ITEM 11 NL Alcohol and Drug Partnership (ADP) Annual Reporting Survey 2023 24
North Lanarkshire Council · 21 August 2024
Back to IJB Performance, Finance and Audit Committee — 21 August 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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REPORT Item No: 11 SUBJECT: North Lanarkshire Alcohol and Drug Partnership (ADP) Annual Reporting Survey 2023/24 TO: Integration Joint Board, Performance, Finance and Audit Committee Lead Officer for Report: Morag Dendy Chief Officer of Planning, Performance and Quality Assurance Author(s) of Report John Holleran – Strategic Lead, North Lanarkshire ADP DATE: 21 August 2024 1. PURPOSE OF REPORT This paper is coming to the IJB for: For approval ☒ For endorsement ☐ To note ☐ 2. ROUTE TO THE BOARD This paper has been: Prepared By: ADP Support Team ☒ Reviewed By: Strategic Lead for the ADP ☒ Endorsed By: ADP Chair and Core Team ☒ 1
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3. RECOMMENDATIONS The IJB PFA is asked to approve the below recommendations: (1) Note the content of the report (2) Approve the Alcohol and Drug Partnership (ADP) Annual Reporting Survey 2023/24 for submission 4. VARIATIONS TO DIRECTIONS? Yes ☐ No ☒ N/A ☐ 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 The Alcohol and Drug Partnership (ADP) Annual Reporting Survey is designed to collect information from all ADPs across Scotland on a range of aspects relating to the delivery of the National Mission during the financial year 2023/24. 5.2 The data collected is used to better understand the challenges and opportunities at the local level and the findings will be used to help inform the following nationally: • The monitoring of the National Mission; • The work of a number of national groups including the Whole Family Approach Group, the Public Health Surveillance Group and the Residential Rehabilitation Working Group, amongst others; and • The priority areas of work for national organisations which support local delivery. 5.3 Once the data is analysed and findings are published at an aggregate level as Official Statistics on the Scottish Government website 5.4 The detail in the Annual Reporting Survey reflects the positive work reported through the IJB in March 2024 and through the PFA in October 2023. 2
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6. CONCLUSIONS 6.1 NLADP continues to deliver on the National Drugs Mission objectives and ADP strategic priorities targeting resources appropriately and measuring impact. 6.2 The ADP has appropriate structures and governance arrangements in place to support decision making around spend and offering best value. 6.3 The right mechanisms in place to offer assurances that as much as possible is being done to tackle harms from substances and reduce deaths. 6.4 There’s a wide variety of supports in place for individuals and families who are impacted by substance use. The current commissioning approach will support efforts to improve the quality and availability of support across statutory and community/voluntary services. 6.5 There’s a strong focus on learning and development across the ADP linked to listening to stakeholder views and involving those with lived and living experience across each area of work and sub-group. 3
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7. IMPLICATIONS 7.1 NATIONAL OUTCOMES Link(s) to National Health and Wellbeing Outcomes People are able to look after and improve their own health and wellbeing and live in good health for longer ☒ People, including those with disabilities or long-term conditions, or who are frail, are able to live, as far as reasonable practicable, independently and at home or in a homely setting in their community ☒ People who use Health and Social Care Services have positive experiences of those services, and have dignity respected ☒ Health and Social Care Services are centred on helping to maintain or improve the quality of life of people who use those services ☒ Health and Social Care Services contribute to reducing health inequalities ☒ People who use Health and Social Care Services are safe from harm ☒ People who work in Health and Social Care Services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide ☒ Resources are used effectively and efficiently in the provision of Health and Social Care Services ☒ 7.2 ASSOCIATED MEASURE(S) The ADP Board monitors performance on a quarterly basis. 7.3 FINANCIAL The ADP Finance Sub Committee ensures tight governance of the financial resource ensuring best practice, best value and greatest impact. 4
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This paper has been reviewed by Finance: Yes ☐ No ☒ N/A ☐ 7.4 RISK ASSESSMENT/RISK MANAGEMENT Relevant Risk Register Details Current Risk Level Risk Owner Choose an item. 7.5 ENGAGEMENT & PARTICPATION Please tick the engagement and participation objectives that link(s) with this piece of work and provide further details regarding the engagement and participation that was undertaken. Objectives Further Details ☒ Involve stakeholders in the development work aimed at achieving the national outcomes Regular stakeholder engagement takes place through the ADP subgroup structures with people with lived and living experience (including families) involved in shaping the decisions around tackling alcohol and drug related harms. ☒ Provide stakeholders with information on how to get involved ☒ Ensure a diverse range of engagement and participation and opportunities are in place to suit different needs ☒ Measure how well we involve community stakeholders in the planning, design and delivery of our services ☒ Provide regular feedback on how stakeholder engagement and participation is shaping and influencing service development and delivery ADP sub-groups/Stakeholder event and ongoing engagement in communities across North Lanarkshire. ☒ Provide support to enable stakeholder representatives to participate meaningfully and confidently at meetings ADP sub-groups/Stakeholder event and ongoing engagement in communities across North Lanarkshire. 5
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☐ Develop participation guidelines to ensure a common understanding and set of expectations for both stakeholders and partnership staff ☒ Support engagement planning and participation in localities, taking account of other engagement activity and local plans across the Community Planning Partnership ADP sub-groups/Stakeholder event and ongoing engagement in communities across North Lanarkshire. 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed & Fairer Scotland Impact Assessment Form Completed and attached to report: Yes ☐ No ☒ N/A ☐ EQIA added to website: Yes / Date added ☐ No ☐ N/A ☒ 8. BACKGROUND PAPERS None. 9. APPENDICES Appendix 1 Alcohol and Drug Partnership (ADP) Annual Reporting Survey 2023/24 CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following; John Holleran, Strategic Lead, North Lanarkshire Alcohol and Drug Partnership (NLADP) john.holleran@lanarkshire.scot.nhs.uk 6
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Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2024/2108-11 2 Report Title ADP Annual Reporting Survey 2023 24 3 Date direction issued by IJB 4 Date from which direction takes effect 5 Direction to: 6 Does this direction supersede, revise or revoke a previous direction – if yes, include reference number(s) 7 Functions covered by direction 8 Full text of direction 9 Budget allocated by Integration Joint Board to carry out direction 10 Performance Management / Governance arrangements 11 Date direction will be reviewed 7
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Appendix 1 Alcohol and Drug Partnership (ADP) Annual Reporting Survey: 2023/24 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 on drugs during the financial year 2023/24. 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. We do not expect you to go out to services in order 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 at an ADP level. We are conscious that some of the data we are now asking for may appear to have been supplied through other means (e.g. MAT Standards reporting). After careful review, we found the data supplied via these means is not in a form that allows for consistently tracking change over time at a national level and so have included a limited number of questions on these topics. The data collected will be used to better understand progress at local level will inform: National monitoring of the National Mission on Drugs; The work of advisory groups including the Whole Family Approach Group, the Public Health Surveillance Group and the Residential Rehabilitation Working Group, amongst others; and The work of national organisations which support local delivery. The data will be analysed and findings will be published at an aggregate level as Official Statistics on the Scottish Government website. You can find the report on the 2022/23 ADP survey responses here. All data will be shared with Public Health Scotland to inform drug and alcohol policy monitoring and evaluation, and excerpts and/or summary data may be used in published reports. It should also be noted that the data provided will be available on request under freedom of information regulations and so we would encourage you to publish your return. The deadline for returns is Friday 28 June 2024. 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 please flag if this will be an issue. 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. 8
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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 9
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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] Yes X 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 describe what local and national structures are in place in your ADP area for the monitoring and surveillance of alcohol and drug harms and deaths, and how these are being used to inform local decision making in response to emerging threats (e.g. novel synthetics)? [open text – maximum 2,000 characters] Chief Officers and Public Protection have assurances via the ADP strucutres and governance arrangements that the appropraite processes and procedures are in place to review DRDs and incoproate relevant learning. Chief Officers and Public Protection have assurances via the ADP strucutres and governance arrangements that the appropraite processes and procedures are in place to review DRDs and incoproate relevant learning. 10
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The Drug Death Prevention Group (strategic and operational) reviews and monitors data/surveilance from a number of sources locally and nationally to help target our response to reduce harms and deaths from drugs. Similary, the reducing alcohol harms group has the same approach and both structures are accountable to the ADP Partenship Board. These are charied by Public Health Colleagues. All learning from each groups is fed back thought the the wider ADP sub-groups and stakeholders, where appropraite. There is a SOP in place for monitoring emerging threats with links to RADAR/PHS nationally - PHS colleagues are part of the DTMG. The ADP and all groups within, including those cited above have good 11
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representation from Police, Health, Social work, Housing, Education, Youth services, Community/voluntary sector and people with lived experience. The Drug Death Prevention Group (strategic and operational) reviews and monitors data/surveilance from a number of sources locally and nationally to help target our response to reduce harms and deaths from drugs. Similary, the reducing alcohol harms group has the same approach and both structures are accountable to the ADP Partenship Board. These are charied by Public Health Colleagues. All learning from each groups is fed back thought the the wider ADP sub-groups and stakeholders, where appropraite. There is a SOP in place for monitoring emerging threats with links to RADAR/PHS nationally - PHS colleagues are part of the DTMG. The ADP and all groups within, including those cited above have good 12
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Question 5 5a. In response to emerging threats, e.g. novel synthetics, have you made specific revisions to any protocols? Mark with an ‘x’. [single option] X Yes No 5b. Please provide details of any revisions [open text – maximum 500 characters] representation from Police, Health, Social work, Housing, Education, Youth services, Community/voluntary sector and people with lived experience. We have developed a specific SOP to review/monitor new and emerging threats - this has been developed in partnerships with RADAR and colleague at PHS. This is also linked to the National Drug Deaths Incident Management Team. We have developed a specific SOP to review/monitor new and emerging threats - this has been developed in partnerships with RADAR and colleague at PHS. This is also linked to the National Drug Deaths Incident Management Team. 13
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Cross-cutting priority: Resilient and Skilled Workforce Question 6 6a. What is the whole-time equivalent1 staffing resource routinely dedicated to your ADP Support Team as of 31 March 2024. [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 6b. Please list the job title for each vacancy in your ADP Support Team as at 31 March 2024 (if applicable). [open text – maximum 500 characters] Question 7 Please describe any initiatives you have undertaken as an ADP, or are aware of in the Strategic Lead, Development officer - x 3, Information research Officer, Administrator, Higher Clerical Officer, Peer support worker Drug Death Information Office (0.5 WTE) Strategic Lead, Development officer - x 3, Information research Officer, Administrator, Higher Clerical Officer, Peer support worker Drug Death Information Office (0.5 WTE) 14
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services you commission, that are aimed at improving employee wellbeing (volunteers as well as paid staff). [open text – maximum 2,000 characters] 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). 15
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Cross cutting priorities: Lived and Living Experience Question 8 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 Experiential data collected as part of 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): Question 9 How do you, as an ADP, use feedback received from people with lived/living experience and family members to improve service provision? Mark all that apply with an ‘x’. [multiple choice] Lived/living experience Family members Feedback is integrated into strategy X X Feedback is presented at the ADP board level X X 16
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Feedback used in assessment and appraisal processes for staff X X 17
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Feedback used to inform service design X X Feedback used to inform service improvement X X Other (please specify) LLE Peer Researchers LLE Peer Research 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] x 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 X Other (please specify): Embedded through ADP commissioned services/Programmes 10b. In what ways are family members able to participate in ADP decision-making? Mark all that apply with an ‘x’. [multiple choice] X 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] Prerequisite for our commissioning X Asked about in their reporting X Mentioned in our contracts None X Other (please specify): Service Level Agreements set out LLE engagement requirements 18
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Question 12 Please describe how you have used your ADP’s allocated funding for lived/living experience participation2 in the last financial year. Within your answer please indicate which activities have been most costly. [open text – maximum 2,000 characters] Cross cutting priorities: Stigma Reduction Question 13 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 X 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 14 14a. Please describe what work is underway in your ADP area to reduce stigma for This has been used to fund Peer Research training and engagement linked to MAT standards and wider LLE activities, events and training. In addition, the ADP has recruited a Peer Support Worker to take forward our LLE work alongside locally commissioned services. This has been used to fund Peer Research training and engagement linked to MAT standards and wider LLE activities, events and training. In addition, the ADP has recruited a Peer Support Worker to take forward our LLE work alongside locally commissioned services. 19
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people who use substances and/or their families. [open text – maximum 2,000 characters] 2 The funding letter specified that “£0.5 million is being allocated to ADPs to ensure the voices of people with lived and living experience are heard and acted upon in service design and delivery at a local level. This includes decisions about prioritisation, commissioning and evaluation of services.” 20
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14b. What data does your ADP have access to that could be used to capture the impact of the work described in 14a? (Please indicate if this is not currently possible). [open text – maximum 500 characters] NLADP works closely with Stigma Free Lanarkshire to ensure stigma associated with substance use is included in their work. NLADP stigma work, in relation to substance use, will be linked to the rights-based approach in 2024. Five individuals have completed an SVQ's in Rights Based Advocacy with Reach Advocacy, this was funded by the ADP and SG, they will support the development of our stigma work this year. In addition, over 30 staff attended advocacy training workshops delivered by Reach in 2023/24. This is the first phase of our stigma plans - we will continue to work with Reach Advocacy to offer more SVQs and sessions in 2024 to develp our stigma action plan with the LLE groups and commissioned services. NLADP works closely with Stigma Free Lanarkshire to ensure stigma associated with substance use is included in their work. NLADP stigma work, in relation to substance use, will be linked to the rights-based approach in 2024. Five individuals have completed an SVQ's in Rights Based Advocacy with Reach Advocacy, this was funded by the ADP and SG, they will support the development of our stigma work this year. In addition, over 30 staff attended advocacy training workshops delivered by Reach in 2023/24. This is the first phase of our stigma plans - we will continue to work with Reach Advocacy to offer more SVQs and sessions in 2024 to develp our stigma action plan with the LLE groups and commissioned services. Feedback from individuals, case studies from quarterly reporting from commissioned services, Peer Worker Blogs and peer researchers linked to the Recovery Community, MAT standards and the Living Experience groups led by SDF. Feedback from individuals, case studies from quarterly reporting from commissioned services, Peer Worker Blogs and peer researchers linked to the Recovery Community, MAT standards and the Living Experience groups led by SDF. 21
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Fewer people develop problem substance use Question 15 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 with hearing impairments and/or visual impairments People with learning disabilities and literacy difficulties Veterans Women 22
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Question 16 Which of the following education or prevention activities were funded or supported3 by the ADP? 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 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 X X Youth activities X X Other (please specify) 3 Note: ‘supported’ refers to where the ADP provides resources of some kind (separate from financial, 23
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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. 24
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Risk is reduced for people who use substances Question 17 In which of the following settings are selected harm reduction initiatives 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 Drug services (NHS, third sector, council) X X X X Family support services X General practices Homelessness services X X X Hospitals (incl. A&E, inpatient departments) X Justice services X Mental health services Mobile/outreach services X X X X Peer-led initiatives X Prison X X Sexual health services X X Women support services Young people’s service x None Other (please specify) 25
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Question 18 19a. Which of the following harm reduction interventions is 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 Heroin Assisted Treatment Safer drug consumption facility Safer inhalation pipe provision Safe supply of substances Other (please specify): 19b. Please provide details, e.g. scale of the demand. [open text – maximum 500 characters] We have request from individuals liked to ADP commissioned service for drug testing strips for Nitazene/New Synthetic Opioid detaction. We have request from individuals liked to ADP commissioned service for drug testing strips for Nitazene/New Synthetic Opioid detaction. 26
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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 X Homeless services X Hospitals (including emergency departments) X Housing services X Mental health services X Police Scotland Primary care Prison 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 Insufficient funds x Issues around information sharing Lack of leadership Lack of ownership Workforce capacity X None Other (please specify): 27
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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 Other (please specify): Service level Funded or supported: X Navigators for people in the justice system who use drugs X Services for people transitioning out of custody X Services in police custody suites X 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 28
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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. 29
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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 X X Alcohol interventions X X X X X Drug and alcohol use and treatment needs screening X X X X X Harm reduction inc. naloxone X X X X Health education & life skills X X X X X Medically supervised detoxification X X X Opioid Substitution Therapy X X X X Psychosocial and mental health based interventions X X X X X Psychological and mental health screening X X X X X Recovery (e.g. café, community) X X X X X Referrals to drug and alcohol treatment services X X X X X Staff training X X X 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). 30
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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. 31
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Question 23 24a. Does your ADP fund or support any residential services that are aimed at those in the justice system (who are who are subject to Community Payback Orders, Drug Treatment and Testing Orders, Supervised Release Orders and other relevant community orders)? Mark with an ‘x’. [single option] Yes X No Don’t know 24b. If yes, please list the relevant services. [open text – maximum 500 characters] Question 24 24a. For individuals who have had a court order given to them in relation to their substance use, do you have testing services available in your ADP area10? Mark with an ‘x’. [single option] X Yes No Don’t know 24b. If yes, please describe the type of monitoring that takes place (e.g. sampling with handheld devices, spit tests, electronic monitoring) and who provides these services (e.g. private, third sector, statutory). [open text – maximum 500 characters]. Statutory Services - Jusice social work, DTTO with links to the Addiction Recovery Teams (ART) 32
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10 We are including this question on behalf of Scottish Government Justice colleagues to better understand substance testing for orders and licences in Scotland. Statutory Services - Jusice social work, DTTO with links to the Addiction Recovery Teams (ART) 33
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People receive high quality treatment and recovery services Question 25 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 X Arrangement of the delivery of alcohol brief interventions in non-priority settings Pathways for early detection of alcohol-related liver disease None Other (please specify): Question 26 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 alcohol detox (including at-home) X In-patient alcohol detox X Pathways into mental health treatment X Psychosocial counselling X Residential rehabilitation None Other (please specify): 34
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Question 27 27a. 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 services Current models are not working Difficulty identifying all those who will benefit Further workforce training required Insufficient funds Insufficient staff Lack of awareness among potential clients X Lack of capacity X Lack of specialist providers X Scope to further improve/refine your own pathways X Waiting times None Other (please specify): 27b. What actions is your ADP taking to overcome these barriers to residential rehabilitation? [open text – maximum 500 characters] Question 28 28a. 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 2023/24 Yes - Revised or updated in 2023/24 and this has been published NLADP is in the process of evaluating out Residential Rehab Pathways with engagement with those who have been referred for assessment/places within the last 12 months. HIS Self-Assessment also supported improvement measures and a Resi-Rehab steering group is in place, accountable to the ADP Partnerhsip Board. NLADP is in the process of evaluating out Residential Rehab Pathways with engagement with those who have been referred for assessment/places within the last 12 months. HIS Self-Assessment also supported improvement measures and a Resi-Rehab steering group is in place, accountable to the ADP Partnerhsip Board. 35
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X Yes - Revised or updated in 2023/24 but not currently published 28b. If yes, please provide brief details of the changes made and the rationale for the changes. [open text – maximum 500 characters] 36
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To build on the learning from a programme of work led by Scottish Recovery Consortium in 2023 and to increase awareness and understanding of our local pathways for staff, people accessing support and wider community. To build on the learning from a programme of work led by Scottish Recovery Consortium in 2023 and to increase awareness and understanding of our local pathways for staff, people accessing support and wider community. 37
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Question 29 29a. Which, if any, of the following barriers to implementing MAT exist in your area? Mark all that apply with an ‘x’. [multiple choice] Accommodation challenges (e.g. appropriate physical spaces, premises, etc.) X Availability of stabilisation services Difficulty identifying all those who will benefit x 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): 29b. 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 WTE Impovement Manager in post to oeversee all aspects of MAT standards implementation (since May 2023). This role is incorporated into statutory addiction services and works closely with the ADP team and community voluntary supports. There is a MAT steering group that oversees all work required to implement and fully embed the standards - this group met fortnightly throughout 2023 with representation from the MIST team from PHS for numerical/processes and experiential elements. There is a WTE Impovement Manager in post to oeversee all aspects of MAT standards implementation (since May 2023). This role is incorporated into statutory addiction services and works closely with the ADP team and community voluntary supports. There is a MAT steering group that oversees all work required to implement and fully embed the standards - this group met fortnightly throughout 2023 with representation from the MIST team from PHS for numerical/processes and experiential elements. 38
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Question 30 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’. [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 X Family support services X X Information services X X X Justice services X Mental health services (including wellbeing) X X X Opioid Substitution Therapy X Outreach/mobile (including school outreach) X Recovery communities X X School outreach X X X Support/discussion groups (including 1:1) X X X Other (please specify) Question 31 Please list all recovery groups11 in your ADP area that are funded or supported12 by your ADP. [open text – maximum 2,000 characters] 11 ‘Recovery group’ includes any group that supports recovery and/or wellbeing in your local area. This could be local recovery cafés; peer support groups; wellbeing groups that support people affected by Recovery Scotland - across all 6 localities on NL and supported recovery activities in Shotts Prison. Recovery Scotland is formally commissioned to lead on all Recovery Scotland - across all 6 localities on NL and supported recovery activities in Shotts Prison. Recovery Scotland is formally commissioned to lead on all 39
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substance use; or more established recovery networks, hubs or organisations. If some of these are covered by umbrella groups, please list both. 12 Note: ‘supported’ here refers to where 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. 40
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Quality of life is improved by addressing multiple disadvantages Question 32 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 LGBTQI+ 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 X Veterans X Women X Question 33 33a. 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] x Yes No 33b. Please provide details. [open text – maximum 500 characters] Recovery community development activitiy, sucessful after a competitive tendering process. Recovery community development activitiy, sucessful after a competitive tendering process. The screening for MH and susbstance use co-occuring diagnosis takes place within the Urgent Response Team for same day access to treatment as part of the delivery of MAT standard 1. 41
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The screening for MH and susbstance use co-occuring diagnosis takes place within the Urgent Response Team for same day access to treatment as part of the delivery of MAT standard 1. 42
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Question 34 What arrangements are in place within your ADP area for people who present at substance use services with mental health concerns 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 concerns for which they do not have a diagnosis X Pathways for referral to mental health services or other multi-disciplinary teams X Professional mental health staff within services (e.g. psychiatrists, community mental health nurses, etc) None Other (please specify): Question 35 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): 43
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Question 36 Which of the following activities are you aware of having been undertaken in ADP funded or supported13 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 Recruiting staff X Training existing workforce X Working group None Other (please specify): Question 37 37a. 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 37b. If yes, are these commissioned directly by the ADP? Mark with an ‘x’. [single option] X Yes No Don’t know 44
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13 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. 45
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Children, families and communities affected by substance use are supported Question 38 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’. [multiple choice] Up to 12 years (early years and primary) 13-15 years (secondary S1-4) 16-24 years (young people) Carer support X X X Diversionary activities X X X Employability support X Family support services X X X Information services X X X Mental health services X X X Outreach/mobile services X Recovery communities X School outreach X X x Support/discussion groups X X Other (please specify) Question 39 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): 46
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Question 40 40a. 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 40b. Please provide details of these activities and priorities for 2023/24. [open text – maximum 500 characters] Question 41 Which of the following services supporting Family Inclusive Practice or a Whole Family Approach are in place in your ADP area? Mark all that apply with an ‘x’. [multiple choice] Family member in treatment Family member not in treatment Advice X X Advocacy X X Mentoring X X Peer support X X Personal development X X Social activities X X Support for victims of gender based violence and their families X X Youth services X X Other (please specify) Question 42 42a. Are any activities in your ADP area currently integrated with planned activity for the Whole Family Wellbeing Funding in your Children’s Service’s Planning Partnership All family support activites are linked to the work led by Scottish Families, the ADP Whole family support sub-group priorities and the ealry intervention and prevention sub-group. Our work is linked to the chidren services plan and the Joint Strategic Needs Assessment to ensure all cross-cutting priorities are evidenced and linked together. All family support activites are linked to the work led by Scottish Families, the ADP Whole family support sub-group priorities and the ealry intervention and prevention sub-group. Our work is linked to the chidren services plan and the Joint Strategic Needs Assessment to ensure all cross-cutting priorities are evidenced and linked together. 47
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area? Mark with an ‘x’. [single option] X Yes No Don’t know 48
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42b. If yes, please provide details. [open text – maximum 500 characters] All ADP activities target towards families is recognised in the Childrens Planning and cited in the Joint Strategic Needs Assessment. The ADp is represented in the family support planning group with cross representation in the ADP Whole Fmily approach and Early Intervention and Prevention Sub-Groups. All ADP activities target towards families is recognised in the Childrens Planning and cited in the Joint Strategic Needs Assessment. The ADp is represented in the family support planning group with cross representation in the ADP Whole Fmily approach and Early Intervention and Prevention Sub-Groups. 49
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Additional question Question 43 Please list all services / organisations commissioned by your ADP during 2023/24 and the amount of funding provided for 2023/24. If the final year-end position is not yet known, please include the projected spend amount. For part-funding, please only include the amount contributed by your ADP. Service / organisation name [open text] Amount of funding provided £ [number] Addiction Pyschology NHS 108000.00 Barnardos 298364.00 NLC Contextual Safeguarding 57000.00 NLC SW DTTO Justice Throughcare 98000.00 NLC Equal Say Advocacy 120000.00 Equals Advocacy, Older People 40000.00 GBV Services 39000.00 IPS SAMH 90000.00 NLC Kickstart 35000.00 NLC Children in Conflict with the law 85000.00 Phonenix Futures Prison Link Worker 40000.00 NLC Enchanced Diversionary Youth Work 156975.00 NLC/Barnardos x 3 Projects Under Whole Family App 118000.00 NLRC Recovery Community 175000.00 Phoenix Futures 2 x ContractsFamily & Individuals 446346.00 SDF Addiction Worker Training Program&Peer Resrch 49000.00 Turning Point Scotland 650000.00 Acute Navigators Medica Against Violence 80000.00 NLC Youth Bridges 64632.00 Harm Reduction NHSL Staff & Foils 50000.00 Substance Misuse Liason Nurses NHS 53511.00 Barnardos/Phoenix CORRA Match funding 68812.00 Landed 81818.00 NLC SW Alcohol & Drug Porlbem Solving Court TOC 92000.00 NLC/NHS Addiction Recovery Team 260858.00 50
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Confirmation of sign-off Question 44 Has your response been signed off at the following levels? [multiple choice] X ADP x IJB Not signed off by IJB (please specify date of the next meeting in dd/mm/yyyy format): Thank you Thank you for taking the time to complete this survey, your response is highly valued. The results will be published in the 2023/24 ADP Annual Survey Official Statistics report, scheduled for publication in autumn 2024. Please do not hesitate to get in touch via email at substanceuseanalyticalteam@gov.scot should you have any questions. [End of survey] 51