Neil Hunter Community Services Manager – Glasgow Addiction Service Strategic approach to drug deaths

Bringing people together Police, Forensic Pathology Service, Pharmacy, Scottish Ambulance Service, Acute Hospitals, Scottish Prison Service Treatment and care providers, Criminal Justice Social Work staff, homelessness and housing providers, service planners

Developing a common view On the number of deaths On the circumstances of deaths On the key factors that influence drug related deaths On local phenomena that need to be understood On developing action

Drug Death Action Plan Prevention Prison throughcare Homelessness Treatment access Assessment and risk factors

Prevention Use of materials and information Revisiting harm reduction practice – Universal information – Targeted intervention Staff training to consolidate practice Service user support and training – Dealing with witnessed overdose – Incident management

Prison Throughcare Joint action Plan with SPS – Assessment and care planning – Sharing of information – Pre-release work and management into services Key principles – To reduce deaths – To provide continuity of service – prison - community

Homelessness Staff training Action on non exclusion practices Rapid access to housing and accommodation – High risk individuals – Individuals following rehabilitation Sharing budgets to develop treatment services

Improving treatment and care Training and advice/support for GP’s Programme standards in methadone programme – Initiation and dosage – Dispensing arrangements – Social care support Expanding access through Community Addiction Teams

Risk Assessment Now standardised within initial assessment Still debating whether a sensitive enough risk assessment will pick up the right people – Injecting drug use – Polydrug use – Homelessness – Age – Previous non fatal overdoses – Treatment and care provision Where it should be used and by whom

Managing risks and promoting protective factors Risks – Injecting drug use – Homelessness – Poly drug use Protective factors – Provision of better information at NX – Expand treatment access – Prevention measures at local level – Reduce exclusions – Highlight at assessment – Intensify resource response and support