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10 things about alcohol and other drugs you may have missed 19 September 2014 Andrew Brown Director of Policy, Influence and Engagement DrugScope @andrewbrown365

10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

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Including a call for the NHS and social services to address stigma issues, some of the key statistics from the Chief Medical Officer for England's report, European data on drugs and people who go to prison, drink driving offences in Great Britain, a comparison between drink driving and drug driving in those who use substances, football and alcohol offences, Lithuania as a source of methamphetamine in the UK, and the recovery rate of those using IAPT services who are diagnosed with alcohol problems.

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Page 1: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

10 things about alcohol and other drugs you may have missed

19 September 2014

Andrew BrownDirector of Policy, Influence and EngagementDrugScope

@andrewbrown365

Page 2: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

“A cultural change is required within the NHS and social care organisations to combat stigma and discrimination against people with addiction problems, and to ensure equity of care and delivery of effective interventions to address addiction problems and related health problems.

“Active participation of all healthcare staff is crucial to discharge responsibilities of duty of care – both duty to detect and duty to act.”

Photo by Flikr user UK in Japan- FCO

Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence

Page 3: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

• Alcohol consumption in England has doubled in the last 60 years, with a fivefold increase in deaths from alcohol-related diseases such as liver cirrhosis.

• Only 6% of people with alcohol dependence access treatment.

• There were 8.4 opiate and/or crack users per 1,000 of population in England in 2011/12.

• 33% of the prison population has a history of heroin use compared to less than 1% of the general population.

Addictions, dependence and substance abuse – Annual Report of the Chief Medical Officer 2013

Key S

tati

stic

s

Source: https://www.gov.uk/government/publications/chief-medical-officer-cmo-annual-report-public-mental-health

Page 4: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

Estimated number of opiate users and rate (thousands) population, England (2004-2012)

2004-05 2005-06 2006-07 2008-09 2009-10 2010-11 2011-12240,000

245,000

250,000

255,000

260,000

265,000

270,000

275,000

280,000

285,000

290,000

6.5

7

7.5

8

8.5

9

Number of opiate users (95% CI) Opiate rate per 1,000 population (95% CI)

Num

ber o

f Opi

ate

user

s

Opi

ate

rate

per

1,0

00 p

opul

ation

Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence

Page 5: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

“Estimates suggest that half the prisoners in the EU have a history of drug use, many with problematic injecting drug use.”

Source: http://www.euro.who.int/en/publications/abstracts/prisons-and-health

Page 6: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

Estimated number of reported drink drive accidents in Great Britain 1979-2012

19791981

19831985

19871989

19911993

19951997

19992001

20032005

20072009

20110

5,000

10,000

15,000

20,000

25,000

FatalSeriousSlight

Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving

Page 7: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

Self reported drug and drink driving as a proportion of all drivers who have taken drugs and drunk alcohol in the last 12 months respectively

2009/10 2010/11 2011/12 2012/130.0

5.0

10.0

15.0

20.0

25.0

Drug driving Drink driving

Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving

Page 8: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

1 in 4 football-related arrests in England in the 2013-14 season were for alcohol offences

Violent Disorder

Public Disorder

Missile Throwing

Racist or Indecent chanting

Pitch Incursion

Alcohol Offences

Ticket touting

Possession of Offensive Weapon

Use or Possession of Fireworks or Flares

Breach of Banning Order

Offences Against Property

Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)

Page 9: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

Trends in football-related arrests 2000 -2014

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Total arrests Alcohol offences

Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)

Page 10: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

“In Lithuania dismantled methamphetamine laboratories are usually medium to large-scale and the final product is reportedly manufactured on demand for further trafficking to Nordic countries and the United Kingdom.”

Methamphetamine manufacture: Global Patterns and Regional Differences. UNODC

Source: http://www.unodc.org/unodc/en/frontpage/2014/September/new-trends-and-regional-differences-in-the-manufacturing-of-methamphetamine.html

Page 11: 10 interesting things about alcohol and other drugs that you may have missed - 19 September 2014

Recovery rate following use of use of IAPT services, by provisional diagnosis, 2013/14

F10 - Mental and behavioural disorders due to the use of alcohol

F31 - Bipolar affective disorder

F43.1 - Post-traumatic stress disorder

F40.0 - Agoraphobia (with or without history of panic disorder

F33 - Recurrent depressive disorder

F50 - Eating disorders

F99 - Mental disorder, not otherwise classified

No code provided

F41.2 - Mixed anxiety and depressive disorder

Z63.4 - Disappearance and death of a family member

F40.1 - Social phobia

F32 - Depressive disorder

F42 - Obsessive compulsive disorder

Other ICD-10 code

F41.0 - Panic disorders

F45 - Somatoform disorders

F41.1 - Generalized anxiety disorder

F40.2 - Specific (isolated phobias)

0 10 20 30 40 50 60 70

Source: Psychological Therapies, Annual Report on the use of IAPT services - England, 2013-14. HSCIC (2014)