FIFE DRUG AND ALCOHOL ACTION TEAM

1
FIFE DRUG AND ALCOHOL ACTION TEAM

• Fife Chamber of Safety
• 11 December 2006
• Rita Keyte
• Co-ordinator, Fife DAAT

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DAATs 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

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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

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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

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Fifes Community Plan

• Three Underpinning Principles
• Sustainability
• Inclusiveness
• Best Value

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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 2004-05,
  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)

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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 15-24 age range account for 34 of
  problem drug users

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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

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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.

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The Clients 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 dont succeed?

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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

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Local ServicesTreatment

• 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

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Local ServicesTreatment (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

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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

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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

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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

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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

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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

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Future Challenges

• Waiting Times
• Alcohol Problems
• Child Protection
• Outcomes
• Data Collection/Information
• Integration
• Communication
• National Direction