1. www.hertsdirect.org Substance Misuse: How Hertfordshire County Council supports partnership working around substance misuse Vicki Reid Crime and Drugs Strategy Manager November 27 th 2007

2. www.hertsdirect.org What am I going to cover Central Government drivers Commissioning arrangements in Hertfordshire Partnership arrangements in Hertfordshire Substance Misuse services for East Herts residents Numbers accessing treatment from East Herts

3. www.hertsdirect.org Central Government Drivers National Drugs Strategy (Home Office) –Tackling supply, Communities (including Criminal Justice Interventions), Treatment, Young People National Treatment Agency (Department of Health) Government Office Crime and Drugs Team Government Office National Treatment Agency Drug Action Teams Local Area Agreement (Safer Stronger Communities)

4. www.hertsdirect.org County Commissioning Arrangements Adult Drug Treatment Needs Assessment Adult Drug Treatment Plan Countywide service commissioning Adult Joint Commissioning Group Young People’s Joint Commissioning Group

5. www.hertsdirect.org Partnership Delivery Arrangements Safer Stronger Performance Group –Drugs Executive Group Crime and Drugs Strategy Unit –Partnership Support Team Crime and Disorder Reduction Partnerships –Strategic Assessments –Community Safety Plans

6. www.hertsdirect.org Substance Misuse Services - EH Tier 2: Westminster Drugs Project (Hertford) Open access drop in, needle exchange, 1-1 key working & assessments, on site nurse Tier 2 ½: Drug Interventions Programme (Hertford) Multi-agency Criminal Justice Intervention team offering prescribing, key working, offender management, aftercare provision

7. www.hertsdirect.org Substance Misuse Services - EH Tier 3: Hertsreach (Hertford) Structured day care, Drug Rehabilitation Requirement, Alcohol Treatment Requirement Tier 3: CDAT (Ware / Bishops Stortford) Prescribing, BBV testing / immunisation, 1-1 key working, assessment & referral to detox / rehab Tier 4: Vale House Residential Rehabilitation (Hertford) Residential rehabilitation addiction centre (not solely for East Herts residents)

8. www.hertsdirect.org Numbers accessing treatment - EH Adult Treatment – Q1&2 (County Average) Numbers in treatment -111 (108) Male : Female -70:30 (70:30) White British - 89% (82%) Drug Interventions Programme - Q1&2 (County Average) Assessments – 30 (29) Caseload – 21 (20) Engaged in treatment -12 (13)

9. www.hertsdirect.org Substance Breakdown / Gaps - EH Reported primary drug used (bear in mind Tier 3 data): Heroin -65% (72) Other -11% (12) Cannabis -10% (11) Crack -7% (9) Cocaine -4% (4) Methadone -3% (3) Gaps in provision – specific alcohol / stimulant services

10. www.hertsdirect.org Any questions…?

11. www.hertsdirect.org thank you