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5.90

8,88

Impact of drug and alcohol misuse and criminality on Thanet residents

20th November 2014

Thanet Community Safety Working Party Report

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KCC Public Health Team Alcohol Pathways Project

Roles and Responsibilities

Organisation

Public Health England

Local Authorities – Director of Public Health

Role

National lead on PH issues. Has direct responsibility for some services e.g. vaccination, Health Protection, Information, training; support local PH

monitoring the performance of the drug treatment system (local & national targets)

Lead for improving public Health & Wellbeing, Health Promotion and addressing Health Inequalities (+others)

DPH: control bulk of funding for Drugs and Alcohol and is responsible for delivering the outcomes of the local Health and Wellbeing Strategy

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KCC Public Health Team Alcohol Pathways Project

Organisation

Health & Wellbeing Boards

Clinical Commissioning Groups

Role

Local authorities and CCGs have an equal and joint duty to prepare plans using JSNAs and JHWSs through the HWB

Clinical Commissioning Groups (CCGs) have an important role in public healthcare and are statutory members of HWBs

Responsible for commissioning the majority of healthcare services for Thanet’s population - £199m budget

NHS Commissioning Board sit on the HWBs (responsible for Prison DA services)

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KCC Public Health Team Alcohol Pathways Project

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8,88

Drugs

* Directly age standardised drug specific mortality rate per 100,000 per district - 2006 to 2012 (Source: Public Health Mortality File, PHO)

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KCC Public Health Team Alcohol Pathways Project

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Service referrals/treatment completions Drugs

Source of referral into treatment: 2013/14 KDAAT

100%

Seen within 3 weeks of referral

99% Kent

70%

Complete treatment in a planned way

64% Kent

Thanet

Kent

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KCC Public Health Team Alcohol Pathways Project

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Alcohol

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KCC Public Health Team Alcohol Pathways Project

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Thanet Alcohol Profiles (2014)

Best locally

Better than regional average

Worse than regional average

Worst locally

Source: LAPE 2014

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KCC Public Health Team Alcohol Pathways Project

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Service referrals/treatment completions Alcohol

Source of referral into treatment: 2013/14 KDAAT

99%

Alcohol clients across Kent seen within 3 weeks

93% nationally

75%

Complete treatment in a planned way

67% Kent

Thanet

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KCC Public Health Team Alcohol Pathways Project

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8,88

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KCC Public Health Team Alcohol Pathways Project

Crime

All

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KCC Public Health Team Alcohol Pathways Project

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KCC Public Health Team Alcohol Pathways Project

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Alcohol Related Arrests

Alcohol related arrests 2011/12 2012/13 2013/14

Driving whilst unfit (drink) 31 51 40

Drunk and disorderly 266 165 192

Drunk and incapable 1 0 1

Drunk in a public place 4 1 0

Drunk in charge of child 10 5 2

Drunk in charge of motor vehicle 9 6 9

Section 4 Public Order Act 34 21 20

Section 4 Public Order Act - Racially aggravated 6 8 7

Section 5 Public Order Act 54 37 33

Total 415 294 304

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30% 3%

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KCC Public Health Team Alcohol Pathways Project

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Domestic Violence

Location No. of visitors 2010/11

No. of visitors 2011/12

No. of visitors 2012/13

No. of visitors 2014/15

% increase / decrease *

Thanet 49 71 117 215 +84%

Service provision: Domestic Abuse One Stop Shops offer free advice, information and support from a range of agencies under one roof to help victims of domestic abuse.

Source: Kent & Medway domestic abuse Strategy Group

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KCC Public Health Team Alcohol Pathways Project

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Dual Diagnosis:

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Children and Young People

Quarterdeck – summer programmes NEET QEQM AE staff talks; EK College; Marlowe; Princes Trust

Operation Caddy (police dogs in schools) Hang 10 outreach- cannabis targeted groups

private children's homes; KYDIS x15 Thanet seen Parent support programme; wavelength –family work

YISP planned

KIASS programmes provide targeted individual and group work in schools and are increasing liaison with other agencies to coordinate responses to emerging issues e.g. YP heroin use.

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KCC Public Health Team Alcohol Pathways Project

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Programme Highlights

Drug Testing on Arrest (DTOA) was introduced in Thanet custody on 2nd April 2012.

Key Findings:

2/3 of individuals tested overall were identified as positive for Class A substances

DIP contacts increased by 75%

76% of individuals referred commenced treatment

Reduction in re-offending after 6 months

DRRs issued exceed all others in the county

Number of Restrictions on Bail (ROBs) has trebled

Neighbourhood Responsibility Panel and DTOA research

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KCC Public Health Team Alcohol Pathways Project

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Programme Highlights 2

QEQM hospital pilot for alcohol (+ drugs) brief interventions started in May

Total number of patients screened = 2,148

AE 267

Maternity 1,182

Endoscopy unit 821 patients

52 referrals to treatment services have been made

60% of those referred have begun treatment.

This compares to only 9 recorded referrals for the whole of 2012/13 for this hospital site

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KCC Public Health Team Alcohol Pathways Project

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KCC Public Health Team Alcohol Pathways Project

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• Effective campaigns e.g. reducing the strength • Optimise Health input into licensing process • Raise awareness – staff training • Increasing local business/ organisations signed up

to PHRD • Dual diagnosis • School participation • Thanet Alcohol Plan • HI, employment, housing, service re-organisation…

Challenges

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KCC Public Health Team Alcohol Pathways Project

Thanet outcomes for October 2014 : 317 Brief interventions delivered 90 new referrals received 80% successful alcohol closures 40% successful drug closures

Address stigma around treatment

Increased referrals

Social return on investment

Life changing/Life saving

Sustainable recovery

Work with families, carers and strategic partners / Air Football / Citizens Trust

Turning Point – integrated Drug & Alcohol Service

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KCC Public Health Team Alcohol Pathways Project

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Myth Busting!

• Higher income households are twice as likely to drink excessively than lower 22/10

• At least 1:10 adults will have an alcohol problem in their lifetime

• UK alcohol consumption has increased by 9% over 30 years-

general trend in other EU countries is 9% decrease

Choice of drug for young people is alcohol

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For more information visit: http://www.kmpho.nhs.uk/lifestyle-and-behaviour/alcohol/