Transcript Alcohol Harm

Derbyshire
County Council
Alcohol Summit
27th June 2013
Alcohol Harm –
Minimising the Risk
David Lowe
Chair DAAT Partnership
Deputy Chief Executive
Derbyshire County Council
DAAT Potted History
Derbyshire
County Council
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Early focus on drugs
Alcohol afterthought
Limited resources
Postcode lottery
No strategy
Today
Derbyshire
County Council
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Strong focus on alcohol
Limited resources
Consistent treatment service
Top priority
Much more to do to shift culture
Derbyshire
County Council
Local Alcohol Profiles
Alcohol related admission rate
• Continues to increase, but is slowing
• Chesterfield and Bolsover above England and
regional average
• South Derbyshire saw largest long term
increase
• Erewash saw the largest increase in 2010/11
• Under 18’s admission rates recently seen
reduction
Minimisation Profile
Derbyshire
County Council
Localities
Violent Drinkers
• High rates - Chesterfield and Bolsover
• Average age 27
• Long term increases - South Derbyshire
• 18 to 24 age group with remainder in the
• Short term increases – Erewash
older age range
• 13% of those banned were female
• Offended or breached ban (not easy to deter)
Higher Risk Drinkers
Drinkers who attend A & E
• Male 25-44 age group , with 55-64 age
• Aged 35 to 54
group also emerging
• 45-64 yr. old females
• Chosen drink wine
• Mix of binge drinking and every day but
less
• Open to change their drinking patterns
• Females aged 25 to 44
• Aged 45 plus where alcohol is now effecting
their long term health
What have we been doing?
Derbyshire
County Council
• Violence, Alcohol Harm and
Licensing Groups (VAL’s)
– Consistently and effectively tackling
problematic licensed premises
– Reducing violence
– Awareness campaigns
– Designated Public Place Orders
What have we been doing?
Derbyshire
County Council
• Night-Time Economy (NTE)
– Street Pastors & Street Angels
– Mobile triage
– Road closures
– NTE Manager – evening briefings
– Pubwatch
What have we been doing?
Derbyshire
County Council
• Under-age Sales
– Test-purchase activity
– Challenge 25
• Alcohol Diversion Scheme
• Arrest Referral Workers
• Hospital Alcohol and Drug Liaison
Team at Chesterfield Royal
What have we been doing?
Derbyshire
County Council
Adult Treatment Services
• Single point of contact and triage
assessment
• 50% of adults exit our service alcohol-free
• Average reduction in consumption of 22
units per day
• 500 public-facing workers per year trained
to deliver Brief Interventions (IBA)
Derbyshire
County Council
What have we been doing?
Adult Treatment Services cont.
• Developed locality-based services in
partnership with the voluntary sector,
in areas where data indicated a poor
response to engaging with services
• Increased the availability for supported
community detoxification, reducing
inpatient costs by over 300% for this
intervention
What have we been doing?
Derbyshire
County Council
Young People
• Substance Misuse Treatment Services
– In the first 11 months worked with:
• 86 young people
• 48 of which used alcohol as first, second or
third drug of choice
• Harm Minimisation
– New screening tool
– B-Safe
– Focus on those with multiple vulnerabilities
Derbyshire
County Council
But there’s still more to do….
• Sustain support for existing activity
• Development of a multi-agency Alcohol
Harm Minimisation Action Plan
– Health
– Community Safety
Derbyshire
County Council
But there’s still more to do….
Emerging Themes:
• Communications and public awareness
• Increased use of Identification and Brief
Advice (IBA) by ALL front line professionals
• Targeted early intervention
• Focussed activity with parents
• Responsible retailing – development of a
local responsibility deal