Kevin Hunt. Team Leader. Insp Kath Barber. Drugs and Alcohol Strategic lead.

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Kevin Hunt.Team Leader.Insp Kath Barber.Drugs
and Alcohol Strategic lead.

• Alcohol Arrest Referral
• Pilot
• ADDACTION
• CLEVELAND

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CLEVELAND AAR

• BARRIERS TO ALCOHOL ARREST REFERRAL.
• BACKGROUND.
• CONTENT OF AN INTERVENTION.
• CASE STUDIES.

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Reasons why Alcohol Arrest Referral in custody
wont work.

• Offenders will be too drunk to do a meaningful
  intervention.
• Wont be enough time for an hour long
  intervention to take place while they are in
  custody.
• Wont be able to get staff who will only work
  weekends, 6am to 2pm.
• No one is interested in alcohol-its not illegal.
• Alcohol users wont admit they have a problem.
• An intervention will interfere with the custody
  process.
• Custody staff wont be bothered - we all like a
  drink

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BACKGROUND

• ALCOHOL RELATED CRIME
• 7.3 BILLION PER YEAR
• 2004/5 ALMOST HALF ALL VIOLENT INCIDENTS.
• 1.3 MILLION INCIDENTS.
• HEALTH COSTS.
• 2.7b NHS COSTS.
• 27 OF DEATHS IN 16 TO 24 YEAR OLDS.
• 460,000 HOSPITAL ADMISSIONS EACH YEAR.

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Local picture.

• Middlesbrough is
• Ranked 346/354 alcohol related crime
• Ranked 348/354 alcohol related violent crime
• Ranked 336/354 alcohol related sexual offences.
• Ranked 352/354 alcohol specific hospital
  admission rate ( males)
• Ranked 330/354 harmful drinking levels.
• Ranked 350/354 adult binge drinking.
• 10,000 individuals in Middlesbrough with alcohol
  misuse issues.

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Data from the alcohol arrest referral scheme is
telling us.

• 42 of ALL Arrests were alcohol related. (1000
  per month)
• 70 public order offences were alcohol related.
• 21 drug offences were alcohol related.
• 53 of assaults were alcohol related.
• 45 criminal damage offences were alcohol
  related.

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RESEARCH

• POLICE DEAL WITH MORE BINGE THAN
  CHRONIC/DEPENDENT DRINKERS.
• SUITABLE FOR BRIEF INTERVENTION.

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BINGE DRINKING TOO MUCH ALCOHOL OVER A SHORT
SPACE OF TIME. 6 UNITS FOR WOMEN IN ONE
SESSION 8 UNITS FOR MEN IN ONE SESSION
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PRIMARY AIM

• DEVISE A SYSTEM THAT CAPTURES LARGE NUMBERS OF
  ALCOHOL RELATED OFFENDERS SUITABLE FOR B.I.
• DEVELOP AND IMPLEMENT A MODEL OF INTERVENTION
  THAT REDUCES RE-OFFENDING AMONG ADULTS ARRESTED
  FOR ALCOHOL RELATED OFFENCES.

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PROACTIVE APPROACHKEY PARTNERS.

• CIVILIAN DETENTION OFFICERS
• CLIENTS
• EXISTING ADDACTION STAFF
• POLICE

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CLEVELAND MODEL
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WHAT SHOULD THE INTERVENTION CONTAIN?

• WHAT TOOLS WOULD YOU USE?
• HEALTH?
• EDUCATION?
• OFFENDING BEHAVIOUR?

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NOT AN EASY OPTION

• PROBING
• PERSONAL
• DIFFERENT MOTIVATORS TO CHANGE

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BINGE DRINKING BINGE DRINKING PUTS PEOPLE AT
INCREASED RISK OF Accident to self or
others. Assault of self or others, including
sexual assault. Sexually transmitted infections
and pregnancy. Criminal offences. Establishment
of hazardous or harmful drinking patterns
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DRINK DRIVING CONSEQUENCES. Death. Life Altering
Injury Distress to Victim, Driver
Families. Criminal Record. Driving Ban, Fine,
High Insurance Premiums. Imprisonment. Employment
Consequences. Relationship Consequences. Shame
Guilt.
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JACQUELINE, AGE 20. Jacquelines car was hit by a
car driven by a 17 year old male student who had
been out for a few beers with his friends. Two of
her friends were killed instantly. Jacqueline was
trapped inside her blazing car. 60 of her body
was burned, her nose was burned so badly it had
to be amputated. This is Jacqueline after 40
operations with more to look forward to!
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THERE IS NO SAFE LIMIT

• Many drivers guess when they will be safe. DONT
  GUESS, the only safe way is to calculate when
  alcohol free by working out units drank one
  hour needed per unit for liver to metabolise
  alcohol.
• E.G Start drinking 7pm Saturday.
• Drink 10 pints 5 lager 28 units
• 4x 35ml shots 6 units.
• Total units 34 requiring 34 hours until safe to
  drive which is 5amMonday morning Surprised?

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External Challenges

• Meet the demands of a performance management
  culture. TARGETS
• 200 INTERVENTIONS per month
• Client to attend Intervention / Appointment
• 45 MINS to 60 MINS.

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INTERVENTIONS TO DATE

• 2,200 COMPLETED
• 166 RE-ARRESTED 2ND INTERVENTION
• 16 RE-ARRESTED 3RD INTERVENTION
• 5 RE-ARRESTED 4TH INTERVENTION (WELL KNOWN)

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WHO ARE WE SEEING?

• 84 male
• 51 Aged 18 to 24 year olds.
• 60 unemployed
• 3.1 students.
• 44 Scored over 20 AUDIT ( Dependant)
• 91 hazardous/ harmful or dependant.

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CASE STUDIES

• COLIN
• MARIA
• TONY

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REAL COMMENTS

• IVE BEEN FRIGHTENED THINKING MY DRINKING WAS
  OUT OF CONTROL BUT HAVENT KNOWN WHAT TO DO ABOUT
  IT

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REAL COMMENTS

• IM ACTUALLY GLAD I WAS ARRESTED, OTHERWISE I
  WOULD NOT HAVE HAD THE INTERVENTION. YOU MAY HAVE
  JUST SAVED MY LIFE.

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REAL COMMENTS

• MY DADS DRINKING FUCKED UP MY CHILDHOOD, I
  HADNT REALISED I COULD BE DOING THE SAME TO MY
  KIDS

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QUESTIONS?FIRE AWAY