http://www.isdscotland.org/ Drugs and Alcohol Misuse Health statistics Tue, 24 Apr 2012 01:00:00 GMT Tue, 24 Apr 2012 01:00:00 GMT http://www.isdscotland.org/rss ISD Scotland NSS.isdexternalwebsite@nhs.net (ISD Web Team) NSS.isdexternalwebsite@nhs.net (ISD Web Team) http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#689 In October - December 2011, of the 11,006 drug and/or alcohol clients who started their first treatment 84.9% had waited 3 weeks or less.  86.3% of the 7,188 clients who started alcohol treatment between October and December 2011 had waited 3 weeks or less. 82.3% of the 3,818 clients who attended an appointment for drug treatment waited 3 weeks or less.Of those who were still waiting to start drug or alcohol treatment (4,014 clients), 16.6% had waited more than 6 weeks at the end of December 2011. Tue, 27 Mar 2012 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#689 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#898 In 2010/11 10,813 ‘new’ individuals received a specialist assessment of their drug use and care needs, which equates to a rate of 219 per 100,000 of the Scottish population. This compares with a rate of 240 (11,819) reported in 2009/10.The age profile of ‘new’ individuals being assessed for their drug use care needs has changed over the last five years. In 2006/07, 51% of clients were aged 30 and over. In 2010/11 this figure was 60%. Amongst the 40 and over age group, the number of new clients receiving a specialist assessment for their drug use care needs increased from 15% in 2006/07 to 19% in 2010/11.Forty-four per cent of those under the age of 25 years old, reporting illicit drug use, reported using heroin. This is a drop from the 51% reported in 2009/10. There has been an overall downward trend in this figure since 2006/07.An increasing proportion of clients who have injected in the past have been tested for blood borne viruses: in 2010/11 76% were tested for Hepatitis B, 77% for Hepatitis C and 73% for HIV compared to 64%, 66% and 61% respectively in 2006/07.In 2010/11, 7% of clients reported that they currently shared needles/ syringes. This is a decrease from 12% reported in 2006/07. Tue, 28 Feb 2012 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#898 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#965 In 2010, a total of 365 cases were identified as eligible for inclusion in the NDRDD.Over three quarters (79.2%) were male; over half (54.8%) lived in the most deprived areas with the age groups 25-34 and 35-44 years having the highest frequency of deaths (35.9% and 32.3% respectively).Co-morbidities in the six months prior to death were common with over half (55.4%) having a psychiatric condition (55.4%) and almost half (47.6%) having had problematic alcohol use.The majority had had died in a home, either their own (53.3%) or someone else’s (26.9%) with, where known, someone present at the scene in over half (62.4%). Resuscitation had been attempted in by a friend, witness, relative, spouse or partner in 116 cases.Where known, nearly two thirds (62.4%) had been in contact with a drug treatment services at some point prior to their death.Diazepam was the most commonly reported drug found in over three quarters of cases (77.5%) followed by Heroin/Morphine (63.7%) and Methadone (44.9%). It should be noted that these are reports of drugs found in the body, there is not attribution as to whether it caused the death or not. Tue, 28 Feb 2012 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#965 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#937 SmokingAmong 13 year olds, 3% of both boys and girls were regular smokers . Among 15 year olds, 13% were regular smokers: 11% of boys and 14% of girls. Since peaks in 1996 and 1998, the prevalence of regular smoking has substantially reduced over recent years. Among both 13 year olds and 15 year olds, levels are now the lowest they have been since the survey began in 1982. DrinkingForty-four per cent of 13 year olds and 77% of 15 year olds have ever had an alcoholic drink. Fourteen per cent of 13 year olds and 34% of 15 year olds reported consuming alcohol in the last week.There was a decrease in the proportion of 13 year olds who had ever had an alcoholic drink: from 52% in 2008 to 44% in 2010. This was also the case, although to a lesser degree, for 15 year olds (82% in 2008 compared with 77% in 2010). There was a increase in the proportion of pupils who had drunk in the last week: from 11% in 2008 to 14% in 2010 among 13 year olds and from 31% in 2008 to 34% in 2010 among 15 year olds. Drug UseTwenty-one per cent of 15 year olds and 5% of 13 year olds reported that they had ever used drugs. 19% per cent of 15 year olds and 4% of 13 year olds reported they had used drugs in the last year and 11% of 15 year olds and 3% of 13 year olds reported that they had used drugs in the last month.While between 2004 and 2006 there was a substantial decrease in the prevalence of drug use in the last month, between 2006 and 2008 prevalence decreased only among 13 year old boys. Since 2008, prevalence has decreased further only among girls: among 15 year old girls, the decline has been from 11% in 2008 to 9% in 2010 and among 13 year old girls the decrease has been from 3% in 2008 to 2% in 2010. Tue, 20 Dec 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#937 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#663 In July - September 2011, of the 10,718 drug and/or alcohol clients who started their first treatment 84% had waited 3 weeks or less. This represents an increase of approximately 1% on the previous quarter.Approximately 87% of the 7,088 clients who started alcohol treatment between July and September 2011 had waited 3 weeks or less. This represents an increase of approximately 2% on the previous quarter.Approximately 80% of the 3,630 clients who attended an appointment for drug treatment waited 3 weeks or less. This is inline with the percentage for the previous quarter.Of those who were still waiting to start drug or alcohol treatment (3,963 clients), approximately 10% had waited more than 6 weeks at the end of September 2011. This is inline with the percentage for the previous quarter. Tue, 20 Dec 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#663 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#909 This report provides estimates of the national and local prevalence of problem drug use in Scotland in 2009/10 (1 April 2009-31 March 2010). These estimates provide an update on the previous estimates produced by the University of Glasgow for calendar years 2000, 2003 and 2006. Tue, 29 Nov 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#909 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#629 In April - June 2011, of the 8,909 drug and/or alcohol clients who started their first treatment 84% had waited 3 weeks or less and half (50%) had waited one week or less.86% of the 5,839 clients who started alcohol treatment between April and June 2011 had waited 3 weeks or less.Approximately 81% of the 3,070 clients who attended an appointment for drug treatment waited 3 weeks or less.Of those who were still waiting to start drug or alcohol treatment (4,937 clients), approximately 15% had waited more than 6 weeks at the end of June 2011. Tue, 27 Sep 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#629 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#833 263,424 contacts were reported across IEP outlets in Scotland. Where gender of the client was reported, 78% of contacts were made by males. NHS Greater Glasgow and Clyde reported the largest number of contacts (73,529), followed by NHS Lothian (48,079).A total of 4.68 million needles/syringes were reported to have been distributed in 2009/10, an increase from 4.38 million in 2008/09. NHS Greater Glasgow and Clyde reported the highest number of needles/syringes distributed (1.28 million).A total of 2.62 million needles/syringes were reported to have been returned to IEP services in 2009/10, an increase from 2.48 million in 2008/09. Approximately 540,000 needles/syringes were returned in the NHS Greater Glasgow and Clyde area. It should be noted that there are other safe disposal routes for needles/syringes that are not covered by this survey, so the reported returned figure is likely to be an underestimate.As well as needles/syringes, other injecting paraphernalia can be provided by IEP outlets. In 2009/10, the most commonly provided items of injecting paraphernalia were wipes/swabs and citric acid/vitamin C. Filters and spoons/other forms of cooker showed a large increase between 2008/09 and 2009/10. However, many IEP outlets only started to distribute filters after April 2009 which explains the increase for that item. Tue, 26 Jul 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#833 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#579 Time waited from referral to assessment date offeredIn Jan-Mar 2011, approximately 94% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1).Approximately 77% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jan-Mar 2011, and which was within 14 days of referral (Table 1).Of those who were still waiting for an appointment for assessment, approximately 3% had waited more than 26 weeks by the end of March 2011 (Table 2).Time waited for first interventionIn Jan-Mar 2011, approximately 96% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3).Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jan-Mar 2011, and which was within 14 days of the date a care plan was agreed (Table 3).Of those who were still waiting for a treatment appointment at the end of the reporting period, 8% had waited more than 52 weeks by the end of March 2011 (Table 4). Tue, 28 Jun 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#579 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#572 In 2010/11, there were 88,138 alcohol brief interventions delivered in Scotland.Over the three-year period of the target, there were 174,205 alcohol brief interventions delivered in Scotland.The HEAT H4 target on the number of alcohol brief interventions delivered was met at the Scotland level.All Health Boards, with the exception of NHS Shetland, met their Health Board specific target on the number of alcohol brief interventions delivered. Tue, 28 Jun 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#572 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#732 December KPI - The KPI expects that by December 2010, 90% of clients will be offered an assessment date that falls within 4 weeks of the referral date and 90% of clients will be offered a treatment date that falls within 4 weeks of their recovery plan being agreed.In the month of December 2010, 92% of those offered an appointment for assessment were offered a date which was within 4 weeks of referral (Table A). In the month of December 2010, 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table A). Time waited from referral to assessment date offeredIn Oct-Dec 2010, approximately 89% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Approximately 72% of those offered an appointment for assessment were offered a date which fell within the reporting period, Oct-Dec 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, almost 2% had waited more than 26 weeks by the end of December 2010 (Table 2). Time waited for first interventionIn Oct-Dec 2010, approximately 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Oct-Dec 2010, and which was within 14 days of the date a care plan was agreed (Table 3). Of those who were still waiting for a treatment appointment at the end of the reporting period, just over 1% had waited more than 52 weeks by the end of December 2010 (Table 4). Tue, 29 Mar 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#732 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#735 There has been a fall in the number of alcohol-related discharges from general acute hospitals in Scotland between 2008/09 and 2009/10; the number of alcohol-related discharged declined from 41,977 to 39,278.In 2009/10 there were 13,564 discharges with a diagnosis of harmful use, and 6,733 discharges for alcoholic liver disease from general acute hospitals in Scotland.Over the five-year period 2005/06 to 2009/10 the rate of alcohol-related discharges from Scottish general hospitals fluctuated, increasing to 788 discharges per 100,000 population in 2007/08 before dropping again.  The rate in 2009/10 was similar to the rate in 2005/06 (709 discharges per 100,000 population in 2009/10 compared to 707 discharges per 100,000 population in 2005/06. Tue, 22 Feb 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#735 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#741 This is the first report from the National Drug Related Death Database (NDRDD) which reports on a subset of the drug related deaths that occurred in Scotland during the calendar year 2009. The NDRDD was established to collect in depth information on the nature and circumstances of individuals who had died a drug related deathThe majority of those who had died a drug related death (in 2009) were male, white and from a deprived area. Almost 9 out of 10 were under the age of 45 representing a considerable loss of life.Nearly two thirds had been long term users for 5 or more years and over half had used drugs intravenously.In the 6 months prior to death two fifths of the entire cohort had problem alcohol use; over 1 in 10 had Hepatitis C and 1 in 20 had liver disease.Resuscitation was attempted in nearly half of deaths and for a quarter of deaths this had been attempted by someone in the vicinity.The two most common drugs present were diazapem and heroin, each found in three quarters of cases overalOver a third had no record of any contact with a drug treatment service at any point in their life. Tue, 25 Jan 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#741 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#750 Time waited from referral to assessment date offeredIn Jul-Sep 2010, approximately 86% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Almost 73% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jul-Sep 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, almost 11% had waited more than 26 weeks by the end of September 2010 (Table 2). Time waited for first interventionIn Jul-Sep 2010, nearly 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jul-Sep 2010, and which was within 14 days of the date a care plan was agreed (Table 3). Of those who were still waiting for a treatment appointment at the end of the reporting period, Just over 3% had waited more than 52 weeks by the end of September 2010 (Table 4). Tue, 14 Dec 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#750 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#745 Of those reporting illicit drug use to the Scottish Drug Misuse Database (SDMD), 66% reported using heroin (5,340 individuals). This is based on the 10,325 ‘new’ individuals reported to the SDMD during 2009/10.During 2009/10, there were 5,705 general acute hospital discharges with a diagnosis of drug misuse, a rate of 115 discharges per 100,000 population.In Scotland, in 2009/10, there were 510,063 prescriptions for methadone oral solution, around 98 prescriptions per 1,000 population. Tue, 14 Dec 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#745 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#773 Time from referral to assessment date offeredIn Apr-Jun 2010, 85% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). 70% of those offered an appointment for assessment were offered a date which fell within the reporting period, Apr-Jun 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, less than 1% had waited more than 52 weeks by the end of June 2010 (Table 2). Time waited for first interventionIn Apr-Jun 2010, nearly 96% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Just over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Apr-Jun 2010, and which was within 14 days of the date a care plan was agreed (Table 3). Of those who were still waiting for a treatment appointment at the end of the reporting period, Just over 1% had waited more than 52 weeks by the end of June 2010 (Table 4). Tue, 28 Sep 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#773 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#770 240 injecting equipment provision (IEP) outlets responded to the 2008/09 IEP survey corresponding to approximately 98% of all IEP outlets across Scotland.In 2008/09, 251,349 contacts with IEP services were reported across Scotland. The majority of the contacts were made by males (77%).In Scotland, 4.38 million needles/syringes were distributed in 2008/09 compared to 4.43 million in 2007/08. In the first half of 2009/10, 2.16 million needles/syringes were distributed by IEP outlets. Tue, 28 Sep 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#770 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#797 The total number of brief interventions carried out in Scotland in 2009/10 was 53 985. Over 2008/09 and 2009/10 82 564 brief interventions were carried out. Tue, 29 Jun 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#797 http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#798 Time from referral to assessment date offeredIn Jan-Mar 2010, over 80% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Over 65% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jan-Mar 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, 3% had waited more than 52 weeks by the end of March 2010 (Table 2). Time waited for first interventionIn Jan-Mar 2010, nearly 95% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Just under 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jan-Mar 2010, and which was within 14 days of the date a care plan was agreed (Table 3). Of those who were still waiting for a treatment appointment at the end of the reporting period, approximately 4% had waited more than 52 weeks by the end of March 2010 (Table 4). Tue, 29 Jun 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#798