January 2019 ROSC Seminar

IMPROVING SCOTLAND’S HEALTH Rights, Respect and Recovery Scotland’s strategy to improve health by preventing and reducing alcohol and drug use, harm and related deaths

Rights, Respect, Recovery Vision Scotland is a country where “we live long, healthy and active lives regardless of where we come from” and where individuals, families and communities: • have the right to health and life - free from the harms of alcohol and drugs; • are treated with dignity and respect; and • are fully supported within communities to find their own type of recovery. Prevention and Early Intervention Developing Recovery Oriented Systems of Care Getting it Right for Children, Young People, and Families Public Health Approach in Justice Alcohol Framework 2018 Fewer people develop problem drug use People access and benefit from effective, integrated Person centred support to achieve their recovery Children and families affected by alcohol and drug use will be safe, healthy, included and supported Vulnerable people are diverted from the justice system wherever possible, and those in the system are fully supported A Scotland where less harm is caused by alcohol

Delivering in partnership Refresh the MoU Co-produce national level Action Plans Investment through ADPs Workforce development Evaluation framework

Memorandum of Understanding The MOU will be a joint statement of intent to deliver the strategy as well as being the framework within which all partners will operate. Respective Roles for all partners Governance and accountability structure that will provide the general public; partners; Public health Scotland and Scottish Government Ministers with assurance on the quality of services and our performance.

Alcohol Framework Strengthen restrictions on alcohol availability WHO SAFER initiative (Sept 2018) Strengthen restrictions on alcohol availability Advance and enforce better drink driving measures Facilitate access to screening, brief interventions and treatment Enforce bans or comprehensive restrictions on advertising, sponsorship and promotion Raise prices on alcohol through excise, taxes and pricing policy

Alcohol Framework Reducing consumption Identify impact of online and telephone alcohol sales Review statutory guidance on licensing (Scotland) act 2005 re 5 licensing objectives and overprovision – Consultation 2019 Keep licensing system under review (new overprovision statements) AFS to support communities, ADPs to influence the licensing regime Work with the industry on projects which reduce harms; But NOT on health policy development messaging campaigns Education in schools and other settings

Alcohol Framework Positive attitudes positive choices Protect children and young people from advertising Improve education in schools and other settings Promote measures of United Kingdom Chief Medical Officer (UKCMO) lower risk guidelines / links with cancer Labelling Review evidence on the current delivery of Alcohol Brief Interventions (ABIs) to ensure they are being carried out effectively (including primary care and other settings

Alcohol Framework Supporting families and communities Increase awareness of risks during pregnancy Reduce alcohol related violence – use legislation to prevent violence and intervene early Build community resilience to harm caused by alcohol

Prevention and Early Intervention Reduce inequalities Reduce stigma Improve early intervention for young people at risk of developing problem alcohol / drug use Improve education in schools

Developing Recovery Oriented Systems of Care Improve advocacy services Good access to treatment Effective services (e.g. OST / psychological therapies) Involve those with lived experience Improve approach to harm reduction Develop person centred approaches Support recovery communities Develop trauma informed approaches Improve public health surveillance Improve responses to protected equality groups

Getting it Right for Children, Young People and Families Family inclusive practice Whole family approach Involve children, young people parents in planning, development and delivery of services

A Public Health Approach to Justice Improve access to integrated services, including treatment Improve prison through care Reduce supply – target for prosecution Expert advice to ministers on devolving powers to Scotland

Any Questions

Question 1. For Table Top Discussion How do you see yourself taking this Strategy foward?

Quality Principles Standard Expectations of Care and Support in Drug and Alcohol Services Your recovery belongs to you. It is up to you to progress your recovery in partnership with services. You should co- operate with staff and services that will, in turn, empower you to achieve your goals. These Quality Principles have been laid out as a journey starting with access to a service leading on to assessment, recovery planning, review and beyond. No one Quality Principle is more important than another and each is of equal standing.

Quality Principles 1. You should be able to quickly access the right drug or alcohol service that keeps you safe and supports you throughout your recovery. 2. You should be offered high-quality, evidence-informed treatment, care and support interventions which reduce harm and empower you in your recovery. 3. You should be supported by workers who have the right attitudes, values, training and supervision throughout your recovery journey. 4. You should be involved in a full, strength-based assessment that ensures the choice of recovery model and therapy is based on your needs and aspirations.

Question 2. For Table Top Discussion What’s your understanding/experience of these 4 Quality Principles?

Quality Principles 5. You should have a recovery plan that is person-centred and addresses your broader health, care and social needs, and maintains a focus on your safety throughout your recovery journey. 6. You should be involved in regular reviews of your recovery plan to ensure it continues to meet your needs and aspirations. 7. You should have the opportunity to be involved in an ongoing evaluation of the delivery of services at each stage of your recovery. 8. Services should be family inclusive as part of their practice.

Question 3. For Table Top Discussion What’s your understanding/experience of these 4 Quality Principles?

Thank you for your contribution!