ISD data sources

Making sense of the statistics

Making sense of the statistics

Anthea Springbett Principal Statistician

Substance Misuse Team, ISD

Scottish data sources

PREVALENCE

SDMD

SCHOOLS (SALSUS)

PRESCRIPTIONS

DRUG OFFENCES

& SEIZURES (SG JUSTICE)

WAITING TIMES

BLOOD BORNE

VIRUSES(HPS)

HOSPITALS (SMR01/SMR04)

DEATH(GROS)

New clients into drug treatment

Scottish Drugs Misuse Database, Age Group and Gender: 2007/08

0 500 1000 1500 2000 2500

Under 15 years

15-19 years

20-24 years

25-29 years

30-34 years

35-39 years

40 years and over

Ag

e

Number

Females

Males

Source: Scottish Drugs Misuse Database

SDMD – illicit drug use

Source: Scottish Drugs Misuse Database

Percentage of new individuals using each drug of misuse: 2003/04 and 2007/08

0%

10%

20%

30%

40%

50%

60%

70%

80%

Heroin

Cannabis

Cocaine

Crack Cocaine

Methadone

Dihydrocodeine

Diazepam

Amphetamines

Other Drugs

Other Sedatives

Ecstasy

Other Opiates

Name of drug

Pe

rce

nta

ge

2003/04

2007/08

SDMD – injecting/sharing behaviour

Source: Scottish Drugs Misuse Database

Percentage of individuals reporting injecting and/or sharing needles/syringes in the previous month: 2003/04 & 2007/08

0% 5% 10% 15% 20% 25% 30% 35% 40%

shared in past butnot in previous

month

injected in pastbut not in previous

month

shared in previousmonth

injected inprevious month

shar

ing

beh

avio

ur

percentage

2007/08

2003/04

SDMD current reporting

• New clients in treatment• Illicit drug profile• Prescribed drug profile• Demographics• Social circumstances

SDMD Follow-up

• Enhanced SDMD database• Roll-out in 2009• Web-based submission• Client based• Regular follow-up until discharge

Unanswered questions

• Number of clients in treatment• Length of time in treatment• Treatments received• Outcomes

– Behavioural– Social

Prevalence

• Prevalence studies 2000, 2003• Problem opiate/benzo users• 2000 estimate 55,800• 2003 estimate 51,582• New study delayed until April 2009

Drug use in children - prevalence

Reported use of drugs in the last month, last year or ever, by age group and gender

0

5

10

15

20

25

30

Used drugs in last month Used drugs in last year Used drugs ever

Reported use

Per

cen

tag

e

13 year olds

15 year olds

Base: All pupils

Source: SALSUS 2006

Drug use in children - trend

Source: SALSUS 2006

Children' s reported drug use (15 year olds)

10

15

20

25

30

35

40

45

1998 2000 2002 2004 2006

Year

Per

cen

tag

e

ever used

last year

last month

SMR01 – general acute discharges

General acute inpatient discharges with a diagnosis of drug misuse in any position: 2003/04 - 2007/08

0

1000

2000

3000

4000

5000

6000

2003/04 2004/05 2005/06 2006/07 2007/08

Year

Nu

mb

er o

f d

isch

arg

es

Scotland

Male

Female

Source: ISD Scotland

SMR01 – drug type

General acute inpatient discharges with a diagnosis of drug misuse in any position; drug type: 2007/08

0

1000

2000

3000

4000

5000

6000

2007/08

Year

nu

mb

er o

f dis

char

ges

Total Admissions

Opioids

Cannabinoids

Sedatives/hypnotics

Cocaine

Other stimulants

Multiple/Other

Source: ISD Scotland

SMR04 – psychiatric discharges

Psychiatric inpatient discharges with a diagnosis of drug misuse: 2002/03 - 2006/07

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2002/03 2003/04 2004/05 2005/06 2006/07

Year

Nu

mb

er o

f d

isch

arg

es

Scotland

Male

Female

Source: ISD Scotland

Hepatitis C in Drug Users

Persons reported to be Hepatitis C antibody-positive and probable/possible route of transmission: 2003 - 2007

0

200

400

600

800

1000

1200

2003 2004 2005 2006 2007

Year

Num

ber

of p

eopl

e

IDU

Other

Not Known

Source: Health Protection Scotland

Drug-related deaths – cause of death

Drug-related deaths by cause of death, Scotland: 2003 - 2007

0

50

100

150

200

250

300

350

400

450

500

2003 2004 2005 2006 2007

Year

Num

ber

of d

eath

s

All

Drug abuse

Accidentalpoisoning

Intentional self-poisoning

Undeterminedintent

Source: General Register Office for Scotland

Drug-related deaths by drug type

Drug-related deaths by selected drugs involved, Scotland, 2003 - 2007

0

50

100

150

200

250

300

350

2003 2004 2005 2006 2007

Year

nu

mb

er o

f d

eath

s

Heroin/morphineMethadone

Diazepam

Cocaine

Ecstasy

Temazepam

Alcohol

Source: General Register Office for Scotland

New Data/Publications

Prevalence – April 2009

SALSUS – June 2009

Injecting Equipment Provision – June 2009

SDMD Follow-up – 2010

Drug deaths - 2010

Drug waiting times (HEAT target) - 2010