Dundee Alcohol & Drugs Partnership (ADP)
Strategic Priorities and Action Plan 2010-2012
1. Introduction
This strategy and action plan set out the vision and key priorities for the Dundee
Alcohol and Drugs Partnership (ADP). Being part of the Dundee Community Planning
Partnership (CPP), the Dundee ADP aims to tackle the root causes of social and economic exclusion by contributing to the creation of a community that is healthy, safe, confident, educated and empowered. A community where people are able to gain control over their circumstances, realise their potential and develop meaningful lives .
1.2 Strategic leadership for substance misuse
The ADP is a crosscutting theme group responsible for providing the strategic direction across the whole of the Dundee CPP and enabling all theme groups to follow a coherent response to substance misuse. The ADP is involved in the implementation and monitoring of the Dundee Single Outcome Agreement (SOA)
Framework and works closely with a range of both strategic and crosscutting themes, including the CYPPC, Integrated Children Services and the Community Safety
Partnership. The ADP has commissioning responsibilities, initially in respect of ringfenced alcohol and drug funding, and aims to ensure its commissioning process reflects the needs and interests of the Dundee CPP. In addition, the ADP is responsible for the implementation of national policy in relation to substance misuse at a local level and for measuring HEAT Targets for access to substance misuse treatment and care services. For a list of ADP membership see Appendix 1.
1.3 ADP accountability and governance
The ADP is committed to ensure that drug and alcohol services in Dundee are based on an assessment of local needs and that services are evaluated to ensure value for money.
Through its partner agencies, the ADP will ensure that service specifications are in place for all drug and alcohol services and that requirements relating to service activity and quality are clearly set out. In order to establish clear criteria of effectiveness and expected outcomes, the ADP will continue to engage with all drug and alcohol services and with the relevant CPP theme groups. Where services are contracted on behalf of the ADP, the ADP will ensure the above specifications are part of the formal contract.
Regular monitoring of drug and alcohol services in Dundee takes place through the
Dundee SOA Delivery Framework, as well as through the collation and reporting information in respect of HEAT Targets A11 (access to services) and H4 (Alcohol
Brief Interventions).
Key accountability and governance priority for the ADP 2010-2011
The ADP will use the Audit Scotland Self-Assessment checklist to identify gaps in its performance and develop an action plan to address these gaps by end of May 2010.
2. National Policy Context
In April 2009, Fergus Ewing, Minister for Community Safety, Shona Robison, Minister for Public Health and Sport, and Councillor Ronnie McCall, COSLA spokesperson on
Health and Well-being jointly signed the document “A New Framework for Local
Partnerships on Alcohol and Drugs” . The Framework outlined the commitment by
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the Government and COSLA to address problems associated with alcohol and drug misuse in Scotland (outlined in the National Strategy The Road to Recovery 2008 and A Framework for Alcohol Services 2009), to ensure appropriate structures are in place at local levels for the delivery of services and for the measurement of outcomes. The framework also outlines the expectation that the alcohol and drug agenda would be firmly embedded in local strategic planning and is placed high on the priorities for improvement. The aim is to ensure that all bodies involved in tackling alcohol and drugs problems are clear about their responsibilities and their relationships with each other; and to focus activities on the identification, pursuit and achievement of agreed, shared outcomes. The main thrust of the Framework was the move of Drug and Alcohol Action Teams (DAATs) into the arena of Community
Planning and the creation of ADPs in each local authority area by 1 st October 2009.
In 2008 the Scottish Government published ‘The Road to Recovery’ outlining a new national approach to tackling Scotland’s drug problem. The focus of this new approach is that recovery should be made the explicit aim of all services for problem drug users in Scotland. By recovery the Government means “a process through which an individual is enabled to move on from their problem drug use, towards a drugfree life as an active and contributing member of society” (Scottish Government
2008, p.23). The main themes included within the strategy are:

Prevention: outlines the Government’s belief that preventing drug use is more effective than treating established problems.

Promoting Recovery: proposes a new approach to tackling drug misuse based on the concept of recovery.

Getting it right for children in substance misusing families: to improve the identification of children at risk of harm or neglect and build the capacity and quality of services.

Law Enforcement: to continue to take steps through law enforcement to reduce harm and protect communities.

Making it work: to ensure that the col lective efforts to tackle Scotland’s drug problem achieve their intended outcomes
In 2009 the Scottish Government published Changing Scotland’s Relationship with Alcohol: A Framework For Action . The focus of this framework is the recognition that to enable individuals, families and communities realise their full potential, Scotland needs to change its relationship with alcohol. The Framework identifies four priority areas: reduced alcohol consumption, supporting families and communities, promotion of positive public attitudes, promoting positive choices and improving treatment support.
In March 2009 Audit Scotland published a review of drug and alcohol services in
Scotland. The report highlighted that, although substance misuse is found across society, people living in deprived areas are more likely to suffer serious health problems as a result of their or others’ substance misuse. Variations exist in the range and accessibility of services and spending decisions are often not based on evidence of what works and on a full assessment of local needs. The ADP is committed to work within the Dundee CPP to tackle deprivation in the City and ensure equitable access to drug and alcohol services.
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3.1 Children & Young People affected by parental substance misuse
Parental substance misuse is given as the reason why the majority of children in
Dundee are on the child protection register and / or are looked after and accommodated. Children affected by parental substance misuse can suffer serious or chronic neglect. This concern has been clearly identified and reiterated in many academic papers and government reports (Orford 2005; Barnard 2007, Hidden Harm
2003). Over the last decade guidance for practitioners has changed the relationship between the adult-focused substance misuse services and services for children and young people
– encouraging and promoting joint working, and facilitating the identification of children and families at risk (GOPR; GIRFEC).
Echoing other areas in Scotland, parental substance misuse is given as the reason why the majority of children in Dundee are on the ‘at risk’ register and/or are looked after.
The recent HMIE report on child protection in Dundee City (2009) and the
Improvement Plan (2009) published in response to HMIE report highlight the need to focus on the following key outcomes:
 “Processes and practice for assessment, particularly joint assessment of children and young people who may be affected by parental substance misuse, result in appropriate, proportionate and timely intervention that improves circumstances”
(P5).
 “The process and practice of joint planning produces robust inter-agency plans, the impact of which is carefully monitored and the implementation of which results in improvements for children and young people” (P6).
The Hawthorn and Wilson report (August 2009) identifies the impact of substance misuse on children as one of the issues that have continuing consequences for child protection policy and practice in Dundee. This report also highlighted the impact of domestic abuse on children, which can be compounded where parental substance misuse is an issue within families. In 2009, Tayside Police dealt with just over 1,400 incidents of domestic abuse which also involved concern about a child or young person within the family.
In 2008, out of the 723 clients in drug treatment services in Dundee, 325 (45%) reported living with dependent children (for information about the prevalence and needs of vulnerable children in Dunde e see the Dundee Integrated Children’s
Services Plan 2010-2012).
There is now a developing evidence base suggesting that delivering integrated programmes to support families, including the development of parental skills, children’s resilience and overall family cohesion, can improve outcomes and reduce the need to progress to more formal child protection actions (Templeton & Boon).
Increasing access to such a preventative programme could reduce the need to remove children with obvious benefits to them, their families and wider society.
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Key Priorities for the ADP 2010-2011

The ADP will continue to take an active role and support the implementation of the Dundee

The ADP will support and work in partnership to implement and evaluate the Supporting

HMIE Improvement Plan
Vulnerable Families project and the New Beginning re-designed service
The ADP will continue to support TSMS to implement the Rapid Improvement Event (RIE) development plan to increase access to and improve the quality of treatment services

The ADP will ensure it has clear links to the Early Years Framework Being A parent in Dundee sub group

The ADP will engage with the CYPPC, ICS and VAWP to consider re-developing a structure that would link and report back to both CYPPC and ADP
For a full list of actions and timescales see Action Plan below
3.2 Prevention
The term prevention can be used in various ways. It can refer to activities aiming to prevent people from commencing substance use, activities aiming to delay first time use, and activities aiming to slow down the rate at which people use substances. It can also refer to activities aiming to prevent people from developing problematic or risky patterns of substance use.
In 2006 the UK’s Advisory Council on the Misuse of Drugs (ACMD), published the document Pathways to Problems outlining an analysis of why people take illegal drugs and what factors can lead some people to regular or problematic use. Clearly there is a wide range of complex factors involved. Many young people experiment and take drugs – including tobacco, alcohol and cannabis – for a variety of reasons, without progressing further. These young people come from all social backgrounds. The most important factors determining whether people experiment appear to be early years experiences, family relationships and circumstances, and parental attitudes and behaviours. From the late teens onwards, the progression from experimentation to regular and then problem drug use appears to be strongly linked to socio-economic disadvantage.
In terms of preventing alcohol misuse , the Dundee ADP supports the Scottish
Government’s approach developed to bring lasting social and cultural change adopting a whole population approach. This includes encouraging people to become more aware of what they are drinking and promoting sensible drinking guidelines.
Key Prevention Priorities for ADP 2010-2011

Work with partners to reduce underage drinking

Reduce the prevalence of drug use amongst young people in Dundee

Work with all relevant partners to improve the effectiveness of substance misuse education at schools

Continue to support peer-led education and prevention interventions

Work with partners to develop the Dundee Focus On Alcohol Project

Monitor the delivery of Screening and Brief Intervention for alcohol
For a full list of actions and timescales see Action Plan below
3.3 Reducing Drug Related Deaths (DRD)
In 2005 a National Investigation into Drug Related Deaths (Zador et al 2005) found strong evidence to suggest that many drug related deaths are preventable. The investigation outlined the key characteristics of DRD as including:

High prevalence of poly-drug use, especially benzodiazepines and alcohol
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
Loss of tolerance due to recent abstinence from heroin, e.g. person recently released from prison or abstinence based on detoxification programmes

Deaths occurring in the presence of others and/or in a home environment.
The number of DRDs in Dundee has been increasing since 2005 (29 deaths in 2008,
23 in 2007, 16 in 2006 and 11 in 2005). Responding to this steady increase, in May
2008, following a discussion at the Tayside Health Advisory Forum, it was agreed that a Tayside-wide approach to the issue of DRD was required. The Tayside Drug
Related Deaths Working Group was formed, bringing together the three DAATs /
ADPs and all the relevant partners, to collate and analyse comprehensive information on all drug deaths incidents and to develop strategic and operational responses to the problem. The remit of this group has also been extended to include responding to overdose and suicide where substance misuse is an issue.
Key ADP priorities for reducing DRD 2010-2011

Continue to be an active member of the Tayside DRD group and implement recommendations emerging from the information analysis of all DRDs.

Work with the Tayside DRD group to develop a care pathway and information sharing pathway for responding to non-fatal overdoses that allows information from police and ambulance services to be passed on to other agencies that can offer an appropriate intervention to reduce the risk of future deaths.

Continue to provide Overdose Prevention training and extend the programme to service users, keeping under review the issue of incorporating the use of take home naloxone in this provision.

Through its commissioning processes, ensuring the availability of accessible and appropriate harm reduction and treatment services that provide a range of evidence based recovery focussed options.

Working in partnership to improve our ability to meet the needs of substance misusers within the criminal justice system
For a full list of actions and timescales see Action Plan below
3.4 Treatment / Recovery
Recovery can mean different things at different times to different people affected by problem substance misuse. The ‘recovery’ approach transcends the traditional debate between harm reduction and abstinence: quoting the UN Office on Drugs and
Crime, the Scottish Strategy states “harm reduction is often made an unnecessarily controversial issue, as if there were contradictions between treatment and prevention on the one hand, and reducing the adverse health and social consequences of drug use on the other. This is a false dichotomy. They are complementary” (Scottish
Government 2008, p.23). Recovery is an approach that implies “shifting care from a passive model to one regarding those being helped as active participants with services facilitating their recovery” (SACDM 2008, p.10). The aim is to empower service users to assume more responsibility for themselves and work with providers and others (e.g. family and friends) to make plans for reaching these goals.
The concept of recovery recognises the role of a wide range of social factors, including, children / family relationships, employability, housing, ethnicity, discrimination and deprivation. It also recognises the value of investing in local communities to develop social capital and community enablement.
The Dundee ADP adopts the vision for Recovery as outlined by the UK Drug
Policy Commission (2008): “The process of recovery from problematic substance use is characterised by voluntarily-sustained control over
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substance use which maximise health and well-being, and participation in the rights, roles and responsibilities of society”
In November 2009 Tayside Substance Misuse Service (TSMS) has undergone a
Rapid Improvement Event (RIE). The RIE was designed to ensure that the process of assessing individuals (including identification of Child Protection, neglect issues and parenting gaps) would be identified very quickly. People will be able to access the appropriate treatment for their needs with little delay and would be much more likely to remain engaged with treatment services and see real progress towards recovery.
Specific solutions were identified in relations to:

Varied and inconsistent means of accessing TSMS

Unacceptable waiting times in the face of increasing demands

Service quality concerns

Lack of range of services for those with complex needs and from equality groups
Key Treatment and Recovery priorities for the ADP 2010-2011

Following the RIE, the ADP will work with all partners to develop a recovery-focused care pathway in Dundee
 Increase the range and level of support for young people affected by alcohol/ substance misuse

Continue to improve the outcomes reporting framework for substance misuse services

Develop a user involvement structure
For a full list of actions and timescales see Action Plan below
3.5 Community engagement
The ADP believes that local communities can play a vital role in responding to substance misuse in the City . Local residents are often best placed to identify the key issues relating to substance misuse and hold much information regarding the most effective solutions. Echoing NHS Tayside Health Equity Strategy 2009:
Communities in Control , the ADP is committed to work with partners to help families and communities develop the skills and confidence to respond to the problems they prioritise.
Through the Dundee CPP, the ADP plan to develop a communication structure with local communities to ensure it is informed by the experiences and views of communities and to inform local communities of ADP priorities and actions. This structure would also ensure that Dundee residents have the opportunity to influence and contribute to the process of setting up key priorities for the ADP.
Key community engagement priorities for the ADP

Develop a structure to engage with local communities that fits within the overarching Dundee
Partnership and Community engagement Model

Develop and support the Focus On Alcohol project in Dundee

Re-establish and work in partnership with the Dundee Substance Forum representing the views and experiences of service users, their families, community groups and service providers

Work with the Scottish Association for Families Affected by Drugs (SNAFD) to offer support and information for families in Dundee
For a full list of actions and timescales see Action Plan below
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3.6 Safer Communities, Enforcement and Availability
Working with a range of partners within the Dundee CPP including, Tayside Police,
Tayside Fire and Rescue, Leisure & Communities, the Community Safety
Partnership, Integrated Children’s Services Youth Justice Group, Tayside Community
Justice Authority and the Voluntary Sector, the ADP is committed to reducing the harm caused by substance misuse to local communities.
The ADP is committed to continue supporting law enforcement activities to reduce the availability of illegal drugs in Dundee and promote the safety of individuals and communities . It is recognised that illegal drugs are widely available within Dundee, involving individuals and criminal groups concerned in the supply of controlled drugs. A significant level of acquisitive and violent crime within the City can be directly attributed to the illegal drugs market. The ADP believes that the best way to reduce substance misuse-related crime and re-offending is to encourage those who misuse substances into appropriate treatment and support services. The ADP is committed to doing this by ensuring that opportunities are available at a variety of stages within the criminal justice system for individuals to access recovery-promoting services. The ADP will also work with Tayside Fire and Rescue to reduce the number of deaths and injuries that have alcohol and drugs as a contributory factor.
Key availability priorities for the ADP
 Work with partners to increase youth diversionary activities for young people
 engaging in substance misuse
The ADP would work with the Dundee Licensing Forum to promote responsible drinking in the City
 Support enforcement activity in respect of individuals and groups concerned in
 the supply of illegal drugs, in particular Class ‘A’ Drugs
For a full list of actions and timescales see Action Plan below
3.7 Staff Development / Training
To allow the development of recovery-focused services in Dundee, the ADP is committed to ensure that the people delivering services are well trained and motivated. The ADP is committed to improve the knowledge and understanding of recovery and recovery focussed practice amongst specialist substance misuse professionals and to support organisations to develop quality assurance around the skills and experiences of staff. The ADP is also committed to work with partners to ensure that staff within universal services are well informed and trained to help them deliver appropriate interventions to people affected by substance misuse.
Key staff development / training priorities for the ADP

The ADP will continue to co-ordinate and support the multi-agency substance misusetraining programme delivered by STRADA to a wide-range of professionals in Dundee.

The ADP will continue to work in partnership with the Dundee CYPPC and the VAWP to identify training needs and develop training programmes around issues of child protection and neglect.

The ADP will seek support from the Scottish Drugs Recovery Consortium (SDRC) to develop and introduce recovery-based quality assurance for staff
For a full list of actions and timescales see Action Plan below
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3.8 Performance Measurement
The Dundee DAAT, in consultation with all the relevant partners, began developing an outcome reporting structure in 2005. Although needing improvement, a process for reporting on outcomes on a quarterly basis is currently operating and collating information from all the specialist substance misuse services. The aims of this process include:

To support individual agencies in Dundee deliver best quality services

To ensure the commissioning and service development processes are informed by what is effective

To support local agencies deliver their aims in line with clients’ needs

To support local agencies develop structures for self-evaluation and develop an evidence-based approach to improving service delivery.
This process also involves providing local agencies with extensive training to increase and improve their planning and management capacity, and, more specifically, develop:

Appropriate monitoring systems

An understanding of utilising monitoring data to manage their project

Appropriate outcome indicators

Clarity on how to use these indicators to evaluate their interventions

Appropriate evaluation approaches
.
In addition, a National Framework for collating and measuring information on waiting times for drug and alcohol treatment services has been in operation since 2004.
From 2009 this framework has been used for the developmental phase of the HEAT
Target A11 focusing on access to substance misuse treatment and care services.
This is the first time that a target to reduce waiting times has been incorporated in the
HEAT system. It is based on the principle that individuals with problem drug use are entitled to the same level of care as other patients in the NHS.
Key Performance Measurement priorities for the ADP

Work with key partners (including Tayside Health Advisory Forum and Dundee University) to develop robust information systems for substance misuse

Work in partnership with all substance misuse agencies to improve the quality of the outcomes reporting structure

Develop structures to ensure accurate information is available to measure HEAT Target for access to services
For a full list of actions and timescales see Action Plan below
4. How the ADP conducts its business
4.1 Core ADP
Includes representatives at a senior level from Dundee City Council, HHS Tayside,
Dundee Voluntary Action and Tayside Police. The Partnership meets on a quarterly basis and has a small Support Team to manage its business. The ADP has direct links with the Dundee Community Planning Partnership, the Dundee Children and
Young People Protection committee and with the Dundee Integrated Children
Services.
4.2 Commissioning Group:
Has responsibility for overseeing commissioning processes on behalf of the ADP and brings forward commissioning recommendations to the ADP. In addition, the group
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has delegated responsibility to oversee the allocation of funds on behalf of the ADP
(e.g. Innovations Fund).
This group functions as the ‘engine room’ of the ADP and works with partners to progress the ADP Action Plan through prioritisation and commissioning. A coherent commissioning process will be developed and based on:

identifying and understanding local needs

gathering information about the performance of existing services

linking to the agreed strategic direction and key priorities identified by the
Dundee Community Planning Partnership (CPP).
4.3 Health Advisory Forum (HAF)
The HAF is a drug and alcohol committee of NHS Tayside formed to ensure all the various NHS parts of the partnership are working in a coherent way and are engaging in the debates around substance misuse. It includes specialist substance misuse services, generic services and the three Tayside ADPs. In a geographical location such as Tayside where multiple ADPs work with one NHS area, the HAF ensures there is a coherent approach and facilitates joint working across the whole of
Tayside.
The HAF is chaired by the Medical Director of NHS Tayside and ensures that NHS
Tayside has full participation in the drug and alcohol debate and an active involvement in the commissioning of substance misuse services.
4.4 Tayside Drug Related Deaths group
This group was formed in May 2008, following a discussion on the subject of drug deaths at the Health Advisory Forum. It provides a Tayside-wide approach to this issue was required and brings together the three Tayside ADPs and other partners, to collate comprehensive information on drug deaths incidents and to develop strategic and operational responses to the problem of drug deaths. More recently the remit of the group was extended to include responsibility for responding to overdose and suicide where substance misuse has been identified as an issue. The group also has responsibility for developing and overseeing overdose-prevention training to service users, carers and professionals across Tayside
4.5 Tayside Co-ordinating group
Established in December 2009 in order to allow discussion between the three
Tayside ADPs, NHS Tayside, Tayside Police and Tayside Community Justice
Authority. Membership of the group includes the three Tayside ADP Chairs and support staff, the Chief Constable of Tayside Police, the Lead Officer of the
Community Justice Authority, the Chair of the Health Advisory Forum and NHS
Strategy and Performance Manager.
The group considers allocation of funds across the three ADPs and takes an overview of the ADP s’ finances. It looks at issues relating to the collection of robust information on alcohol and drug treatment services across Tayside and explores how each ADP can effectively provide information to the CPPs. The group has also developed a mechanism for jointly respond to emerging issues, including mephedrone and Anthrax.
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5. Key priorities for ADP action for 2010-11
Key Priority
Develop a
Focus On
Alcohol project for Dundee.
Develop recovery-based care pathway in
Dundee
Services are available to meet the needs of children and young people affected by substance misuse
Develop the
Tayside
Substance
Misuse
Information
System
Work with the
Tayside Drug
Related Deaths group to continue the delivery of
Overdose
Prevention
Training
Action

Bring together an Expert Group to lead on the development of
FOA Dundee

Work with all relevant partners to identify links to existing projects

Work with local communities to identify key areas for development

Identify and agree the level of co-ordination required and appoint a co-ordinator for the project

Support TSMS to implement the RIE Action Plan

Work with relevant partners to identify their role within the recovery based care pathway

Re-commission the moving on service

Work with partners, including
VAWP, to ensure sustainability of services for women engaged in prostitution

Identify gaps in services for young people affected by their own substance misuse

Improve pathways and access to services for parents who misuse substances

Provide specific interventions to improve parenting capacity

ADP to receive progress report on the development of a system

Appoint project manager to lead on developing the system

Set up working group and agree detailed workplan

Develop detailed plan (including sustainability plan) for full project

Deliver overdose prevention training to service users and carers

Continue to deliver OD
Prevention Training to service providers

Develop and information sharing protocol with Tayside
Ambulance Service
By date
March
2011
April 2011
April 2011
April 2010
December
2010
April 2011
Performance indicators for 2010/11

Development of a recognisable local brand owned by local stakeholders

Increase community activities providing local responses to alcohol misuse

Increase number of diversionary activity opportunities for young people

Reduction in agents supplying alcohol to young people

Increased awareness about the harm caused by alcohol misuse

Reduced waiting times for access to drug & alcohol services (measured through HEAT Target A11)

Increased number of individuals stabilised and moving successfully through the pathway

Reduction in number of young people reporting alcohol and drug use in the last year

Increased number of service users who are parents successfully engage with services

Infrastructure in place and functioning

Working group in place and work plans developed (including the beginning of a sustainability plan)

Basic robust Dundee-wide data begins to be available through the system

Number of service users and carers who received training

Service users, carers and service providers report to have gained essential life-saving knowledge and skills relating to drug overdose

Service users, carers and providers report to have gained skills and knowledge for greater awareness of and enhanced effectiveness in drug overdose situations

Service providers are informed about the causes, risks and prevention of drug overdose

Improving safety for service users
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Dundee Alcohol and Drug Partnership
Action Plan 2010-2012
Intermediate Outcome Short Term Outcome/Output Performance Indicator Action
SG Road to Recovery outcome: Improved life chances for children, YP and families, especially those at risk
Dundee SOA outcome 3: Our children will be safe, healthy, active, nurtured, achieving, respected, responsible and included

Number of clients living with

See actions within the ICSP
All children and young people in Dundee are safe
Improving pathways and access to substance misuse services for those with the care of children dependent children (325 clients in 2008 SMR data)

No. of parents accessing
Delivery Plan

Ensure all drug and alcohol agencies in Dundee are able to and young people services: baseline: 2008 45% provide information for, and comply clients live with dependent children (DMSS)

HEAT Target A11: waiting time with, HEAT A11

Support TSMS to implement RIE action plan
Children & YP for access to drug & alcohol services
Children & YP /
Prevention
Clients within adult substance misuse services develop and improve their parenting skills
Families engage with and access mainstream / universal services
Improved parenting skills at exit
(ADP outcomes data
– developing)
Records of engagement

Implement and evaluate the SVF
Project and New Beginning redesigned service

Pilot and implement parental capacity screening tool to improved identification and assessment

Provide funding to Aberlour, TCA and Children 1 st to run a pilot developing support for kinship carers in Dundee
Dundee SOA outcome 4: Our people will experience fewer health inequalities
Reduced risk taking behaviour in young people, particularly in community regeneration areas
Prevention / YP
Reduce the prevalence of drug use in young people
% YP drinking in last week: 12% of
13 yr olds 35% of 15 yr olds
(SALSUS 2006 Dundee)
% YP taking drugs in the last year:
7% of 13 yr olds 16% of 15 yr olds
(SALSUS 2006 Dundee

Develop a Focus On Alcohol project to include young people in
Dundee and work with Tayside
Police to support Operation Dry Up

Identify gaps in service provision for young people with drug misuse

Work with Education Department to implement the Curriculum for
Excellence programme for substance misuse
Timescale Lead Partner/Officer
2012
End 2011
April 2010
Pilot ends
August 2010
By April 2011
On going
ADP / ICS / NHS Tayside
ADP / ICS
ADP / Tayside Police
Anti Social Behaviour
Team (ASBT)
ADP / Education Dept
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Intermediate Outcome Short Term Outcome/Output
Reduced risk taking behaviour in young people, particularly in community regeneration areas
Prevention / YP
Reduce the level of drinking in young people
Reduce the proportion of young people drinking at an early age
Performance Indicator
% YP drinking in last week: 12% of
13 yr olds 35% of 15 yr olds
(SALSUS 2006 Dundee)
% YP drinking in last week: 12% of
13 yr olds 35% of 15 yr olds
(SALSUS 2006 Dundee)
Action

Identify gaps in service provision for young people affected by their own alcohol misuse

Monitor drug & alcohol referrals to the Child Concern Friday meetings
 Roll out ‘Risky Business’ training

Provide funding for the Peer-
Education Project ‘Writing To
Reach You’ and support circulation of the resource

Monitor the joint TCA
/Fairbridge Early Intervention
Project

Monitor the pilot delivery of SBI for Young People ( Your Health,

You Decide )
Monitor the Key to Change pilot project with homeless YP affected by substance misuse
Timescale Lead Partner/Officer
By April 2011
On going
June 2010
ADP/Tayside Police/Community
Safety Partnership
ASBT
Social Work
End Oct 2011
End 2010
August 2010
ADP/ NHS Public Health
Dundee SOA Outcome 5: Our people will have improved physical and mental wellbeing
Reduced harm caused by substance misuse
Reduce the number of drugs related deaths
Number of drug deaths (GROS
Figures for 2008)
Police and ambulance attendances at non-fatal overdoses
Reach and effectiveness of overdose awareness training provided to staff and to service users/families
Treatment /
Recovery

Support the work of the Tayside
DRD Group (including investment in the DRD database).

Develop a care pathway, and information sharing protocol for people involved in non-fatal overdoses, and other high risk chaotic drug users, that allows information to be passed between the relevant agencies in order to priorities appropriate intervention to prevent future deaths .

Continue to deliver and monitor the impact of the Overdose Prevention
Training

Review new evidence in relation to take-home naloxone.

Develop approaches to minimise barriers to contacting emergency services in cases of suspected overdose
On going
2010
On going
2010
2010
ADP
Tayside DRD group
ADP
Tayside DRD group
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Intermediate Outcome Short Term Outcome/Output
Reduced harm caused by substance misuse
Treatment /
Recovery
Reduce alcohol consumption
Performance Indicator
% Exceeding daily limits (Baseline:
Scottish Health Survey 2003)

Number of Specific Brief
Interventions delivered (Baseline to be agreed)

Acute inpatient discharges for alcohol, data 2008/09 - 1112 discharges
Action

Monitor the impact and extend the delivery of SBI for alcohol misuse

Work with partners to develop a
Focus on Alcohol (FOA) approach in Dundee

Engage with the work of the
Dundee Licensing Forum (action to be developed)
Timescale Lead Partner/Officer
On going
2010
2010 and on going
NHS Tayside Public Health
/ ADP
Licensing forum
Treatment /
Recovery
Reduce the adverse health impact of alcohol and drugs
% or number of clients waiting more than a given number of weeks to be determined between assessment and treatment. Information from WT database (Baseline April-June09)
Acute inpatient discharges for alcohol, data 2007/08
Acute inpatient discharges for drugs, data 2007/08
Number/% of needles returned to exchange (Baseline to be agreed)

Work with NHS Tayside to ensure the implementation of HEAT A11 for access to services

Support the development of care pathways and monitor referral rates to Tier 2 & 3 services (in relations to SBI)

Work with the Blood Borne Virus
MCN to monitor Hep B immunisation take up and Hep C testing

Work with the Drug-related Litter group to collate information on needles returns
Reduced harm caused by substance misuse
Increase the number of people achieving recovery
% of clients with a care plan in services (Information from WT database).
% or number of service users who exit having achieved outcome goals
(Developing outcomes) indicator
WT figures for Dundee
ADP
Outcomes information: fully achieved at exit / improved (developing indicator)

Develop a recovery-based care pathway

Work with NHS Tayside to ensure the implementation of HEAT
Targets for access to services

Continue to monitor and improve data quality for the National WT
Initiative

Continue to develop the outcomes reporting framework and link it to the SOA Performance Framework

Work with partners to review accessibility of services to equality groups
SG Road to Recovery outcome: Reduce the supply of drugs into our communities making them stronger and safer places to live, work and invest
2010
2010 and on going
2010 and on going
2010 and on going
2010
2010
2010-2011
ADP/ NHS / BBV MCN
ADP / Substance Forum /
NHS Tayside
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Intermediate Outcome Short Term Outcome/Output Performance Indicator Action Timescale Lead Partner/Officer
Dundee SOA outcome 7: Our communities will be safer and feel safer
Dundee has reduced levels of crime
Safer
Communities /
Enforcement and
Availability
Increase youth diversionary activity for young people engaging in substance misuse
Increase support to women engaged in street prostitution
ADP has clear engagement links with Local communities
Reduction in availability of illegal drugs within Dundee
Number of diversionary activity opportunities and attendances
Numbers of women engaged in street prostitution accessing services
Number of persons charged with offences in respect of the supply of drugs, in particular Class ‘A’ drugs.

Work with Leisure & Communities to co-ordinate available diversionary activity

Work with partners to tackle sales of alcohol reaching young people

Work with partners, including
VAWP, to ensure sustainability of services for women engaged in prostitution

Work with Leisure & Communities to identify the most effective structure for ADP engagement with
Local communities

Support Enforcement Activity in respect of the supply of illegal drugs within Dundee
Dundee SOA outcome 9: Our people will live in stable, popular and attractive communities
Improved safety in local neighbourhoods
Safer
Communities /
Enforcement and
Availability
Increase the range and level of support for young people affected by alcohol/ substance misuse
Agents supplying alcohol to young people will be targeted
Reduction in number of incidents relating to young people's alcohol misuse

Report on scoping exercise and recommendations

Target support services to young people

Fund Fairbridge for a period of 1 year to pilot the ‘Cycle of Change’ project working with young people
Reduced number of deaths and injuries caused by fire where alcohol and drugs have been a contributory factor.
Number of fire deaths directly related to alcohol or drugs affected by substance misuse

Carry out Home Fire Safety Visits
(HFSV) to those most at risk within our communities
End 2011
2010-11
SG Road to Recovery outcome: Resources are used efficiently and effectively and local partners can demonstrate to Government this is the case
SG Road to Recovery Outcome: better outcomes data to inform policy and practice
2010
2010
2010
On going
Leisure & Communities
ASBT
VAWP
ADP
Dundee Licensing forum
Leisure & Communities
ADP Innovation Fund
Tayside Fire and Rescue
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Intermediate Outcome Short Term Outcome/Output
Information on outcomes and evidence of effective interventions are available
Staff Development
/ Training
ADP decision making process is informed by the views and experiences of service users
ADP has access to Health
Economic information and analysis
All staff within substance misuse services have access to appropriate and relevant training
Performance Indicator Action

Work with key partners (including
Health Advisory Forum and
Dundee University) to develop robust information systems for substance misuse

Work in partnership with all substance misuse agencies to improve the quality of the outcomes reporting structure

Continue to co-ordinate, support and monitor the STRADA training programme in Dundee

Deliver practice-based sessions to all staff within TSMS around child protection / neglect and parenting capacity

Work with partners (e.g. CYPPC) to develop in-depth training programmes
Timescale Lead Partner/Officer
2010
2010
2010-11
HAF / ADP / STRADA /
CYPPC
Additional issues to include:
Responding to the needs of drunk and incapable people (who come in to contact with emergency services).
Scottish Government (2008), The Road to Recovery: A New Approach to Tackling Scotland’s Drug Problem .
Scottish Government (2009), Changing Scotland’s Relationship with Alcohol: A Framework for Action.
UK’s Advisory Council on the Misuse of Drugs (ACMD) 2006 Pathways to Problems
Zador, D et al (2005), National Investigation into Drug Related Deaths in Scotland, 2003 . Substance Misuse Research, Scottish Government.
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