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Where were we?
Committed to Family Values
Conform to Religious practices
Community Harmony
Consistency in lifestyle
Cultured with baggage
“Black people don’t use drugs”
“The few that do will never inject”
“It is a white western disease”
“Religion prohibits drug taking - therefore it is not a problem”
“If there are any Asian drug users they don’t use these services - anyway they look after
themselves”
“Our strong religious and cultural values stop us from this behaviour”
Drug Use and Black and Minority Ethnic Communities
DENIALDENIAL
DENIAL
DENIAL
DENIAL
WHAT ARE THE FACTS?
Drug Use Nationally
DENIALDENIAL
DENIAL
DENIAL
DENIAL
National Picture
Costs of drug abuse in Britain?
Total UK drugs economy is worth around 0.3% of GDP or £2 billion a year
In addition at least £3 billion is spent dealing with the social and health costs
There are more than £6 billion of other costs to society
Costs of drug abuse in Britain
This makes a total of more than £10 million, or around 1.5% of British GDP
A significant drain on the nation! If smoking is included, the total could
be more than £30 billion a year, or 4% GDP
Costs of drug abuse in Britain
Illegal drugs and crime A Department of Health survey of 1,100 addicts
found that they had committed more than 70,000 separate crimes in three months before entering treatment. 20% of all criminals use heroin and heroin users are stealing £1.3 billion a year in property to pay for their habit.
The 20% using heroin are responsible for 80% of all property crime, more than 800,000 burglaries, more than 1.7 million other reported thefts, not including stolen vehicles.
In Lancashire for example that amounts to a loss of £147 in every household every year.
Costs of drug abuse in BritainCost to the legal system to deal with drug-related crime is £14 billion a year,
including £7 billion on policing, remand and borstals, £1 billion on legal aid and £0.3 billion on probation costs, £1.5 billion on prisons - around 6% of all government spending
15% of men in prison are there for drugs offences –trading, buying, selling or stealing
One in three women prisoners are inside for drugs offences, drug-related theft, burglary or prostitution
12% of male and 24% of female prisoners are addicted to drugs or alcohol when taken into custody
10% of prisoners say they were injecting Heroin before going to prison
Costs of drug abuse in Britain
Illegal drugs and health Emergency admissions to hospital wards are
common Every year thousands are admitted for drug psychosis, Drug dependence and Non-dependent use of drugs
Other health issues HIV / AIDS, other sex diseases and hepatitis
The bill for care and prevention of HIV/AIDS is in excess of £210 million
Those with AIDS through the use of drugs constitute around 6% of the total.
Other sex diseases are also more likely to spread among drug users who may be too intoxicated to care about risks
Costs of drug abuse in Britain Hepatitis C has spread rapidly through needle sharing -
indeed it is the commonest route of transmission 60% of drug injectors attending UK drug services are
now carrying Hepatitis C Up to 400,000 people in the UK may have been
infected through sharing injecting equipment 85% of those infected develop chronic infection,
usually chronic hepatitis Consider the health costs of stressed partners and
other family members Each drug user that dies at a young age is a loss
economically to society Actuary tables for loss of earnings for someone dying
aged 35 are around £400,000
Costs of drug abuse in Britain
Social Costs Rehabilitation and child protection issues. Under
community care regulations, social services are responsible for funding residential rehab placements
The average cost per person using residential rehabilitation is £390 per week compared to £225 for structured day care
Also include a proportion of the cost to the voluntary sector, advice centres, child therapy, family support agencies and the rest
Damage to education - at school causes loss of concentration, delinquency and encourages truancy – resulting in suspensions, expulsions and other disciplinary measures
Costs of alcohol abuse in Britain
Alcohol Alcohol kills 31,000 a year - 28,000 deaths a year are
alcohol-related (and a further 3,000 are deaths where alcohol is listed as a cause on a death certificate).
The 28,000 include suicides, accidents, cancers and strokes. Alcohol-related accidents at home - for example falling downstairs, and head injuries are the most frequent result.
While deaths from alcoholic liver damage are usually in older people, deaths which are alcohol-related are spread across the age groups more evenly. If we say that the average alcohol-linked death results in a loss of five working years, then the cost to society in Actuarial terms each year based on lost earnings could be more than £2.5 billion
Costs of alcohol abuse in Britain Alcohol-related health costs are estimated by Alcohol
Concern to be around £150 million a year or 4.3% of total health spending
25% of male hospital admissions are alcohol-related Deaths from liver disease are ten times normal rate among
heavy drinkers and 3% of all cancers may be linked to alcohol
Alcohol abuse is a common cause of high blood pressure, strokes and obesity
Alcohol is a factor in around 15% of all road deaths, 26% of drownings and 39% of deaths in fires
4,500 people are admitted because of mental health problems every year because of alcohol
65% of suicide attempts are linked with excessive drinking
Costs of alcohol abuse in Britain
Alcohol and crime Alcohol-defined crimes include drink-driving, public
drunkenness and disinhibition Crashes still kill eleven people a week Drink kills pedestrians and cyclists too. 15% of all
those injured in road traffic accidents have been drinking in the four hours previously
The annual cost of drink-related traffic crime has been estimated to be £50 million
Alcohol use is associated with murders, violent crime, domestic violence, burglaries, sex offences and so on
Just one example of large-scale alcohol-related injury is facial cuts
Costs of smoking in Britain
Smoking is estimated to kill around 120,000 people a year in Britain, shortening life on average by at least ten years
That's 1.2 million years of life lost Government Actuarial calculations would be that
for every year of life lost, the economy shrinks by the wage of the person who is not now earning
The average annual salary is around £17,500. If just twenty smokers have to stop work five years before retirement because of smoking-related ill health or early death, the loss is around £1.7 million. The numbers soon start to climb
Costs of smoking in Britain
Most smoking related ill health and most of the 120,000 smoking deaths a year are among those retired But if we take a figure of 20,000 people, who are unable to work for an average of five years each (mainly because of deaths before retirement), then the economic cost would be almost £2 billion a year.
The cost of caring for those with tobacco-related illness is around £1.6 billion - a significant proportion of the £35 billion a year spent on health
Costs of smoking in Britain
Most smoking related ill health and most of the 120,000 smoking deaths a year are among those retired But if we take a figure of 20,000 people, who are unable to work for an average of five years each (mainly because of deaths before retirement), then the economic cost would be almost £2 billion a year.
The cost of caring for those with tobacco-related illness is around £1.6 billion - a significant proportion of the £35 billion a year spent on health
Costs of smoking in Britain
Many smokers argue that tax revenues on cigarettes more than compensate for the extra workload….
The fact is clear - smoking robs people of health and life, and both of these are devastatingly high costs to the individuals, to their families and friends, as well as to society
Local Picture- Ealing
There were 1,203 substance misusers known to the health trust within Ealing during 2003/04
It’s reasonable to expect the figure for 2004/05 to be higher
When comparing drugs to alcohol the levels are quite similar with drugs accounting for 51% (622 clients) with alcohol relating to 48% (481 clients) of the total substance misuse total
On an individual substance basis, Alcohol has a high level of usage followed closely by Heroin
Drugs – 51% Alcohol – 48% Blanks - 9%
Local Picture- EalingAge range of substance misusers in Ealing 2003/04
0
20
40
60
80
100
120
140
160
180
200
Aged16-20
Aged21-25
Aged26-30
Aged31-35
Aged36-40
Aged41-45
Aged46-50
Aged51-55
Aged56-60
Aged61-65
Aged66-70
Aged71-75
Aged76+
Blank
Local Picture- Ealing
Primay Substance Misuse in 2003/04
0
100
200
300
400
500
600
700
Alcoho
l
Benzo
diaze
pine
Canna
bis
Cocai
ne
Ecsta
sy
Heroi
ne
Met
hodo
neNon
eOth
er
Other
/opiate
sBlan
k
No
Local Picture- Ealing
Identification of ethnic minority groups within caseload
0
100
200
300
400
500
600A
rabi
c
Asi
an o
ther
Ban
glad
eshi
Bla
ck A
fric
an
Bla
ck C
arrib
ean
Bla
ck o
ther
Inid
an
Mix
ed o
ther
Mix
ed w
hite
& A
sian
Mix
whi
te/b
lack
Car
ribea
n
Oth
er
Pak
ista
ni
Whi
te B
ritis
h
Whi
te I
rish
Whi
te O
ther
Bla
nk
Local Picture- Ealing
Resident Population by Religious Group
0
10
20
30
40
50
60
70
80
Christian Buddhist Hindu Jew ish Muslim Sikh Otherreligions
Noreligion
Notstated
%
Ealing England & WalesSource: 2001 Census, ONS
Local Picture- Ealing
Drug and Alcohol Action Programme has found Increasing drug use within all communities
increasing use of Heroin, Cocaine & Crack Cocaine as first drug of choice amongst young men from Asian and African-Caribbean communities
Increasing use of alcohol among young Muslim men Increasing experimentation with hallucinogenic
drugs Use of Private treatment Problematic use of Class A drugs among young
Asian girls – links to prostitution Khat use amongst Somali communities linked to use
of Class A drugs
Our communities take drugsOur communities supply and deal in
drugsOur communities are involved with crime
Our communities need educationOur communities need services
Our communities are suffering in silence as it is always
someone else’s problem
Drug Use and Black and Minority Ethnic Communities
DENIALDENIAL
DENIAL
DENIAL
DENIAL
Service provision needs to appropriate We need quality local and national needs
assessments We need robust monitoring systems especially
ethnic monitoring We need Parents and carers to be catered for We need consistent and meaningful funding for
Black and minority ethnic organisations We need strategic planning We need community involvement
Making a Difference
Where does this lead to?
Community must share responsibility
Ownership must be shared by the ‘people’
Public private shared partnerships
Sharing of information and expertise
Community Response sharing and caring
So where are we now?
Drug and Alcohol Action Programme
DAAP has developed as a national programme building on the work initiated and developed by the Southall Community Drugs Education Project. It exists to eradicate alcohol and drug addiction primarily but not exclusively in the Black and minority ethnic communities by working in partnership with the voluntary, statutory, independent and corporate sector.
Drug and Alcohol Action Programme
Provision of appropriate education Provision of culturally appropriate
Programmes and treatment services
Conducting research on addictive behaviour
Drug and Alcohol Action Programme
The Programme in Southall and Ealingis funded by the Big Lottery as part ofthe Southall Healthy Living Centres initiative and by Ealing’s Primary CareTrustAlso individuals and businesses
You can make a differenceWe can all make a differenceThe project has supported
numerous people so farLet’s look at who these people
are?
Community Response sharing and caring
IT COULD NOT HAPPEN TO US!
……off Southall Age 42, male, married 4 Children
has been drinking for approx. 26/27 years with 7 years of
heavy drinking which was Spirits (neat) and Beers (Strong)
Drinking would commence as soon as …would get up in
the morning or evening, he did not know what time/ day/
month or year it was, all he knew was, he had to get a
Drink. He did not work. It was only when he collapsed and
had fits did the family seek help through their GP – second
GP as the first did not really help
can make a difference We can all make a difference The project has supported numerous people so far Let’s look at who these people are?
IT COULD NOT HAPPEN TO US!
Mr………..Married 2 Children, a successful business man in Southall, drinking was for business- lunches and entertainment (entertaining clients), his drinking had also spiralled out off control. His business slowly deteriorated as he was unable to get to meetings and see clients. He was admitted to hospital on several occassions but it was only when a very close friend identified the consistent problems, that he went to alocal rehab where he stayed 5 months……………………..was not so fortunate as his drinking still continued aftertreatment. He did not stay 6 months in the rehab - if he had he may still be with us today…… died a short time after all this ,
IT COULD NOT HAPPEN TO US!
What did these two men have in common?
An addiction!One was a Muslim and the other a SikhBoth from religions that prohibit alcohol
and yet….. It did happen to them
IT COULD NOT HAPPEN TO US!
A single parent mother in her late 40s who has no
family in this country except her only son who is27years old. Her son had been caught and charged twice with drugs with the intention to supply and was waiting for his hearing. Mrs X had very little knowledge of drugs. She toldDAAP that she had a religious ceremony performed in India and this country which had cost her a lot of money and the priest had said that nothing will happen to her son.
IT COULD NOT HAPPEN TO US!
Her son had been constantly beating her up to getmoney from her for drugs and sometime his girlfriend joined in. Mrs X’s son has been sent to Prison which hasdevastated her because she was convinced by the priest that things would be alright. Mrs X attends DAAP’s women’s group and is slowly on the road to recovery. She takes three buses to get to her counselling and to DAAP!
IT COULD NOT HAPPEN TO US!
DAAP deals with many people amongst whom are
women suffering domestic violence because of addiction, people homeless because of their addiction – sleeping in the phone booths, young men and women addicted to Crack and Heroin
If one word can sum up the situation – it is
CrisisThey approach DAAP when they are in a crisis
Addiction knows no caste, creed or colour!
It can affect you And
It can affect meOurselves, our families, our
communities, our society
It Couldn’t Happen to us!
So How can we make a difference?
You can become a supporter of DAAP Break the silence Let people know we exist and can help Volunteer your help – become a
community educator Become part of the Steering group
that will monitor, guide and support the project
MAKING A DIFFERENCE
Help DAAP to start delivering services
Make a donation or a gift aid Sponsor a project Empower the community to
become cohesive and united against addiction
MAKING A DIFFERENCE
MAKING A DIFFERENCE
MAKING A DIFFERENCE
Mobile bus
£30,000 could buy, convert and run the bus for 2 years!!
MAKING A DIFFERENCE
When you create a change in yourself, you create change in your family, When you create a change in your family, you create a change in your community, when you create a
change in your community, you create change in Society….
MAKING A DIFFERENCE
Let us all be part of the process that
creates change in society