1. Senior Drug Users: Scotland April Shaw & Austin Smith November 2009

2. Data Sources  Scottish Drug Misuse Database  Health Protection Scotland  General Register Office for Scotland  Prison Survey

3. Target Group (source ISD)

4. Target Group: Gender (source ISD)

5. Mortality (source GROS) Year Death by Drug Abuse (all ages) Death By Drug Abuse aged 35+ 200022056 (25%) 200122759 (26%) 200228092 (33%) 200321663 (29%) 200423274 (32%) 2005204105 (51%) 2006280122 (44%) 2007299130 (43%) 2008370162 (44%)

6. Social Background Employment Avg. 84% unemployed / 11% employed Compared to national avg. of 5% unemployed Housing 82% own home 14% homeless 2% supported accommodation/residential rehab

7. Physical Health: Blood Borne Virus Hepatitis C 50K prevalence 23,686 HCV + 37% aged 35+ 21% females / 78% males (2007) 65% over 35s are in 40-49 year age group

8. Physical Health: General Acute Hospital Discharges with Drug Diagnosis (F11,12,13,14,15,16,18,19)

9. Mental Health: Psychiatric Hospital Discharges with Drug Diagnosis (F11,12,13,14,15,16,18,19)

10. Summary Ageing opiate using population Rising number of deaths among SDU High unemployment 1 in 10 homeless 1/3 HCV over 35 Increasing proportion SDU hospital and psychiatric discharges