Approaches to reducing alcohol harm for children and young people Young Peoples Specialist Treatment - PowerPoint PPT Presentation

Loading...

PPT – Approaches to reducing alcohol harm for children and young people Young Peoples Specialist Treatment PowerPoint presentation | free to view - id: 214be6-OWNmZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Approaches to reducing alcohol harm for children and young people Young Peoples Specialist Treatment

Description:

Approaches to reducing alcohol harm for children and young people ... Increasing participation and resilience and tackling negative outcomes ... – PowerPoint PPT presentation

Number of Views:182
Avg rating:3.0/5.0
Slides: 15
Provided by: pbr89
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Approaches to reducing alcohol harm for children and young people Young Peoples Specialist Treatment


1
Approaches to reducing alcohol harm for children
and young peopleYoung Peoples Specialist
Treatment London Alcohol Practitioners Forum
20th March 2009
  • Sam Cox
  • Deputy Regional Manager
  • NTA London Regional Team

2
Overview
  • This presentation will cover
  • The role of the NTA in young persons specialist
    treatment centrally and regionally
  • The policy context for specialist treatment
  • Guidance to support the commissioning and
    delivery of specialist treatment
  • Alcohol provision within specialist substance
    misuse treatment
  • What makes a good specialist treatment service

3
Role of the NTA
  • Improvements required in the availability,
    capacity and effectiveness of treatment for drug
    misuse in England
  • Pooled Treatment Budget
  • Monitoring the performance of DATs in the
    commissioning and developing of treatment
    services
  • Reviewing compliance at DAT level with advice and
    guidance issued to support best practice
  • Overseeing appropriate use of the PTB
  • Less clearly defined role around yp treatment
    until Memorandum of Understanding between DCSF
    and NTA in 2007 which definitively outlined roles
    in relation to delivery assurance
  • PTB contribution to yp specialist treatment
  • A minimum range of service delivery available in
    each partnership area

4
Putting this into context the developing agenda
  • 1998 First 10 year drug strategy (updated 2002)
  • 2004 HO PSA Target To reduce the use of Class A
    drugs and the frequent use of any illicit drug
    amongst all yp under the age of 25, especially
    the most vulnerable young people
  • 2005 DCSF publish Every Child Matters Change for
    Children Young People and Drugs
  • 2008 DCSF PSA 14 Increase the number of children
    and young people on the path to success
  • Increasing participation and resilience and
    tackling negative outcomes
  • NI 115 Reduce the proportion of young people
    frequently using illicit drugs, alcohol or
    volatile substances

5
NTA and young peoples specialist treatment
  • NTA developing a range of guidance to support
    improvements to national service delivery
  • Regional performance assurance role the focus
    is on improving accessibility, quality and
    effectiveness of yp treatment provision
  • Needs assessment
  • Treatment planning
  • Performance data and quarterly progress reviews
  • Supporting integration of commissioning function
    into Childrens Trust arrangements
  • Partnership level and regional governance
    arrangements

6
Treatment Definition
  • Young peoples specialist substance misuse
    treatment is a care planned medical, psychosocial
    or harm reduction intervention aimed at
    alleviating current harm caused by a persons
    substance misuse

7
Guidance to support quality improvements
  • NTA is developing a range of guidance to support
    improvements in young people's substance misuse
    treatment services across England.
  • Young Peoples Specialist Substance Misuse
    Treatment Commissioning Guidance
  • Young Peoples Specialist Substance Misuse
    Treatment Exploring the Evidence
  • Young Peoples Specialist Substance Misuse
    Treatment The Role of CAMHS and addiction
    psychiatry in adolescent substance misuse
    services
  • Further guidance planned around prescribing
    practice in the secure estate (YJB led) followed
    by guidance around prescribing practice in a
    community based setting.

8
The extent of drug and alcohol use among young
people
  • The number of young people in England using
    alcohol and drugs is not increasing
  • Drug Use, Smoking and Drinking by young people
    in England 2007 revealed that among 8000 young
    people aged between 11 15
  • Those who stated they had never drunk alcohol was
    up from 39 in 2001 to 46 in 2007
  • In terms of drug use 25 stated they had tried a
    substance was at 25 in 2007 down from 29 in
    2001
  • TellUs3 survey undertaken in 2008
  • 86 of the 13 15 year olds indicated there had
    never been any drug use compared with 80 in
    TellUs2 survey in 2007
  • Reporting of being drunk in previous 4 weeks fell
    from 19 to 16 in 2008

9
Alcohol related trends
  • Although regionally it appears that both alcohol
    consumption and drug use among young people is
    lower than the national average it has been noted
    there has been a sharp increase in the amount of
    alcohol consumed by those who do drink and the
    frequency of consumption has also increased,
    resulting in more negative outcomes
  • Average weekly consumption up from 5 units in
    1990 to 11 units in 2006
  • Increases in amount of drinking to get drunk -
    up to 35 of the 11 to 15 cohort had done this
    when drinking in previous 4 weeks, and 56 of
    15/16 year olds reported having drunk heavily in
    the last 30 days
  • Alcohol related hospital admissions in London
    increased for the 11 18 age group from 1,171 in
    2002/03 to 1,769 in 2006/07
  • There has been a 57 in increase in
    alcohol-related deaths amongst young people aged
    1534 between 1991 and 2006.

10
NDTMS Presentations
  • 06/07 Presentations
  • Of the young people presenting into specialist
    treatment in 2006/07 10,824 (52) were treated
    primarily for cannabis use and 7,039 (34) for
    alcohol use. This contrasts with the 9,043
    primary cannabis users (55) and 4,886 (30) who
    required treatment for the use of alcohol in
    2005/06
  • 07/08 Presentations
  • Of the young people presenting into specialist
    treatment in 2007/08 12,021 (51) were treated
    primarily for cannabis use and 8,589 (36) for
    alcohol use
  • A further 4,672 used cannabis as an additional
    substance and 6,652 used alcohol 35 and 50
    respectively of all those who reported use of
    additional substances

11
What does a good substance misuse service look
like?
  • Reflects needs of the population not based on
    historical make up of services
  • Clear protocols and referral pathways into and
    out of specialist provision
  • Comprehensive range of interventions offered
    all yp specific and evidence based
  • Holistic approach to the young peoples needs
  • Local services accessible both in terms of
    location and opening hours in appropriate
    buildings with outreach/satellite services

12
A good treatment service
  • Routinely involves young users and their parents
    and carers in evaluation and responds to the
    feedback
  • Monitors clinical outcomes routinely
  • Develops good transition protocols and
    relationships with adult providers, CMHTs and
    Probation
  • Responds swiftly and addresses crisis
  • Waiting times are low
  • Delivers effectively against the NTA key
    treatment quality measures
  • Ensures the workforce is supported by regular
    clinical supervision, and clear governance
    structures. Training and consultation available
    to generic staff based in targeted settings
  • Pathways and protocols to address the
    unexpected.

13
Issues for specialist substance misuse provision
in London
  • Variable levels of provision and investment
  • Screening to identify need is not routinely
    implemented
  • Uncertainty/mixed practice in applying threshold
    for specialist treatment
  • Demands on time and resources of specialist
    workforce to support generic staff
  • Workforce development difficulties, high churn
  • Variable commissioning especially around
    residential/inpatient services and
    pharmacological interventions
  • Variable waiting times
  • Difficulties with transitions

14
Improving provision
  • Opportunities for joint working as substance
    misuse agenda is increasingly embedded in
    childrens commissioning structures and linked
    operationally with generic provision
  • Benefits from emerging evidence base to inform
    practice
  • Revisions to NDTMS YP core data set wef 01/04/09
    will support robust needs assessment in future
    and then impact on quality of treatment planning
  • Commitment cited within Youth Alcohol Action Plan
    for DCSF and NTA to review young peoples
    specialist treatment plans and to develop
    additional guidance on basis of findings of review
About PowerShow.com