Alcohol:
A Local Response
to the National Agenda
Chris Wood – Service Manager, The Fitzwilliam Centre
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So what’s the problem?
Binge drinking is a serious problem, not a
fringe issue.
Dependency?
Don’t worry though, because...
The majority of people who drink do so in
a responsible manner.
National Alcohol Strategy 2012
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Our favorite
FWC
Services drug
overview
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The good
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The bad
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The ugly
Ascites
• So why do we continue to drink?
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Gynaecomastia
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Even the queen drinks
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Sheffield
69%
126,000 binge drinking
Do we drink that much?
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18%
13%
93,000
57,400
9,000 dependent drinkers
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Vulnerable children?
Research findings
• Pregnancy and early years
• Health risks – Ingestion, SUDI, FAS
• Impaired parenting capacity
• Exposure
• Impact on education (silent voices 2012)
• Financial impact
• Disrupted households (Troubled Families?)
• Impact on emotional development, attachment
• Over represented in LAC, NEET, YOT, homeless
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National Message
• Services have been slow to react to problems
associated with alcohol misuse.
– 1 in 5 (2.5 million) children live with at least 1
increasing risk drinker.
– 26,000 babies living with a dependent drinking
parent
(Silent Voices 2012)
– Locally alcohol misuse features highly in cases
discussed at MARAC.
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Referrals
• 2369 referrals into
Single Entry &
Access Point for
Alcohol Services in
2011/12
• Represents 1.5% of
those ‘eligible’ for
referral (high &
increasing risk,
dependent drinkers)
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SHSC, 170, 7%
Social Worker,
13, 1%
Other, 189, 8%
Self (incl.
family/friend),
773, 33%
General
Hospitals, 228,
10%
Other
Drug/Alcohol
Services, 216, 9%
Police/Probation,
270, 11%
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GP, 510, 21%
What ends like this…
• 2 young children subject to a child protection plan
• An alcohol dependent mother
• Partner of a man with a history of mental health
problems
• Multiple domestic violence incidents
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…often starts like this
• Binge drinking young woman
• Young man using drugs recreationally
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Identification and referral
• Pathways are not clear
• Misconception that it takes a long time to get
into alcohol treatment
• Lack of time
• Reluctance to be referred
• Problems with identification
• Asking the wrong questions
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How to screen
I haven’t got
a clue!
What’s a
unit?
About 10
a week
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How many units do
you drink every
week?
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In Sheffield
•
•
•
•
•
•
Community Pharmacies
Social Care Children & Families Teams
GP Practices
IAPT and Mental Health Services
Health Visitors
SEAP (Open Access Alcohol Services, SHSC)
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Is this a good idea?
National
• NTA regional leads leading to DH & PHE
• National Children's Commissioner
• Out of area substance misuse commissioners
Local
• Sheffield Safeguarding Children's Board
• DAAT
• Alcohol Planning & Commissioning Group
• Hidden Harm Implementation Group
• GP Commissioning Groups
• Designated Safeguarding officers for H&SC in Sheffield
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Key Benefits
Identification
via screening
Delivery of
brief intervention
Referral
Correct
pathway into
services
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Quick, easy and engaging format for service user
Dispenses with scoring and unit calculations
Removes non value adding steps
Enables provision of service user specific information
Supports simple, secure referral 24/7
Re-enforces local pathways
User recognition – promotes appropriate tools, pathway
entry points and offers configurability for user by
‘occupation’ or role
Questions
?
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The Fitzwilliam Centre . 0114 30 50 500
Contact Details
Contact
Deborah Cundey
Chris Wood
deborah.cundey@shsc.nhs.uk
christopher.wood@shsc.nhs.uk
Fitzwilliam Centre:
(0114) 3050500
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Trust
The Fitzwilliam Centre . 0114 30 50 500