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Spending Review Submission
The Case for Investing in Drug and Alcohol Treatment
“We have a policy which
actually is working in
Britain. Drug use is coming
down, the emphasis on
treatment is absolutely
r...
About Collective Voice
 Collective Voice is a collaboration of eight of
the largest providers of alcohol and drug
treatme...
Summary
 Drug and alcohol treatment in the UK provides excellent value for money; robust cost benefit
research has shown ...
Context
£50
£550 £542
£200
£200 £200
2001 2008 2011
SPENDING ON DRUG
TREATMENT (MILLIONS)
Central government Health and lo...
Current challenges
 294,000 heroin and crack users in England
 40% of prisoners have used heroin
 Over 1 million famili...
Current challenges (Crime)
48%
22%
16%
12%
25%
64%
41%
57%
43%
28%
24%
47%
54%
30%
TAKEN DRUGS WHEN COMMITTED OFFENCE(S)CO...
Current challenges (Prison Health)
 60,000 - the approximate number of
individuals received into a secure
environment eac...
Current challenges (Drug and Alcohol Related
Deaths)
0.0
5.0
10.0
15.0
20.0
1994 1996 1998 2000 2002 2004 2006 2008 2010 2...
Current challenges (multiple needs)
 About 58,000 people with concurrent needs
across substance misuse, homelessness, and...
Opportunities (Treatment and Employment)
 “We will review how best to support
those suffering from long-term yet
treatabl...
Opportunities (meeting multiple needs)
 “In its final budget statement in 2015, the
Coalition government committed to car...
Opportunities (devolution)
 “We believe that the government’s agenda of
devolving power to highly visible and
democratica...
Stay in touch with
Collective Voice
Paul Hayes
• paul@collectivevoice.org.uk
• @collect_voice
• http://www.collectivevoice...
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Spending review submission from Collective Voice

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These slides outline the case made by Collective Voice to the public consultation on the government's Comprehensive Spending Review.

We make the case for continued investment in drug and alcohol treatment on the basis that it has a continuing role to play in reducing the burden on the state of crime and ill-health.

Published in: Government & Nonprofit
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Spending review submission from Collective Voice

  1. 1. Spending Review Submission The Case for Investing in Drug and Alcohol Treatment
  2. 2. “We have a policy which actually is working in Britain. Drug use is coming down, the emphasis on treatment is absolutely right and we need to continue with that to make sure we can really make a difference.”
  3. 3. About Collective Voice  Collective Voice is a collaboration of eight of the largest providers of alcohol and drug treatment and recovery services in the country, we have come together to promote and defend the interests of those who need our services.  Collective Voice is sponsored and overseen by a group of third sector providers including Addaction, Blenheim, Cranstoun, CRI, Lifeline Project, Phoenix Futures, Swanswell and Turning Point. Together we:  Work with 400,000 people each year.  Employ 10,000 staff, including 120 doctors and 370 nurses.  Draw on the time of 3,000 volunteers.  Deliver services in 70 prisons.  Have an annual turnover of £380 million.
  4. 4. Summary  Drug and alcohol treatment in the UK provides excellent value for money; robust cost benefit research has shown that for every pound spent on providing interventions leads to savings of between £2.50 and £8 depending on the age of the recipient, the complexity of their needs and the substances.  Successive government’s investment in drug treatment is responsible for between a quarter and a third in the fall in crime, saves at least 880 lives a year, and has allowed hundreds of thousands of individuals to recover from their addictions.  As well as traditional challenges there are clear new ones that the sector is keen to develop responses to. For example, how to improve the longer term recovery outcomes for people with substance misuse conditions – their wider health, their employment prospects, and their social capital. How to better meet the needs of those with multiple and complex needs – working on ways to better integrate with services for homelessness, mental health and offender rehabilitation.
  5. 5. Context £50 £550 £542 £200 £200 £200 2001 2008 2011 SPENDING ON DRUG TREATMENT (MILLIONS) Central government Health and local authorities 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 DRUG USE IN THE LAST YEAR
  6. 6. Current challenges  294,000 heroin and crack users in England  40% of prisoners have used heroin  Over 1 million families affected  21,000 deaths from alcohol per year  2,000+ deaths from illegal drugs  1 in 7 deaths for young adults drug related Source: Crime Statistics, Focus on Violent Crime and Sexual Offences, 2013/14 (ONS 2015) Perception that perpetrators of violent crime are under the influence of alcohol or drugs 53%47% Alcohol Yes No 23% 77% Drugs Yes No
  7. 7. Current challenges (Crime) 48% 22% 16% 12% 25% 64% 41% 57% 43% 28% 24% 47% 54% 30% TAKEN DRUGS WHEN COMMITTED OFFENCE(S)COMMITTED OFFENCE(S) TO GET MONEY TO BUY DRUGSCOMMITTED OFFENCE(S) TO OBTAIN DRUGS DIRECTLYCOMMITTED OFFENCE(S) TO SUPPORT DRUG USE OF SOMEONE ELSEOFFENDING A LOT OR ALWAYS CONNECTED WITH DRUG USEDRUNK ALCOHOL WHEN COMMITTED OFFENCE(S)OFFENDING A LOT OR ALWAYS CONNECTED WITH ALCOHOL USE OFFENDING IN LAST 12 MONTHS AND CONNECTION WITH DRUG OR ALCOHOL USE 18 to 20 21+ Source: Needs and characteristics of young adults in custody
  8. 8. Current challenges (Prison Health)  60,000 - the approximate number of individuals received into a secure environment each year with a diagnosable drug or alcohol dependence  70% of prisoners in substance misuse treatment have at least one mental ill-health problem and on average 3.4  36% of male prisoners (26% of women) say that it is easy or very easy to get illegal drugs in prison Sources: Service specification No. 29: public health services for people in prison NOMs, NHS England, PHE (2013), Substance misuse and mental health in prison RAPt (2015), Annual Report 2014–15 HM Chief Inspector of Prisons for England and Wales (2015), Annual report on the Home Office forensic early warning system (FEWS) Home Office (2015) 26 123 224 24 738 Class A Class B Class C Controlled NPS Non-controlled NPS 0 200 400 600 800 Analysis of drugs in 20 prisons in England
  9. 9. Current challenges (Drug and Alcohol Related Deaths) 0.0 5.0 10.0 15.0 20.0 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Alcohol deaths, rates per 100,000 of population 0 500 1,000 1,500 2,000 2,500 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Drug misuse related deaths
  10. 10. Current challenges (multiple needs)  About 58,000 people with concurrent needs across substance misuse, homelessness, and offending – 92% with mental ill-health  The ‘average’ local authority might expect to have about 1,470 active SMD cases over the course of a year  The current cumulative cost of severe and multiple disadvantage could be as high as £58bn Source: Hard Edges; Mapping severe and multiple disadvantage
  11. 11. Opportunities (Treatment and Employment)  “We will review how best to support those suffering from long-term yet treatable conditions, such as drug or alcohol addiction, or obesity, back into work. People who might benefit from treatment should get the medical help they need so they can return to work.” Conservative Party Manifesto (2015)  About 60% of problematic drug users are in contact with structured treatment  About 6% of dependent drinkers are in contact with structured treatment  About 20% in substance misuse treatment get concurrent support for mental health problems – compared with needs in range of 60-80%  Only 27% of people leaving drug treatment are in work or education
  12. 12. Opportunities (meeting multiple needs)  “In its final budget statement in 2015, the Coalition government committed to carrying out an assessment of how to reduce the estimated £4.3 billion spent on ‘troubled individuals’ struggling with homelessness, addiction and mental health problems, ahead of the next spending review (HM Treasury 2015a). The new Conservative government is now actively considering the case for extending the Troubled Families programme to these individuals as part of their preparations for that spending review.” £- £1,000 £2,000 £3,000 Crime Drug and alcohol Health Mental health Housing Investing in coordinated services for people with multiple needs reduces the overall cost Baseline Year 1 Year 2 Source: Evaluation of the MEAM pilots - Year TwoSource: Breaking boundaries: Towards a ‘Troubled Lives’ programme for people facing multiple and complex needs IPPR (2015)
  13. 13. Opportunities (devolution)  “We believe that the government’s agenda of devolving power to highly visible and democratically accountable regional city mayors has the potential to allow for further integration of health, wellbeing and crime reduction interests of localities. This could and should be to the benefit of cross-cutting issues such as substance misuse – where the savings often accrue outside of the budgets of those paying for the interventions.” Collective Voice  RELEVANT POWERS BROUGHT TOGETHER UNDER GREATER MANCHESTER AGREEMENT  Control of a new £300 million Housing Investment Fund.  Take on the role currently covered by the Police and Crime Commissioner.  Opportunity to be a joint commissioner with Department for Work and Pensions (DWP) for the next phase of the Work Programme  Develop plans for the integration of health and social care across Greater Manchester Source: Greater Manchester Agreement: devolution to the GMCA & transition to a directly elected mayor
  14. 14. Stay in touch with Collective Voice Paul Hayes • paul@collectivevoice.org.uk • @collect_voice • http://www.collectivevoice.org.uk/

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