1. Kevin Hunt. Team Leader. Insp Kath Barber. Drugs and Alcohol Strategic lead. Alcohol Arrest Referral Pilot ADDACTION CLEVELAND

2. CLEVELAND AAR BARRIERS TO ALCOHOL ARREST REFERRAL. BACKGROUND. CONTENT OF AN INTERVENTION. CASE STUDIES.

3. Reasons why Alcohol Arrest Referral in custody won’t work. Offenders will be too drunk to do a meaningful intervention. Won’t be enough time for an hour long intervention to take place while they are in custody. Won’t be able to get staff who will only work weekends, 6am to 2pm. No one is interested in alcohol-its not illegal. Alcohol users won’t admit they have a problem. An intervention will interfere with the custody process. Custody staff won’t be bothered - we all like a drink

4. BACKGROUND ALCOHOL RELATED CRIME £7.3 BILLION PER YEAR 2004/5 ALMOST HALF ALL VIOLENT INCIDENTS. 1.3 MILLION INCIDENTS. HEALTH COSTS. £2.7b NHS COSTS. 27% OF DEATHS IN 16 TO 24 YEAR OLDS. 460,000 HOSPITAL ADMISSIONS EACH YEAR.

5. Local picture. Middlesbrough is…… Ranked 346/354 alcohol related crime Ranked 348/354 alcohol related violent crime Ranked 336/354 alcohol related sexual offences. Ranked 352/354 alcohol specific hospital admission rate ( males) Ranked 330/354 harmful drinking levels. Ranked 350/354 adult binge drinking. 10,000 individuals in Middlesbrough with alcohol misuse issues.

6. Data from the alcohol arrest referral scheme is telling us. 42% of ALL Arrests were alcohol related. (1000 per month) 70% public order offences were alcohol related. 21% drug offences were alcohol related. 53% of assaults were alcohol related. 45% criminal damage offences were alcohol related.

7. RESEARCH POLICE DEAL WITH MORE BINGE THAN CHRONIC/DEPENDENT DRINKERS. SUITABLE FOR BRIEF INTERVENTION.

8. BINGE DRINKING TOO MUCH ALCOHOL OVER A SHORT SPACE OF TIME. 6+ UNITS FOR WOMEN IN ONE SESSION 8+ UNITS FOR MEN IN ONE SESSION

9. PRIMARY AIM DEVISE A SYSTEM THAT CAPTURES LARGE NUMBERS OF ALCOHOL RELATED OFFENDERS SUITABLE FOR B.I. DEVELOP AND IMPLEMENT A MODEL OF INTERVENTION THAT REDUCES RE-OFFENDING AMONG ADULTS ARRESTED FOR ALCOHOL RELATED OFFENCES.

10. PROACTIVE APPROACH KEY PARTNERS. CIVILIAN DETENTION OFFICERS CLIENTS EXISTING ADDACTION STAFF POLICE

11. CLEVELAND MODEL TEAM LEADER + 2 PROJECT WORKERS FULL TIME PROJECT WORKER PART TIME HARTLEPOOL PROJECT WORKER PART TIME MIDDLESBROUGH PROJECT WORKER PART TIME REDCAR

12. WHAT SHOULD THE INTERVENTION CONTAIN? WHAT TOOLS WOULD YOU USE? HEALTH? EDUCATION? OFFENDING BEHAVIOUR?

13. NOT AN EASY OPTION PROBING PERSONAL DIFFERENT MOTIVATORS TO CHANGE

14. BINGE DRINKING BINGE DRINKING PUTS PEOPLE AT INCREASED RISK OF: Accident to self or others. Assault of self or others, including sexual assault. Sexually transmitted infections and pregnancy. Criminal offences. Establishment of hazardous or harmful drinking patterns

15. DRINK DRIVING CONSEQUENCES. Death. Life Altering Injury & Distress to Victim, Driver & Families. Criminal Record. Driving Ban, Fine, High Insurance Premiums. Imprisonment. Employment Consequences. Relationship Consequences. Shame & Guilt.

16. JACQUELINE, AGE 20. Jacqueline’s car was hit by a car driven by a 17 year old male student who had been out for a few beers with his friends. Two of her friends were killed instantly. Jacqueline was trapped inside her blazing car. 60% of her body was burned, her nose was burned so badly it had to be amputated. This is Jacqueline after 40 operations with more to look forward to!

17. THERE IS NO SAFE LIMIT Many drivers guess when they will be safe. DON’T GUESS, the only safe way is to calculate when alcohol free by working out units drank & one hour needed per unit for liver to metabolise alcohol. E.G – Start drinking 7pm Saturday. Drink 10 pints 5% lager = 28 units 4x 35ml shots = 6 units. Total units 34 requiring 34 hours until safe to drive which is 5am Monday morning – Surprised?

18. External Challenges Meet the demands of a performance management culture. TARGETS 200 INTERVENTIONS per month Client to attend Intervention / Appointment 45 MINS to 60 MINS.

19. INTERVENTIONS TO DATE 2,200 + COMPLETED 166 RE-ARRESTED 2ND INTERVENTION 16 RE-ARRESTED 3RD INTERVENTION 5 RE-ARRESTED 4TH INTERVENTION (WELL KNOWN)

20. WHO ARE WE SEEING? 84% male 51% Aged 18 to 24 year olds. 60% unemployed 3.1% students. 44% Scored over 20 AUDIT ( Dependant) 91% hazardous/ harmful or dependant.

21. CASE STUDIES COLIN MARIA TONY

22. REAL COMMENTS “I’VE BEEN FRIGHTENED THINKING MY DRINKING WAS OUT OF CONTROL BUT HAVEN’T KNOWN WHAT TO DO ABOUT IT”

23. REAL COMMENTS “I’M ACTUALLY GLAD I WAS ARRESTED, OTHERWISE I WOULD NOT HAVE HAD THE INTERVENTION. YOU MAY HAVE JUST SAVED MY LIFE.”

24. REAL COMMENTS “MY DADS DRINKING FUCKED UP MY CHILDHOOD, I HADN’T REALISED I COULD BE DOING THE SAME TO MY KIDS”

25. QUESTIONS ? FIRE AWAY