Democracy Spraffa

16 - 2025-12-10 IJB - Appendix 1 ADP Annual Reporting Survey 2024-2025

North Lanarkshire Council · 10 December 2025
Back to Health and Social Care Integration Joint Board — 10 December 2025 and its agenda

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Alcohol and Drug Partnership (ADP) Annual Reporting Survey: 2024/25 
This survey is designed to collect information from all ADPs across Scotland on a range of aspects
relating to the delivery of the National Mission to reduce drug deaths and improve lives, as well as
activities relating to alcohol during the financial year 2024/25. This will not reflect the totality of
your work but will cover areas where you do not already report progress nationally through other
means.   
The survey is composed of single option and multiple-choice questions with a limited number of
open text questions. We want to emphasise that the multiple-choice options provided are for ease
of completion and it is not expected that every ADP will have all of these in place. 
This survey includes questions from across drug and alcohol policy areas. It has been designed to
collate as many asks as possible from Scottish Government to minimise requests throughout the
year. There is a combination of established questions which enable comparison year on year and
new questions that reflect current and anticipated future data needs. 
We do not expect you to go out to services to respond to questions relating to activities
undertaken by them in your area. Where questions refer to service level activities, we are
interested in the extent to which you are aware of these as ADP.   
The data collected will be used to better understand progress at a local level and will inform: 
 National monitoring of the National Mission to reduce drug deaths and improve lives; 
 The work of the ongoing evaluation of the Nation Mission, including the economic
evaluation;
 The work of advisory groups including those supporting the programmes around Whole
Family Approach, surveillance, and residential rehabilitation among others; 
 The work of national organisations which support local delivery; and
 Future policy planning around drugs and alcohol. 
Findings will be published as Official Statistics in the autumn. The publication reporting on the
2023/24 ADP survey is available on the Scottish Government website. We plan to publish data
from closed answer (quantitative) questions at an ADP level to enable best use of the survey data
and ensure transparency. Data from closed answer (qualitative) questions will be shared with
Public Health Scotland and their commissioned research teams to inform drug and alcohol policy
monitoring and evaluation, where excerpts and/or summary data may be used in published
reports, and will be subject to FOI requests. You may still wish to publish your return, as in
previous years. 
The deadline for returns is Friday 13th June 2025. Your submission should be signed off by the
ADP and the IJB. We are aware that there is variation in the timings of IJB meetings, so if sign off
is not possible by the date of submission, please indicate this when you provide your return and
advise an expected sign off date if possible.   
If you require clarification on any areas of the survey or would like any more information, please do
not hesitate to get in touch by email at substanceuseanalyticalteam@gov.scot.

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Cross-cutting priority: Surveillance and Data Informed 
Question 1
Which Alcohol and Drug Partnership (ADP) do you represent? Mark with an ‘x’.
[single option] 
Aberdeen City ADP  
Aberdeenshire ADP  
Angus ADP  
Argyll & Bute ADP  
Borders ADP  
City of Edinburgh ADP  
Clackmannanshire & Stirling ADP  
Dumfries & Galloway ADP  
Dundee City ADP  
East Ayrshire ADP  
East Dunbartonshire ADP  
East Renfrewshire ADP  
Falkirk ADP  
Fife ADP  
Glasgow City ADP  
Highland ADP  
Inverclyde ADP  
Lothian MELDAP ADP  
Moray ADP  
North Ayrshire ADP
X North Lanarkshire ADP  
Orkney ADP  
Perth & Kinross ADP  
Renfrewshire ADP  
Shetland ADP  
South Ayrshire ADP  
South Lanarkshire ADP  
West Dunbartonshire ADP  
West Lothian ADP  
Western Isles ADP

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Question 2
Which groups or structures were in place at an ADP level to inform surveillance and
monitoring of alcohol and drug harms or deaths?  Mark all that apply with an ‘x’ – if drug
and alcohol deaths are reviewed at a combined group, please select both ‘Alcohol death
review group’ and ‘Drug death review group’. 
[multiple choice]
X Alcohol death review group
X Alcohol harms group
X Drug death review group
X Drug trend monitoring group/Early Warning System  
None  
Other (please specify):       
Question 3
3a. Do Chief Officers for Public Protection receive feedback from drug death reviews?
Mark with an ‘x’.
[single option]
X Yes  
No  
Don’t know 
3b. If no, please provide details on why this is not the case. 
[open text – maximum 500 characters] 
Question 4
Please list what local and national structures are in place in your ADP area for the
monitoring and surveillance of alcohol and drug harms and deaths. Please describe how
these have been used to inform local decision making in response to emerging threats
(e.g. novel synthetics) in the past year. [open text – maximum 2,000 characters] 
North Lanarkshire has both a drug death prevention group (DDPG) structure and
reducing alcohol harms groups. These operate on a Pan Lanarkshire basis with local
actions and priorities identified for each ADP area within. The two oversight groups
are accountable to the ADP Board, meeting and reporting on a quarterly basis. Each
structure has a number of workstreams within with representation from a broad
range of stakeholders from statutory and community-based services and includes
people with lived and living exprience, including families. Reporting is standardised
and linked to the national alcohol framework recommendations and
actions/guidance published in 'Changing Lives' and the outcomes and indicators
developed as part of the drug death task force. In 2024, there was a complete review
of both structures with SDF and Alcohol Focus Scotland support. There is also a
Drug Trends Monitoring Group in place that was reviewed this year alongside PHS
RADAR and SAS colleagues to ensure our early detection and reporting

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arrangments are fully aligned with the national approach. This include the
dissemination of alerts to all community based supports and a two way reporting
structure now in place across North Lanarkshire. 
Question 5
5a. Have you made specific revisions to any protocols in the past year in response to
emerging threats (e.g. novel synthetics, trends in cocaine, new street benzos, etc.) ?
Mark with an ‘x’.
[single option] 
X Yes  
No 
5b. Please provide details of any revisions 
[open text – maximum 500 characters] 
As highlighted above, we reviewed and updated our early detection SOP, in keeping
with new and emerging drug harms including novel synthetics, nitazenes and other
emerging trends. We continue to monitor and review intelligence on a week to week
basis and have an escalation process for Problem Assessment Groups (PAGs) to
be established with further escalation process if needed via Incident Management
Team (IMT) in keeping with local and national public health protocols. 
Question 6
Please describe ways in which you routinely engage with commissioned services in your
ADP area (e.g. through online surveys, reporting databases, email or phone
communication, ADP representation on governance or advisory structures,  events etc.). 
[open text – maximum 1000 characters] 
NLADP host an annual stakeholder event shaped and attended by all partners and
comissioned services, sharing learning and forming debate around future ADP
priorities. All services are well represented across the ADP sub-group structures and
report to the ADP on a quarterly basis through standardised reporting templates.
These gather numerical and qualitatve feedback aligned to the ADP priority areas.
We have ongoing dialogue with commissioned services on a weekly basis. In
addition, there's a commissioned service check-in every 6 weeks. We carry out
annual reviews with all commisisioned services and the ADP support team is
resourced to offer ongoing support. NLADP has a website that's updated on a
weekly basis. NLADP support team issues a monthly email news round up with a
range of news/training and local developments with a quarterly bulletin distributed
to our mailing list, all commission services feed into and feature. The ADP publishes
an annual highlights report .

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Cross-cutting priority: Resilient and Skilled Workforce
Question 7
7a. What is the whole-time equivalent1 staffing resource routinely dedicated to your ADP
Support Team as of 31 March 2025? 
[numeric, decimal] 
Total current staff (whole-time
equivalent including fixed-term and
temporary staff, and those shared with
other business areas)
8.50
Total vacancies (whole-time equivalent) 0.00 
1 Note: whole-time equivalent (WTE) is a unit of measurement that indicates the total working hours of
employees in relation to a full-time position. It helps to standardise and compare staffing resource across
different teams or organisations. A full-time employee is equal to one whole-time equivalent. For part-time
employees, divide their hours by the whole-time equivalent. For example, if a part-time employee is
required to work 7.5 hours per week and a ‘full-time’ position is considered to be 37.5 hours, the WTE
would be 0.2 (7.5 hours / 37.5 hours).

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7b. Please list the job title for each vacancy in your ADP Support Team on the 31 March
2025 (if applicable). 
[open text – maximum 500 characters] 
Strategic Lead, 
Development officer - x 3,
Information research Officer, 
Administrator, 
Higher Clerical Officer,
Peer support worker 
Drug Death Information Office (0.5 WTE) 
Question 8
Please select any initiatives you have undertaken as an ADP that are aimed at
improving employee wellbeing (volunteers as well as paid staff). Mark all that apply with
an ‘x’
[multiple choice] 
Training and awareness
X Promotion of information and support initiatives
X Provision of training on issues including trauma awareness and crisis management  
Other (please specify):       
Workplace support
X Flexible working
X Implementation of risk assessment for work at home and in the workplace
X Inclusive workplace initiatives (including staff networks and wellbeing champions)
X Provision of occupation health services  
Staff recognition schemes  
Use of disability passports
X Workload management  
Other (please specify):       
Institution-provided support
X Provision of coaching and supervision for staff and volunteers
X Provision of counselling for staff and volunteers  
Other (please specify):       
Wellbeing activities  
Drug and/or alcohol death reflective sessions

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X Peer support groups
X Provision of mindfulness courses/learning materials  
Social and physical activities  
Other (please specify):       
Engagement  
Participation in local Clinical Care Governance Meetings  
Undertaking of staff needs assessments and engagement to understand wellbeing
needs
x Regular meetings about staff pressures with senior and junior staff  
Other (please specify):       
X Other initiatives which don’t fit in these categories (please specify): Staff
devepement sessions and 6 weekly support and supervision.

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Cross cutting priorities: Lived and Living Experience 
Question 9
9a. Do you have a formal mechanism at an ADP level for gathering feedback from
people with lived/living experience who are using services you fund? Mark all that apply
with an ‘x’. 
[multiple choice]
X Engagement with recovery communities
X Experiential data collected as part of the Medication Assisted Treatment (MAT)
programme 
X Feedback / complaints process
X Lived / living experience panel, forum and / or focus group
X Questionnaire / survey  
No formal mechanism in place  
Other (please specify):       
9b. In the past year, have members of any of the following groups with lived and/or living
experience participated in any of the above engagement mechanisms? Mark all that
apply with an ‘x’. 
[multiple choice]
X People who are current or former employees or volunteers at the ADP or drug
and/or alcohol services
X People who are not employed at the ADP or at drug and/or alcohol services
X People who are currently accessing treatment or support for problem drug use
(may include treatment for problem alcohol use) 
X People who are currently accessing treatment or support for problem alcohol use
X People with living experience of drug and/or alcohol use who are not currently
receiving treatment or support
X People who are experiencing homelessness
X Women
X Young people 
Other (please specify):       
Question 10
10a. In what ways are people with lived and living experience able to participate in
ADP decision-making? Mark all that apply with an ‘x’.
[multiple choice]  
Through ADP board membership
X Through a group or network that is independent of the ADP
X Through an existing ADP group/panel/reference group
X Through membership in other areas of ADP governance (e.g. steering group)

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Not currently able to participate  
Other (please specify):       
10b. In what ways are family members able to participate in ADP decision-making? 
Mark all that apply with an ‘x’. 
[multiple choice]  
Through ADP board membership
X Through a group or network that is independent of the ADP
X Through an existing ADP group/panel/reference group
X Through membership in other areas of ADP governance (e.g. steering group)  
Not currently able to participate  
Other (please specify):       
Question 11
What mechanisms are in place within your ADP to ensure that services you fund involve
people with lived/living experience and/or family members in their decision-making (e.g.
the delivery of the service)? Mark all that apply with an ‘x’. 
[multiple choice]
X Asked about in reporting
X Stipulated in our contracts 
None  
Other (please specify):

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Cross cutting priorities: Stigma Reduction
Question 12
Within which written strategies or policies does your ADP consider stigma reduction for
people who use substances and/or their families? Mark all that apply with an ‘x’.  
[multiple choice]
X ADP strategy, delivery and/or action plan
X Alcohol deaths and harms prevention action plan
X Communication strategy  
Community action plan  
Drug deaths and harms prevention action plan
X MAT standards delivery plan
X Service development, improvement and/or delivery plan  
None  
Other (please specify):       
Question 13
Please describe what work is underway in your ADP area to reduce stigma for people
who use substances and/or their families.
[open text – maximum 2,000 characters] 
Stigma Free Lanarkshire is a programme that aims to end mental health stigma and
discrimination. The North ADP LLE panel members have actively contributed to
updating resources around the intersectionality around Mental Health and
Substance use with See Me and Stigma Free Lanarkshire bringing training co-
produced in by LLE panels back to Lanarkshire to pilot. 
NLADP LLE Panel have supported the process through several workshops on
appropriate content. The ADP LLE support worker is part of the SG stigma working
group and has now undertaken training to be a stigma champion. They are now able
to deliver stigma training with this being extended to LLE panel members in 2025.
The ADP has a draft stigma action plan that is to be consulted on in 2025 with a
stigma action fund being agreed to support local activities aimed at tackling stigma.

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Fewer people develop problem substance use 
Question 14
How is information on local treatment and support services made available to different
audiences at an ADP level (not at a service level)? Mark all that apply with an ‘x’.
[multiple choice] 
In person
(e.g. at
events,
workshops,
etc)
Leaflets /
posters
Online
(e.g.
websites,
social
media,
apps, etc.)
Non-native English speakers (English
Second Language)      
People from minority ethnic groups       
People from religious groups      
People who are experiencing
homelessness      
People who are LGBTQI+      
People who are pregnant or peri-natal      
People who engage in transactional
sex      
People who have been involved in the
justice system      
People with hearing impairments
and/or visual impairments      
People with learning disabilities and
literacy difficulties      
Veterans      
Women      
None of the above X X X
Other (please specify

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Question 15
Which of the following education or prevention activities were funded or supported2 by
the ADP?3 Mark all that apply with an ‘x’.
[multiple choice] 
0-15 years
(children)
16-24 years
(young
people)
25 years+
(adults)
Campaigns / information X X X
Harm reduction services   X X
Learning materials X X X
Mental wellbeing X X X
Peer-led interventions X X X
Physical health X X X
Planet Youth X X 
Pregnancy & parenting      
Youth activities X X 
Other (please specify)                  
None         
2 Note: ‘supported’ refers to where the ADP provides resources of some kind (separate from financial,
which is covered by “funded”). This could take the form of knowledge exchange, staffing, the supply of
materials (e.g. learning templates, lending them a physical location), etc.
3 Note: activities which are not relevant for older age groups have been shaded out to avoid confusion on
completion of this question.

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Risk is reduced for people who use substances 
Question 16
16a. Please select in which settings  each of the following harm reduction initiatives are
delivered in your ADP area. Mark all that apply with an ‘x’.
[multiple choice] 
Supply of
naloxone
Hepatitis C
testing
Injecting
equipment
provision
Wound
care
Community
pharmacies X   X X
Drug services (NHS,
third sector, council) X X X X
Family support
services X      
General practices        
Homelessness
services X   X  
Hospitals (incl. A&E,
inpatient departments) X X X X
Justice services X      
Mental health services        
Mobile/outreach
services X X X X
Peer-led initiatives X   X X
Prison X X x X
Sexual health services   X X X
Women support
services X X X X
Young people’s
service        
None        
Other (please specify)                         
16b.  Please provide details about any changes to settings in which harm reduction
initiatives have been delivered in the past year. Please describe the changes and any
reasons for these changes. 
[Open text- maximum 2,000 characters] 
The ADP commisioned a combined Crisis Outreach Team - delivered by Turning
Point Scotland (in 2024). This has comprises of 3 key elements; Overdose
response, assertive outreach and housing crisis support.  This service takes a harm
reduction approach to support people to engage in treatment and support at the right
moment. The service works closley with SAS, NHSL Harm reduction team and the
Urgent Response Team for access to same day prescribing in keeping with MAT
standards 1-5. The service operates 365 day a year from 10am to 10pm.

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Question 17
17a. Which of the following harm reduction interventions are there currently a demand
for in your ADP area? (Either where the intervention is not currently provided or where
demand exceeds current supply). Mark all that apply with an ‘x’. 
[multiple choice]  
Drug checking
X Drug testing strips
X Harm reduction advice and support in relation to psychostimulants 
Heroin Assisted Treatment  
Naloxone availability in public facilities (e.g. pre-stationed naloxone, naloxone box
etc.)
X Provision of foil  
Safe supply of substances  
Safer drug consumption facility  
Safer inhalation pipe provision  
Other (please specify):       
17b. Please provide any details (e.g. scale of demand, source of requests, whether
current demand exceeds supply etc.). 
[open text – maximum 500 characters] 
Since introducing Nitazene testing strip in April 2024, Truning Point Scotland (TPS)
our key delivery partner have purchased 800 nitazine testing kits in total.
TPS have distributed around 300 and have results for 172,  TPS provided 300 to
Harm Reduction Team. There is currently 200 in stock.   
Question 18
18a. Do you have an adequate supply of naloxone in your ADP area to meet general
needs? Mark with an ‘x’. 
[single option]
X Yes  
No  
Unsure 
18b. Within the context of a more toxic and unpredictable drug supply which may require
higher doses of naloxone to be administered, do you have adequate supply of naloxone
in your ADP area to meet demand if a significant incident were to occur? Mark with an
‘x’. 
[single option]
X Yes  
No  
Unsure

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People most at risk have access to treatment and recovery
Question 19
Which partners within your ADP area have documented pathways in place, or in
development, to ensure people who experience a near-fatal overdose (NFO) are
identified and offered support? Mark all that apply with an ‘x’.
[multiple choice] 
NFO pathway in
place
NFO pathway in
development
Community recovery providers    
Homeless services X  
Hospitals (including emergency
departments) X  
Housing services X  
Mental health services X  
Police Scotland X  
Primary care X  
Prison X  
Scottish Ambulance Service X  
Scottish Fire & Rescue Service    
Specialist substance use treatment
services X  
Third sector substance use services X  
Other (please specify)             
Question 20
Which, if any, of the following barriers to implementing NFO pathways exist in your ADP
area? Mark all that apply with an ‘x’.
[multiple choice]  
Further workforce training required  
High staff turnover  
Insufficient funds
X Issues around information sharing  
Lack of leadership  
Lack of ownership  
Lack of physical infrastructure 
X Lack of staff to support out of hours or extended core business hours 
X Workforce capacity  
None  
Other (please specify):

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Question 21
In what ways have you worked with justice partners4? Mark all that apply with an ‘x’. 
[multiple choice]
Strategic level
X ADP representation on local Community Justice Partnership 
X Contributed to strategic planning 
X Coordinated activities between justice, health or social care partners 
X Data sharing 
X Justice organisations represented on the ADP (e.g. COPFS, Police Scotland, local
Community Justice Partnership, local Justice Social Work department, prison)
x Provided advice and guidance 
Other (please specify):       
Operational level
X Provided funding or staff for a specialist court (Drug, Alcohol, Problem Solving) 
X Raised awareness about community-based treatment options (partners involved in
diversion from prosecution or treatment-based community orders)
X Supported staff training on drug or alcohol related issues 
X Activities to support implementation of MAT standards  
Other (please specify):       
Service level
Funded or supported:  
Navigators for people in the justice system who use drugs 
X Services for people transitioning out of custody 
X Services in police custody suites 
Services in prisons or young offenders’ institutions 
X Services specifically for Drug Treatment and Testing Orders (DTTOs) 
X Services specifically for people serving Community Payback Orders with a Drug or
Alcohol Treatment Requirement  
Other (please specify):       
4 Note: ‘justice partners’ includes Community Justice Partnerships (CJPs), Justice Social Work
departments, Prisons and Young Offender Institutes, Police, Crown Office and Procurator Fiscal Service
(COPFS), Scottish Courts and Tribunals Service (SCTS), Sacro, and third sector organisations that
specifically serve people involved with the criminal justice system.

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Question 22
Which activities did your ADP support at each stage of the criminal justice system? Mark
all that apply with an ‘x’.
[multiple choice] 
Pre-
arrest5
In police
custody6
In
courts7
In
prison8
Upon
release9
Advocacy or
navigators   X   x X
Alcohol
interventions   X   X X
Drug and alcohol
use and treatment
needs screening  
X   X X
Harm reduction inc.
naloxone   X   X X
Health education &
life skills       X X
Medically
supervised
detoxification  
x   X  
Opioid Substitution
Therapy       X X
Psychosocial and
mental health based
interventions  
X   X X
Psychological and
mental health
screening      
X X
Recovery (e.g. café,
community)       X X
Referrals to drug
and alcohol
treatment services  
X X X X
Staff training   X   X  
None          
Other (please
specify)                               
5 Pre-arrest: Services for police to refer people into without making an arrest.
6 In police custody: Services available in police custody suites to people who have been arrested.
7 In courts: Services delivered in collaboration with the courts (e.g. services only available through a
specialist drug court, services only available to people on a DTTO).
8 In prison: Services available to people in prisons or young offenders’ institutions in your area (if
applicable).
9 Upon release: Services aimed specifically at supporting people transitioning out of custody.

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Question 23
What barriers to accessing support, if any, are there in your area for people who are
involved in the justice system? Mark all that apply with an ‘x’. 
[multiple choice]  
Lack of accessibility to mainstream alcohol and drug services and support services
(such as lack of transport options)  
Lack of services tailored specifically to people who are on Community Payback
Orders, Drug Treatment and Testing Orders, Supervised Release Orders and other
community orders  
Lack of specific pathways for people who are involved in the justice system  
Lack of support for people who are involved in the justice system after receiving
treatment
X Services with entry requirements which exclude people convicted of specific
offences (such as arson)
X Services with entry requirements which exclude people on Community Payback
Orders, Drug Treatment and Testing Orders, Supervised Release Orders and other
community orders  
None  
Other (please specify):       
Question 24
What types of residential services are available in your area which can be accessed by
people who are subject to Community Payback Orders, Drug Treatment and Testing
Orders, Supervised Release Orders and other community orders to access support?
Mark all that apply with an ‘x’. 
[multiple choice]  
Mainstream residential rehabilitation services (i.e. those who are open to anyone)  
Mainstream residential services other than rehabilitation (e.g. recovery housing) 
Residential services specifically targeted to people involved in the justice system,
such as Turnaround or other service (please specify which services):      
X Mainstream stabilisation/crisis services  
Other (please specify):       
Question 25
25a. Do you have drugs and alcohol testing services in your ADP area for people going
through the justice system on an order or licence? Mark all that apply with an ‘x’.
[multiple choice]
X Yes, for alcohol
X Yes, for drugs  
No

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Unsure 
25b. Who provides testing services for drugs and/or alcohol? Mark all that apply with an
‘x’. 
[multiple choice]   
Alcohol
testing
Drugs
testing
Private provider    
NHS addiction
services X X
Other local provider
(please specify)            
Other arrangement
(please specify)            
Not applicable     
25c. What methods are used for drugs and/or alcohol testing? Mark all that apply with an
‘x’. [multiple choice] 
Alcohol
testing
Drugs
testing
Handheld devices    
Spit tests   X
Urine tests X X
Electronic
monitoring    
Patches    
Other (please
specify)            
Not applicable

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People receive high quality treatment and recovery services 
Question 26
What screening options are in place to address alcohol harms? Mark all that apply with
an ‘x’.
[multiple choice]
X Alcohol hospital liaison
X Arrangements for the delivery of alcohol brief interventions in all priority settings  
Arrangement of the delivery of alcohol brief interventions in non-priority settings  
Fibro scanning  
Pathways for early detection of alcohol-related liver disease  
None  
Other (please specify):       
Question 27
What treatment options are in place to address alcohol harms? Mark all that apply with
an ‘x’.
[multiple choice]
X Access to alcohol medication (e.g. Antabuse, Acamprase, etc.)
X Alcohol hospital liaison
X Alcohol-related cognitive testing (e.g. for alcohol related brain damage)
X Community-based alcohol detox (including at-home)  
In-patient alcohol detox
X Pathways into mental health treatment
X Psychosocial counselling
X Residential rehabilitation  
None  
Other (please specify):

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Question 28
28a. Which, if any, of the following barriers to residential rehabilitation exist in your ADP
area? Mark all that apply with an ‘x’.
[multiple choice]  
Availability of aftercare
X Availability of detox services
X Availability of stabilisation/crisis services  
Challenges accessing additional sources of funding  
Current models are not working  
Difficulty identifying all those who will benefit  
Further workforce training required  
Geographic distance  
Insufficient base funding  
Insufficient staff  
Lack of awareness of residential rehabilitation among potential clients  
Lack of awareness of residential rehabilitation amongst referrers
X Lack of bed capacity within ADP area
X Lack of specialist providers  
Lack of transportation to travel to available capacity  
Scope to further improve/refine your own pathways  
Variation in prices from different providers
X Waiting times  
None  
Other (please specify):       
28b. What actions are your ADP taking to overcome these barriers to residential
rehabilitation? 
[open text – maximum 500 characters]   
The Drug Death prevention Group and alcohol harms groups both have a strategic
action to consider stabilisation and detox support as an area of need and concerns
with a SLWG established by the ADP to take this forward in 2025. The residential
rehab oversight group is also responsible for reviewing learning, challenges and
supporting improvement actions.  
Question 29
29a. Have you made any revisions in your pathway to residential rehabilitation in the last
year? Mark with an ‘x’.
[single option]  
No revisions or updates made in 2024/25
X Yes - Revised or updated in 2024/25 and this has been published

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Yes - Revised or updated in 2024/25 but not currently published 
29b. If yes, please provide brief details of the changes made and the rationale for the
changes. 
[open text – maximum 500 characters]   
A full independent evaluation of the rehab pathway was carried out with
recommendations and actions fed into RR oversight group. This concluded the
pathway was approrpaite, working well and fully meeeting the needs of those
wishing to access rehab as part of their treatment and care.   
Question 30 
Are there any specific groups in your ADP area who do not have their needs met by the
current residential rehabilitation provision (for reasons such as lack of appropriate
models of care, inadequate capacity, the location of services or any other factors)? Mark
all that apply with an ‘x’.
[multiple choice]  
Lesbian, gay or bisexual people  
People from minority religions  
People on OST  
People who are experiencing homelessness  
People who are involved in the justice system  
People who are pregnant or perinatal 
People with child dependents  
People with co-occurring mental health problems  
People with council tenancies  
People with specific physical health condition, including long term illness and
disability  
Trans people 
Women
X None  
Other (please specify):

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Question 31
31a. Which, if any, of the following barriers to implementing the Medication Assisted
Treatment (MAT) standards exist in your area? Mark all that apply with an ‘x’. 
[multiple choice]
X Accommodation challenges (e.g. appropriate physical spaces, premises, etc.)
X Availability of stabilisation/crisis services  
Burden of data collection and reporting
X Challenges engaging with GPs 
Difficulty identifying all those who will benefit  
Further workforce training is needed  
Geographical challenges (e.g. remote, rural, etc.)  
Insufficient funds  
Insufficient staff  
Lack of awareness among potential clients  
Lack of capacity
X Scope to further improve/refine your own pathways  
Waiting times  
None  
Other (please specify):       
31b. What actions is your ADP taking to overcome these barriers to implementing MAT
in your ADP area? 
[open text – maximum 500 characters] 
There is a dedicated MAT implementation role focussed on delivering all oprational
imporvement measures identified. These are reviewed and updated at the North
MAT Implementation group that meets every 6 weeks. 
Question 32
Other than opioids, which substances are currently the highest priority in your ADP area
for treatment and support? Please rank the substances of concern in your area in order
of priority – add a number to all that apply, with 1 being highest priority. 
[ranking]
x Alcohol  
Cannabis/cannabinoids
X Cocaine, and other stimulants  
Ketamine  
Pregabalin/gabapentin  
Street benzos
X Polydrug use (please specify any most common combinations of drugs):        
Other (please specify):

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Question 33
Which of the following treatment and support services are in place specifically for
children and young people using alcohol and/or drugs? Mark all that apply with an
‘x’.10 
[multiple choice] 
Up to 12
years (early
years and
primary)
13-15 years
(secondary
S1-4)
16-24 years
(young
people)
Alcohol-related medication (e.g.
acamprosate, disulfiram,
naltrexone, nalmefene) 
X
Diversionary activities X X X
Employability support   X
Family support services X X X
Information services X X X
Justice services  X X X
Mental health services (including
wellbeing)   X X
Opioid Substitution Therapy   X
Outreach/mobile (including
school outreach)   X X
Recovery communities   X
School outreach   X X
Support/discussion groups
(including 1:1) X X X
Other (please specify)                   
10 Note that treatment and support services which are inappropriate for younger age groups have been
shaded out to avoid confusion on completion of this question.

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25 
Quality of life is improved by addressing multiple disadvantages   
Question 34
Do you have specific treatment and support services in place for the following groups?
Mark all that apply with an ‘x’. 
[multiple choice] 
Yes No
Non-native English speakers (English Second
Language)   X
People from minority ethnic groups  X  
People from religious groups   X
People who are experiencing homelessness X  
People who are involved in the justice system X  
People who are LGBTQI+    X
People who are neurodivergent   X
People who are pregnant or peri-natal X  
People who engage in transactional sex   X
People with hearing impairments and/or visual
impairments   X
People with learning disabilities and literacy
difficulties  
Veterans   X
Women X  
Other (please specify)       
Question 35
35a. Are there formal joint working protocols in place to support people with co-occurring
substance use and mental health diagnoses to receive mental health care? Mark with an
‘x’. 
[single choice]  
Yes
X No 
35b. Please provide details. 
[open text – maximum 500 characters] 
In development, following on from the publication of the national Mental Health and
Substance Use protocol from Public Health Scotland.

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26 
Question 36
What arrangements are in place within your ADP area for people who present at
substance use services with mental health problems for which they do not have a
diagnosis? Mark all that apply with an ‘x’.
[multiple choice]  
Dual diagnosis teams 
Formal joint working protocols between mental health and substance use services
specifically for people with mental health problems for which they do not have a
diagnosis 
X Pathways for referral to mental health services or other multi-disciplinary teams
X Pathways for referral to third sector services for mental health support
X Professional mental health staff within services (e.g. psychiatrists, community
mental health nurses, etc)  
Provision of joint appointments for those with co-occurring mental health problems
and problem substance use
X Provision of mental health assessments for people who are presenting with mental
health problems  
None  
Other (please specify):       
Question 37
How do you as an ADP work with support services not directly linked to substance
use (e.g. welfare advice, housing support, etc.) to address multiple disadvantages?
Mark all that apply with an ‘x’.
[multiple choice]
X By representation on strategic groups or topic-specific sub-groups
X By representation on the ADP board
X Through partnership working 
X Via provision of funding  
Not applicable  
Other (please specify):

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27 
Question 38
Which of the following activities are you aware of having been undertaken in ADP
funded or supported11 services to implement a trauma-informed approach? Mark all that
apply with an ‘x’.
[multiple choice]
X Engaging with people with lived/living experience 
x Engaging with third sector/community partners
X Provision of trauma-informed spaces/accommodation
X Presence of a working group
X Recruiting staff 
X Training existing workforce  
None  
Other (please specify):       
Question 39
39a. Does your ADP area have specific referral pathways for people to access
independent advocacy? Mark with an ‘x’. 
[single option]
X Yes  
No  
Don’t know 
39b. If yes, are these commissioned directly by the ADP? Mark with an ‘x’. 
[single option]
X Yes  
No  
Don’t know 
11 Note: ‘supported’ refers to where the ADP provides resources of some kind (separate from financial, which
is covered by “funded”). This could take the form of knowledge exchange, staffing, the supply of materials
(e.g. learning templates, lending them a physical location), etc.

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Children, families and communities affected by substance use are supported  
Question 40
Which of the following treatment and support services are in place for children and
young people affected by a parent’s or carer’s substance use? Mark all that apply
with an ‘x’.12
[multiple choice] 
Up to 12 years
(early years
and primary)
13-15 years
(secondary 
S1-4)
16-24 years
(young people)
Advocacy   X X
Carer support X X X
Diversionary activities X X X
Employability support    
Family support
services  X X X
First aid training   X X
Information services X X X
Mental health services X X X
Outreach/mobile
services   X X
School outreach    X X
Social work services X X X
Support/discussion
groups X X X
Other (please specify)                   
Question 41
Which of the following support services are in place for adults affected by another
person’s substance use? Mark all that apply with an ‘x’.  
[multiple choice]
X Advocacy 
X Commissioned services
X Counselling 
X One to one support
X Mental health support
X Naloxone training
X Support groups
X Training  
None  
Other (please specify):       
12 Note support services which are likely to be inappropriate for younger age groups have been shaded out
to avoid confusion on completion of this question.

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29 
Question 42
42a. Do you have an agreed set of activities and priorities with local partners to
implement the Holistic Whole Family Approach Framework in your ADP area? Mark with
an ‘x’.
[single option]
X Yes  
No  
Don’t know 
42b. Please provide details of these activities and priorities for 2024/25. 
[open text – maximum 500 characters] 
Through detached youth work approaches NLADP is prioritising support for young
people at risk of conflict with the law, exploitation, contextual safeguarling and those
at risk of developing alcohol and other drugs issues, including their families - all
members of the family. this work is led through the ADP Whole Family Approach
and Early Intervention and Prevention sub-groups.   
Question 43
When did your ADP most recently conduct an audit or needs assessment of the support
currently available in your area for children, young people and adults affected by a family
member’s substance use? Mark with an ‘x’. [single option]  
2020/21
X 2021/22
X 2022/23
X 2023/24
X 2024/25  
None undertaken in the past 5 years  
There are plans to undertake one in 2025/26  
Unsure 
Question 44
Which of the following services supporting a Family Inclusive Practice13 or a Whole
Family Approach are in place in your ADP area (for people with family members both in
and not in treatment)? Mark all that apply with an ‘x’.
[multiple choice]
X Advice 
13 Family Inclusive Practice is a collaborative approach where professionals actively involve a person’s
family and social networks in care, proactively ask about the needs of the whole family, to ensure all family
members are supported.

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X Advocacy
X Benefits and debt advice
X Mentoring 
X Peer support
X Personal development
X Social activities
X Support for self care activities
X Support for victims of gender based violence and their families
X Youth services  
None  
Other (please specify):       
Question 45
What support would be helpful to facilitate the implementation of a Family Inclusive
Practice or a Whole Family Approach? Mark all that apply with an ‘x’.
[multiple choice]
X Additional funding
X Additional resources  
Advice to support setting up of lived and living experience forums/co-production
methods  
Guidance at a national level  
Information shared from other services
X Sharing of participation tools
X Workforce training
X Analytical support (please specify any details):        
Other (please specify):        
Question 46
What mechanisms are in place within your ADP area to ensure that services adopt a
family inclusive practice? Mark all that apply with an ‘x’.
[multiple choice]
X Asked about in their reporting
X Prerequisite for our commissioning
X Regular training provided to services  
None  
Other (please specify):        
Question 47
In what ways do you work with the Children's Service's Planning Partnership (CSPP) in
your area? Mark all that apply with an ‘x’.

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31 
[multiple choice]
X ADP representation on CSPP  
Co-location of services
X Co-management of projects
X Coordinated activities  
Coordinated living and lived experience co-production approaches  
Co-ordination around staff training
X CSPP representation on ADP
X Data sharing
X Integrated planning
X Joint interpretation of data and evidence at a strategic level
X Joint referrals to relevant services
X Knowledge sharing
X Pooled funding
x Shared and joint outcomes
X Shared assessment of local needs  
None  
Other (please specify):

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Finances
Question 48
How much funding does the ADP receive from the following sources? Please mark all
which apply with an ‘x’ and provide details on the amount of funding which is received. 
[multiple choice, numeric]   
Health board: £         
Local authorities: £ 0     
Funding from other grant funder(s) (such as Corra and Inspiring Scotland
Foundation): £ 0
X  Other (please specify source and how much funding) Scottish Government to
NLADP direct via NHSL, including  T1 & T2 allocations : £ 3,040,405 
Question 49
49a. How often do you provide financial reports for you ADP area? Mark all that apply
with an ‘x’.
[multiple choice]  
Monthly 
X  Quarterly   
Six monthly
X  Annually 
Other (please specify):           
49b. Who is financial reporting provided to? Mark all that apply with an ‘x’.
[multiple choice]
X IJB/IA Chief Financial Officer
X IJB/IA Chief Officer
X ADP Chair  
Other (please specify):         
49c. Do you have a dedicated finance officer or team within the ADP? Mark with an ‘x’.
[single option]   
Yes   
No, the ADP coordinator undertakes this as part of their role
X  No, finances are managed externally to the ADP   
Other (please specify):       
Question 50
50. Please describe what financial system(s) are used to manage finances in your area
(i.e. Oracle, Efin, Excel spreadsheets). 
[open text – maximum 500 characters]

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Efin/Excel/Buisness Objects/Pecos
Confirmation of sign-off 
Question 51
Has your response been signed off at the following levels? Mark all that apply with an ‘x’.
[multiple choice] 
X ADP  
IJB
X Not signed off by IJB (please specify date of the next meeting in dd/mm/yyyy
format): 20/06/2025 
Thank you 
Thank you for taking the time to complete this survey, your response is highly valued.
The results will be published in the 2024/25 ADP Annual Survey Official Statistics report,
scheduled for publication in autumn 2025. 
Please do not hesitate to get in touch via email at
substanceuseanalyticalteam@gov.scot should you have any questions. 
[End of survey]