NW ROSC Seminar Prevention & Education Tuesday 27th November 2018 Whiteinch Centre

What is Prevention & Education? A working definition for Prevention and Education is defined as largely concerned with encouraging and developing ways to support and empower individuals, families and communities in the acquisition of knowledge, attitudes and skills with which to avoid or reduce the development of alcohol problems, drug misuse and alcohol and drug related harm From current P&E model All Together Now defines p&e as Raising awareness a) Raising public awareness and changing attitudes - to help people avoid harm and to overcome stigma; b) Supporting providers of care and services, ensuring people from all protected groups and in all circumstances have access to effective protection from harm; Encouraging better health behaviour c) Helping young people avoid experimentation; d) Helping people avoid harmful use, problematic use, addiction or dependency; Improving services e) Protecting people in services, in hospitals, in care and in prisons; f) Supporting communities and families affected by the behaviour of others; g) Supporting families with related bereavement; Alcohol market interventions h) Making structural changes to the alcohol market through legislation, such as specifying a minimum unit price

P&E Model Aims To promote consistent practice and standards, in relation to Prevention and Education practice across all localities in Greater Glasgow & Clyde. To encourage Prevention and Education practitioners to agree on, and then take ownership of, a baseline definition for Prevention and Education that will then inform universal working in the field. To raise the profile of Prevention and Education as a range of interventions worthwhile investing in at a local and area wide level by strengthening planning and partnership working across all Tiers and Core Elements. To create a more strategic, co-ordinated, cohesive, sustainable and planned approach to best practice that focuses on longer term structural development for prevention and education built on evidenced based approaches and a performance management framework. Consistency of approach Ensures work does not go off at a tangent and has common goals and outcomes where appropriate Give the work the recognition it deserves as an option in a bigger package of measures available within the field Evidence based approaches are key. We need to know what works, how it works and why it works to endue better outcomes for out population work must be evaluated.

P&E Model Implemented in 2008 Evidence based Universally agreed framework on which to develop and deliver work Covers a wide variety of interventions Rarely in isolation Cross cutting and multi-component 10 years old now All the components are rooted in evidence – local, national, UK wide and international Gives everyone the same starting point and helps to firm up the rationale for what’s planned Its not a one size fits all set of measures and interventions The strength is in the multi component way of working as P&E rarely sits out on its own and P&E programmes of work rarely only cover one of the evidence based element

P&E Model Core Elements Resilience and protective factors Environmental measures Community involvement Diversionary approaches Brief Intervention approaches Education 7. Training 8. Parenting programmes 9. Social marketing 10.Workplace alcohol and drug policies 11.Harm reduction – alcohol 12.Harm reduction - drugs These are in no particular order as the all have equal relevance and evidence to support them Take each of these and provide an example of the kind of work that sits under the heading to set it in context and make it ‘real’ 11 and 12 are separated to give equal status to the varying approaches taken for alcohol and drugs

Where Does P&E Apply? Looks complex Familiarity with tiered model for addictions? 1 is generic, 2 is more targeted provision, 3 is specialist services and 4 is highly specialist P&E operates at levels 1 and 2 but there are different types of P&E interventions that can also be further categorised P&E levels 1&2 target the whole population and is universal in its approach. An example of this is providing alternatives to assist avoid risky behaviour – diversionary activities P&E level 3 is more selective and is aimed at those who have an increased risk of developing issues with alcohol and/or drugs. An example of this would be harm reduction messages for alcohol consumption P&E level 4 is aimed at those who have begun to experience harm a result of their current alcohol and/or drug use and who may go on the develop more serious problems. An example would be providing advice and information on safer injecting techniques environmental measures cut across all levels of P&E work and focus on commubnity places and spaces

P&E Model Review 2018/19 Review of evidence 2012 – current Develop new evidence briefings to inform practice Devise a P&E implementation and monitoring framework Incorporate recent policy changes Promote equalities and address inequalities Include focus on at risk groups Evidence evolves and grows as we learn more The new review needs to consider new evidence as well as current policy and practice A framework to monitor ensures wide usability and the ability to compare outcomes They should have a key focus on the promotion of equalities whilst addressing health inequalities and the impact of life stages, deprivation and vulnerability in the most at risk groups such as vulnerable young people, looked after children, older people and the homeless population

All Together Now Revised Scottish Government Strategy 2018 Focussing on P&E as a priority Areas for action on alcohol in framework launched last week Evidence based practice Prisons and ACE’s Stigma Trends, data and analysis Chapter 2 Prevention Alcohol Strategy on Prevention of Harm Children and Young People Prevention in communities Reducing Supply A key area for investment and delivery Chapter 3 Treatment and Recovery Seven-point Plan Delivering the Plan The needs of equalities groups Further tailoring services and treatment options to better meet needs. Recognising developments in evidence and practice Chapter 4 Delivering Improvement Together Health Services Housing & Homelessness Justice Focus on partnership working and widening the scope – this audience

What Does P&E Work Look Like? Protective and resilience factors Oh Lila, Rory, ADAM, CHAT Presentation by AFS Environmental measures Best Bar None BBN designed to improve standards in licensed premises training support resources Complements enforcement linked to licensing law

What Does P&E Work Look Like? Community involvement ROSC Seminars Diversionary approaches AFFIT Events Brief intervention approaches Presentation by Graeme Mathew These seminars are a perfect example of community involvement. The audience is large and far reaching and acknowledges the value in working together to achieve more

What Does P&E Work Look Like? Education Substance Misuse Toolkit Training SDF Contract for Glasgow City Parenting programmes Triple P SMT is a benchmarked and quality assured set of online tools for teaching staff and others alike to deliver p&e work with young people. Focuses on what works. Does not promote one off interventions but rather a series of inputs, workshops and learning opportunities not in isolation SDF deliver full days and half days training on alcohol and drugs as well as stigma and a new multiple risk session Supporting families to improve experiences and outcomes. Youth Health Service at Maryhill Health Centre on Thursday evenings has a Teen Triple P – Positive Parenting and how to deal with problem behaviours where topics are covered for parents of teenagers

What Does P&E Work Look Like? Social marketing Campaigns and awareness raising, social responsibility https://www.youtube.com/watch?v=uCDTC6iGN84 Workplace policies Healthy Working Lives Harm reduction ORT, reducing alcohol consumption Information on alcohol and drugs, resources and ensuring appropriate links with drinks industry. Brand new awareness raising campaign launched this week Encouraging a supportive approach to employment and employability – DWP as a partner here as good example Acknowledge that use happens but set out ways to lessen risks and the potential for developing problematic patterns of use and associated behaviours

Complementary Support Functions Workforce Development Training, events, seminars and conferences Networking Working together, sharing practice Research and evaluation Ensuring best, most up to date evidence for practice and demonstrating outcomes Dedicated structures P&E structures and priorities set Again, the seminars fit well here to facilitate learning, networking, information and knowledge exchange as well as promoting good practice P&E ROSC sub groups

Questions?