GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Drug Misuse Analysis using National Drug Treatment Monitoring System data South West Public Health Observatory Lynne Kirkham Robert Mulliss

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory NDTMS  Refers to the process of collecting, collating and analysing information from and for those involved in the drug treatment sector  NDTMS is a development of the regional drug misuse databases (RDMDs) put into place in the late 80s. Responsibility was handed over to the NATIONAL TREATMENT AGENCY by DOH in 2003  Works within the context of the government’s National Drugs strategy (updated in 2002) - 4 aims of which treatment and harm minimisation is one.

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Data Flow into NDTMS-SW and into National Statistics YP Agencies in South West Agencies in South West NTA South West Public Health Observatory Regional NTA DAAT ONS NDEC Department of Health Abbreviation Guide DAAT: Drug & Alcohol Action Teams NDTMS-SW: National Drug Treatment Monitoring System for the South West NTA: National Treatment Agency NDEC: National Drug Evidence Centre ONS: Office of National Statistics HO: Home Office YP Agencies : Young Peoples Services Home Office

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory NDTMS – Data sources Routinely collect data from  Statutory Drug Services  Non Statutory (Street) Drug Services  Residential Rehab Units  Inpatient Detox Units  GPs  Criminal Justice Services (CJIP & non CJIP)

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Current Data set  Initial of client’s first name  Initial of client’s surname  Date of birth of client  Sex of client  Ethnicity  Referral Date  Agency Code  Client Reference Number  Previously treated  Post Code  DAT of residence  PCT of residence  Problem Substance No. 1  Route of Administration of Problem Substance No. 1  Problem Substance No. 2  Problem Substance No. 3 * = New data item

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Current Data Set  Referral Source  Triage Date  Care Plan Started Date  Injecting Status  Hep C – Latest Test Date  Hep B Vaccination Count  Hep B Intervention Status  Discharge Date  Discharge Reason  Treatment Modality  Modality  Modality Start Date  Modality End Date  Ever shared

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory New Data items in core dataset C for South West  Client ID (technical identifier)  Episode ID (technical identifier)  Modality ID (technical identifier)  Consent – now a data item in its own right  Accommodation status  Age 1 st used primary problem substance  Drug treatment healthcare assessment Date  Date referred to modality  Date of first appointment for modality  Injected in last four weeks? Will be collected  Parental Status Will be collected  Sex Worker Category Will be collected  Ever Shared? Already collected

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory SWPHO Drug Misuse Analysis  Annual report - demographics  Young people in treatment  Geographical distribution of NDTMS clients  Drug-related deaths  Skin infections  Evaluation of services  Capture-recapture to estimate prevalence of drug misusers  Ad hoc queries (PCTs, DATs, LAs)

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Age distribution of males and females in treatment in the South West during 2004/05

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory Main drug of misuse by SW treatment clients

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory

GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory GOVERNMENT OFFICE FOR THE SOUTH WEST South West Public Health Observatory