Lots of young people in touch with youth services are taking considerable risks with substances; almost none would be eligible for treatment services.Local youth services and organisations that work with vulnerable young people are a highly effective means of reaching this group.Motivational Interviewing can be used effectively by youth workers to help young people to reduce risky behaviours.Smartphone Apps and web surveys are an effective medium for researching young people’s behaviours and evidence change over time.
Street Talk outcomes
Achievements, Learningand Outcomes
Overview• Partnership with Addaction• Six month project to training youth workers to deliver Motivational Interviewing to vulnerable young people• Delivered in Brent, Bournemouth, Cornwall, Halton, an d Lancashire• Funded by Home Office
Innovation• Screening, and outcome measurement via Android App – Young people friendly – Ability to follow up – Security of data – Real time management information – Enhances accessibility by authorised staff
Achievements • 150 youth workers trained and supported to deliver Brief Interventions • Over 2,000 young people screened for substance misuse • Over 800 young people assessed as requiring a brief intervention
Young People Screened600 516500 463 454 443400300 Young men Young women200 118100 86 64 52 0 Aged 10--15 Aged 16-- 18 Aged 19--21 Aged 22-- 25
The Young People Numbers of young people and the level of risk of substance misuse600 571 807 eligible for intervention500400 358 325 292300200 157100 0 No risk Low risk Medium risk High risk Severe risk
Disclosure of Substance Misuse900 35% of young 811800 752 people700 disclosed poly substance use600 493500 Alcohol disclosure400 355 Cannabis disclosure300 Other drug disclosure200 122100 83 0 Female Male
Crime and Anti-Social Behaviours 80 70 60 50 40 30 20 10 0 Non Intervention Group Intervention Group
Risky Behaviours Getting into trouble 49% Family/friends concerned 43% Forgetting 61% Using when alone 45% Using to relax 74%Car driven under the influence 56% 0% 20% 40% 60% 80% 100%
Where can I get support if I need it?Pre-Intervention Post-Intervention100% 100% 90% 90% 80% 80% 70% 70% 60% 60% 50% 50% Some Increased 40% 40% 30% Neutral 30% No Change 20% None 20% Deteriorated 10% 10% 0% 0% Knowledge of Knowledge of where to get where to get support support
How confident am I about making an informed choice? Pre-Intervention Post Intervention 100% 100% 90% 90% 80% 80% 70% 70% 60% 60% 50% 50% Some Increased 40% 40% Neutral No Change 30% 30% None 20% Deteriorated 20% 10% 10% 0% 0%Confidence in making an informed decision Confidence in making an informed decision
Key Findings• Street Talk led to youth workers being able to identify and provide an effective early intervention with young people taking risks with drugs and alcohol.• A large majority young people who took part in Street Talk described having a positive desire to deal with these risks, and had a better understanding of how to do so following the intervention.
Additional Findings• A significant proportion of young people in touch with youth services are taking considerable risks with substances. Almost all of these would not be eligible for treatment services.• Local youth services and organisations that work with vulnerable young people, properly trained, may be a highly effective means of reaching this group.• Brief interventions, in particular Motivational Interviewing, can be used effectively by youth workers to help young people to reduce risky behaviours.• Smartphone Apps and web surveys are an effective medium for researching young people’s behaviours and evidence change over time.
Next Steps• Street Talk has shown immense promise as a route to tackling the early misuse of drugs and alcohol, in order to progress we need to: – Replicate the findings from this project – Measure the effect on behaviour over time – Develop the programme so that Street Talk can be rolled out nationally