What we’ve learned from the latest alcohol and drug treatment statistics

PHE has revealed the latest alcohol and drug treatment statistics, that are for April 2017 to March 2018. They are taken from knowledge collected by the National Drug Treatment Monitoring System (NDTMS) from alcohol and drug companies throughout England.

This 12 months’s report accommodates a variety of information, which incorporates traits over current years, however on this weblog we’re specializing in the essential points that this 12 months’s stats have proven us.

Alcohol treatment numbers are nonetheless falling

We’ve seen a gentle fall in the alcohol treatment numbers over the previous few years since 2013-14. The numbers of individuals in treatment for alcohol issues alone (not with different drug issues) in 2017-18 fell 6% since the earlier 12 months, which is the largest fall but and is now 17% decrease than 2013-14.

We additionally know that these falling numbers should not as a result of there are fewer people who find themselves dependent. We estimate that 4 out of 5 alcohol-dependent adults aren’t getting the treatment they want.  We’ve simply revealed our latest alcohol prevalence estimates  which present that the estimated variety of people who find themselves alcohol dependent and want treatment has remained steady at just below 600,000, so there’s a large hole between individuals needing treatment and these accessing it.

In final 12 months’s treatment stats weblog we mentioned that “there is work to be done to address what is behind this fall in alcohol treatment numbers over the last three years”. So we investigated, and right now we’re additionally publishing the report of our inquiry into this persevering with fall.

Our investigation reveals a fancy image throughout the nation with a lot of points resulting in the fall in numbers. Alcohol numbers have been affected greater than drug treatment numbers by the present working surroundings by which monetary pressures and service reconfiguration has led to many extra built-in drug and alcohol companies. And in some areas, referral pathways into treatment additionally seem to not work for many individuals with alcohol issues.

Despite this, we nonetheless discovered examples of alcohol treatment being delivered successfully inside built-in companies, some having elevated numbers, proving it could work.

Some areas, conscious of their falling alcohol numbers, have responded properly. This has primarily concerned specializing in the effectiveness of alcohol treatment inside their built-in companies, making companies extra accessible and bettering referral pathways.

The very substantial return on funding in alcohol companies – in serving to individuals flip their lives round, in addition to for folks bettering the life probabilities of their kids – implies that for each £1 invested in alcohol treatment a neighborhood authority will see an annual return of £3 – an financial and social profit for the area people – which will increase to £26 over 10 years.

Crack cocaine treatment numbers are nonetheless rising

Last 12 months we reported a big enhance in the numbers of individuals in treatment for crack issues. This 12 months, these numbers have elevated additional. There was an 18% enhance in the variety of individuals getting into treatment with crack (however not opiate) issues following the 23% enhance we noticed final 12 months. There had been better numbers of crack customers in treatment throughout all age classes, together with youthful age teams the place there had beforehand been years of decline.

This enhance in treatment numbers is according to the opiate and crack use prevalence estimates we revealed final 12 months which confirmed a 10% enhance in crack use nationally between 2011-12 and 2014-15.

PHE is working with the Home Office to get a greater understanding of the points behind the enhance in crack use and has engaged with areas seeing the largest will increase. But it’s encouraging to see native companies responding properly to this elevated want of these with crack issues

Better knowledge on medicine and psychological health issues

This 12 months for the first time, we’re publishing knowledge on psychological health issues amongst individuals in treatment.  Just underneath half (41%) of individuals beginning treatment in 2017-18 mentioned they’d a psychological health want. People in treatment for each alcohol and non-opiate medicine reported having the highest ranges of want, and opiate sufferers had the lowest.

About three quarters of service customers mentioned they had been additionally receiving some type of psychological health treatment. The majority of those had been receiving this from their GP, and just below 1 / 4 had been being supported by a neighborhood psychological health staff.

We revealed guidance  final 12 months to assist native authorities present higher take care of individuals who have alcohol and drug and psychological health issues. The 2 essential rules are

  • dependancy and psychological health is everybody’s job – alcohol and medicine and psychological health companies are each liable for serving to individuals with co-occurring circumstances
  • no fallacious door – all these companies must welcome individuals with a necessity, function an open door coverage, and make each contact rely

Better knowledge on parental substance misuse

Another first this 12 months is the knowledge revealed on mother and father with substance misuse issues. For the previous few years, we’ve been accumulating knowledge on this in 3 essential teams:

  • People who stay with kids – both their very own or different peoples’ kids
  • People who’re mother and father, however don’t stay with their kids
  • People who should not mother and father and haven’t any contact with kids

Nearly half of individuals beginning treatment in 2017-18 weren’t mother and father or didn’t have kids dwelling with them. But a fifth (25,593 individuals) had been dwelling with kids and the whole variety of kids they had been dwelling with was over 46,000.

We lately revealed a toolkit for native areas with native degree prevalence knowledge on parental substance misuse, to assist the commissioning of companies that work to scale back and forestall hurt to kids and households. We may also be publishing steerage this autumn to assist native authorities make sure that drug and alcohol treatment and kids and households companies work successfully collectively.

Housing and homelessness

Housing and housing-related help is a vital a part of restoration from alcohol and drug dependence. Nearly a fifth of individuals in treatment who reported their dwelling state of affairs, mentioned they’d a housing drawback. This consists of 8% who mentioned they’d an pressing housing drawback, which largely equates to being homeless. An additional 11% reported different housing issues, resembling staying with associates or dwelling in a hostel.

Housing issues had been a lot greater amongst individuals with opiate issues (31%) and individuals in treatment for brand spanking new psychoactive substances (45%). The latter determine helps what we’ve been listening to about NPS use changing into concentrated amongst homeless drug customers and may be very seen on the streets of a few of our cities and cities attracting typically unhelpful media headlines.

The authorities’s lately revealed rough sleeping strategy  has a dedication to halving tough sleeping by 2022 and ending it by 2027. It requires a joined-up method throughout all elements of native health and social care techniques to satisfy the bodily, psychological health and substance misuse wants of people who find themselves sleeping tough.

All the knowledge factors in direction of treatment companies needing to succeed in out to the most weak individuals of their inhabitants and to ensure they can reply to altering patterns of want.

More info on the treatment statistics might be present in the report summary  and in the full report, together with all the knowledge tables and charts.

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