Item 11 - Alcohol and Drug Partnership (ADP) Annual Report
North Lanarkshire Council · 21 June 2023
Back to IJB Performance, Finance and Audit Committee — 21 June 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 11 SUBJECT: North Lanarkshire ADP – Self-Assessment TO: Performance, Finance & Audit Committee Lead Officer for Report: Morag Dendy Head of Planning, Performance and Quality Assurance Author(s) of Report John Holleran – Strategic Lead, North Lanarkshire ADP DATE: 21 June 2023 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: ☒ Reviewed By: ☒ Endorsed By: ☐
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2 3. RECOMMENDATIONS 3.1 The IJB is asked to: (1) Note the content of the report; (2) Note the content of the Annual Reporting Survey to the Scottish Government that requires approval by the IJB. This is due to be submitted via the ADP by 27th June 2023. The survey is designed to collect information on a range of aspects relating to the delivery of the Nation Mission, to deliver on the priorities in line with additional investment; (3) Note the arrangements in place across each priority area; Prevention, Early Intervention and Education Residential Rehab Assertive Outreach and Crisis support Harm reduction – including Naloxone provision Whole Family Approach and Family Inclusive Practice Lived and Living Experience (4) Approve NLADP Annual report completion setting out the appropriate supports and governance is in place to deliver the National Mission priorities and The Partnership Delivery Framework objectives. 4. VARIATIONS TO DIRECTIONS? Yes ☐ No ☐ N/A ☒ 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 The NLADP Strategic Lead has been working closely with key partners through the five ADP sub-groups (below) to develop key actions and support in keeping with national evidence, regional scoping work and learning from commissioned services including the voices of lived experience. The ADP sub-groups oversee and support decision making on local investments linked to delivering on the National Mission priorities. 1. Prevention, Early Intervention, & Education 2. Treatment, Care & Recovery 3. Whole Family Approach 4. Public Health Approach to Justice 5. Reducing Alcohol Harms Group
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3 5.2 All thirty of Scotland ADPs are responsible for delivering on the National Mission Priorities. The aim of the National Mission is to improve and save the lives of people who use drugs and their loved ones. The purpose of the Annual Report Survey to give local ADPs a tool to engage and discuss opportunities and barriers to delivery. Strategic Planning follows a cycle of Assessing need Aligning resources Agreeing delivery plans and priorities Reporting and learning from outcomes 5.3 Annual Report Survey is designed to ensure key measures are in place and that the local system is supporting the work of the ADP. The Annual Report Survey should be agreed and signed off with the relevant Chief Officers and stakeholders 5.4 The Annual report survey sets out where the local ADP and relevant partners are in relation to the Partnership Delivery Framework: 1. Strategic planning 2. Financial arrangements 3. Quality improvement and Outcomes 4. Governance and Oversight 5. The relationship between the ADP and the Integration Authority 6. CONCLUSIONS 6.1 The Annual report survey sets out the range of work in place to scope strengths and challenges in current arrangements. NLADP place the experience of people with lived experience and families at the centre of developments and engagement with all stakeholders. This approach has significantly reshaped the commissioning intentions, created a robust response to the challenge of preventable drug deaths in North Lanarkshire and informed the ADP Investment Plans. 6.2 A detailed report with full commissioned services activity, governance processes and financial arrangements will follow at the next meeting. This will reflect progress made in 2022/23 towards the associated measures set out below. 7. IMPLICATIONS
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4 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) • Medication Assisted Treatment (MAT) standards – 1-5 implemented and embedded by March 2024 (6-10 beyond) • Residential rehab – assessment and access for anyone who chooses/where appropriate as part of their care and treatment. Each ADP/Health Board should now publish rehab pathways online setting out how people can access residential rehab. • Harm reduction – consistent approaches and increase workforce confidence/capacity to deliver HR. Includes Naloxone provision, Blood-Bourne Virus testing and wound care. • Assertive Outreach – ADPs should define their approach for increased support with commissioning for effective assertive outreach/crisis support. • Treatment Targets – increase engagement by 9% (113) by 2024 • Whole Family Approach – increase/widen Family Inclusive Practice (FIP) across all treatment and care settings • Recovery – Lived and Living Experience (LLE) involved in design, delivery and evaluation of services. LLE Panels to be established. • Mental Health – Complex needs are fully considered and met via trauma informed workforce • Stigma – tackled at local level
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5 • Human Rights – are at the heart of how substance use services and wider supports are designed and offered. 7.3 FINANCIAL 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 □ 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 ☒ Provide support to enable stakeholder representatives to participate meaningfully and confidently at meetings
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6 □ 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 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 This report sets out the progress made by North Lanarkshire ADP on delivering on Rights, respect recovery, the national performance framework, National mission objectives linked to reducing harm from alcohol and drugs. This report forms the basis of the annual return to the Scottish Government setting out progress made from investments in 2022.
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7 9. APPENDICES Please include a glossary of terms if not already included. Appendix 1 ADP Annual Reporting Survey 2022-23 CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following; John Holleran on 01698 753651 john.holleran@lanarkshire.scot.nhs.uk
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8 Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2 Report Title 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
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1 Appendix 1 Alcohol and Drug Partnership (ADP) Annual Reporting Survey: 2022/23 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 during the financial year 2022/23. This will not reflect the totality of your work but will cover those areas where you do not already report progress nationally through other means. The survey is primarily composed of single option and multiple‐choice questions, but we want to emphasise that the options provided are for ease of completion and it is not expected that every ADP will have all of these in place. We have also included open text questions where you can share more detail. 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 aware of some element of duplication with regards to questions relating to MAT Standards and services for children and young people. To mitigate this, we’ve reviewed the relevant questions in this survey and determined the ones that absolutely need to be included in order to evidence progress against the national mission in the long‐term. While some of the data we are now asking for may appear to have been supplied through other means, this was not in a form that allows for consistently tracking change over time. The data collected will be used to better understand the challenges and opportunities at the local level and the findings will be used to help inform the following: 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. The data will be analysed and findings will be published at an aggregate level as Official Statistics on the Scottish Government website. 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 Tuesday 27th June 2023. Your submission should be signed off by the ADP and the IJB, with confirmation of this required at the end of the questionnaire. We are aware that there is variation in the timings of IJB meetings so please let us know 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.
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2 Cross‐cutting priority: Surveillance and Data Informed Q1) Which Alcohol and Drug Partnership (ADP) do you represent? [single option, drop‐down menu] North Lanarkshire ADP Q2) Which groups or structures were in place at an ADP level to inform surveillance and monitoring of alcohol and drug harms or deaths? (select all that apply) [multiple choice] ☒ Alcohol harms group □ Alcohol death audits (work being supported by AFS) ☒ Drug death review group ☒ Drug trend monitoring group/Early Warning System □ None □ Other (please specify): Q3a) Do Chief Officers for Public Protection receive feedback from drug death reviews? (select only one) [single option] ☒ Yes □ No □ Don’t know Q3b) If no, please provide details on why this is not the case. [open text – maximum 255 characters] Q4a) As part of the structures in place for the monitoring and surveillance of alcohol and drugs harms or deaths, are there local processes to record lessons learnt and how these are implemented? (select only one) [single option] ☒ Yes □ No □ Don’t know Q4b) If no, please provide details. [open text – maximum 255 characters]
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3 Cross‐cutting priority: Resilient and Skilled Workforce Q5a) What is the whole‐time equivalent staffing resource routinely dedicated to your ADP Support Team as of 31st March 2023. [open text, decimal] Total current staff (whole‐time equivalent including fixed‐term and temporary staff, and those shared with other business areas) 7.00 Total vacancies (whole‐time equivalent) 1 Q5b) What type of roles/support (e.g. analytical support, project management support, etc.) do you think your ADP support team might need locally? Please indicate on what basis this support would be of benefit in terms of whole‐time equivalence. [open text – maximum 255 characters] Strategic Lead WTE Development officer x3 WTE Information Research Officer WTE Administrator WTE Clerical Officer WTE Q6a) Do you have access to data on alcohol and drug services workforce statistics in your ADP area? (select only one) [single option] ☒ Yes □ No (please specify who does): □ Don’t know 6b) If yes, please provide the whole‐time equivalent staffing resource for alcohol and drug services in your ADP area. [open text, decimal] Total current staff (whole‐time equivalent) 50.00 Total vacancies (whole‐time equivalent) 10.5 Q7) Which, if any, of the following activities are you aware of having been undertaken in your ADP area to improve and support workforce wellbeing (volunteers as well as salaried staff)? (select all that apply) [multiple choice] ☒ Coaching, supervision or reflective practice groups with a focus on staff wellbeing ☒ Flexible working arrangements ☒ Management of caseload demands ☒ Provision of support and well‐being resources to staff ☒ Psychological support and wellbeing services ☒ Staff recognitions schemes
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4 □ None □ Other (please specify):
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5 Cross cutting priorities: Lived and Living Experience Q8a) Do you have a formal mechanism at an ADP level for gathering feedback from people with lived/living experience using services you fund? (select all that apply) [multiple choice] ☒ Feedback/complaints process ☒ Questionnaire/survey □ No ☒ Other (please specify): Commisioned support from NCOs including Scottish Recovery Consortium and Scottish Drug Forum. In addition, local comissioned services gather feedback and report to the ADP on a 1/4ly basis. Q8b) How do you, as an ADP, use feedback received from people with lived/living experience and family members to improve service provision? (select all that apply) [multiple choice] Lived/living experience Family members Feedback used to inform service design ☒ ☒ Feedback used to inform service improvement ☒ ☒ Feedback used in assessment and appraisal processes for staff ☒ ☒ Feedback is presented at the ADP board level ☒ ☒ Feedback is integrated into strategy ☒ ☒ Other (please specify) Q9a) How are people with lived/living experience involved within the ADP structure? (select all that apply) [multiple choice] Planning (e.g. prioritisation and funding decisions) Implementation (e.g. commissioning process, service design) Scrutiny (e.g. monitoring and evaluation of services) Other (please specify) Board representation at ADP ☒ ☒ ☒ Focus group ☒ ☒ ☒ Lived experience panel/forum ☐ ☐ ☐ In development Questionnaire/ surveys ☒ ☒ ☒ Other (please specify)
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6 Q9b) How are family members involved within the ADP structure? (select all that apply) [matrix, multiple choice] Planning (e.g. prioritisation and funding decisions) Implementation (e.g. commissioning process, service design) Scrutiny (e.g. monitoring and evaluation of services) Other stage (please specify) Board representation at ADP ☒ ☒ ☒ Focus group ☒ ☒ ☒ Lived experience panel/forum ☐ ☐ ☐ In development Questionnaire/ surveys ☒ ☒ ☒ Other (please specify) Q9c) If any of the above are in development for either people with lived/living experience and/or family members, please provide details. [open text – maximum 2000 characters] The ADP is currently supported by Scottish Recovery Consortium and Scottish Drug Forum to establish our lived experience representatives panels. These will be led/supported by a dedicaed post within the ADP support team on a permanent basis. This is currently out to advert. Q10) What monitoring mechanisms are in place to ensure that services you fund are encouraged/supported to involve people with lived/living experience and/or family members in the different stages of service delivery (i.e. planning, implementation and scrutiny)? [open text – maximum 2000 characters] NLADP has a quarterly reporting process in place where all comissioned services are requried to set out what involvement those with lived and living experiecne have had in the design, delivery and evaluation of their services. Q11) Which of the following support is available to people with lived/living experience and/or family members to reduce barriers to involvement? (select that apply) [multiple choice] ☒ Advocacy ☒ Peer support □ Provision of technology/materials ☒ Training and development opportunities ☒ Travel expenses/compensation ☒ Wellbeing support □ None □ Other (please specify):
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7 Q12a) Which of the following volunteering and employment opportunities for people with lived/living experience are offered by services in your area? (select all that apply) [multiple choice] ☒ Community/recovery cafes ☒ Job skills support ☒ Naloxone distribution ☒ Peer support/mentoring ☒ Psychosocial counselling □ None □ Other (please specify): Q12b) What are the main barriers to providing volunteering and employment opportunities to people with lived/living experience within your area? [open text – maximum 2000 characters] This fully supported via the dedicated commsioned service (Individual Placement Support). This is currently delviered by SAMH across the whole of North Lanarkshire. Q13) Which organisations or groups are you working with to develop your approaches and support your work on meaningful inclusion? (select all that apply) [multiple choice] ☒ MAT Implementation Support Team (MIST) ☒ Scottish Drugs Forum (SDF) ☒ Scottish Families Affected by Drugs and Alcohol (SFAD) ☒ Scottish Recovery Consortium (SRC) □ None □ Other (please specify):
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8 Cross cutting priorities: Stigma Reduction Q14) Do you consider stigma reduction for people who use substances and/or their families in any of your written strategies or policies (e.g. Service Improvement Plan)? (select only one) [single option] ☒ Yes (please specify which): □ No □ Don’t know Q15) Please describe what work is underway to reduce stigma for people who use substance and/or their families in your ADP area. [open text – maximum 2000 characters] NLADP hosted a number of workshops this year with the support of Scotish Families affected by Alcohol and Drugs and the Scottish Recovery Consortium. The next phase is to establish local stigma steering group and a stigma action fund to support local atcitivies. we also work closely with Stigma Free Lanarkshire and community sector partners to shape our local reponse.
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9 Fewer people develop problem substance use Q16) How is information on local treatment and support services made available to different audiences at an ADP level (not at a service level)? (select all that apply) [multiple choice] Non‐native English speakers (English Second Language) People with hearing impairments People with learning disabilities and literacy difficulties People with visual impairments Other audience (please specify) In person (e.g. at events, workshops, etc) ☐ ☐ ☐ ☐ Leaflets/posters ☐ ☐ ☐ ☐ Online (e.g. websites, social media, apps, etc.) ☐ ☐ ☐ ☐ Other (please specify)
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10 Q17) Which of the following education or prevention activities were funded or supported by the ADP? (select all that apply) [multiple choice] 0‐4 (early years) 5‐12 (primary) 13‐15 (secondary S1‐4) 16‐24 (young people) 25+ (adults) Parents People in contact with the justice system Other audience (please specify) Counselling services ☐ ☒ ☒ ☒ ☐ ☒ ☐ Information services ☐ ☒ ☒ ☒ ☒ ☒ ☒ Physical health ☐ ☒ ☒ ☒ ☒ ☐ ☐ Mental health ☐ ☒ ☒ ☒ ☒ ☒ ☒ Naloxone ☐ ☐ ☐ ☒ ☒ ☒ ☒ Overdose awareness and prevention ☐ ☐ ☒ ☒ ☒ ☒ ☒ Parenting ☐ ☐ ☒ ☒ ☒ ☒ ☐ Peer‐led interventions ☐ ☐ ☒ ☒ ☒ ☒ ☒ Personal and social skills ☐ ☐ ☒ ☒ ☒ ☒ ☒ Planet Youth ☐ ☐ ☒ ☒ ☐ ☐ ☐ Pre‐ natal/pregnancy ☐ ☐ ☐ ☒ ☒ ☒ ☒ Reducing stigma ☐ ☐ ☒ ☒ ☒ ☒ ☒ Seasonal campaigns ☐ ☐ ☐ ☒ ☒ ☒ ☒ Sexual health ☐ ☐ ☒ ☒ ☐ ☐ ☐ Teaching materials for schools ☒ ☒ ☒ ☒ ☐ ☐ ☐ Wellbeing services ☐ ☒ ☒ ☒ ☒ ☒ ☒ Youth activities (e.g. sports, art) ☐ ☒ ☒ ☒ ☒ ☒ ☒ Youth worker materials/training ☐ ☒ ☒ ☒ ☒ ☒ ☒ Other (please specify)
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11 Risk is reduced for people who use substances Q18a) In which of the following settings is naloxone supplied in your ADP area? (select all that apply) [multiple choice] ☒ Accident & Emergency departments ☒ Community pharmacies ☒ Drug services (NHS, third sector, council) ☒ Family support services □ General practices ☒ Homelessness services ☒ Justice services ☒ Mental health services ☒ Mobile/outreach services ☒ Peer‐led initiatives ☒ Women support services □ None □ Other (please specify): Q18b) In which of the following settings is Hepatitis C testing delivered in your ADP area? (select all that apply) [multiple choice] ☒ Accident & Emergency departments □ Community pharmacies ☒ Drug services (NHS, third sector, council) □ Family support services □ General practices □ Homelessness services ☒ Justice services □ Mental health services ☒ Mobile/outreach services ☒ Peer‐led initiatives □ Women support services □ None □ Other (please specify):
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12 Q18c) In which of the following settings is the provision of injecting equipment delivered in your ADP area? (select all that apply) [multiple choice] ☒ Accident & Emergency departments ☒ Community pharmacies ☒ Drug services (NHS, third sector, council) □ Family support services □ General practices ☒ Homelessness services ☒ Justice services ☒ Mental health services ☒ Mobile/outreach services ☒ Peer‐led initiatives ☒ Women support services □ None □ Other (please specify): Q18d) In which of the following settings is wound care delivered in your ADP area? (select all that apply) [multiple choice] ☒ Accident & Emergency departments □ Community pharmacies ☒ Drug services (NHS, third sector, council) □ Family support services □ General practices ☒ Homelessness services ☒ Justice services ☒ Mental health services ☒ Mobile/outreach services ☒ Peer‐led initiatives ☒ Women support services □ None □ Other (please specify): Q19a) Are there protocols in place to ensure all prisoners identified as at risk are offered with naloxone upon leaving prison? (select only one) [single option] ☒ Yes □ No □ No prison in ADP area Q19b) If no, please provide details. [open text – maximum 255 characters]
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13 People most at risk have access to treatment and recovery Q20a) Are referral pathways in place in your ADP area to ensure people who experience a near‐fatal overdose (NFO) are identified and offered support? (select only one) [single option] ☒ Yes □ No □ Don’t know Q20b) If yes, have people who have experienced a near‐fatal overdose been successfully referred using this pathway? (select only one) [single option] ☒ Yes □ No □ Don’t know Q20c) If no, when do you intend to have this in place? [open text – maximum 255 characters] Q21) In what ways have you worked with justice partners? (select all that apply) [multiple choice] ☒ Contributed towards justice strategic plans (e.g. diversion from justice) ☒ Coordinating activities ☒ Information sharing ☒ Joint funding of activities ☒ Justice partners presented on the ADP ☒ Prisons represented on the ADP (if applicable) ☒ Providing advice/guidance □ None □ Other (please specify): Q22a) Do you have a prison in your ADP area? (select only one) [single option] ☒ Yes □ No
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14 Q22b) Which of the following activities did the ADP support or fund at the different stages of engagement with the justice system? (select all that apply) [multiple choice] Pre‐arrest In police custody Court Prison (if applicable) Upon release Community justice Advocacy ☐ ☒ ☒ ☒ ☒ ☐ Alcohol interventions ☐ ☒ ☐ ☒ ☒ ☒ Alcohol screening ☐ ☒ ☐ ☒ ☐ ☐ Buvidal provision ☒ ☐ ☐ ☒ ☒ ☐ Detoxification ☐ ☐ ☐ ☐ ☐ ☐ Drugs screening ☐ ☒ ☐ ☒ ☐ ☐ Psychological screening ☐ ☒ ☐ ☒ ☐ ☒ Harm reduction ☐ ☒ ☐ ☒ ☒ ☒ Health education ☐ ☐ ☐ ☐ ☐ ☐ “Life skills” support or training (e.g. personal/social skills, employability) ☐ ☐ ☐ ☐ ☒ ☒ Opioid Substitution Therapy (excluding Buvidal) ☐ ☐ ☐ ☒ ☒ ☒ Peer‐to‐peer naloxone ☐ ☒ ☐ ☒ ☒ ☒ Recovery cafe ☐ ☐ ☐ ☒ ☒ ☒ Recovery community ☐ ☐ ☐ ☐ ☐ ☐ Recovery wing ☐ ☐ ☐ ☐ ☐ ☐ Referrals to alcohol treatment services ☐ ☒ ☐ ☒ ☒ ☒ Referrals to drug treatment services ☐ ☒ ☐ ☒ ☒ ☒ Staff training ☐ ☐ ☐ ☐ ☐ ☐ Other (please specify)
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15 Q23a) How many recovery communities are you aware of in your ADP area? [open text, integer] 6 Q23b) How many recovery communities are you actively engaging with or providing support to? [open text, integer] 6 Q24a) Which of the following options are you using to engage with or provide support to recovery communities in your area? (select all that apply) [multiple choice] ☒ Funding ☒ Networking with other services ☒ Training □ None □ Other (please specify): Q24b) How are recovery communities involved within the ADP? (select all that apply) [multiple choice] ☒ Advisory role ☒ Consultation ☒ Informal feedback □ Representation on the ADP board □ Recovery communities are not involved within the ADP □ Other (please specify):
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16 People receive high quality treatment and recovery services Q25) What treatment or screening options are in place to address alcohol harms? (select all that apply) [multiple choice] ☒ Access to alcohol medication (Antabuse, Acamprase, etc.) ☒ Alcohol hospital liaison ☒ Alcohol related cognitive testing (e.g. for alcohol related brain damage) ☒ Arrangements for the delivery of alcohol brief interventions in all priority settings ☒ Arrangement of the delivery of alcohol brief interventions in non‐priority settings ☒ Community alcohol detox ☒ In‐patient alcohol detox ☒ Fibro scanning ☒ Psychosocial counselling □ None □ Other (please specify): Q26) Which, if any, of the following barriers to residential rehabilitation exist in your ADP area? (select all that apply) [multiple choice] □ Current models are not working □ Difficulty identifying all those who will benefit ☒ Further workforce training required □ Insufficient funds ☒ Lack of specialist providers □ Scope to further improve/refine your own pathways □ None □ Other (please specify): Q27) Have you made any revisions in your pathway to residential rehabilitation in the last year? (select only one) [single option] □ No revisions or updates made in 2022/23 ☒ Revised or updated in 2022/23 and this has been published □ Revised or updated in 2022/23 but not currently published Q28) Which, if any, of the following barriers to implementing MAT exist in your area? (select all that apply) [multiple choice] □ Difficulty identifying all those who will benefit ☒ Further workforce training is needed □ Insufficient funds □ Scope to further improve/refine your own pathways □ None □ Other (please specify):
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17 Q29a) Which of the following treatment and support services are in place specifically for children and young people aged between 13 and 24 using alcohol? (select all that apply) [multiple choice] 13‐15 (secondary S1‐4) 16‐24 (young people) Alcohol‐related medication (e.g. acamprosate, disulfiram, naltrexone, nalmefene) ☐ ☐ Diversionary activities ☒ ☒ Employability support ☒ ☒ Family support services ☒ ☒ Information services ☒ ☒ Justice services ☒ ☒ Mental health services ☒ ☒ Outreach/mobile ☐ ☒ Recovery communities ☐ ☒ School outreach ☒ ☒ Support/discussion groups ☒ ☒ Other (please specify) Q29b) Please describe what treatment and support is in place specifically for children aged 0‐4 (early years) and 5‐12 (primary) affected by alcohol. [open text – maximum 2000 characters] Barnardos offer direct support to CYP in North Lanarkshire ‐ this is commissioned directly via NLADP. Additional capacity withing CL&D has been resourced via the ADP to support moed towards the Planet Youth model. Q30a) Which of the following treatment and support services are in place specifically for children and young people aged between 13 and 24 using drugs? (select all that apply) [multiple choice] 13‐15 (secondary S1‐4) 16‐24 (young people) Diversionary activities ☒ ☒ Employability support ☒ ☒ Family support services ☒ ☒ Information services ☒ ☒ Justice services ☒ ☒ Mental health services ☒ ☒ Opioid Substitution Therapy ☐ ☐ Outreach/mobile ☐ ☒ Recovery communities ☐ ☒ School outreach ☒ ☒ Support/discussion groups ☒ ☒ Other (please specify)
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19 Q30b) Please describe what treatment and support is in place specifically for children aged 0‐4 (early years) and 5‐12 (primary) affected by drugs. [open text – maximum 2000 characters] Barnardos offer direct support to CYP in North Lanarkshire ‐ this is commissioned directly via NLADP. Additional capacity withing CL&D has been resourced via the ADP to support moed towards the Planet Youth model. NLADP currently funds a test of change to understand more around contextual safeguarding for CYP at risk of entering the justice system as a result of drug related activites. In addition, the ADP funds a test of change to understand the needs of siblings impacted by drug use ‐ this is match funded by Corra funding with parental support in place alongside the ToC.
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20 Quality of life is improved by addressing multiple disadvantages Q31) Do you have specific treatment and support services in place for the following groups? (select all that apply) [multiple choice] Yes No 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 ☐ ☐ People with learning disabilities and literacy difficulties ☒ ☐ People with visual impairments ☒ ☐ Veterans ☒ ☐ Women ☒ ☐ Other (please specify) Q32a) 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? (select only one) [single choice] □ Yes (please provide link here or attach file to email when submitting response): □ No Q32b) If no, please provide details. [open text – maximum 255 characters] Q33) Are there arrangements (in any stage of development) within your ADP area for people who present at substance use services with mental health concerns for which they do not have a diagnosis? [open text – maximum 2000 characters] Turning Point Scotland operated an overdose response service working with the Harm reduction service, Scottish Ambulance Service, housing and other key stakeholders and partners. NLAPD recently commisioned this longer‐term adding a crisis support element which draws on local need and key learning from the Drug Death Task Force funded pilot and local research/feedback. Q34) How are you, as an ADP, linked up with support service not directly linked to substance use (e.g. welfare advice, housing support, etc.)? [open text – maximum 2000 characters] NLADP have 5 sub‐groups with broad representation from welfare/housing and advocacy colleagues. These forums and stakeholders have actively shaped our commisioning
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21 priorities and service landscape over the past year leading to 5 new services being created to meet local needs.
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22 Q35) Which of the following activities are you aware of having been undertaken in local services to implement a trauma‐informed approach? (select all that apply) [multiple choice] ☒ Engaging with people with lived/living experience ☒ Engaging with third sector/community partners ☒ Recruiting staff ☒ Training existing workforce ☒ Working group □ None □ Other (please specify):
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23 Children, families and communities affected by substance use are supported Q36) Which of the following treatment and support services are in place for children and young people (under the age of 25) affected by a parent’s or carer’s substance use? (select all that apply) [multiple choice] 0‐4 (early years) 5‐12 (primary) 13‐15 (secondary S1‐4) 16‐24 (young people) Carer support ☐ ☒ ☒ ☒ Diversionary activities ☐ ☒ ☒ ☒ Employability support ☐ ☐ ☒ ☒ Family support services ☐ ☒ ☒ ☒ Information services ☐ ☒ ☒ ☒ Mental health services ☐ ☒ ☒ ☒ Outreach/mobile services ☐ ☐ ☒ ☒ Recovery communities ☐ ☐ ☐ ☒ School outreach ☐ ☒ ☒ ☒ Support/discussion groups ☐ ☒ ☒ ☒ Other (please specify) Q37a) Do you contribute toward the integrated children’s service plan? (select only one) [single option] ☒ Yes □ No □ Don’t know Q37b) If no, when do you plan to implement this? [open text – maximum 255 characters]
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24 Q38) Which of the following support services are in place for adults affected by another person’s substance use? (select all that apply) [multiple choice] ☒ Advocacy ☒ Commissioned services ☒ Counselling ☒ One to one support ☒ Mental health support ☒ Naloxone training ☒ Support groups ☒ Training □ None □ Other (please specify): Q39a): 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? (select only one) [single option] ☒ Yes □ No □ Don’t know Q39b) Please provide details. [open text – maximum 255 characters] Barnardos and Phoenix Furtures lead this work locally alongside statutory and wider communty sector colleagues. There is a whole family approach sub‐group within the ADP as well as an early intervention and prevention group. Q40) Which of the following services supporting Family Inclusive Practice or a Whole Family Approach are in place? (select all that apply) [multiple choice] Family member in treatment Family member not in treatment Advice ☒ ☒ Advocacy ☒ ☒ Mentoring ☒ ☒ Peer support ☒ ☒ Personal development ☒ ☒ Social activities ☒ ☒ Support for victims of gender based violence ☒ ☒ Other (please specify)
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25 Confirmation of sign‐off Q41) Has your response been signed off at the following levels? [multiple choice] ☒ ADP ☒ IJB □ Not signed off by IJB (please specify date of the next meeting): Thank you for taking the time to complete this survey, your response is highly valued. The results will be published in the forthcoming ADP annual report, scheduled for publication in the autumn. Please do not hesitate to get in touch via email at substanceuseanalyticalteam@gov.scot should you have any questions. [End of survey]