highland alcohol & drugs partnership alcohol & drugs strategy

76 Pages·2011·0.43 MB·English

HIGHLAND ALCOHOL & DRUGS PARTNERSHIP
ALCOHOL & DRUGS STRATEGY

MISSION STATEMENT
”Working in partnership to reduce harm associated with alcohol and drug use and promote recovery in the Highland area.”
1
FORWARD

I was delighted to be invited to chair the Highland Alcohol and what services are already available and evidence of what
Drugs Partnership group last year. When I came into post as works in each of the above areas to formulate its proposals. A
Director of Public Health and Health Policy for NHS Highland great deal of useful work is already in progress, but there is
in February 2010 I was shocked at the level of alcohol-related still much to be done if we are to halt the rise in alcohol-
harm across Highland, which is higher than that in the rest of related harm and start to reverse the trend. I look forward to
Scotland. I was also very encouraged by the seriousness with working with all of you to make this strategy an effective
which the then Scottish Government was tackling the problem reality for our population.
at a national level, by introducing new legislation, setting
challenging targets supported by dedicated funding and This strategy owes a great deal to the energy and hard work
developing ADPs as effective partnerships. of many people, but I would particularly like to thank the ADP
support team for undertaking the needs assessment, which
Reducing alcohol and drug-related harm, however, requires a
proved an enormous task, and for organising the strategy day
long-term approach and commitment from all members of the
in February 2011 which provided so much useful input to
partnership at national, local and community level. Our
developing the strategy.
collective experience in tackling tobacco-related harm clearly

supports the need for a comprehensive, strategic approach to
the issues which includes

• Providing clear consistent education and information to

ensure people are aware of the risks

• Developing supportive environments that encourage
healthy choices and discourage unhealthy ones; this Dr. Margaret Somerville
approach requires both national initiatives such as Director of Public Health and Health Policy
legislation and local support and enforcement NHS Highland
• Providing effective responsive services that support Assynt House
people in changing their behaviour and reducing their Beechwood Park
use Inverness IV2 3BW
Telephone [phone]
This strategy draws on an up to date assessment of local
need, including stakeholder engagement, a knowledge of
2
CONTENTS

Section Page number

Introduction 4

Policy context 9

Local picture 13

Sections 1 -4
(cid:1)
Recovery 23

(cid:1)
Maximising health 28

(cid:1)
Protecting communities 33

(cid:1)
Children and families 36

Action Plan 40

Appendices 47
3
INTRODUCTION
4
Highland Alcohol & Drugs Partnership Aims

In January 2008, Scottish Government established a Delivery The Highland Alcohol and Drugs Partnership: -
Reform Group with the remit of recommending improvements
(cid:1)
to the then existing Alcohol and Drug Action Teams (ADAT). It Leads on the development and implementation of an
set out their strategic arrangements to address alcohol and alcohol and drugs strategy which is based on a clear
drug issues at local level and to provide guidance to ensure assessment of local needs and circumstances;
(cid:1)
service users achieve better treatment outcomes. In April Ensures the implementation of the strategy through
2009, as a result of the Delivery Reform Group’s commissioning services, including preventative
recommendations, guidance in the form of a new framework interventions, training and health improvement in line
for local Alcohol and Drugs Partnerships (ADP) was issued. with the agreed outcomes;
(cid:1)
This framework included the priority of embedding ADP’s into Monitors the progress through agreed key performance
local Community Planning structures from 1st October 2009. outcomes and monitoring framework;
(cid:1)
Ensures the budget is directed appropriately to agreed
Highland Alcohol & Drugs Partnership (HADP) evolved in line actions in Strategy and Implementation plan and monitor
with the new framework in October 2009 and is the multi- the spend across the agencies;
(cid:1)
agency partnership responsible for the development of Reviews and updates the Strategy and Implementation
comprehensive needs led, outcomes based strategy for plan in light of changing national policy, changing local
alcohol and drugs across the Highland area. needs and evidence of effectiveness;

In October 2010, HADP agreed a Memorandum of Area covered
Understanding outlining the roles and responsibilities of the
partnership and the individual agencies represented. This is The Highland ADP area is co-terminus with the Highland
reviewed on an annual basis. Council boundary area, although some strategic partners
cover a wider geographical spread that may impact on the
decisions taken at Highland ADP; Northern Constabulary
currently supports Highland, Western Isles, Orkney and
Shetland and NHS Highland also includes Argyll & Bute.
Given the scope for all the partners, HADP works across
boundaries and has developed formal links where
appropriate.
5
staff group form a network of support for ‘safer Highland’ as
there are common areas of work and interest.

Governance and accountability Outcomes based approach and Logic modelling

Consistency of governance and accountability arrangements The new Framework for Alcohol and Drugs Partnerships
for HADP is in line with existing accountability arrangements outlined the need for a new approach to demonstrating
between the Scottish Government and local partners; such as effective practice through adopting an outcomes based
those relating to Single Outcome Agreements (SOA) between approach.
Government and Community Planning structures and
performance management arrangements adhered to by the An outcomes-based approach focuses on the difference
NHS, such as HEAT (Health Improvement; Efficiency; made on the ground to improve people’s lives, rather than
Access; Treatment) targets. inputs, processes and outputs. Effective partnership working
is integral to the planning and delivery of outcomes.
Safer Highland
This approach has been further supported by the publication
Locally, HADP sits within the ‘safer Highland’ theme of the of updated guidance for Scottish Public Bodies by Scottish
Community Planning Partnership and local governance Government in March 2011.
arrangements apply within that framework (appendix 1). The
key strategic groups within this theme are: - Logic modelling is a widely used method for showing in
diagrammatic form how the implementation of a range of
(cid:1)
Highland Alcohol & Drugs Partnership policies and other interventions can achieve desired
(cid:1)
Highland Child Protection Committee objectives. Logical links are built between the long-term
(cid:1)
Highland Adult Support & Protection Committee outcomes back through intermediate and short-term
(cid:1)
Youth Justice Strategy Group outcomes to the actions and outputs believed necessary to
(cid:1)
Violence Against Women Strategy Group achieve them. The approach is particularly useful as a means
(cid:1)
Multi –Agency Public Protection Arrangements of encouraging clear thinking about exactly how proposed
(MAPPA) interventions will achieve desired change.

Each of these groups has additional support staff to facilitate HADP have adopted an outcomes based approach to
the development and implementation of their strategies. This demonstrating effectiveness, best practice and progress and
6
reporting is on a quarterly basis. Further detail on the Budget
framework for reporting will be established through the work
to develop an Information Strategy. There are clear challenges in delivering services across the
sparse population and wide geographies of Highland. These
Local outcomes require robust planning and decision making and committed
partnership working in order to ensure efficient and effective
Following a comprehensive needs assessment process provision.
HADP have reviewed the local high level outcomes and have
adopted the national outcomes produced by Scottish The table below provides the detail on the allocation and
Government. In line with these, HADP have also identified 4 funding stream currently applied to HADP activity and
key delivery areas as priority for this strategy. includes specific allocation as well as core funding from NHS
Highland and Highland Council.
1. Effective integrated care pathway offering a flexible
range of services from assessment to recovery is in
place
Highland ADP Funding 2011-12
2. Health in Highland is maximised and communities feel
engaged and empowered to make healthier choices
regarding alcohol and drugs Funding Stream £ Funding
3. Individuals and communities are protected against Alcohol Misuse 1,609,171
Alcohol Misuse - Enhanced Screening Prisons 13,563
substance misuse harm
Drugs Misuse 619,883
4. Children affected by parental substance misuse are
ADP Support 159,716
protected and build resilience through the joint working
Total HADP Funding 2,402,333
of adult and children’s services
NHS Highland Core Allocation 1,956,142

Total NHS Highland Funding Reported To
The following diagram shows the links between the high level
ADP 4,358,475
outcomes and the delivery outcomes that have been adopted
Highland Council Alcohol & Drug Funding 2,398,626
by Highland Alcohol & Drugs Partnership and how these
Grand Total Partnership Funding 6,757,101
relate to the National Outcomes at Scottish Government level.
7
NATIONAL
Attitudes and behaviours towards alcohol and other drugs are changed and those in need OUTCOMES
are supported by better prevention and treatment services Nat O - 4, 5, 9 SOA OUTCOMES
Contribute to: -
(cid:1)
People across the Highlands have access to the services they need Nat O-1, 3, 7, 8, 10, 13
(cid:1)
Healthy life expectancy is improved especially for the most disadvantaged Nat O - : 6, 7
(cid:1)
People are, and feel, safe from crime, disorder and danger Nat O - 8, 9, 13
(cid:1)
The impact of poverty and disadvantage is reduced Nat O -2, 4, 7

A. People are healthier and experience fewer risks as a result of alcohol and drug use
B. Fewer adults and children are drinking or using drugs at levels or patterns that are damaging to
themselves or others HIGH LEVEL
C. Individuals are improving their health, well-being and life chances by recovering from problematic drug OUTCOMES
and alcohol use
D. Children and family members of people misusing alcohol and drugs are safe, well-supported and have
improved life chances
E. Communities and individuals are safe from alcohol and drug related offending and anti-social behaviour
F. People live in positive, health promoting local environments where alcohol and drugs are less readily
available
G. Alcohol and drugs services are high quality, continually improving, efficient, evidence based and
responsive, ensuring people move through treatment into sustained recovery

1. Effective integrated care 2. Health in Highland is 3. Individuals and 4. Children affected by
pathway offering a flexible maximised and communities are protected parental substance misuse
DELIVERY
range of services from communities feel engaged against substance misuse are protected and build
OUTCOMES
assessment to recovery is and empowered to make harm resilience through the joint
in place healthier choices (E, F) working of adult and
(B, C, G) regarding alcohol and children’s services
drugs (B, D)
(A, B, F)

8
Revised March 2011
POLICY CONTEXT
9
National Policy The Scottish Government framework seeks primarily to
implement legislative change to tackle excessive alcohol
Scottish Government has two strategic publications outlining consumption; these changes are outlined in the Alcohol Bill
the national policy, activity and planning for tackling and will require amendments to the Licensing Scotland Act
substance misuse. These two strategies focus exclusively on (2005).
either alcohol or drug use and misuse in Scotland.
The Road to Recovery - a new approach to tackling
Changing Scotland’s Relationship with alcohol – A Scotland’s drug problem
framework for action
Following reviews of the national approach to problem drug
In February 2009, Scottish Government published ‘Changing use, the Scottish Government published its new strategy ‘The
Scotland’s Relationship with Alcohol: a Framework for Action,’ Road to Recovery’ in May 2008. The purpose of this new
this framework represents a national strategy that highlights strategy is to signal a step change in the way that Scotland
that, to tackle Scotland’s relationship with alcohol the deals with its drug problem and to set out a new vision for
engagement of all of society is required, we must begin to drug treatment and rehabilitation services which are based on
view alcohol, its use and misuse, as the business of every the principle of recovery (Scottish Government, 2008).
Scottish community. This whole population approach to In the context of this strategy, recovery is
change our cultural relationship with alcohol underpins the
framework and is reflected in the four keys parts of the ‘…a process through which an individual is
framework: enabled to move on from their problem drug
use, towards a drug-free life as an active and
(cid:1)
reduce alcohol consumption contributing member of society’ (Scottish
Government, 2008).
(cid:1)
support families and communities
The key principle behind recovery in the strategy is that
(cid:1)
promote positive public attitudes and positive service user’s needs and aspirations are central to the
choices decisions about and delivery of their care and treatment. The
concept of recovery is expected to be adopted by all drug
(cid:1)
improve treatment and support treatment services and it is understood that embedding this
approach requires a change in how services are planned,
commissioned and delivered. Recovery may also dictate a
10