Transcript Outreach Services & Cocaine

The Missing Link
Outreach Services
& Cocaine
Carla Ellis
Crew 2000
What’s our Mandate
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Jellytime
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Information, Advice & Crisis Intervention
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Clubs, Free parties & Festivals
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5,000 people used the outreach in 2005/06
Changing Trends
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Cocaine has never been cheaper
£30 - £55 a gram in Druglink survey
Cocaine never been so easily available
Used in pubs
Drink more
Don’t get to the club
Knock On Effects
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More aggression
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Ecstasy drought summer 05
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Changing face of clubs & causing
resurgence in free party scene
Cocaine Surge
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Edinburgh Stimulant Users’ Service
2003 – Ecstasy main presenting issue
2006 – 70% referrals cocaine or crack
3,000% rise in numbers testing positive
for cocaine over last 10 years (Medscreen
in the Independent)
Response
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Outreach services need to respond
Pubs & publicans
Licensing board
New markets: colleges, taxi drivers,
builders merchants, major employers, the
Chamber of Commerce and Trade Unions
Challenge the Stigma
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Education around drug use & prevalence
Reframe getting help – increase
productivity, retain employees
Education, education, education
Integrated Model of Service
Information and Advice
Youthful experimenter
harm reduction
Regular Users
treatment services
specialist services
Problematic drug users
Information and Shop services
One to one counselling
Telephone helpline
Referral to specialist services
Outreach to youth groups
Complementary therapies
Outreach to bars, clubs and free parties
Outreach to colleges, commerce & industry
ESUS Services
Crew 2000 Services
Short Term interventions
Longer term Interventions
Assume Nothing
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Last month assessed 5 people/week
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Using between 7 and 14 grams a weekend
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None had heard of cocaethylene
Future Prospects
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Cocaine is here to stay
Services for all not just focus on the
biggest headline grabbers
Develop a practical, national response
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Outreach enables low threshold access
into services
Cocaine use is rising