Transcript Slide 1
The cost of problem substance use • Cost of illicit drug use £3.5bn • Cost of alcohol misuse total £2.25bn Treatment for substance use £173 million on drug and alcohol services in Scotland £84 million specifically on drugs services £30 million specifically on alcohol services. £59 million spent on joint drug and alcohol services. 68% spent on treatment and care 6% spent on prevention 0% spent on protecting the investment in treatment Treatment for substance use • £22,827,123 cost of drug treatment for problem drug users Problem drug users not in treatment £35,069 Problem drug users in treatment <1yr £15,025 Problem drug users in treatment >1yr £3,072 A Life Course Approach 13 problem drug use £3 k GP Prescribing £13 k Prison £2 k Methadone programme Prison Residential Treatment Programme £161 k Residential Treatment Programme £20 k 34 3 years abstinent £20 k Methadone programme £8 k Hospitalisations Crime ££££ Non-residential Treatment Programme £5.7 k 2nd year at Uni 3000+ hours volunteering Recovery from addiction • No reliable national information on outcomes of treatment (Audit Scotland) • 3 % achieve abstinence in prescribing programmes (DTORS) • 65 % achieve abstinence in services with abstinence as a goal (LEAP) But, relapse rates in all forms of treatment are high • 60% relapse after one year (NIDA, USA) • Cost of relapse? Cost of treatment to achieve abstinence is offset by savings 3:1 Cost of problem substance use Continuing improvement of outcomes Contribution to society Cost of treatment Relapse Preventive Spend “Prevention” Relapse prevention Treatment and care Lessons from the USA Potential The Power of Recovery Time Recovery Capital • Recovery capital is the strength of internal and external resources that can be drawn upon to initiate and sustain recovery from severe alcohol or drug problems – Hope in recovery – Supportive relationships – Secure and stable housing – Learning and personal growth – Connections to a community – Making a contribution to the community Impact on outcomes of Recovery Capital • Determines the success or failure of recovery • Increases in recovery capital create turning points • It may take several years to accumulate recovery capital • Sustained recovery is harder for disadvantaged groups who lack recovery capital Learning from the Serenity Cafe • • • • • • • • • • Year 3 By people for people in recovery 30 volunteers 200 ‘customers’ Cafe-club nights Social networking Sport, leisure and recovery-oriented activities Peer mentors Recovery coaches Links with treatment services and education/training providers What will it take? 1%