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Interesting things about
alcohol and other drugs
August 2017
Andrew Brown
@andrewbrown365
Numbers of people admitted to hospital in England recorded as
having a diagnosis of withdrawing from alcohol (broad measure)
10,730
12,620
14,430
16,340
17,960
19,800
21,590 22,030
22,970 22,900
24,270
25,040
26,810
1,270 1,290 1,390 1,400 1,210 1,220 1,230 1,130 1,220 1,230 1,100 1,210 1,300
0
5,000
10,000
15,000
20,000
25,000
30,000
2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Withdrawal state
Withdrawal state with delirium
Source: Alcohol-related hospital admissions – Statistical tables for England (PHE, 2017)
Suspected or definite risk factors and needs in families
engaged in the Hertfordshire Family Safeguarding
Partnership
15%
23%
26%
36%
38%
38%
44%
46%
49%
53%
69%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Parental learning difficulties
Personality disorder
Alcohol misuse
Other mental illness
Illegal drug use
Social isolation
Housing problems
Financial problems
Wider family relationship problems
Domestic violence
Depression or anxiety in parents
Identified by social workers assessment
9%
9%
18%
19%
20%
26%
41%
0% 10% 20% 30% 40% 50%
Drug or alcohol problems
Child’s school attendance
Arguments or fights
Social isolation
Reported a mental health diagnosis
Child’s behaviour or wellbeing
Elevated levels of stress and anxiety
Identified in parental interviews
Change in life scaling since referral for parents in the
Hertfordshire Family Safeguarding Partnership
3.4
3.75
3.32 3.32
7
3.6
5.56
6.25
0
1
2
3
4
5
6
7
8
Is Mental Health
Practitioner working with
family?
Is Domestic Abuse
Officer (perpetrator)
working with family?
Is Domestic Abuse
Practitioner (victim)
working with family?
Is (Substance Misuse)
Recovery Worker
working with family?
No Yes
Source: Family Safeguarding Hertfordshire Evaluation Report (DfE,2017)
“Life ratings are generally lower for those
families where an adult worker is allocated at
the point of referral, indicating that they are
working with families with more substantial
problems. On average, at referral, their life
rating was between 0.5 and 0.8 lower.
“There was some variation in impact on life
rating between different adult workers. In
particular, where one was working with the
perpetrator of domestic abuse, the participant,
who was usually the victim, did not note any
positive effect on family life.
“For 3 of the 4 adult worker roles, there were
very large positive differences where an adult
worker was involved.The positive shift was
almost twice as high where an adult worker was
involved for mental health, substance misuse or
with a victim of domestic abuse.”
Changes in local authority reported budgets for substance
misuse services (£ thousands)
£408,451
£183,296
£72,178
£38,835
£56,534
£386,173
£178,412
£66,003
£37,201
£48,205
£-
£50,000
£100,000
£150,000
£200,000
£250,000
£300,000
£350,000
£400,000
£450,000
Treatment for drug misuse
in adults
Treatment for alcohol
misuse in adults
Preventing and reducing
harm from drug misuse in
adults
Preventing and reducing
harm from alcohol misuse in
adults
Specialist drug and alcohol
misuse services for children
and young people
2016-17
2017-18
Source: Local authority revenue expenditure and financing (DCLG)
Estimated central government spend (£ million) on the Drug
Strategy 2010, early intervention activity group, England, 2010/11
to 2014/15
£269
£254 £253
£221
£215
£0
£50
£100
£150
£200
£250
£300
2010-11 2011-12 2012-13 2013-14 2014-15
£million
“Updated estimates suggest that
central government spend on early
intervention activity under the Drug
Strategy 2010 may have fallen from
around £269 million in 2010/11 to
around £215 million in 2014/15.These
estimates are necessarily based on large
assumptions and must be interpreted
with caution. It is not possible to
ascertain whether this fall in spend since
2010/11 is due to disinvestment in early
intervention activity, or other factors,
for example changes in third sector
provision or how local areas allocate
funding.”
Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
Central government spend (£ thousand) on media and
information activity under the Drug Strategy 2010, 2010/11 to
2014/15
£23
£1,392
£1,520
£146 £166
£0
£200
£400
£600
£800
£1,000
£1,200
£1,400
£1,600
2010-11 2011-12 2012-13 2013-14 2014-15
£thousand
There has been substantial variation in
central government spend on
drug-related media and information
across the Drug Strategy 2010, with
around £23,000 spent in 2010/11 and
£1.5 million in 2012/13 (Table 4.1).
Estimates are based on actual central
government spend and have been
rounded.
This variation is due to marketing
activity for FRANK undertaken in
addition to routine web-based activity.
This only took place in two years of the
strategy: in 2011/12, £1.2 million was
spent and a further £1.5 million was
spent in 2012/13.
Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
Estimates of central government spend (£ million) on adult
drug misuse services, England, 2010/11 to 2014/15
108 118 109
£479 £484 £489
£426 £433
£599 £605 £611
£532 £541
0
100
200
300
400
500
600
700
2010-11 2011-12 2012-13 2013-14 2014-15
£million
Substance misuse treatment in prisons Spend on structured treatment Total spend on adult drug misuse services The central government
spend on adult drug
treatment was £541 million in
2014/15, of which £433 million
was spent on structured
treatment. A further £25
million was spent on
substance misuse (including
alcohol) services for those
under 18.
In 2013/14 £109 million was
spent on treatment in prisons.
But while spend on adult drug
treatment (excluding prisons)
remained stable for the first
three years of the strategy,
there are signs that spend
may have fallen in 2013/14.
Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
Estimated benefits (£ million) from spend on non-prison
structured drug treatment for adults, 2010/11 to 2014/15
£1,197 £1,179
£1,221
£1,065 £1,083
£0
£200
£400
£600
£800
£1,000
£1,200
£1,400
2010-11 2011-12 2012-13 2013-14 2014-15
£million
At a system level DTORS estimated that for
every £1 spent on structured drug treatment
£2.50 was saved to society.This leads to an
estimated £1.1 billion in benefits from
structured treatment spend in 2014/15,
meaning the benefits from structured
treatment alone were greater than the total
spend on the entire treatment system that
year.
As there is good evidence for the
effectiveness and cost-effectiveness of the
specific interventions within non-structured
treatment, it is possible that the total
benefits of the treatment system will be
even higher.This suggests that the
treatment system is providing good value for
money, as well as considerable benefits to
individuals and wider society.
Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
Selected Antecedents of Suicide In Under 20s And 20-24
Year Olds
22%
34%
43%
52%
57%
16%
11%
9%
42%
51%
47%
41%
55%
10%
8%
3%
0%
10%
20%
30%
40%
50%
60%
Excessive
alcohol use
Illicit drug use Academic
pressures overall
Previous self-
harm
Suicidal ideas Family history of
mental illness
Family history of
substance
misuse
Witness to
domestic
violence
Under 20 (n=285)
20-24 (n=106)
Source: Suicide by Children and Young People (NCISH, 2017)
Support needs of longer term homelessness service users
in Liverpool City Region
27%
68%
37%
68%
16%
37%
25%
6%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Disability
Current mental health problem
Assessed by psychiatrist in the past
Criminal conviction
Current probation order
Currently using drugs
Sleeping rough prior to assessment
In custody prior to assessment
Blood, I., Copeman, I., Goldup, M., Pleace, N., Bretherton, J. & Dulson, S. (2017) Housing First Feasibility Study for the Liverpool City Region, London: Crisis.
Estimated demand for Housing First in Liverpool 2018-
2028
310
346
410
468
519
543
555 554
538
514
480
0
100
200
300
400
500
600
2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
Initially the numbers required
reflects the significant backlog
of need. Over time this
dissipates as the numbers of
the initial clients decreases,
and after the seventh year of
the programme the number of
units required begins to
reduce. However, this
projection is dependent on the
rest of the system – the
prevention activities and the
housing-led offer to those
who do not need the more
intensive Housing First
support. If these are not
functioning well, the demand
for Housing First would
increase.
Blood, I., Copeman, I., Goldup, M., Pleace, N., Bretherton, J. & Dulson, S. (2017) Housing First Feasibility Study for the Liverpool City Region, London: Crisis.
Views of 16-24 year olds on aspects of government drug
policy.
-80
-60
-40
-20
0
20
40
60
80
100
Overall effectiveness of government’s current
policies on illegal drugs
More or less focus on treatment and rehabilitation
in govt policy
Feel about more services for testing the contents
of drugs at certain venues
NegativePositive
Source: YouGov / VICE Survey Results (YouGov, 2017)
Categories of underlying cause of deaths amongst a group
of heavy drinkers in Edinburgh and Glasgow
0 10 20 30 40 50 60
Liver
Respiratory/ Cardiovascular Disease
Neoplasia (exc liver)
External
Alcohol abuse plus other causes
Other/ unknown/pending
Edinburgh
Glasgow
The percentage of the original sample
(n=639) of heavy drinkers who died during
the time period of the study (Dec 2012-
Feb2015) was 16.4% (N=105) with a gender
ratio of 3.0:1.0, male: female. (In the
original sample the ratio was 2.5:1.0).
The mean age at death was 51.1 years. At
initial recruitment interview just under one
quarter of these drinkers self-reported
illicit drug use, 62% smoking and 55% as
having a mental health condition.
While the mean age at death of the women
was lower than that of men, this difference
was not significant.
Overall Glasgow participants differed from
their Edinburgh counterparts in being
younger at time of death and having more
self-reported drug use.
Source: Mortality among a cohort of heavy drinkers in Edinburgh & Glasgow (SHAAP, 2017)
Trends in police recorded possession and trafficking of
cannabis and other drugs in Durham
553
609 607
772
699
550
652
688
590
490
0
100
200
300
400
500
600
700
800
900
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
Cannabis - possession Other drugs - possession Drug trafficking Cannabis UsersWon’t Be A
Priority For County Durham
Police, Commissioner Says
A police force will not prioritise people who
grow small amounts of cannabis for
themselves, in a move drugs reform
campaigners hope will trigger “a much
needed debate” about criminalising
“countless young people” for possession.
Officers in County Durham are far more likely
to simply destroy the plants and seek to place
their owner in recovery than prosecute them
or take them through the courts, according to
the elected official in charge of the force.
Huffington Post UK - 23 July 2015
Source: Police recorded crime and outcomes open data tables (Home Office, 2017)
Trends in police recorded possession and trafficking of
cannabis and other drugs in Cumbria
675
631
834
945
984
810 792 771
552
400559 539
491
550 550
465
430
380
330 338329
363 349
304
276 254
295
235
188
139
0
200
400
600
800
1000
1200
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
Cannabis Other drugs Trafficking
As Durham police relaxes cannabis
stance, is YOUR local force doing
same? We asked them all
Cumbria
In the first instance of simple possession
of cannabis we would adopt the ACPO
national guidelines relating to the need to
arrest/prosecute. Subject to a number of
factors this may lead to an official warning.
"We do prosecute persons not eligible for
the official warning. We take formal action
over the production and cultivation of
cannabis.“
The Mirror - 24 JUL 2015
Source: Police recorded crime and outcomes open data tables (Home Office, 2017)
Proportion of patients with a serious mental illness with an
alcohol consumption check, by CCG
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
90.00
100.00
Source: Mental health conditions packs (NHSE, 2017)
Would you tell a close friend that they drink too much?
0
10
20
30
40
50
60
70
80
18-24 25-49 50-64 65+
I would tell my friend I would not tell my friend
Source: YouGov Survey (2017)
Prisoner survey responses on drugs, alcohol, medicines and
mental health
65%
31%
7%
76%
42%
47%
23%
53%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Do you feel you have any
emotional well
being/mental health issues?
Is it easy/very easy to get
illegal drugs in this prison?
Is it easy/very easy to get
alcohol in this prison?
Are you currently taking
medication?
Women Men
“The proportion of new
[male adult] prisoners with
a drug and/or alcohol
problem remained very
high, most noticeably
among those reporting a
mental health problem.”
“Our survey showed an
increase in the proportion
of women arriving in
prison with drug and/ or
alcohol problems.”
Source: HM Chief Inspector of Prisons for England and Wales Annual Report 2016–17
Responses by adult male prisoners in England and Wales
about drugs and alcohol, by ethnicity
21%
12%
40%
20%
9%
6%
32%
21%
49%
24%
13%
9%
0%
10%
20%
30%
40%
50%
60%
Did you have a
problem with drugs
when you came into
this prison?
Did you have a
problem with
alcohol when you
came into this
prison?
Is it easy/very easy
to get illegal drugs
in this prison?
Is it easy/very easy
to get alcohol in this
prison?
Have you developed
a problem with
drugs since you
have been in this
prison?
Have you developed
a problem with
diverted medication
since you have been
in this prison?
BAME prisoners
White prisoners
Source: HM Chief Inspector of Prisons for England and Wales Annual Report 2016–17
“During the course of the
past year I have seen many
prisons and other institutions
operating under extreme
pressure.The challenges
thrown up by the prevalence
of illegal drugs and other
contraband, increasing
violence, too many prisoners
suffering from mental health
issues, an ageing prison
population and a prison
estate that in many places is
not fit for any purpose, let
alone the decent detention
of human beings, are
stretching hard-working and
well-intentioned staff to their
limits. Reform is overdue.”
AUDIT-C scores for the UK armed forces: 1 June 2016 to 31
May 2017
7%
30%
59%
2%
4%
28%
64%
3%
8%
31%
56%
3%4%
32%
61%
1%
0%
10%
20%
30%
40%
50%
60%
70%
0 1-4 5-9 10-12
Tri Service Navy Army RAF
• 37% (n = 40,440) of personnel who
completed theAUDIT-C scored
less than 5, indicating that they
were potentially at lower risk of
alcohol related harm and 7% (n =
7,142) of this group were non-
drinkers.
• 61% (n = 66,958) of personnel who
completed theAUDIT-C scored 5+
indicating that they may
potentially be at increasing risk or
above of alcohol related harm.
• 2% (n = 2,502) of personnel who
completed theAUDIT-C scored
10-12 indicating that they may
potentially be at increasing or
higher risk and should be advised
to see their GP.
n = 109,459, 74% of all
Service personnel
Source: Alcohol Usage in the UK Armed Forces 1 June 2016 – 31 May 2017 (MoD, 2017)

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Interesting things about alcohol and other drugs - August 2017

  • 1. Interesting things about alcohol and other drugs August 2017 Andrew Brown @andrewbrown365
  • 2. Numbers of people admitted to hospital in England recorded as having a diagnosis of withdrawing from alcohol (broad measure) 10,730 12,620 14,430 16,340 17,960 19,800 21,590 22,030 22,970 22,900 24,270 25,040 26,810 1,270 1,290 1,390 1,400 1,210 1,220 1,230 1,130 1,220 1,230 1,100 1,210 1,300 0 5,000 10,000 15,000 20,000 25,000 30,000 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 Withdrawal state Withdrawal state with delirium Source: Alcohol-related hospital admissions – Statistical tables for England (PHE, 2017)
  • 3. Suspected or definite risk factors and needs in families engaged in the Hertfordshire Family Safeguarding Partnership 15% 23% 26% 36% 38% 38% 44% 46% 49% 53% 69% 0% 10% 20% 30% 40% 50% 60% 70% 80% Parental learning difficulties Personality disorder Alcohol misuse Other mental illness Illegal drug use Social isolation Housing problems Financial problems Wider family relationship problems Domestic violence Depression or anxiety in parents Identified by social workers assessment 9% 9% 18% 19% 20% 26% 41% 0% 10% 20% 30% 40% 50% Drug or alcohol problems Child’s school attendance Arguments or fights Social isolation Reported a mental health diagnosis Child’s behaviour or wellbeing Elevated levels of stress and anxiety Identified in parental interviews
  • 4. Change in life scaling since referral for parents in the Hertfordshire Family Safeguarding Partnership 3.4 3.75 3.32 3.32 7 3.6 5.56 6.25 0 1 2 3 4 5 6 7 8 Is Mental Health Practitioner working with family? Is Domestic Abuse Officer (perpetrator) working with family? Is Domestic Abuse Practitioner (victim) working with family? Is (Substance Misuse) Recovery Worker working with family? No Yes Source: Family Safeguarding Hertfordshire Evaluation Report (DfE,2017) “Life ratings are generally lower for those families where an adult worker is allocated at the point of referral, indicating that they are working with families with more substantial problems. On average, at referral, their life rating was between 0.5 and 0.8 lower. “There was some variation in impact on life rating between different adult workers. In particular, where one was working with the perpetrator of domestic abuse, the participant, who was usually the victim, did not note any positive effect on family life. “For 3 of the 4 adult worker roles, there were very large positive differences where an adult worker was involved.The positive shift was almost twice as high where an adult worker was involved for mental health, substance misuse or with a victim of domestic abuse.”
  • 5. Changes in local authority reported budgets for substance misuse services (£ thousands) £408,451 £183,296 £72,178 £38,835 £56,534 £386,173 £178,412 £66,003 £37,201 £48,205 £- £50,000 £100,000 £150,000 £200,000 £250,000 £300,000 £350,000 £400,000 £450,000 Treatment for drug misuse in adults Treatment for alcohol misuse in adults Preventing and reducing harm from drug misuse in adults Preventing and reducing harm from alcohol misuse in adults Specialist drug and alcohol misuse services for children and young people 2016-17 2017-18 Source: Local authority revenue expenditure and financing (DCLG)
  • 6. Estimated central government spend (£ million) on the Drug Strategy 2010, early intervention activity group, England, 2010/11 to 2014/15 £269 £254 £253 £221 £215 £0 £50 £100 £150 £200 £250 £300 2010-11 2011-12 2012-13 2013-14 2014-15 £million “Updated estimates suggest that central government spend on early intervention activity under the Drug Strategy 2010 may have fallen from around £269 million in 2010/11 to around £215 million in 2014/15.These estimates are necessarily based on large assumptions and must be interpreted with caution. It is not possible to ascertain whether this fall in spend since 2010/11 is due to disinvestment in early intervention activity, or other factors, for example changes in third sector provision or how local areas allocate funding.” Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
  • 7. Central government spend (£ thousand) on media and information activity under the Drug Strategy 2010, 2010/11 to 2014/15 £23 £1,392 £1,520 £146 £166 £0 £200 £400 £600 £800 £1,000 £1,200 £1,400 £1,600 2010-11 2011-12 2012-13 2013-14 2014-15 £thousand There has been substantial variation in central government spend on drug-related media and information across the Drug Strategy 2010, with around £23,000 spent in 2010/11 and £1.5 million in 2012/13 (Table 4.1). Estimates are based on actual central government spend and have been rounded. This variation is due to marketing activity for FRANK undertaken in addition to routine web-based activity. This only took place in two years of the strategy: in 2011/12, £1.2 million was spent and a further £1.5 million was spent in 2012/13. Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
  • 8. Estimates of central government spend (£ million) on adult drug misuse services, England, 2010/11 to 2014/15 108 118 109 £479 £484 £489 £426 £433 £599 £605 £611 £532 £541 0 100 200 300 400 500 600 700 2010-11 2011-12 2012-13 2013-14 2014-15 £million Substance misuse treatment in prisons Spend on structured treatment Total spend on adult drug misuse services The central government spend on adult drug treatment was £541 million in 2014/15, of which £433 million was spent on structured treatment. A further £25 million was spent on substance misuse (including alcohol) services for those under 18. In 2013/14 £109 million was spent on treatment in prisons. But while spend on adult drug treatment (excluding prisons) remained stable for the first three years of the strategy, there are signs that spend may have fallen in 2013/14. Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
  • 9. Estimated benefits (£ million) from spend on non-prison structured drug treatment for adults, 2010/11 to 2014/15 £1,197 £1,179 £1,221 £1,065 £1,083 £0 £200 £400 £600 £800 £1,000 £1,200 £1,400 2010-11 2011-12 2012-13 2013-14 2014-15 £million At a system level DTORS estimated that for every £1 spent on structured drug treatment £2.50 was saved to society.This leads to an estimated £1.1 billion in benefits from structured treatment spend in 2014/15, meaning the benefits from structured treatment alone were greater than the total spend on the entire treatment system that year. As there is good evidence for the effectiveness and cost-effectiveness of the specific interventions within non-structured treatment, it is possible that the total benefits of the treatment system will be even higher.This suggests that the treatment system is providing good value for money, as well as considerable benefits to individuals and wider society. Source: An evaluation of the Government’s Drug Strategy 2010 (Home Office, 2017)
  • 10. Selected Antecedents of Suicide In Under 20s And 20-24 Year Olds 22% 34% 43% 52% 57% 16% 11% 9% 42% 51% 47% 41% 55% 10% 8% 3% 0% 10% 20% 30% 40% 50% 60% Excessive alcohol use Illicit drug use Academic pressures overall Previous self- harm Suicidal ideas Family history of mental illness Family history of substance misuse Witness to domestic violence Under 20 (n=285) 20-24 (n=106) Source: Suicide by Children and Young People (NCISH, 2017)
  • 11. Support needs of longer term homelessness service users in Liverpool City Region 27% 68% 37% 68% 16% 37% 25% 6% 0% 10% 20% 30% 40% 50% 60% 70% 80% Disability Current mental health problem Assessed by psychiatrist in the past Criminal conviction Current probation order Currently using drugs Sleeping rough prior to assessment In custody prior to assessment Blood, I., Copeman, I., Goldup, M., Pleace, N., Bretherton, J. & Dulson, S. (2017) Housing First Feasibility Study for the Liverpool City Region, London: Crisis.
  • 12. Estimated demand for Housing First in Liverpool 2018- 2028 310 346 410 468 519 543 555 554 538 514 480 0 100 200 300 400 500 600 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 Initially the numbers required reflects the significant backlog of need. Over time this dissipates as the numbers of the initial clients decreases, and after the seventh year of the programme the number of units required begins to reduce. However, this projection is dependent on the rest of the system – the prevention activities and the housing-led offer to those who do not need the more intensive Housing First support. If these are not functioning well, the demand for Housing First would increase. Blood, I., Copeman, I., Goldup, M., Pleace, N., Bretherton, J. & Dulson, S. (2017) Housing First Feasibility Study for the Liverpool City Region, London: Crisis.
  • 13. Views of 16-24 year olds on aspects of government drug policy. -80 -60 -40 -20 0 20 40 60 80 100 Overall effectiveness of government’s current policies on illegal drugs More or less focus on treatment and rehabilitation in govt policy Feel about more services for testing the contents of drugs at certain venues NegativePositive Source: YouGov / VICE Survey Results (YouGov, 2017)
  • 14. Categories of underlying cause of deaths amongst a group of heavy drinkers in Edinburgh and Glasgow 0 10 20 30 40 50 60 Liver Respiratory/ Cardiovascular Disease Neoplasia (exc liver) External Alcohol abuse plus other causes Other/ unknown/pending Edinburgh Glasgow The percentage of the original sample (n=639) of heavy drinkers who died during the time period of the study (Dec 2012- Feb2015) was 16.4% (N=105) with a gender ratio of 3.0:1.0, male: female. (In the original sample the ratio was 2.5:1.0). The mean age at death was 51.1 years. At initial recruitment interview just under one quarter of these drinkers self-reported illicit drug use, 62% smoking and 55% as having a mental health condition. While the mean age at death of the women was lower than that of men, this difference was not significant. Overall Glasgow participants differed from their Edinburgh counterparts in being younger at time of death and having more self-reported drug use. Source: Mortality among a cohort of heavy drinkers in Edinburgh & Glasgow (SHAAP, 2017)
  • 15. Trends in police recorded possession and trafficking of cannabis and other drugs in Durham 553 609 607 772 699 550 652 688 590 490 0 100 200 300 400 500 600 700 800 900 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 Cannabis - possession Other drugs - possession Drug trafficking Cannabis UsersWon’t Be A Priority For County Durham Police, Commissioner Says A police force will not prioritise people who grow small amounts of cannabis for themselves, in a move drugs reform campaigners hope will trigger “a much needed debate” about criminalising “countless young people” for possession. Officers in County Durham are far more likely to simply destroy the plants and seek to place their owner in recovery than prosecute them or take them through the courts, according to the elected official in charge of the force. Huffington Post UK - 23 July 2015 Source: Police recorded crime and outcomes open data tables (Home Office, 2017)
  • 16. Trends in police recorded possession and trafficking of cannabis and other drugs in Cumbria 675 631 834 945 984 810 792 771 552 400559 539 491 550 550 465 430 380 330 338329 363 349 304 276 254 295 235 188 139 0 200 400 600 800 1000 1200 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 Cannabis Other drugs Trafficking As Durham police relaxes cannabis stance, is YOUR local force doing same? We asked them all Cumbria In the first instance of simple possession of cannabis we would adopt the ACPO national guidelines relating to the need to arrest/prosecute. Subject to a number of factors this may lead to an official warning. "We do prosecute persons not eligible for the official warning. We take formal action over the production and cultivation of cannabis.“ The Mirror - 24 JUL 2015 Source: Police recorded crime and outcomes open data tables (Home Office, 2017)
  • 17. Proportion of patients with a serious mental illness with an alcohol consumption check, by CCG 0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00 90.00 100.00 Source: Mental health conditions packs (NHSE, 2017)
  • 18. Would you tell a close friend that they drink too much? 0 10 20 30 40 50 60 70 80 18-24 25-49 50-64 65+ I would tell my friend I would not tell my friend Source: YouGov Survey (2017)
  • 19. Prisoner survey responses on drugs, alcohol, medicines and mental health 65% 31% 7% 76% 42% 47% 23% 53% 0% 10% 20% 30% 40% 50% 60% 70% 80% Do you feel you have any emotional well being/mental health issues? Is it easy/very easy to get illegal drugs in this prison? Is it easy/very easy to get alcohol in this prison? Are you currently taking medication? Women Men “The proportion of new [male adult] prisoners with a drug and/or alcohol problem remained very high, most noticeably among those reporting a mental health problem.” “Our survey showed an increase in the proportion of women arriving in prison with drug and/ or alcohol problems.” Source: HM Chief Inspector of Prisons for England and Wales Annual Report 2016–17
  • 20. Responses by adult male prisoners in England and Wales about drugs and alcohol, by ethnicity 21% 12% 40% 20% 9% 6% 32% 21% 49% 24% 13% 9% 0% 10% 20% 30% 40% 50% 60% Did you have a problem with drugs when you came into this prison? Did you have a problem with alcohol when you came into this prison? Is it easy/very easy to get illegal drugs in this prison? Is it easy/very easy to get alcohol in this prison? Have you developed a problem with drugs since you have been in this prison? Have you developed a problem with diverted medication since you have been in this prison? BAME prisoners White prisoners Source: HM Chief Inspector of Prisons for England and Wales Annual Report 2016–17 “During the course of the past year I have seen many prisons and other institutions operating under extreme pressure.The challenges thrown up by the prevalence of illegal drugs and other contraband, increasing violence, too many prisoners suffering from mental health issues, an ageing prison population and a prison estate that in many places is not fit for any purpose, let alone the decent detention of human beings, are stretching hard-working and well-intentioned staff to their limits. Reform is overdue.”
  • 21. AUDIT-C scores for the UK armed forces: 1 June 2016 to 31 May 2017 7% 30% 59% 2% 4% 28% 64% 3% 8% 31% 56% 3%4% 32% 61% 1% 0% 10% 20% 30% 40% 50% 60% 70% 0 1-4 5-9 10-12 Tri Service Navy Army RAF • 37% (n = 40,440) of personnel who completed theAUDIT-C scored less than 5, indicating that they were potentially at lower risk of alcohol related harm and 7% (n = 7,142) of this group were non- drinkers. • 61% (n = 66,958) of personnel who completed theAUDIT-C scored 5+ indicating that they may potentially be at increasing risk or above of alcohol related harm. • 2% (n = 2,502) of personnel who completed theAUDIT-C scored 10-12 indicating that they may potentially be at increasing or higher risk and should be advised to see their GP. n = 109,459, 74% of all Service personnel Source: Alcohol Usage in the UK Armed Forces 1 June 2016 – 31 May 2017 (MoD, 2017)