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

10 interesting things about alcohol and other drugs that you might have missed - November 2014

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Including - tax revenue from alcohol across Europe, mortality rates for lung cancer, daily doses of OST in Scotland, milligrams of methadone prescribed in Scotland, reasons given for refusing 'place of safety' under the Mental Health Act, calls to the NPIS about drugs, prisoners ability to access drugs and alcohol in England, absconders from prison, re-offending drug offenders in England

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Page 1: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

10 things about alcohol and other drugs you may have missed

November 2014

Andrew BrownDirector of Policy, Influence and EngagementDrugScope

@andrewbrown365

Page 2: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

Revenues From Taxes On Consumption of Alcohol (Excise Duties And Similar Charges) Other Than VAT 2013

0

2000

4000

6000

8000

10000

12000

14000

UK SE FI SK SI RO PT PL AT NL MT HU LU LT LV CY IT IE HR FR ES EL EE DE DK CZ BG BE

€m

illio

ns

Source: European Commission http://ec.europa.eu/taxation_customs/resources/documents/taxation/excise_duties/alcoholic_beverages/rates/excise_duties_alcohol_en.pdf

0

2000

4000

6000

8000

10000

12000

2008 2009 2010 2011 2012 2013

£ m

illio

ns

REVENUES FROM TAXES ON ALCOHOL IN UK

Page 3: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

UK lung cancer patients dies within 3 months of diagnosis

Source: http://www.eurekalert.org/pub_releases/2014-10/bmj-noi101014.php

c.

in 3An early death was 16% more likely in areas of high deprivation than in more affluent areas. Living in a rural area also increased the odds of an early death from lung cancer.

Page 4: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

Number of defined daily doses for the treatment of opioid dependence by drug in Scotland

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14

Def

ined

Dai

ly D

ose

s

Buprenorphine Buprenorphine and Naloxone Lofexidine Hydrochloride

Methadone Hydrochloride Naltrexone Hydrochloride

Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse

Page 5: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

Milligrams of methadone dispensed in Scotland

0

100,000,000

200,000,000

300,000,000

400,000,000

500,000,000

600,000,000

700,000,000

The total cost of prescribing methadone in Scotland last year was £22.8 million.

Of which £4.9 m was the ingredient costs, £5.8 m was in dispensing fees, and £12.1 m was supervision fees.

Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse

Page 6: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

Reasons given by providers for excluding at least one person from place of safety under section 136 in 2013

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Intoxication Disturbedbehaviour

Criminaloffence

History ofViolence

Risk of self-harming

“Under section 136 of the Mental Health Act 1983 (MHA), someone who appears to be experiencing a mental health crisis in a public place can be picked up by the police and taken to a place of safety for an assessment of their needs. In all but exceptional circumstances this should be in a healthcare setting…

“We are aware that health professionals are concerned that section 136 may be being used too much for people who are intoxicated, as they may not prove to have a mental health issue at all once sober. However, where police are concerned about someone’s behaviour, and believe that it may relate to a mental disorder, it would be wrong for them not to act on those concerns. This is a challenging issue, and we hope that the future edition of the MHA Code of Practice will be clear about the action to take in these circumstances.”

A safer place to be, Care Quality Commission (2014)

Source: http://collateral.vuelio.uk.com/RemoteStorage/CSCI/Releases/588/20141021%20CQC_SaferPlace_2014_07_FINAL%20for%20WEB.pdf

Page 7: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

Number of calls to the National Poisons Information Service about the top 10 drugs of 2013/14

0

20

40

60

80

100

120

140

160

180“The largest increases in activity relate to synthetic cannabinoid receptor agonists (SCRAs) for which telephone enquiries increased more than 13-fold (from 10 to 131 enquiries), making these substances the second most common drug of misuse encountered in telephone enquiries after cocaine. Similarly, TOXBASE accesses for SCRAs have increased by 253% and these are now in the top 10 drugs of misuse accessed. This is of concern to health professionals as the toxicity of SCRAs appears to be different and more severe than that for cannabis.”

Source: National Poisons Information Service Report 2013/14 http://www.npis.org/NPISAnnualReport2013-14.pdf

National Poisons Information Service

Page 8: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

31 %of prisoners in England and Wales say that illegal drugs are easy or very easy to access in their prisonSource: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf

Page 9: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

17 %of prisoners in England and Wales say that alcohol is easy or very easy to access in their prisonSource: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf

Page 10: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

1 in 4

absconders from prison who are still unlawfully at large (having absconded between April 2004 and March 2014) had been convicted for a drug offenceOther offences Conspiracy To Import Drugs

Conspiracy To Supply Drug Customs Evasion (Drugs Related)

Excess Alcohol Import/Export Drug

Possess Drugs With Intent Supplying Drugs

Source: http://www.theyworkforyou.com/wrans/?id=2014-06-26.202782.h

Page 11: 10 interesting things about alcohol and other drugs that you might have missed - November 2014

3,008The number of adult offenders in England and Wales who were released from a short custodial sentence (less than 12 months) in the year ending September 2012 and went on to commit a proven drug re-offence resulting in a court conviction, caution, reprimand or warning in next 12 months.

Source: https://www.gov.uk/government/statistics/reoffences-by-type-of-reoffence-further-breakdowns-october-2014