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Reducing the Strength&
Operation P.O.L.A.D
An over view
Population of Portsmouth 206,836
15.5 square miles
13,276 People per square mile
184 Off Licenses
£74 Million spent annually
Liver disease in the City
40,000 drink above recommended limits
Men 50% More likely to die
Women 47% More likely to die
1,213 people in treatment (2014)
We asked retailers to remove
Beers Lager and Ciders over
6.5%ABV
(excluding premium products)
Products of concern
High in strength
Sold in plastic bottle or cans
Sold very cheaply
Polish lagers
EngagementEducationEnforcement
Engagement
Store Visits
Company/Trade Approach
Evidence Sharing
Community Engagement
Education
In store advice
Best Practice Seminar
Off-Licence ‘Tool Kit’
Enforcement
Test Purchasing
Inspections (P.O.L.A.D)
Individual action plans
Review Mechanism
Operation P.O.L.A.DMulti Agency Operation152 Simultaneous inspectionsOne Day!
Stores were graded on the dayGreen (compliant) 90Amber (minor issues) 30Red (non compliant) 32
8 stores needed instant intervention..
Basic licensing offences
Selling below Cost + VAT
Products of concern
Actions Taken after P.O.L.A.D
Action Plan’s for improvement
Review Hearings & Conditioning
Prosecution
HMRC follow up
Results 100+ stores signed up in support
Drop in ASB relating to streetdrinking
Increased retailer compliance
Increased test purchase pass rate
Moving Forward
More stores signing up
Portsmouth campaign features in LGA guidance
Work with Portman Group
Community Alcohol Partnership
Thank you for listening
Questions & Answers
Hampshire County Council Substance Misuse Team
& Tower House HorsesSubstance Misuse & Equine Assisted
Recovery
Equine Assisted Recovery
• Hampshire County Council Adult Services Substance Misuse Team
• Community rehab package• 2012 EAR pilot study
Substance Misuse Team Development Day“This afternoon helped us to identify strengths and challenges for the team, but in a non threatening and fun way. We learnt a lot about ourselves as colleagues and friends. ”
Equine Assisted Recovery
“In its broadest sense, equine assisted learning is any interaction between a person and a horse where the person learns something about themselves.”
• Experiential• Ground-based
Equine Assisted Recovery
US research...
“…reduction in psychological distress and enhancements to wellbeing… significant immediately after treatment and stable at 6-month follow up.”
Equine Assisted Recovery
How does it work?• Finely-tuned survival
instincts of herd animals• Highly developed limbic
system – emotional intelligence
• Masters of non-verbal communication – energy/body language
• Instant, accurate feedback
Equine Assisted Recovery
How does it work?• Horses as “therapists”• Facilitator-guided interaction
and reflection• Role models of living in the
moment• No judgement• No “baggage”• Safe, nurturing environment
Equine Assisted Recovery
Programme designed to:• Develop self-awareness• Expand comfort zones• Build confidence• Establish healthy
boundaries• Restore trust
Equine Assisted Recovery
Programme designed to:• Distinguish assertiveness
from aggression• Develop interpersonal skills• Build teamwork• Provide transferrable skills
for everyday life
Equine Assisted Recovery
• Small groups of 4 or 5 • 6 x 2 hour sessions• Portfolio of photos,
reflections, observations, feedback
• Certificate course• Integrated working with
Substance Misuse Team • Service User support
Equine Assisted Recovery
“It stopped the voices in my head, grounded me and helped me be in the here and now.”
“It was amazing for me, my life is so much better, I feel more confident. It was a healing experience.”
Equine Assisted Recovery
“I learned that all the horses have different personalities…people are all different too and I need to be aware of that when dealing with them. I transferred the learning around the horses to people.”
Equine Assisted Recovery
“I have much better self-awareness and I noticed how negative I can be and how I can change this behaviour.”
“It was really relaxing and helped me with my sleep problems. It also helped me with my temper, possibly because I was sleeping better and so much more relaxed.”
Contact Substance Misuse Team: [email protected] House Horses: [email protected]
What does true integrationlook like?
And how can this be achieved…
Gethin Jones Alcohol Interventions Manager
Integrated a word or an action?
1. We all talk about integrated working and how this can best support both clients and services.
2. In truth how often does this happen?
3. A lot of the time the practical action gets lost on the way.
4. Here is a picture of our journey into becoming an integrated service
What were our aims1. We wanted to Reduce
Hospital admissions
2. Increase GP referrals
3. Reduce Alcohol related offending
4. Build better relationships with services
What was the first steps?
We became
Visible
Integrated Action now startswe build a picture
a. What are the clients needs
b. What are Individual services needs
c. How can we fit to the individual services rather than services fit to us…
Methods of working
1. Simple referral a. What is best for individual services
i.e. slip, phone, post or email.2. Holistic ways of working
b. We don’t just concentrating on Alcohol i.e. MECC (Make Every Contact Count) Housing, Debt, Relationships, Education Employment Training.
3. Using technologyc. practitioners have laptops with Wi-Fi
access so they can access PCC systems anywhere in the City
Outcome1. Services share the work load and
understand how supporting each other leads to better outcomes for clients, services and communities.
2. The main 3 areas of this integrated services are being developed within a new service plan to support the Cities wider health needs.
3. Portsmouth City Council was highly commended in the 2014 MJ Awards for our alcohol harm reduction work
Thank youAlcohol Interventions TeamFloor 2 core 2 Civic offices
GuildhallPortsmouth
PO1 2BY
023 9284 1753
