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FIFE DRUG AND ALCOHOL ACTION TEAM. Fife Chamber of Safety 11 December 2006 Rita Keyte Co-ordinator, Fife DAAT. DAAT’s Role. Strategic Partnership Sets strategic direction Co-ordinates Planning and commissioning processes Prevention, Treatment and Rehabilitation
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FIFE DRUG AND ALCOHOL ACTION TEAM Fife Chamber of Safety 11 December 2006 Rita Keyte Co-ordinator, Fife DAAT
DAAT’s Role • Strategic Partnership • Sets strategic direction • Co-ordinates Planning and commissioning processes • Prevention, Treatment and Rehabilitation • Assesses need and maximises resources
DAAT Structure • DAAT and its Support Team • Task Groups • Joint Commissioning Group • Fife Alcohol Forum • Fife Drugs Forum
Joint Commissioning • Make recommendations in respect of a number of funding streams • Fife Council and NHS Fife grants to the voluntary sector • New Drug and Alcohol Funds from Scottish Executive • Charitable Trusts • Other funding streams such as CCSF
National Targets • Eleven National Targets organised around the following headings: • Culture Change and Communities • Prevention, Education & Young People • Provision of Treatment and Support Services • Protection, Controls &Stifling Availability
Fife’s Community Plan • Three Underpinning Principles: • Sustainability • Inclusiveness • Best Value
Substance Misuse in Fife • An estimated 29,300 men and 10,600 women exceed sensible drinking levels • Of the 788 new clients seen by FASS in 2004-05, 80% reported alcohol intakes at levels indicating a high risk to physical and mental health (over 35 units per week for females and 50 units for men)
Substance Misuse in Fife • There are an estimated 3022 drug users in Fife ( opiates and benzodiazepines) • An estimated 1124 are injecting drug users, with 48% not in touch with services • Those in the 15-24 age range account for 34% of problem drug users
Substance Misuse in Fife • There were 17 recorded drug related deaths in 2004 • There were 97 recorded alcohol related deaths in 2002 in Fife • since 1980 alcohol related deaths in Scotland have risen from less than 1 in 100 to 1 in 30 of all deaths Information * Statistics Division (ISD) 2005 & 2004
Substance Misuse in Fife • A range of substances are used • Illegal drugs include cannabis, heroin, amphetamine • Legal substances include tobacco, alcohol and volatile substances • Prescribed medicines and over the counter medicines are also used. For example, pain killers and tranquillisers.
The Client’s Journey • Decision to change • Where can I go for help? • What services are there in my area? • How do I contact them? • What happens when I get there? • What can they do to help me? • What if I don’t succeed?
Local Services: Prevention • Council Services: Education Service, Community Services, Social Work Service • NHS Fife: Health Promotion, School Nurses, Alcohol Liaison Nurses • Police: School Liaison Officers, • Voluntary Sector: DELTA, LOST,Clued Up • Other: Boozebusters, Street Dancing
Local Services:Treatment • Interventions include: Pharmacological, psychological, detoxification, counselling, support • Fife Council: SWS, including Children & Families Teams, Fife Youth Drugs Team, Mental Health Service, Fife Youth Drugs Team, Drug Treatment & Supervision Team • NHS Fife: Addiction Services,Pharmacists, Community Midwives, Specialist Public Health Nurse
Local Services:Treatment (2) • Voluntary Sector: FASS, DAPL, West Fife Community Drugs Team,Clued Up, Aberlour Child Care Trust (Time 4 U) • Others: Penumbra Youth Project, Benarty Cares • Scottish Prison Service
Local Services: Rehabilitation • Interventions include: one to one support, group work, volunteer support, structured programmes, training for work placements, interview technique, social skills, building self esteem • Fife Council: SWS, Community Services (Social Inclusion and Employability Team), Housing Service, Supporting People, Drug
Local Services: Rehabilitation(2) • NHS Fife: Addiction Services - Prescribing and Rehabilitation Service • Voluntary Sector: FIRST, Next Steps, APEX - Progress2Work & Progress2Work Link Up, FASS, DAPL, West Fife Community Drugs Team, Bethany Christian Trust, Further Education • User Involvement Groups
Recent Achievements • Fife Constabulary has exceeded targets for drug seizures • Family Support Groups established in a number of areas • DAAT represented at Child Protection Committee • Number of new patients/clients has risen from 599 in 2000/01 to 1025 in 2004/05
Recent Achievements (2) • STRADA Training • Development of Test Purchasing Scheme • Alcohol Care Pathway • New Prescribing and Rehabilitation Service • New Homeless Service • Expansion of DELTA Fife wide
Recent Achievements (3) • Development of Alcohol Liaison Nurse Service • Appointment of six Regeneration Development Officers • Allocation of funds to develop service to children under 12 whose parents have alcohol problems
Future Challenges • Waiting Times • Alcohol Problems • Child Protection • Outcomes • Data Collection/Information • Integration • Communication • National Direction