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Interesting things about alcohol and other drugs - Oct 2016

Andrew Brown
Andrew Brown
Andrew BrownSubstance Misuse Policy Manager at MEAM coalition

One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.

Interesting things about alcohol and other drugs - Oct 2016

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Interesting things about
alcohol and other drugs
October 2016
ANDREW BROWN
@ANDREWBROWN365
Proportion of rough sleepers with an assessed need for
alcohol, drugs, and/or mental health support in London in
2015-16
43%
31%
46%
30%
26%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Alcohol Drugs Mental health Coexisting
mental health
and substance
use condition
No alcohol,
drugs or mental
health support
needs
Source: Combined Homelessness and Information Network (CHAIN) Annual Report Greater London April 2015 - March 2016
43% of people seen rough sleeping in
2015/16 were assessed as having an
alcohol support need, which remains
consistent with 41% seen in 2014/15,
and 43% in 2013/14.
The proportion of people seen rough
sleeping with a drug support need has
remained static at 31% this year, the
same proportion as that reported in
2014/15 and 2013/14.
Mental health needs amongst people
seen rough sleeping in 2015/16 also
remain at a similar proportion when
compared to last year (46% in 2015/16,
compared to 45% in 2014/15).
Drug related deaths in Scotland
0
100
200
300
400
500
600
700
800 Drug-related deaths registered in year
3-year average
5-year average
Likely lower
Likely upper
“the past ten years have had six
rises and four falls in the number
of drug-related deaths. The rises
have tended to be greater than
the falls, and the trend in the
number of drug-related deaths
has been upwards. Because the
statistics show some year to year
fluctuations, moving annual
averages are likely to provide a
better guide to the long-term
trend than the change between
any two individual years.”
Source: Drug-related Deaths in Scotland in 2015
Age-standardised mortality rate for deaths in
England and Wales related to drug misuse, by sex
0
10
20
30
40
50
60
70 1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Males
Females
Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
Age profile of drug misuse related deaths in
England and Wales
0
100
200
300
400
500
600
700
800 Under 20 20–29 30–39
40–49 50–69 70 and over
Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
Proportion of drug misuse related deaths in
England and Wales by underlying cause
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Accidental poisoning Suicide Mental and behavioural
disorders and assault by drugs
Women
Men
Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)

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Interesting things about alcohol and other drugs - Oct 2016

  • 1. Interesting things about alcohol and other drugs October 2016 ANDREW BROWN @ANDREWBROWN365
  • 2. Proportion of rough sleepers with an assessed need for alcohol, drugs, and/or mental health support in London in 2015-16 43% 31% 46% 30% 26% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Alcohol Drugs Mental health Coexisting mental health and substance use condition No alcohol, drugs or mental health support needs Source: Combined Homelessness and Information Network (CHAIN) Annual Report Greater London April 2015 - March 2016 43% of people seen rough sleeping in 2015/16 were assessed as having an alcohol support need, which remains consistent with 41% seen in 2014/15, and 43% in 2013/14. The proportion of people seen rough sleeping with a drug support need has remained static at 31% this year, the same proportion as that reported in 2014/15 and 2013/14. Mental health needs amongst people seen rough sleeping in 2015/16 also remain at a similar proportion when compared to last year (46% in 2015/16, compared to 45% in 2014/15).
  • 3. Drug related deaths in Scotland 0 100 200 300 400 500 600 700 800 Drug-related deaths registered in year 3-year average 5-year average Likely lower Likely upper “the past ten years have had six rises and four falls in the number of drug-related deaths. The rises have tended to be greater than the falls, and the trend in the number of drug-related deaths has been upwards. Because the statistics show some year to year fluctuations, moving annual averages are likely to provide a better guide to the long-term trend than the change between any two individual years.” Source: Drug-related Deaths in Scotland in 2015
  • 4. Age-standardised mortality rate for deaths in England and Wales related to drug misuse, by sex 0 10 20 30 40 50 60 70 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Males Females Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
  • 5. Age profile of drug misuse related deaths in England and Wales 0 100 200 300 400 500 600 700 800 Under 20 20–29 30–39 40–49 50–69 70 and over Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
  • 6. Proportion of drug misuse related deaths in England and Wales by underlying cause 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Accidental poisoning Suicide Mental and behavioural disorders and assault by drugs Women Men Source: Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
  • 7. Number of women dying from cervical cancer and from drug misuse related deaths in the UK 0 200 400 600 800 1000 Cervical cancer Drug related deaths UK England and Wales Scotland Sources: Cancer Research UK, ONS and National Records of Scotland
  • 8. Rates per 100,000 of population in England 0 5 10 15 20 25 30 35 40 45 Killed and seriously injured on roads Suicide rate Deaths from drug misuse Rate per 100,000 Source: 2016 Health Profiles
  • 9. Local authorities with at least twice the rate of drug misuse related deaths than the England average 0 2 4 6 8 10 12 14 16 18 Rates per 100,000 Source: 2016 Health Profiles
  • 10. Drug-related mortality rate per million population 0 20 40 60 80 100 120 140 160 180 Africa North America Latin America and the Caribbean Asia Eastern and South-Eastern Europe Oceania Western and Central Europe England Wales Sources: World Drug Report 2016 (UNODC) and Deaths related to drug poisoning in England and Wales: 2015 registrations (ONS)
  • 11. Number of first time entrants into the criminal justice system in England charged with drug offences 0 5,000 10,000 15,000 20,000 25,000 30,000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Female Adults Female Juveniles Source: Offending History Data Tool: first time entrants statistics (MoJ)
  • 12. Proportion of those sentenced to immediate custody for drug offences by the number of previous offences 12% 14% 21% 16% 37% 2006 First time offenders 1-2 previous convictions/cautions 3-6 previous convictions/cautions 7-10 previous convictions/cautions 13% 14% 22% 15% 36% 2016 Source: Offending History Data Tool (MoJ) n = 7,571 n = 8,958
  • 13. Number of deaths of serving prisoners in England linked to NPS between June 2013 and January 2016 0 5 10 15 20 25 30 35 40 45 Self-inflicted Homicides Natural cause Not ascertained Drug toxicity Source: Prisons and Probation Ombudsman Nigel Newcomen CBE’s speech to the NOMS learning day on New Psychoactive Substances (NPS)
  • 14. Use of Section 136 of the Mental Health Act 1983 in 2015-16 (England and Wales) - 5 10 15 20 25 30 Total s.136 to police cells Total s.136 to police cells (aged under 18) Total s.136 to health- based places of safety Total s.136 to health basedplaces of safety (aged under 18) Thousands The data refers to detentions under Section 136 of the Mental Health Act 1983 - incidents - rather than the number of people detained (ie an individual may have been detained more than once in a year). Source: National Police Chiefs’ Council
  • 15. The number of patients assessed as dependent on alcohol or drugs in Scottish Mental Health & Learning Disability Inpatient Bed Census - 200 400 600 800 1,000 1,200 1,400 Alcohol misuse Drug misuse Smoking • Around one third of adult patients (1,248, 35%) smoked tobacco in the 12 weeks prior to the census date. • 688 patients aged 18 and over (19%) had a dependence on alcohol / harmfully used alcohol. Of these, 193 (28%) had an alcohol-related diagnosis based on ICD10 codes. • 616 patients aged 18 and over (17%) had abused substances (excluding alcohol). Of these, 193 (31%) had a diagnosis of drug misuse based on ICD10 codes. Source: Inpatient Census, 2016: Mental Health & Learning Disability Inpatient Bed Census
  • 16. Public attitudes to a minimum unit price for alcohol 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Strongly against Somewhat against Neither in favour nor against Somewhat in favour Strongly in favour 0% 20% 40% 60% 80% 100% Unfair to those on low incomes Effective at reducing heavy drinking Effective at reducing young people's drinking Unfair to sensible drinkers Agree strongly Agree Neither agree nor disagree Disagree Disagree strongly Source: Attitudes to alcohol (NatCen)