice on
substance use and service contact details.
Drug, Alcohol, Tobacco and Volatile Substance service contact information card was distributed throughout West Lothian.
Waiting lists to treatment reduced significantly.
WLDAS - Re-design of Headway (previously Getting into Gear)
WLDAS saw an Increase in referrals to Headway from feeder services
18
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










Increase capacity of services by expansion of Integrated Drug Service (subject to additional funding).
Offer dedicated opiate community detox service.
Move towards community health and care partnership based services in line with Joint Futures.
WLDAS will increase the number of planned discharges by 10%.
WLDAS will increase number of referrals to Headway by 20%.
Further development of Locality Clinic liaison work for clients returning to primary care (subject to additional funding).
Maintain links between housing and treatment.
Provide a specialised service for cannabis users (subject to additional funding).
Increase the number of clients accessing Locality Drug clinic by 35% pending funding.
Increase referrals to residential rehabilitation by 50% (subject to additional funding).
19
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Increase the number of drug misusers successfully completing
treatment.
Proxy Measure: Number of planned discharges.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:
There are 4 drug treatment services in West Lothian
Taking information from Quarters 1, 2 & 3 of the National waiting times framework:

Quarter 1 – West Lothian DAT noted 12 planned discharges

Quarter 2 – West Lothian DAT noted 44 planned discharges

Quarter 3 – West Lothian DAT noted 80 planned discharges

Total (Quarters 1, 2 & 3) – 136 planned discharges

There have been some initial data recording problems with the waiting times framework in West Lothian, as in many other
areas. These issues have been raised at local level and it is hoped that we will see a further increase in the numbers of
planned discharges in following quarters.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:







Social Work Drug Team have increased the number of planned discharges, number of referrals progressing to action
plans and number of residential rehabilitation stays >4 months by 10% in 2004/05.
High level of pharmacy dispensing has been maintained
Drug treatment services in West Lothian have seen a 38% increase in accessibility to services
The Locality Drug Clinic saw 4 clients aged between 17 – 25 years old who hadn’t been out of prison for more than 3
months at a time but since accessing rapid referral to treatment in West Lothian, all 4 clients have been out of prison for
more than 6 months.
A Primary Care Liaison worker is now in post to see drug using clients who are returning to GPs or prescribing and have
been known to relapse, by supporting the client’s journey from the Locality Drug Clinic back to Primary care. These clients
are monitored to ensure that they remain stable.
DAT Housing subgroup has been established.
3-year funding has been secured from WLDAT/Lloyds TSB for a Drug Outreach worker based within the Cyrenians to help
drug users maintain their accommodation.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:











Develop detox and relapse prevention care packages
Uphold reduction in waiting times
Maintain 10% increase in amount of people accessing SWDT
Maintain open and simple referral route, to ensure ease of access to SWDT.
Maintain high level of pharmacy dispensing
There are plans to link a dental clinic for drug users to the Locality Drug Clinic in West Lothian.
WLDAT in partnership with the Locality Drug Clinic plan to hold a seminar on cross-cutting issues of substance misuse,
benefits and finance, and substance misuse and housing issues.
WLDAT plans to undertake a user involvement survey with clients from the Locality Drug Clinic in order to further
understand clients’ needs.
WLDAT plans to improve links between housing and substance misuse in West Lothian through the DAT Housing
subgroup
Cyrenians will establish a housing support scheme to support drug users in treatment or rehabilitation (subject to
additional funding bid)
Develop fast-track service to link DTTO and substance misuse services (pending funding).
20
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Increase the number of people recovering from drug and alcohol
problems entering training, education and employment.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:



There is no national measure at present and no robust local measurement in place monitoring long term outcomes of
treatment.
Since WLDAS re-branded their rehabilitation programme (Headway) there has been an 80% increase in the number of
referrals.
Headway is a programme aimed at the rehabilitation for ex and stabilised drug and alcohol users into society. Headway
sees clients aged between 16 – 40 years old and aims to develop skills allowing access to the workforce and programmes
of study.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:






SWDT saw a 29% increase in the number of clients accessing short and long term rehabilitation.
SWDT also saw a 6% increase in the number of clients accessing the Links project.
Getting Into Gear (GIG) has been re-funded through the Treatment & Rehabilitation budget and has been re-branded as
Headway.
80% of Headway clients are at college, gym or volunteering.
2 clients from Headway are in full time employment.
WLDAT made links with the Employment Access Project Co-ordinator for West Lothian and fed in relevant substance
misuse information to Employability Forum.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:







SWDT will increase the number of chaotic drug users referred to the Links project by 10%.
WLDAT in partnership with the Locality Drug Clinic, Apex and Progress to Work plan to hold a local seminar addressing
cross-cutting issues of substance misuse and employment.
Strengthen links with Progress to Work and Job Centre plus to improve DAT performance in employability issues.
WLDAT also plans to work in conjunction with the local college to develop links and encourage access to recovering
substance misusers.
WLDAS hope to secure funding for an extra member of staff for Headway due to substantial increase in referrals.
WLDAS will work with local agencies to develop and implement comprehensive workplace policies.
WLDAS - Training and consultancy for local employers with young workforce.
21
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Reduce the number of drug related deaths.
Target: Reverse the upward trend in drug-related deaths and reduce the total
number, by at least 25% by 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:
Year
No of Deaths
1997
7
1998
3
1999
8
2000
5
2001
8
2002
4
2003
7
GROS figures are not available for 2004 (due for publication August 2005)
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:












‘Choose Life’ – ASIST Training has been delivered in West Lothian to provide information for professionals and members
of the public on suicide intervention skills.
NEON service has been maintained in West Lothian and an additional session is now running on Wednesday afternoons.
WLDAT have investigated the prevalence of Hepatitis C infection and have maintained focus of harm reduction techniques
for injecting drug users.
WLDAT have delivered STRADA training to staff on overdose prevention and blood borne viruses.
WLDAS have been piloting prison group work to include harm reduction information and pre release HR information.
Lothian & Borders police have maintained active participation in existing drug arrest referral schemes.
Police have taken active participation in Harm Reduction, going live in January 05. This relates to persons in Police
custody.
WLDAT in partnership with the Locality Drug Clinic held a seminar targeting the prison service and through-care workers
highlighting the importance of service availability for prisoners on release.
All drug treatment services in West Lothian prioritise clients leaving prison and provide a rapid referral route for prisoners
on release. Clients who require maintenance treatment and naltrexone are often seen on the day of release.
A nurse led drop-in clinic has been established alongside the Locality Drug Clinic to provide BBV harm reduction service
to clients.
The Needle Exchange Outreach bus also links in with Locality Drug Clinic sessions.
WLDAS Counselling staff have undertaken ASIST training
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:








Following outcome from national drug related deaths study, review local critical incident death process.
Continue monitoring for persons in custody by Lothian and Borders Police.
Social Work Drug Team aim to increase the number of chaotic drug users admitted for stabilisation to Links Project by
10% and to provide naltrexone information to all clients in detox and rehabilitation prior to discharge.
Lothian & Borders police will maintain active participation in existing drug arrest referral scheme.
WLDAS take part in pre-release education programmes for pre-release prisoners.
WLDAS will continue to work in partnership with Needle Exchange Outreach Network to attract clients into treatment.
All workers from the Blackburn Homeless Unit plan to attend the STRADA BBV course.
NEON plan to provide paraphernalia in addition to clean syringes (subject to additional funding).
22
Action Team Progress – Protection, Controls and Availability.
National Priority: Reduce the proportion of under 25’s offered illegal drugs.
Targets: Reduce the proportion of under 25’s who are offered illegal drugs
significantly, and heroin by 25%, by 2005
: An increase in the weight of Category A drug seizures of 10%, by 2006.
: An increase in detection of offences for supply or intent to supply Category
A drugs by 10%, by 2006.
Performance
Briefly demonstrate local performance towards the national targets, using local indicators
where appropriate:



SALSUS (2002) indicates that 33% of 13 year olds and 63% of 15 year olds in West Lothian had been offered drugs. The
proportion of pupils offered drugs was not significantly different from that reported nationally for either age group (national
figures: 65% of 15 year olds and 34% of 13 year olds reported being offered drugs).
In West Lothian in 2002, SALSUS highlights that of the number of pupils offered drugs, 41% of 13 and 15 year olds were
offered cannabis, 21% were offered stimulants (including cocaine and ecstasy), 14% were offered gas, glue or other
solvents and 5% were offered heroin.
Intelligence led drug enforcement figures show 229 crimes/persons reported for supply offences and 541 for possession.
Figures April 04 to date.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:





A Crimestoppers initiative has been launched to encourage communities to pass intelligence to police and receive
awareness inputs.
Continued partnership working between Lothian & Borders police, schools, colleges, local companies and other partners
by the Police.
Continued drug and alcohol education in schools by the police Drug Awareness Officer.
Continued drug and alcohol education in schools and within local communities from the Schools Co-ordinator.
Intelligence led policing continuing to assist with enforcement.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:





Continued Intelligence led policing by pro-active teams and local initiatives to reduce drug crimes.
Lothian and Borders Police in West Lothian are working with the Youth Action Project in relation to youth problems, by
linking with YAP peer educators with regards school inputs.
Adoption of the recommendations made in the audit of drug education in local secondary schools.
The Schools Drug co-ordinator will ensure a more consistent approach to drug education by WLDAS and other external
agencies.
Continuing to highlight drugs and illegal activity as part of WLDAS substance misuse education programmes.
23
Drug and Alcohol Direct Spend By Partner Organisation.
Drug Specific Spend:
Partner
Organisation
Category
2004/05
of
Spend
NHS Board
NHS Spend*
NHS direct to WLDAT
Community Rehab*
Residential Support*
Planning & Developmt*
CDPS CPN post
Needle
Exchange
equipment
Local Authority
Rehabilitation
Funds
(GAE)
See breakdown under
‘Combined Spend’
Funding
Allocated
2004/05 (include all
carry forward)
1,943,341
182,060
804,809
318,868
50,000
28,000
10,500
Category
2005/06
of
Spend
NHS Spend*
NHS direct to DAT
CDPS CPN post
Funding
Allocated
2005/06 (include all
carry forward)
2,913,142
165,099**
28,000
205,000
Accumulated
underspend up
March 2004
0
0
0
0
0
0
0
to
Total underspend up
to March 2005
0
Other
(Please Specify)
* Figures are Lothian wide
**Treatment and support combined from 04/05 figure. Figure does not include BBV funding as figure not known.
Alcohol Specific Spend:
Partner
Organisation
Category of Spend 2004/05
Funding Allocated 2004/05
NHS Board
Alcohol communications
NHS general allocation
£ 10,000
APS £ 1,334,000 for a Lothian
wide service covering 4 DATs.
£ 72,240
Alcohol 2 CPNs
NHS Resource
ELCA & LIBRA
transfer
to
13,183
Category of Spend 2005/06
Funding Allocated 2005/06
(highlight
dedicated
SR
funding)
NHS general allocation
APS £ 1,334,000 for a Lothian
wide service covering 4 DATs.
£ 72,240
Alcohol 2 CPNs
NHS Resource
ELCA & LIBRA
24
transfer
to
13,183
0
0
0
21,241
Local Authority
Other
(Please Specify)
Combined Drug and Alcohol Specific Spend:
(Only for spend which can not be readily or meaningfully split for drugs and alcohol, AND has not been
accounted for elsewhere in plan).
Partner
Organisation
Category of Spend 2004/05
Funding Allocated 2004/05
(include all carry forward
and highlight dedicated SE
funding for alcohol)
Category of Spend 2005/06
Funding Allocated 2005/06
(include all carry forward
and highlight dedicated SE
funding for alcohol)
NHS Board
Local Authority
WLDAS Counselling
WLDAS Headway
Survey
Drug Outreach Worker
Residential Rehab
WLDAS (All Council grants)
66,581
45,789
5,000
4,557
40,000
102,969
WLDAS Counselling
Drug Outreach Worker
66,581
4,557
Residential Rehab
WLDAS (All Council grants)
54,000
TBC
Locality Drug Clinic (Rehab
GAE)
17,831
Locality Drug Clinic (Rehab
GAE)
17,831
Social Work Drugs Team
(Rehab GAE)
WLDAS Headway (Rehab
GAE)
Social Work Drugs Team
(WLC)
77,000
67,738
28,700
77,000
Social Work Drugs Team
(Rehab GAE)
WLDAS Headway (Rehab
GAE)
Social Work Drugs Team
25
55,367
28,700
9,802
(WLC)
Children & Families WLC & in
kind (Hearth Project)
33,291
Prison Throughcare (Rehab
GAE)
Arrest Referral (Rehab GAE)
Streetwork (Rehab GAE)
3,291 (top up)
5,849
33,291
Prison Throughcare (Rehab
GAE)
Other
(Please Specify)
Community
Safety
Partnership
Arrest Referral
Women Offenders Group
Community Engagement
30,000
6,444
10,000
CCSF
Back on Track (Young peoples
Referral Scheme)
Fast Forward Wise Up Prog.
Social Work Drugs Team
Drug Education Co-ordinator
WLYAP Peer Education
66,497
Hearth Project – substance
misusing families support
40,870
NOF
22,599
59,450
18,379
44,789
YAP Streetwork
10,000
Back on Track (Young peoples
Referral Scheme)
Wise Up Programme
Social Work Drugs Team
Drug Education Co-ordinator
81,661
Hearth Project – substance
misusing families support
40,870
26
12,389
60,930
31,506