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Interesting things about alcohol and other drugs - April 2016

Part of a series of monthly slide sets which pull together (mainly UK) data on alcohol and other drugs. All errors in interpretation are mine.

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Interesting things about
alcohol and other drugs
April 2016
ANDREW BROWN
@ANDREWBROWN365
Outcomes for Scotland’s National Naloxone Programme
– Opioid Deaths within 4 weeks of release/discharge
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
2006-10 (baseline) 2011 2012 2013
Prison release Prison or hospital discharge
Source: Bird, S. M., Mcauley, A., Perry, S., And Hunter, C. (2016) Effectiveness Of Scotland's National Naloxone Programme For Reducing Opioid-related Deaths: A Before
(2006–10) Versus After (2011–13) Comparison. Addiction, Doi: 10.1111/Add.13265.
Scotland's National Naloxone Programme
had prison release opioid-related deaths as
its primary outcome: they decreased by 36%
from 9.8 to 6.3% and the secondary
outcome (which includes the primary) from
19 to 14.9% (22% reduction).
Both are in line with the prior plausible
effectiveness-range for naloxone of 20–30%.
As Scotland's NNP accelerated (2500 kits in
2011, 3900 in 2012, 5500 in 2013), reduction
in the primary outcome was enhanced
approximately pro rata.
Period of National Naloxone Programme
Street counts and estimates of rough sleeping in
England, Autumn 2010 - 2015
-
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
2010 2011 2012 2013 2014 2015
London Rest of England
Source: Rough sleeping in England: autumn 2015 https://www.gov.uk/government/statistics/rough-sleeping-in-england-autumn-2015
Rough sleeping counts and estimates are single
night snapshots of the number of people sleeping
rough in local authority areas. Local authorities
decide whether to carry out a count or an estimate.
The autumn 2015 total of street counts and
estimates in England is 3,569. This is an increase of
30% from the 2014 figure of 2,744.
The autumn 2015 total comprises a figure from
every local housing authority in England, with 44
authorities conducting a count and 282 providing
an estimate. This compares to 49 and 277
respectively in 2014, and 48 and 278 respectively in
2013. The 44 authorities conducting a count
reported 823 rough sleepers (23% of the total)
while those compiling an estimate reported 2,746
rough sleepers (77% of the total).
The cost and number of prescriptions of Disulfiram (to
treat alcohol disorders) in England
-
1,000
2,000
3,000
4,000
5,000
6,000
£-
£20,000.00
£40,000.00
£60,000.00
£80,000.00
£100,000.00
£120,000.00
£140,000.00
£160,000.00
£180,000.00
Cost Items
Source: OpenPrescribing.net - https://openprescribing.net/chemical/0410010B0
Frequent drinking (at least 5 days in last week) by
income
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Up to
£9999
"£10000
up to
£14999"
"£15000
up to
£19999"
"£20000
up to
£29999"
"£30000
up to
£39999"
"£40000
or more"
Source: Adult Drinking Habits In Great Britain: 2014 - http://bit.ly/1OYlAKU
Individuals with an annual income of £40,000
and over were more than twice as likely (18%)
to be frequent drinkers compared with those
with an annual income less than £10,000 (8%).
Almost 4 out of every 5 people (78%) in the
highest income band (income of £40,000 or
more) said they had drunk alcohol in the last
week and alcohol consumption generally falls
as income falls. Almost 3 in 10 (29%) people
in the lowest income band classed themselves
as teetotal (that is, they do not drink alcohol
at all), compared with less than 1 in 10 (9%)
for the highest income band.
Number of ESA and IB/SDA claimants by specified
primary medical conditions Obesity, Alcohol Misuse,
Drug Misuse and Reaction to Severe Stress: May 2015
1,750
57,940
32,310
47,000
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
Obesity Alcohol
Misuse
Drug
Misuse
Reaction to
Severe
Stress
Source: http://bit.ly/1UeFXdv
Please note the medical condition recorded on the
claim form does not itself confer entitlement to
Incapacity Benefit/Severe Disablement Benefit
(IB/SDA) or Employment and Support Allowance
(ESA). So, for example, a decision on entitlement for
a customer claiming on the basis of drug misuse
would be based on their ability to carry out the
range of activities related to physical and mental
function, assessed by the Personal/Work Capability
Assessment.
Medical condition is based on evidence provided at
the start of the claim and may not represent a
claimant’s most recent medical condition. Where
someone has more than one diagnosis or disabling
condition only the predominant one is used.
The total number of claimants
for these benefits in May 2015
was 2,550,080

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Interesting things about alcohol and other drugs - April 2016

  • 1. Interesting things about alcohol and other drugs April 2016 ANDREW BROWN @ANDREWBROWN365
  • 2. Outcomes for Scotland’s National Naloxone Programme – Opioid Deaths within 4 weeks of release/discharge 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% 2006-10 (baseline) 2011 2012 2013 Prison release Prison or hospital discharge Source: Bird, S. M., Mcauley, A., Perry, S., And Hunter, C. (2016) Effectiveness Of Scotland's National Naloxone Programme For Reducing Opioid-related Deaths: A Before (2006–10) Versus After (2011–13) Comparison. Addiction, Doi: 10.1111/Add.13265. Scotland's National Naloxone Programme had prison release opioid-related deaths as its primary outcome: they decreased by 36% from 9.8 to 6.3% and the secondary outcome (which includes the primary) from 19 to 14.9% (22% reduction). Both are in line with the prior plausible effectiveness-range for naloxone of 20–30%. As Scotland's NNP accelerated (2500 kits in 2011, 3900 in 2012, 5500 in 2013), reduction in the primary outcome was enhanced approximately pro rata. Period of National Naloxone Programme
  • 3. Street counts and estimates of rough sleeping in England, Autumn 2010 - 2015 - 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 2010 2011 2012 2013 2014 2015 London Rest of England Source: Rough sleeping in England: autumn 2015 https://www.gov.uk/government/statistics/rough-sleeping-in-england-autumn-2015 Rough sleeping counts and estimates are single night snapshots of the number of people sleeping rough in local authority areas. Local authorities decide whether to carry out a count or an estimate. The autumn 2015 total of street counts and estimates in England is 3,569. This is an increase of 30% from the 2014 figure of 2,744. The autumn 2015 total comprises a figure from every local housing authority in England, with 44 authorities conducting a count and 282 providing an estimate. This compares to 49 and 277 respectively in 2014, and 48 and 278 respectively in 2013. The 44 authorities conducting a count reported 823 rough sleepers (23% of the total) while those compiling an estimate reported 2,746 rough sleepers (77% of the total).
  • 4. The cost and number of prescriptions of Disulfiram (to treat alcohol disorders) in England - 1,000 2,000 3,000 4,000 5,000 6,000 £- £20,000.00 £40,000.00 £60,000.00 £80,000.00 £100,000.00 £120,000.00 £140,000.00 £160,000.00 £180,000.00 Cost Items Source: OpenPrescribing.net - https://openprescribing.net/chemical/0410010B0
  • 5. Frequent drinking (at least 5 days in last week) by income 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% Up to £9999 "£10000 up to £14999" "£15000 up to £19999" "£20000 up to £29999" "£30000 up to £39999" "£40000 or more" Source: Adult Drinking Habits In Great Britain: 2014 - http://bit.ly/1OYlAKU Individuals with an annual income of £40,000 and over were more than twice as likely (18%) to be frequent drinkers compared with those with an annual income less than £10,000 (8%). Almost 4 out of every 5 people (78%) in the highest income band (income of £40,000 or more) said they had drunk alcohol in the last week and alcohol consumption generally falls as income falls. Almost 3 in 10 (29%) people in the lowest income band classed themselves as teetotal (that is, they do not drink alcohol at all), compared with less than 1 in 10 (9%) for the highest income band.
  • 6. Number of ESA and IB/SDA claimants by specified primary medical conditions Obesity, Alcohol Misuse, Drug Misuse and Reaction to Severe Stress: May 2015 1,750 57,940 32,310 47,000 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 Obesity Alcohol Misuse Drug Misuse Reaction to Severe Stress Source: http://bit.ly/1UeFXdv Please note the medical condition recorded on the claim form does not itself confer entitlement to Incapacity Benefit/Severe Disablement Benefit (IB/SDA) or Employment and Support Allowance (ESA). So, for example, a decision on entitlement for a customer claiming on the basis of drug misuse would be based on their ability to carry out the range of activities related to physical and mental function, assessed by the Personal/Work Capability Assessment. Medical condition is based on evidence provided at the start of the claim and may not represent a claimant’s most recent medical condition. Where someone has more than one diagnosis or disabling condition only the predominant one is used. The total number of claimants for these benefits in May 2015 was 2,550,080
  • 7. Number of Drug-Related Deaths in Scotland by psychiatric condition experienced in the six months prior to death 0 50 100 150 200 250 300 350 400 2009 2010 2011 2012 2013 2014 Any psychiatric condition No known psychiatric conditions Source: The National Drug-related Deaths Database (Scotland) Report: Analysis Of Deaths Occurring In 2014 http://bit.ly/21qkqdf There were 346 cases in the cohort (60%) where a specific psychiatric condition had been recorded in the six months prior to death. This percentage increased over the time series (2009: 40%, 2010: 40%, 2011: 47%, 2012: 56%, 2013: 60%). In 2014, 44% (253) were recorded as suffering from depression, 30% (171) from anxiety and 6% (37) from other psychiatric disorders.
  • 8. Percentage of Drug-Related Deaths in Scotland by victim of domestic violence and known sexual abuse prior to death 0.0 10.0 20.0 30.0 40.0 50.0 60.0 2009 2010 2011 2012 2013 2014 Victim of Domestic Violence Male Female 0.0 10.0 20.0 30.0 40.0 50.0 2009 2010 2011 2012 2013 2014 Known Sexual Abuse Male Female Source: The National Drug-related Deaths Database (Scotland) Report: Analysis Of Deaths Occurring In 2014 http://bit.ly/21qkqdf
  • 9. Percentage of Drug-Related Deaths in Scotland where the deceased was a parent/parental figure to children under 16 years 63% 23% 10% 5% 0% 10% 20% 30% 40% 50% 60% 70% No children 1 child 2 children3 or more children Amongst people dying from drug related deaths, a higher percentage of females were likely to be a parent or parental figure to a child or children aged under 16 (282/610, 46%) compared to males (729/2,039, 36%). Females were also more likely to be living with a child at the time of death (86/607, 14%) than males (130/2,018, 6%). Source: The National Drug-related Deaths Database (Scotland) Report: Analysis Of Deaths Occurring In 2014 http://bit.ly/21qkqdf
  • 10. Defendants proceeded against at magistrates courts for offences related to cannabis cultivation in England and Wales 0 100 200 300 400 500 600 700 800 900 1000 2011 2012 2013 2014 The figures given relate to persons for whom these offences were the principal offences for which they were dealt with. When a defendant has been found guilty of two or more offences it is the offence for which the heaviest penalty is imposed. Where the same disposal is imposed for two or more offences, the offence selected is the offence for which the statutory maximum penalty is the most severe. Source: http://www.Parliament.Uk/business/publications/written-questions-answers-statements/written-question/commons/2016-03-17/31658/
  • 11. Violence at work, 2014/15 – Influence of alcohol and drugs 36% 30% 0% 5% 10% 15% 20% 25% 30% 35% 40% Alcohol Drugs Threat or physical assault perceived to be alcohol or drug related In 2014/15 285,000 adults of working age in employment experienced work related violence including threats and physical assault. Respondents to the Crime Survey for England and Wales suggested that, in the incidents in which they experienced a threat or physical assault at work, they considered the offender to be under the influence of alcohol in 36% of instances and drugs in 30% of incidents. Source: Violence at work: Findings from the Crime Survey for England and Wales and the Reporting of Injuries, Diseases and Dangerous Occurrences and Regulations - http://bit.ly/1VUPiIH