Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP"

Transcription

1 Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP

2 Habit is habit, and not to be flung out of the window by any man, but coaxed down-stairs one step at a time. Samuel Langhorne Clemens

3 Trends and Issues Traditional drugs Alcohol Addiction to Medicines Novel Psychoactives Third sector Involvement Prevalence Age Co-morbidities Recovery v Harm Reduction

4 Trends in illicit drug use in the last year among adults, by age group, 1996 to 2013 to 2014, Crime Survey for England and Wales

5 Estimates suggest over 300,000 problematic heroin & crack users in the UK Over 6 billion s a year spent on illicit drugs in the UK 70% of acquisitive crime drug related Over a 20 year injecting career, 75% will become infected with hepatitis C Mortality rates between 6-16x higher than general population

6 Ageing Populations

7 Age Effects? Trends in the proportion of reported drug-induced deaths in the age group, in selected EU Member States

8 Co-morbiditity COPD Ischaemic Heart Disease Hypertension and CKD Liver Disease including Cirrhosis Diabetes Mental Health Poly Drug Use

9 Role of Primary Care Chronic relapsing nature of condition patient stays registered whether still using, on OST or abstinent Advantages of primary care treatment, including continuity and the treatment of associated health problems Familiarity in dealing with complex problems needing behavioural change

10 What is Recovery? Recovery is an individual, person-centred journey as opposed to an end state and will mean different things to different people (Drug Strategy 2010) Medical Assisted Recovery and Abstinence both count! An informed choice by an individual Support structures in place Detoxification needs to take place between preparation and after care. It should never be undertaken as a stand-alone procedure

11 Recovery as a journey Recovery Reducing Harm engagement Supported Stability Reintegration Abstinence

12 What else is needed? Psychosocial Interventions access- preferably in house Specialist Support around Complex Issues Access to Medically Assisted Withdrawal and Rehabilitation Links to Mutual Aid Prescribing to support Abstinence

13 Alcohol in the mix Public Health advises just one glass of wine a day

14 The numbers PHE data ENGLAND LAs PRACTICE GP Total Population 53,588, ,554 6,487 1,606 Adult Population 43,580, ,716 5,275 1,306 Dependent drinkers 1,568,911 10, Increasing and Higher Risk 9,849,277 64,798 1, Alcohol interventions in Primary Care 14 FACTS FIGURES LAs 152 Inc + High % 22 Dep % 3.8 Practices 8,261 GPs 33, Alcohol interventions in Primary Care

15

16 Chronic Liver Disease Key drivers for growth in burden and mortality, First 3 all preventable: Alcohol Chronic viral hepatitis B/C Obesity Non-alcoholic fatty liver disease (NAFLD) leading to non-alcoholic steatohepatitis (NASH) Others including autoimmune or inherited eg Primary Biliary Cirrhosis (PBC), haemochromatosis

17 English Data Figure 15: Estimated number of people living with HCV-related cirrhosis or decompensated cirrhosis/hcc in England: (95% credible intervals are given in parentheses) Hepatitis C in the UK 2013 Report, Public Health England

18 Prevalence of HCV Infection Overall, it is estimated that around 214,000 people (0.4%) in the UK are chronically infected with hepatitis C. Despite being a curable infection only 3% of those infected receive treatment each year. Hepatitis C in the UK PHE publications gateway number: July 2014

19 Treatment rates in England by SHA Percentage of prevalent population Proportion of estimated prevalent population treated for hepatitis C No SHA area manages to treat more than 3% of their infected population in a year An audit of Strategic Health Authority hepatitis C governance 2009 Hepatitis C Trust

20 Why Treat Hepatitis C? Van de Meer et al JAMA 2012

21 Referral for treatment One report estimated that there are more than 13,000 new cases of hepatitis C infection in the UK per year yet we are only treating around 5,000 per year It has been estimated that <1% of IDUs are being treated. In the dark. An audit of hospital hepatitis C services across England. London: The All Party Parliamentary Hepatology Group, August 2010.

22 Primary Care has a key role to play Prevent transmission Increase detection Diagnose infection in people who have the disease Arrange treatment in those with chronic infection with the aim of eradicating the virus, or at least minimising its effects HBV is preventable with an effective vaccine With modern therapy, depending on the genotype of HCV between 60-85% of patients with chronic HCV can be cured Treatment for HCV has been recommended by NICE

23 Addiction to Medicines

24 Opioid Analgesics

25 Opioid deaths mirror prescribing* Other opiate Tramadol Dihydrocodeine not from compound may signal an emerging problem in the UK similar to the issue that is now well established in the USA. ONS Deaths Related to Drug Poisoning in England and Wales, 2013 and Prescription opioid abuse in the UK, Giraudon I et al., British Journal of Clinical Pharmacology 2013 Addiction to medicines policy November 2014 * Not including illicit opioids

26 Newer Drugs Novel Psychoactive Substances, Club Drugs, Legal Highs

27 A Growing Problem

28 Drug harms in the UK: a multicriteria decision analysis The Lancet, Volume 376, Issue 9752, Pages , 6 November 2010 doi: /s (10) Drugs ordered by their overall harm scores, showing the separate contributions to the overall scores of harms to users and harm to others. The weights after normalisation (0 100) are shown in the key (cumulative in the sense of the sum of all the normalised weights for all the criteria to users, 46; and for all the criteria to others, 54). CW=cumulative weight. GHB=γ hydroxybutyric acid. LSD=lysergic acid diethylamide.

29 Public Health v Primary Care Oh, East is East, and West is West, and never the twain shall meet Rudyard Kipling

30 Commissioning Role of health and Well Being Board Other partners Third Sector, Police & Crime Commissioners, Social Services, Housing etc. Links to Secondary Care Services Pathways

31 Funding Issues CCG / Public Health split in some areas Competing Priorities Drug and Alcohol treatment not part core service for GPs However required to work with patients Huge impact on hospital admissions

32 Key Points Long term drug use leads to multiple physical and mental health problems and premature ageing Patterns of drug use change but remain worryingly high Poly drug use is the usual pattern Primary Care with support from Secondary Care and the Third Sector can provide effective care and aftercare

33

Clinical Priorities for Alcohol and Drugs in Public Health

Clinical Priorities for Alcohol and Drugs in Public Health Clinical Priorities for Alcohol and Drugs in Public Health What do we need to Measure up to? Dr Michael Kelleher Clinical Lead Alcohol and Drugs Team, Health and Wellbeing Directorate SMMGP 8 th Primary

More information

Sheffield Future Commissioning of Drug & Alcohol Community Treatment

Sheffield Future Commissioning of Drug & Alcohol Community Treatment Sheffield Future Commissioning of Drug & Alcohol Community Treatment Magdalena Boo, Joint Commissioning Manager Scope of the Plan IN SCOPE Adults 18+ (young people s services are separately commissioned)

More information

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities Establishment: HMP Belmarsh Drugs partnership: Greenwich Primary Care Trust: Greenwich Integrated drug treatment system Treatment plan 2009/10 Part 1: Strategic summary, needs assessment and key priorities

More information

Adults who misuse drugs and alcohol

Adults who misuse drugs and alcohol West of England ESF BIG Lottery - Breaking down the barriers to employment Adults who misuse drugs and alcohol Bath and North East Somerset Baseline data Current local provision Gaps /added Prevalence

More information

drug treatment in england: the road to recovery

drug treatment in england: the road to recovery The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:

More information

Hepatitis C Infections in Oregon September 2014

Hepatitis C Infections in Oregon September 2014 Public Health Division Hepatitis C Infections in Oregon September 214 Chronic HCV in Oregon Since 25, when positive laboratory results for HCV infection became reportable in Oregon, 47,252 persons with

More information

Capital Challenge. Tackling Hepatitis C in London

Capital Challenge. Tackling Hepatitis C in London Capital Challenge Tackling Hepatitis C in London Contents Foreword 3 The current state of hepatitis C in London 4-5 Delivering improved hepatitis C outcomes in London 8-11 What next in London? 12 References

More information

Alcohol and drugs prevention, treatment and recovery: why invest?

Alcohol and drugs prevention, treatment and recovery: why invest? Alcohol and drugs prevention, treatment and recovery: why invest? 1 Alcohol problems are widespread 9 million adults drink at levels that increase the risk of harm to their health 1.6 million adults show

More information

Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice

Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Dr Chris Ford GP & SMMGP Clinical Lead Kate Halliday Telford & Wrekin Shared Care Coordinator Aims Discuss:

More information

Dr Jeanelle de Gruchy, Director of Public Health DIRECTOR/MANAGER: AUTHOR:

Dr Jeanelle de Gruchy, Director of Public Health DIRECTOR/MANAGER: AUTHOR: Appendix: 3.4 MEETING: Clinical Commissioning Group Shadow Governing Body DATE: Thursday 22 November 2012 TITLE: Drug treatment performance report LEAD Dr Jeanelle de Gruchy, Director of Public Health

More information

The story of drug treatment

The story of drug treatment EFFECTIVE TREATMENT CHANGING LIVES www.nta.nhs.uk www.nta.nhs.uk 1 The story of drug treatment The use of illicit drugs is declining in England; more and more people who need help with drug dependency

More information

How you can protect investments, reduce health inequalities and save lives in your borough

How you can protect investments, reduce health inequalities and save lives in your borough Reducing health inequalities in London by addressing hepatitis C Briefing for councillors: Reducing health inequalities in London by addressing hepatitis C How you can protect investments, reduce health

More information

Preventing and responding to dependence on prescribed and over-the-counter medicines: national policy, local action

Preventing and responding to dependence on prescribed and over-the-counter medicines: national policy, local action Preventing and responding to dependence on prescribed and over-the-counter medicines: national policy, local action Steve Taylor, Programme Manager Alcohol, Drugs & Tobacco Division - Health & Wellbeing

More information

Why invest? How drug treatment and recovery services work for individuals, communities and society

Why invest? How drug treatment and recovery services work for individuals, communities and society Why invest? How drug treatment and recovery services work for individuals, communities and society What is drug addiction? Drug addiction is a complex but treatable condition Those affected use drugs compulsively,

More information

POWDER COCAINE: HOW THE TREATMENT SYSTEM IS RESPONDING TO A GROWING PROBLEM

POWDER COCAINE: HOW THE TREATMENT SYSTEM IS RESPONDING TO A GROWING PROBLEM Effective treatment is available for people who have a powder-cocaine problem seven in ten of those who come into treatment either stop using or reduce their use substantially within six months POWDER

More information

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013

Hulpverleningsmodellen bij opiaatverslaving. Frieda Matthys 6 juni 2013 Hulpverleningsmodellen bij opiaatverslaving Frieda Matthys 6 juni 2013 Prevalence The average prevalence of problem opioid use among adults (15 64) is estimated at 0.41%, the equivalent of 1.4 million

More information

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS 1. INTRODUCTION 1.1 Review Process A Partnership for a Better Scotland committed the Scottish Executive to reviewing and investing

More information

Alcohol data: JSNA support pack

Alcohol data: JSNA support pack Alcohol data: JSNA support pack Technical definitions for the data to support planning for effective alcohol prevention, treatment and recovery in 2016-17 THE TECHNICAL DEFINITIONS The data in the JSNA

More information

Lincolnshire Alcohol and Drug Strategy

Lincolnshire Alcohol and Drug Strategy ` Lincolnshire Alcohol and Drug Strategy 2014 2019 Foreword Alcohol and drug misuse is the cause of many health and social problems and can devastate families and communities. It is a significant driver

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

BACKGROUND MEDIA INFORMATION Fast facts about liver disease

BACKGROUND MEDIA INFORMATION Fast facts about liver disease BACKGROUND MEDIA INFORMATION Fast facts about liver disease Liver, or hepatic, disease comprises a wide range of complex conditions that affect the liver. Liver diseases are extremely costly in terms of

More information

Alcohol and drugs JSNA support pack

Alcohol and drugs JSNA support pack Alcohol and drugs JSNA support pack Key data to support planning for effective drugs prevention, and recovery MILTON KEYNES MILTON KEYNES J8B SUPPORTING INFORMATION This pack provides key performance and

More information

Chapter 11 The role of healthcare professionals

Chapter 11 The role of healthcare professionals Chapter 11 The role of healthcare professionals 11.1 Introduction There are three levels at which doctors are involved in responding to illicit drugs. All doctors in clinical practice will encounter patients

More information

THE STORY OF DRUG TREATMENT

THE STORY OF DRUG TREATMENT THE STORY OF DRUG TREATMENT EFFECTIVE TREATMENT CHANGING LIVES The story of drug treatment The goal of all treatment is for drug users to achieve abstinence from their drug or drugs of dependency. For

More information

Adult drug treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities

Adult drug treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities Birmingham Drug and Alcohol Action Team Adult drug treatment plan 2009/10 Part 1: Strategic summary, needs assessment and key priorities The strategic summary incorporating the findings of the needs assessment,

More information

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital

More information

About Public Health England

About Public Health England Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2014 to 31 March 2015 About Public Health England Public Health England exists to protect and improve

More information

NP/PA Clinical Hepatology Fellowship Summary of Year-Long Curriculum

NP/PA Clinical Hepatology Fellowship Summary of Year-Long Curriculum OVERVIEW OF THE FELLOWSHIP The goal of the AASLD NP/PA Fellowship is to provide a 1-year postgraduate hepatology training program for nurse practitioners and physician assistants in a clinical outpatient

More information

Protecting and improving the nation s health. Drug treatment in England 2013-14

Protecting and improving the nation s health. Drug treatment in England 2013-14 Protecting and improving the nation s health Drug treatment in England November 214 About Public Health England Public Health England exists to protect and improve the nation s health and wellbeing, and

More information

THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32

THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32 THE DATA FOR ADULT DRUG TREATMENT LINCOLNSHIRE LINCOLNSHIRE E08B 32 THIS SUPPORTING INFORMATION This pack sets out the investment in drug in your area. It also gives key performance information about your

More information

Addressing Alcohol and Drugs in the Community. Cabinet member: Cllr Keith Humphries - Public Health and Protection Services

Addressing Alcohol and Drugs in the Community. Cabinet member: Cllr Keith Humphries - Public Health and Protection Services Wiltshire Council Cabinet 17 April 2012 Subject: Addressing Alcohol and Drugs in the Community Cabinet member: Cllr Keith Humphries - Public Health and Protection Services Key Decision: Yes Executive Summary

More information

Impact of drugs and alcohol on individuals and the community

Impact of drugs and alcohol on individuals and the community Impact of drugs and alcohol on individuals and the community Introduction and overview Lynn Wilson Consultant in Public Health Overview and purpose Alcohol: The Problem Alcohol and Drug Service Review

More information

SCHEDULE 2 THE SERVICES. NHS England

SCHEDULE 2 THE SERVICES. NHS England SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service Commissioner Lead F04 S f Operational Delivery Networks for Hepatitis C Care in Adults NHS England Provider Lead Period

More information

Joint Commissioning Panel for Mental Health

Joint Commissioning Panel for Mental Health Joint Commissioning Panel for Mental Health Guidance for commissioners of drug and alcohol services 1 www.jcpmh.info Guidance for commissioners of drug and alcohol services Practical mental health commissioning

More information

Substance Misuse. See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.

Substance Misuse. See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets. Substance Misuse See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.aspx Problematic drug use Kensington and Chelsea has a similar

More information

Milton Keynes Drug and Alcohol Strategy 2014-17

Milton Keynes Drug and Alcohol Strategy 2014-17 Health and Wellbeing Board Milton Keynes Drug and Alcohol Strategy 2014-17 www.milton-keynes.gov.uk 2 Contents Foreword 4 Introduction 5 National context 6 Local context 7 Values and principles 9 Priorities

More information

Testimony of The New York City Department of Health and Mental Hygiene. before the

Testimony of The New York City Department of Health and Mental Hygiene. before the Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid

More information

Recovery Outcomes for Opiate Users. FRN Research Report November 2013

Recovery Outcomes for Opiate Users. FRN Research Report November 2013 Recovery Outcomes for Opiate Users FRN Research Report November 2013 Introduction Opiate use in America is at epidemic levels. The latest surveys show 4.5 million Americans using prescription painkillers

More information

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse Attachment B NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE Psychosocial interventions in drug misuse On 16 th June 2004 the Department of Health

More information

Primary care drug and alcohol treatment: commissioning and provision against a backdrop of localism

Primary care drug and alcohol treatment: commissioning and provision against a backdrop of localism Primary care drug and alcohol treatment: commissioning and provision against a backdrop of localism This joint paper considers the future impact of the changing commissioning environment on primary care

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Liver means Life. Why this manifesto? We are eager to ensure. that we can contribute. to society as much. as possible, and we. are equally keen to

Liver means Life. Why this manifesto? We are eager to ensure. that we can contribute. to society as much. as possible, and we. are equally keen to Manifesto by the European Liver Patients Association (ELPA) on policy measures against chronic liver disease 2014 to 2019 Why this manifesto? Every five years European voters get the opportunity to have

More information

Topic Area - Dual Diagnosis

Topic Area - Dual Diagnosis Topic Area - Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at

More information

WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention

WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention World Health Organization WHO Library Cataloguing-in-Publication Data Substitution

More information

1. Residential Rehabilitation Services in Brighton and Hove

1. Residential Rehabilitation Services in Brighton and Hove 24 Although a formal committee of the city council, the Health & Wellbeing Board has a remit which includes matters relating to the Clinical Commissioning Group (CCG), the Local Safeguarding Board for

More information

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003 REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,

More information

MAKING RECOVERY REAL: THE PUBLIC HEALTH FUTURE OF DRUG AND ALCOHOL TREATMENT

MAKING RECOVERY REAL: THE PUBLIC HEALTH FUTURE OF DRUG AND ALCOHOL TREATMENT MAKING RECOVERY REAL: THE PUBLIC HEALTH FUTURE OF DRUG AND ALCOHOL TREATMENT Drug treatment in England: a decade of achievement Overall drug use in England is down There are fewer heroin and crack users

More information

Resources for the Prevention and Treatment of Substance Use Disorders

Resources for the Prevention and Treatment of Substance Use Disorders Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug

More information

ACCESS Placements!!! Apply now and spent 2 weeks in the UK in 2012 alongside service providers in the drugs and criminal justice area!!!!

ACCESS Placements!!! Apply now and spent 2 weeks in the UK in 2012 alongside service providers in the drugs and criminal justice area!!!! ACCESS Placements!!! Apply now and spent 2 weeks in the UK in 2012 alongside service providers in the drugs and criminal justice area!!!! Placements outline: The ACCESS project opens opportunities for

More information

Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965

Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 MMWR August 17, 2012 Prepared by : The National Viral Hepatitis Technical Assistance Center

More information

7.11 Substance misuse

7.11 Substance misuse 7.11 Substance misuse Substance misuse is defined by NICE as intoxication by or regular excessive consumption of and/or dependence on psychoactive substances, leading to social, psychological, physical

More information

Principles for commissioning a substance misuse treatment system

Principles for commissioning a substance misuse treatment system Developing Recovery Communities: Treatment Plan Strategic Summary 2013/14 East Sussex Drug and Alcohol Action Team 1. The East Sussex Drug and Alcohol Action Team (DAAT) is the multi-agency partnership

More information

Drug Associated Deaths

Drug Associated Deaths Drug Associated Deaths Dr. Caryl Beynon Reader in Substance Use Epidemiology Centre for Public Health, Liverpool John Moores University Email: c.m.beynon@ljmu.ac.uk Web: www.cph.org.uk Overview 1. Define

More information

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx Alcohol Abuse By Neva K.Gulsby, PA-C, and Bonnie A. Dadig, EdD, PA-C Posted on: April 18, 2013 Excessive

More information

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive. Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.

More information

Service User Information Leaflet

Service User Information Leaflet Service User Information Leaflet Northumberland Recovery Partnership (NRP) The Northumberland Recovery Partnership (NRP) is a dedicated service for anyone in Northumberland experiencing problems with drugs

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng49

NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng49 Non-alcoholic fatty liver disease (NAFLD): assessment and management NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng49 NICE 2016. All rights reserved. Your responsibility The recommendations

More information

Community Drug / Alcohol Pathways. Rachael Sadegh DAAT Co-ordinator

Community Drug / Alcohol Pathways. Rachael Sadegh DAAT Co-ordinator Community Drug / Alcohol Pathways Rachael Sadegh DAAT Co-ordinator Prevalence / Treatment in Tower Hamlets Estimated 3,561 Opiate / Crack users Estimated 773 Injecting drug Users Estimated 9,500 high risk

More information

Drug treatment performance summary. CCG Board January 2014

Drug treatment performance summary. CCG Board January 2014 Drug treatment performance summary CCG Board January 214 Prevalence 3, 2, 1, 242 2424 opiate and/or crack.. upper & lower CI's Prevalence of crack and opiate use is down. 1866 8-9 9-1 1-11 Similar to the

More information

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System. New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high

More information

Payment by Results for Drug Recovery Pilot

Payment by Results for Drug Recovery Pilot Payment by Results for Drug Recovery Pilot Enfield s Model Andrew Thomson DAAT Strategy Manager Striving for excellence Structure Introduction Context Enfield s Approach Financial Model Ambitions & Challenges

More information

The Recovery Pathway Service forms a key component of the Sunderland Integrated Substance Misuse Service, as illustrated below:

The Recovery Pathway Service forms a key component of the Sunderland Integrated Substance Misuse Service, as illustrated below: SERVICE SPECIFICATION LOT 1 RECOVERY PATHWAY 1.0 SERVICE MODEL The Recovery Pathway Service forms a key component of the Sunderland Integrated Substance Misuse Service, as illustrated below: Recovery Outcomes

More information

Heroin Overdose Trends and Treatment Options. Neil A. Capretto, D.O., F.A.S.A.M. Medical Director

Heroin Overdose Trends and Treatment Options. Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Heroin Overdose Trends and Treatment Options Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Type date here www.gatewayrehab.org Drug Overdose Deaths Increasing in Allegheny County Roberta Lojak holds

More information

HIGH SUCCESS RATE OF BUTTERY REHABILITATION PROGRAMS

HIGH SUCCESS RATE OF BUTTERY REHABILITATION PROGRAMS HIGH SUCCESS RATE OF BUTTERY REHABILITATION PROGRAMS By treating addiction and helping people live productive, fulfilling lives, The Buttery addresses a major social and economic problem facing our society.

More information

Adult drug treatment plan 2007/08 Part 1 Section A: Strategic summary Section B: National targets Section C: Partnership performance expectations

Adult drug treatment plan 2007/08 Part 1 Section A: Strategic summary Section B: National targets Section C: Partnership performance expectations name Adult drug treatment plan Part 1 Section A: Strategic summary Section B: National targets Section C: expectations Published by NTA: 2 October This strategic summary incorporating national targets

More information

Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002);

Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002); Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at an increased

More information

24 Elisad annual meeting Arezzo 11-13 October 2012

24 Elisad annual meeting Arezzo 11-13 October 2012 24 Elisad annual meeting Arezzo 11-13 October 2012 From addiction to consumption: The evolution of the phenomenon and the interventions of services The big change:back to the late 90 and the zero decade

More information

Public Health England. Alcohol & alcohol related harm

Public Health England. Alcohol & alcohol related harm Public Health England Alcohol & alcohol related harm Mission To protect and improve the nation s health and to address inequalities, working with national and local government, the NHS, industry, academia,

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016

HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016 HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016 Meeting Date Sponsor Report author Purpose of report (summary) 12 th May 2015 Margaret Willcox Steve O Neill

More information

Care Management Council submission date: August 2013. Contact Information

Care Management Council submission date: August 2013. Contact Information Clinical Practice Approval Form Clinical Practice Title: Acute use of Buprenorphine for the Treatment of Opioid Dependence and Detoxification Type of Review: New Clinical Practice Revisions of Existing

More information

FALLING DRUG USE: THE IMPACT OF TREATMENT

FALLING DRUG USE: THE IMPACT OF TREATMENT We have a policy which actually is working in Britain. Drugs use is coming down, the emphasis on treatment is absolutely right, and we need to continue with that to make sure we can really make a difference.

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Hypertension Profile. NHS Coastal West Sussex CCG. Background

Hypertension Profile. NHS Coastal West Sussex CCG. Background Hypertension Profile NHS Coastal West Sussex Background Diagnosis and control of in NHS Coastal West Sussex * This profile compares NHS Coastal West Sussex with data for, a group of similar s and the South

More information

Liver Disease in Tower Hamlets Needs Assessment

Liver Disease in Tower Hamlets Needs Assessment Liver Disease in Tower Hamlets Needs Assessment Tower Hamlets Public Health Liver Disease in Tower Hamlets Needs Assessment Contents 1 Introduction... 1 1.1 What is liver disease?... 1 2 Liver Disease

More information

SERVICE SPECIFICATION FOR THE PROVISION OF DELIVERY OF SERVICES FOR DRUG AND ALCOHOL TREATMENT AND RECOVERY. (Schedule 1 of the Agreement)

SERVICE SPECIFICATION FOR THE PROVISION OF DELIVERY OF SERVICES FOR DRUG AND ALCOHOL TREATMENT AND RECOVERY. (Schedule 1 of the Agreement) SERVICE SPECIFICATION FOR THE PROVISION OF DELIVERY OF SERVICES FOR DRUG AND ALCOHOL TREATMENT AND RECOVERY (Schedule 1 of the Agreement) Southampton City Council 1 Contents Overview of the new Drug and

More information

Adult Drug Statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2013 to 31 March 2014

Adult Drug Statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2013 to 31 March 2014 Adult Drug Statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2013 to 31 March 2014 1 About Public Health England Public Health England exists to protect and improve the nation

More information

Consultation on Future Drug and Alcohol Services in Shropshire

Consultation on Future Drug and Alcohol Services in Shropshire Consultation on Future Drug and Alcohol Services in Shropshire 15 Dec 2014 6 Feb 2015 What is this consultation about? Shropshire Council aims to make sure that everyone can access the support they need

More information

Hepatitis C. David Mutimer Queen Elizabeth Hospital Liver Unit Birmingham. Substance Misuse Treatment in the West Midlands. How can we reduce harm?

Hepatitis C. David Mutimer Queen Elizabeth Hospital Liver Unit Birmingham. Substance Misuse Treatment in the West Midlands. How can we reduce harm? Hepatitis C David Mutimer Queen Elizabeth Hospital Liver Unit Birmingham Substance Misuse Treatment in the West Midlands. How can we reduce harm? Birmingham October 19 th 2007 infection HCV Natural History

More information

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011 RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for

More information

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance Alcohol-use disorders: alcohol dependence Costing report Implementing NICE guidance February 2011 (February 2011) 1 of 37 NICE clinical guideline 115 This costing report accompanies the clinical guideline:

More information

BURDEN OF LIVER DISEASE IN BRAZIL

BURDEN OF LIVER DISEASE IN BRAZIL BURDEN OF LIVER DISEASE IN BRAZIL Burden of Liver Disease in Europe Blachier et al. J Hepatol 58:593, 2013 Review of 260 epidemiologic studies of the 5 previous years Cirrhosis is responsible for 170.000

More information

Developing the Guernsey treatment system for substance misusers: Phases One and Two. Helen Baldwin Linda Prickett Adam Marr Jim McVeigh

Developing the Guernsey treatment system for substance misusers: Phases One and Two. Helen Baldwin Linda Prickett Adam Marr Jim McVeigh Developing the Guernsey treatment system for substance misusers: Phases One and Two Helen Baldwin Linda Prickett Adam Marr Jim McVeigh Roles and responsibilities of the LJMU research team Helen Baldwin

More information

GP-led services for alcohol misuse: the Fresh Start Clinic

GP-led services for alcohol misuse: the Fresh Start Clinic London Journal of Primary Care 2011;4:11 15 # 2011 Royal College of General Practitioners GP Commissioning GP-led services for alcohol misuse: the Fresh Start Clinic Johannes Coetzee GP Principle, Bridge

More information

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,

More information

Islington JSNA 2010/11 Substance Misuse

Islington JSNA 2010/11 Substance Misuse Islington JSNA 2010/11 Substance Misuse INTRODUCTION Substance misuse is strongly associated with poverty and deprivation. Rates of substance misuse are particularly high in London compared with other

More information

GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE

GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE Dr Millicent Chikoore MBBS MRCPsych Dr O Lagundoye MBBS MRCPsych Community based alcohol detoxification is a safe and effective option for

More information

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Founded in 1981 Currently has

More information

Aim of presentation. Drug and Alcohol Services in Leicester. National Policy. Local Policy. Demographics. Aims and objectives of needs assessment

Aim of presentation. Drug and Alcohol Services in Leicester. National Policy. Local Policy. Demographics. Aims and objectives of needs assessment Aim of presentation Drug and Alcohol Services in Leicester Joanne Atkinson, Consultant in Public Health Kate Galoppi, Head of Drug and Alcohol Action Team 19 th June 212 To introduce members to the issues

More information

Drug misuse and dependence: UK guidelines on clinical management

Drug misuse and dependence: UK guidelines on clinical management Drug misuse and dependence: UK guidelines on clinical management Response by Cornwall Council Date 2014 Service responding: Drug and Alcohol Action Team (DAAT) Directorate: Education, Health and Social

More information

Analysis of survey data on the implementation of NICE PH18 guidance relating to needle and syringe provision in England

Analysis of survey data on the implementation of NICE PH18 guidance relating to needle and syringe provision in England Analysis of survey data on the implementation of NICE PH18 guidance relating to needle and syringe provision in England Geoff Bates, Lisa Jones, Jim McVeigh Contents Acknowledgements... 4 Abbreviations...

More information

Reducing Drug Use, Reducing Reoffending Are programmes for problem drug-using offenders in the UK supported by the evidence?

Reducing Drug Use, Reducing Reoffending Are programmes for problem drug-using offenders in the UK supported by the evidence? Bringing evidence and analysis together to inform UK drug policy Reducing Drug Use, Reducing Reoffending Are programmes for problem drug-using offenders in the UK supported by the evidence? Summary Over

More information

Getting help for a drug problem A guide to treatment

Getting help for a drug problem A guide to treatment Getting help for a drug problem A guide to treatment Who we are The National Treatment Agency for Substance Misuse is part of the National Health Service. We were set up in 2001 to increase the numbers

More information

World Health Organization

World Health Organization myths and facts for policy makers responsible for substance dependence prevention, treatment and support programs World Health Organization Myth 1. Drug dependence is simply a failure of will or of strength

More information

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM DEVELOPING MANUFACTURING SUPPLYING Naltrexone Implants Background to Nalpharm NalPharm is a specialist pharmaceutical company supplying proprietary branded medications and generic drugs in the area of

More information

Public Health Report on Commissioning of HCV services in London for People who Inject Drugs

Public Health Report on Commissioning of HCV services in London for People who Inject Drugs Public Health Report on Commissioning of HCV services in London for People who Inject Drugs P a g e 2 Foreword Chronic hepatitis C infection in people who inject drugs represents a major health inequality

More information

Treatments for drug misuse

Treatments for drug misuse Understanding NICE guidance Information for people who use NHS services Treatments for drug misuse NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and

More information

Improving smoking cessation in drug and alcohol treatment

Improving smoking cessation in drug and alcohol treatment Improving smoking cessation in drug and alcohol treatment Interim briefing on Turning Point s PHE-supported smoking cessation pilots Tobacco smoking is prevalent among drug and alcohol users, and contributes

More information

Testimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment

Testimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment Testimony of Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment New York City Department of Health and Mental Hygiene before the New York City

More information