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.

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)