Treated problem substance use in the Traveller Community. Anne Marie Carew, Jean Long, Suzi Lyons, Delphine Bellerose

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1 Treated problem substance use in the Traveller Community Anne Marie Carew, Jean Long, Suzi Lyons, Delphine Bellerose

2 Introduction Overview of NDTRS Profile cases from the Traveller Community seeking treatment Treated cases only Alcohol Drugs

3 NDTRS - What it is Health information system Dublin Ireland Co-ordinated by Health Research Board Purpose - to provide information on problematic drug and alcohol use

4 NDTRS data Centre details Socio-demographic information Problem substance use Risk behaviour Type of treatment provided

5 Section B: Demographic details

6 Treatment for problem substance use, 2007 to ,253 cases reported to the NDTRS between 2007 and (1.4%) cases identified themselves as members of the Traveller community. The number of cases from the Traveller community increased by 64.2%, from 162 in 2007 to 266 in 2009.

7 Percentage Service types providing treatment in 2009 All cases Cases from Traveller Community 7 64% % 14% 18% 6% 3% 2% 1% 2% Outpatient Inpatient Prison Low threshold General practitioner

8 County of residence for traveller cases seeking treatment, 2007 to 2009 Donegal 39 cases Mayo 10 cases Sligo 5 cases Galway 71 cases Leitrim < 5 cases Cavan 11 cases Monaghan 25 cases Roscommon Longford 8 cases Meath 16 cases 25 cases Offaly 5 cases Westmeath 15 cases Kildare 10 cases Louth 12 cases Dublin 191 cases Clare <5 cases Laois <5 cases Carlow <5 cases Wicklow 15 cases Limerick 17 cases Tipperary 17 cases Kilkenny 12 cases Wexford 77 cases Kerry 24 cases Cork 51 cases Waterford 21 cases Up to 10 cases 10 to 19 cases 20 to 49 cases 50 or more cases

9 Percentage 9 Profile of cases seeking treatment All cases Cases from Traveller Community % 78% Male 17 years or under years years iving with parents/family Unemployed

10 Percentage Profile of cases seeking treatment 9 All cases Cases from Traveller Community % 78% % 17% 23% 8% 5% Male 17 years or under years years Living with parents/family Unemployed

11 Percentage Profile of cases seeking treatment All cases Cases from Traveller Community % 78% % 29% 17% 23% 8% 5% Male 17 years or under years years Living with parents/family Unemployed

12 Percentage Profile of cases seeking treatment All cases Cases from Traveller Community % 78% 73% 6 54% % 29% 17% 23% 8% 5% Male 17 years or under years years Living with parents/family Unemployed

13 Percentage Highest level of education completed All cases Cases from Traveller Community % 4 38% 25% 18% 17% 17% 17% 3% Never went to school or never completed primary school Completed primary education Completed second level education 6% Completed third level education 5% 2% Still in education Not known

14 Percentage Main reason for seeking treatment All cases Cases from Traveller Community 6 54% 5 45% 4 34% 29% 9% 9% 7% 6% 6% 1% 3% 2% 1% Alcohol Opiates Cannabis Ecstasy Cocaine Benzodiazepines Volatile inhalants Other stimulants Other drugs

15 Percentage Source of referral All cases Cases from Traveller Community 4 35% 35% 27% 25% 15% 5% 13% 13% 12% 7% 15% 6% 9% 8% 7% 15% 4% 8% Self Hospital or other medical source Family and friends Social services Other drug treatment centre General practitioner Court/probation/police Other

16 Percentage Source of referral for the Traveller community Alcohol as main problem Drug as main problem 4 35% 35% 25% 23% 15% 5% 18% 5% 8% 7% 16% 14% 3% 8% 9% 7% 19% 12% 5% Self Hospital or other medical source Family and friends Social services Other drug treatment centre General practitioner Court/probation/police Other

17 Percentage Main reason for seeking treatment among Traveller community Male Female % 48% 4 39% 9% 5% 3% 3% 4% 1% 1% 1% Alcohol Opiates Cannabis Cocaine Benzodiazepines Volatile inhalants Ecstasy

18 Cases from the Traveller Community seeking treatment All cases: 12% were assessed but did not commence treatment Traveller community: were assessed but did not commence treatment

19 Treated clients

20 Age of first use Median age (range*) started use, in years Alcohol Drugs Cannabis Cocaine Opiates Injected All cases 15 (11-22) 15 (11-24) 16 (12-28) 18 (14-30) 19 (14-33) 20 (15-31) Cases from Traveller community 14 (10-21) 15 (11-25) 16 (11-29) 17 (13-30) 20 (13-34) 20 (12-22) * Age range is presented as 5 th and 95 th percentiles

21 Percentage First drug ever used All cases Cases from Traveller Community % 28% ever used a drug excluding alcohol Cannabis Opiates Volatile inhalants Ecstasy Cocaine Benzodiazepines

22 Percentage First drug ever used All cases Cases from Traveller Community % 65% % 28% 6% 6% 4% 5% 5% 5% 2% 3% 3% 3% Never used a drug excluding alcohol Cannabis Opiates Volatile inhalants Ecstasy Cocaine Benzodiazepines

23 Percentage Initial interventions provided 2009 All cases Cases from Traveller Community % 7 65% % 34% 29% 9% 15% 7% 16% 13% 12% 7% 8% 8% 8% 5% 5% 3% Counselling Brief intervention Education Medication free therapy Methadone substitution Alcohol detox Complementary therapies Social/occupational reintegration Family therapy

24 Cases treated for drugs a main problem

25 Percentage Main reason for seeking treatment All cases Cases from Traveller Community % 63% % 15% 14% 12% 5% 3% 1% 2% 2% 2% Opiates Cannabis Cocaine Benzodiazepines Volatile inhalants Ecstasy

26 New cases treated for problem drug use Problem use of more than one substance All cases: 67% Traveller Community: 77% Most common additional problem drugs All cases: Alcohol (5) and cannabis (39%) Traveller Community: Alcohol (49%) and cannabis (43%)

27 Injecting drug users among the Traveller Community 23 new injector cases entered treatment between 2007 and 2009.

28 Alcohol as a problem substance

29 New cases treated for problem alcohol use Problem use of more than one substance All cases: Traveller Community: Most common additional problem drugs All cases: cannabis (74%) and cocaine (41%) Traveller Community: cannabis (83%) and cocaine ()

30 Problem alcohol use, 2009 Preferred type of alcoholic beverage Men preferred beer (42%) and spirits (28%) Women preferred spirits (41%) and beer (29%) Frequency of drinking Half of all men drank 9 or more days in the month prior to treatment Half of all women drank 11 or more days in the month prior to treatment Volume of alcohol consumed Half of all men drank 11.5 or more standard drinks Half of all women drank 12 or more standard drinks

31 Conclusions Alcohol and drugs are a public health issue among the Traveller community The Traveller community has a different profile to the general population Accurate data are necessary in order to plan appropriate services and develop strategies It is possible to record ethnic identifiers

32

33 Percentage of cases Drug treatment interventions % % 27% 18% 8% 6% 4% 4% 2% 1% 1% Counselling Brief intervention Methadone substitution Education Medication free therapy Complementary therapies Social/occupational reintegration Family therapy Psychiatric treatment Alcohol detox Benzodiazepine detoxification

34 Percentage of cases Alcohol treatment interventions % % 15% 14% 5% 5% 3% 2% 1% Counselling Brief intervention Alcohol detox Education Medication free therapy Social/occupational reintegration Complementary therapies Family therapy Benzodiazepine detoxification

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