SCOTLANDS AIMS DRUGS

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SCOTLANDS AIMS - DRUGS

• Young People - To help young people resist drug
  misuse in order to achieve their full potential
  in society.
• Communities - To protect our communities from
  drug related anti-social and criminal behaviour.
• Treatment - To enable people with drug problems
  to overcome them and live healthy and crime-free
  lives.
• Availability - To stifle availability of illegal
  drugs on our Streets.

2
Source Hay, G., McKeganey, N., and Hutchinson,
S. (2001).
3
Source Hay, G., McKeganey, N., and Hutchinson,
S. (2001).
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Young People

• Education materials
• Choices for life
• Research/best practice event
• GOPR protocols
• Expansion of RUSHES
• Multidimensional Family Therapy
• Landed
• Streetbase
• Snapper resource

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Communities

• Diversion schemes
• SACRO
• Progress 2 Work
• NOF projects
• VOLUNTEERING
• WORKING WITH EMPLOYERS
• HOUSING SUPPORT
• USER INVOLVEMENT

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Communities
N.B. estimated annual demand approx. 2,500,000
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Availability
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Treatment Care
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Treatment Care
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Treatment Care
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Service Provision
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New and expanded services
NEW
EXPANDED

• A73
• Community detox
• DTTO
• Health Homelessness team
• Harm Reduction Team
• KERITH counselling
• Progress 2 Work
• Phoenix
• SACRO thru-care
• Substance Misuse Nurses
• SACRO Arrest Referral
• Specialist Social Work Family and Children
  service
• Social Work Homecare
• Specialist Social Work Housing support service
• Specialist SW Youthworkers

• Community Addiction Teams
• Lanarkshire Drug Service
• RUSHES
• Substance Misuse Teams (North)
• S ubstance Misuse Teams (South)

• Total new w.t.e. posts providing direct problem
  substance use services since 2003 93
• A further 10 posts being developed in 2004

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Other services

• No. of Family support groups increased from 4 to
  9 2 full-time workers in post
• No. of service user groups remains at one 1 new
  full-time service-user involvement worker in post
• KERITH counselling 250 sessions annually

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IN 3 YEARS TIME

• People should have access to a comprehensive
  range of services in their locality
• Services will be sign posted as single service.
• One assessment will shared by agencies.
• There will be clear messages and policies.
• Resources will be used effectively to benefit
  communities.
• There will be a programme to increase awareness
  of and provide services for alcohol misuse

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DRUGS AND ALCOHOL

• Establish a locality based integrated service
  model
• Each community to have available, accessible
  treatment and rehabilitation for those misusing
  drugs and alcohol.
• Wider range of options for treatment and care.
• Support available at the point where it is
  needed.
• Single shared assessment in place.

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DRUG SPECIFIC

• There will be a Review of shared care services.
• Everyone on a methadone programme will have an
  opportunity for rehabilitation and support.
• There will be equity of access.
• There will be choices of programme.

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YOUNG PEOPLE, CHILDREN AND FAMILIES

• Increase focus around alcohol issues.
• Sub group to work closely with Children Service
  Plans.
• Maintain and review work in education.
• Focus on young people outwith education.
• Implement Getting Our Priorities Right.

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PROTECTION

• Ensure protection and community safety are
  integral to strategy.
• Work jointly with licence Boards to implement
  Nicholson recommendations in Lanarkshire
• Ensure effective responses to target the
  offender/substance misuse connection

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INFORMATION IS IMPORTANT ON 4 LEVELS

• National Requirements
• Strategic Planning Needs
• Agency Operational Needs
• Service Users Information About Choice and Care
  Plan
• Need
• An integrated information system which links to
  E-Government and addresses all those
  requirements.

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CONSULTATION

• JOB CENTRE IMPORTANCE OF EMPLOYMENT IN REHAB
• PHARMACIST CAPACITY,PRESSURE ON METHADONE
  BUDGET, PR NEEDED FOR HARM REDUCTION,OPIATE
  CENTRIC SERVICES

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CONSULTATION

• ADDICTION BOARD
• INCREASE FUNDING FOR HARM REDUCTION
• INCREASE CLINICAL EQUIPMENT
• DEVELOPMENT OF DUAL DIAGNOSIS
• LOCAL HOME DETOX
• OUT OF HOURS SERVICES
• SUBUTEX MAINTENANCE
• EXTEND PRESCRIBING ROLE OF NURSES
• STRUCTURED REHAB
• METHADONE BUDGET
• SEX ABUSE COUNSELLING
• SUPPORT TO CHILDREN AFFECTED BY SUBSTANCE
  MISUSE.

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CONSULTATION

• NLC HOUSING
• SUBMITTED A CLEAR CASE FOR INTEGRATED
  ACOMMODATION PLAN

• NLC SOCIAL WORK
• ADVOCACY
• 7 DAY SERVICES
• INCREASED ACCESS PRESCRIBING
• LOCAL RESIDENTIAL OPTIONS
• PEER SUPPORT
• JOINT WORKING/JOINT TEAMS
• SINGLE ASSESSMENT
• MORE TRAINING
• CRISIS TEAMS
• DETOX
• INCREASED CHOICE
• WAITING TIME PROBLEMS
• OUT OF HOURS SERVICES
• RELAPSE PREVENTION