FIFE DRUG AND ALCOHOL ACTION TEAM Fife Chamber of Safety 11 December 2006 Rita Keyte Co-ordinator, Fife DAAT

2 DAAT’s Role Strategic Partnership Sets strategic direction Co-ordinates Planning and commissioning processes Prevention, Treatment and Rehabilitation Assesses need and maximises resources

3 DAAT Structure DAAT and its Support Team Task Groups Joint Commissioning Group Fife Alcohol Forum Fife Drugs Forum

4 Joint Commissioning Make recommendations in respect of a number of funding streams Fife Council and NHS Fife grants to the voluntary sector New Drug and Alcohol Funds from Scottish Executive Charitable Trusts Other funding streams such as CCSF

5 National Targets Eleven National Targets organised around the following headings: Culture Change and Communities Prevention, Education & Young People Provision of Treatment and Support Services Protection, Controls &Stifling Availability

6 Fife’s Community Plan Three Underpinning Principles: Sustainability Inclusiveness Best Value

7 Substance Misuse in Fife An estimated 29,300 men and 10,600 women exceed sensible drinking levels Of the 788 new clients seen by FASS in , 80% reported alcohol intakes at levels indicating a high risk to physical and mental health (over 35 units per week for females and 50 units for men)

8 Substance Misuse in Fife There are an estimated 3022 drug users in Fife ( opiates and benzodiazepines) An estimated 1124 are injecting drug users, with 48% not in touch with services Those in the age range account for 34% of problem drug users

9 Substance Misuse in Fife There were 17 recorded drug related deaths in 2004 There were 97 recorded alcohol related deaths in 2002 in Fife since 1980 alcohol related deaths in Scotland have risen from less than 1 in 100 to 1 in 30 of all deaths Information * Statistics Division (ISD) 2005 & 2004

10 Substance Misuse in Fife A range of substances are used Illegal drugs include cannabis, heroin, amphetamine Legal substances include tobacco, alcohol and volatile substances Prescribed medicines and over the counter medicines are also used. For example, pain killers and tranquillisers.

11 The Client’s Journey Decision to change Where can I go for help? What services are there in my area? How do I contact them? What happens when I get there? What can they do to help me? What if I don’t succeed?

12 Local Services: Prevention Council Services: Education Service, Community Services, Social Work Service NHS Fife: Health Promotion, School Nurses, Alcohol Liaison Nurses Police: School Liaison Officers, Voluntary Sector: DELTA, LOST,Clued Up Other: Boozebusters, Street Dancing

13 Local Services:Treatment Interventions include: Pharmacological, psychological, detoxification, counselling, support Fife Council: SWS, including Children & Families Teams, Fife Youth Drugs Team, Mental Health Service, Fife Youth Drugs Team, Drug Treatment & Supervision Team NHS Fife: Addiction Services,Pharmacists, Community Midwives, Specialist Public Health Nurse

14 Local Services:Treatment (2) Voluntary Sector: FASS, DAPL, West Fife Community Drugs Team,Clued Up, Aberlour Child Care Trust (Time 4 U) Others: Penumbra Youth Project, Benarty Cares Scottish Prison Service

15 Local Services: Rehabilitation Interventions include: one to one support, group work, volunteer support, structured programmes, training for work placements, interview technique, social skills, building self esteem Fife Council: SWS, Community Services (Social Inclusion and Employability Team), Housing Service, Supporting People, Drug

16 Local Services: Rehabilitation(2) NHS Fife: Addiction Services - Prescribing and Rehabilitation Service Voluntary Sector: FIRST, Next Steps, APEX - Progress2Work & Progress2Work Link Up, FASS, DAPL, West Fife Community Drugs Team, Bethany Christian Trust, Further Education User Involvement Groups

17 Recent Achievements Fife Constabulary has exceeded targets for drug seizures Family Support Groups established in a number of areas DAAT represented at Child Protection Committee Number of new patients/clients has risen from 599 in 2000/01 to 1025 in 2004/05

18 Recent Achievements (2) STRADA Training Development of Test Purchasing Scheme Alcohol Care Pathway New Prescribing and Rehabilitation Service New Homeless Service Expansion of DELTA Fife wide

19 Recent Achievements (3) Development of Alcohol Liaison Nurse Service Appointment of six Regeneration Development Officers Allocation of funds to develop service to children under 12 whose parents have alcohol problems

20 Future Challenges Waiting Times Alcohol Problems Child Protection Outcomes Data Collection/Information Integration Communication National Direction