Transcript Bringing people together

Neil Hunter
Community Services
Manager – Glasgow
Addiction Service
Strategic approach to
drug deaths
Bringing people together
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Police, Forensic Pathology Service, Pharmacy,
Scottish Ambulance Service, Acute Hospitals,
Scottish Prison Service
Treatment and care providers, Criminal Justice
Social Work staff, homelessness and housing
providers, service planners
Developing a common view
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On the number of deaths
On the circumstances of deaths
On the key factors that influence drug related
deaths
On local phenomena that need to be
understood
On developing action
Drug Death Action Plan
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Prevention
Prison throughcare
Homelessness
Treatment access
Assessment and risk factors
Prevention
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Use of materials and information
Revisiting harm reduction practice
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Universal information
Targeted intervention
Staff training to consolidate practice
Service user support and training
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Dealing with witnessed overdose
Incident management
Prison Throughcare
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Joint action Plan with SPS
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Assessment and care planning
Sharing of information
Pre-release work and management into services
Key principles
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To reduce deaths
To provide continuity of service – prison community
Homelessness
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Staff training
Action on non exclusion practices
Rapid access to housing and accommodation
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High risk individuals
Individuals following rehabilitation
Sharing budgets to develop treatment services
Improving treatment and care
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Training and advice/support for GP’s
Programme standards in methadone
programme
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Initiation and dosage
Dispensing arrangements
Social care support
Expanding access through Community
Addiction Teams
Risk Assessment
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Now standardised within initial assessment
Still debating whether a sensitive enough risk
assessment will pick up the right people
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Injecting drug use
Polydrug use
Homelessness
Age
Previous non fatal overdoses
Treatment and care provision
Where it should be used and by whom
Managing risks and
promoting protective factors
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Risks
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Injecting drug use
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Protective factors
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Homelessness
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Poly drug use
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Provision of better
information at NX
Expand treatment access
Prevention measures at local
level
Reduce exclusions
Highlight at assessment
Intensify resource response
and support