Appendix 2 Argyll and Bute ADP SG survey 2025
Argyll and Bute Council · 19 November 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 19 November 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 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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2 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 X 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 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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3 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] Alcohol death review group 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] Quarterly reporting of a range of work from the ADP are provided to the COGPP and numbers of DRD reviews are reported. We are currently reviewing our DRD governance and operational procedures in line with local quality and scrutiny systems and the PHS national work taking place the DRD group guidance. Argyll and Bute are part of the DRD Review SLWG. 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] Annual reports on drug related deaths and alcohol deaths are produced by the ADP Support Team and shared with the ADP, Local Early Warnings Group, Drug Death Review Group, Integrated Performance and Quality Review Group. A Local Early Warnings Group meets monthly and discussions are based on the RADAR LEWS guidelines. Membership of the group includes; Police Scotland, DARS, SAS, Community Justice, ADP Support Team and With You, we have recently revised our membership and hope to extend this to representation from
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4 Homelessness/Housing. A Microsoft Teams Channel has also been set up with members of the group including RADAR where any new information can be posted out to the whole group. A draft SOP for a Highland Early Warning System is in development locally with colleauges in Public Health 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] We have a draft Early Warnings System SOP in development and are planning a table top exercise to go through the protocols should a PAG need to be established. We have increased the provision of naloxone training and are in the process of increasing the provision of CPR training. Services are kept informed of national activity and RADAR reporting and have adapted their provision to be more vigilent of adulterated drugs and provide advise as appropriate. 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] All commissioned services are monitored via contract monitoring which involves written reports and meetings. Commissioned services regularly attend ADP Strategy meetings and other ADP meetings connected to our strategy. ADP Support Team have regular contact with commissioned services via email and Microsoft Teams calls. A HNA assessment involved an online survey which was completed by 98 people and 114 people attending focus groups in which there was opportunity to comment on services.
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5 The MAT Experiential work is commissioned each year in which we ask about services commissioned by the ADP such as access to independent advocacy. 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? 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
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6 [numeric, decimal] Total current staff (whole-time equivalent including fixed-term and temporary staff, and those shared with other business areas) 2.95 Total vacancies (whole-time equivalent) 1 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] Business Manager 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 X 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): 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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7 Wellbeing activities Drug and/or alcohol death reflective sessions X Peer support groups X Provision of mindfulness courses/learning materials Social and physical activities Other (please specify): Engagement X Participation in local Clinical Care Governance Meetings X 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): Other initiatives which don’t fit in these categories (please specify):
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8 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 Feedback / complaints process X Lived / living experience panel, forum and / or focus group X Questionnaire / survey No formal mechanism in place Other (please specify): ‘Services have their own feedback/compaints process but this is not formally gathered and presented at ADP level’ within this section also 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 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] 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
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9 Through membership in other areas of ADP governance (e.g. steering group) 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 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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10 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 Alcohol deaths and harms prevention action plan Communication strategy Community action plan Drug deaths and harms prevention action plan MAT standards delivery plan 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] There is a wide range of work delivered by our third sector contracted service With You who work with individual affected by substance use and their families including story telling and celebrating recovery. Kintyre Recovery group ran and event in the local cinema to show the film outrun, offering snacks and mocktails. This was a sell out event and the other recovery groups are looking to do similar In their areas. SFAD have also been delivering commissioned work, raising the profile of the Whole Families Approach and Family Inclusive Practice including holding a conference and design meetings with families and service providers and identifiying priorities for Argyll and Bute. Small grants have also been offered to develop this area of work. A grant has also been awarded to a third sector organisation to provide support for housing and other welfare issues. The ADP Health Needs Assessment 2025 engaged with people with lived and living experience and people affected by alcohol and drugs. 114 particated in the focus and 98 surveys were completed. Stigma was identified as key finding and addressing stigma continues to be part of the ADP Strategy.
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11 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 Other (please specify
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12 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 Physical health 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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13 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 Drug services (NHS, third sector, council) X X X X Family support services General practices X X x Homelessness services X Hospitals (incl. A&E, inpatient departments) X X Justice services Mental health services Mobile/outreach services X X X X Peer-led initiatives Prison Sexual health services X X Women support services Young people’s service None Other (please specify)
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14 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 non-statutory service report that due to the concerns of nitazines they have ensured all the localities have an adequate supply of naloxone. They have delivered naloxone training to partner agencies. They share RADAR reports both locally & through their own organisation’s alert system.
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15 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 Drug testing strips X Harm reduction advice and support in relation to psychostimulants Heroin Assisted Treatment X Naloxone availability in public facilities (e.g. pre-stationed naloxone, naloxone box etc.) Provision of foil Safe supply of substances Safer drug consumption facility x 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] The non-statutory service reports that due to the decrease of opiate use and the rise in crack cocaine use, the client group’s needs are different. People are difficult to engage and they have no safer inhalation pipes available. The increase in NFOs is worrying when there are difficulties in distributing increased naloxone supplies throughout the localities. Due to the geographical reach there is a need for a more flexible distribution system than at present. 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] Yes No X Unsure
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17 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 X Primary care X Prison Scottish Ambulance Service X Scottish Fire & Rescue Service X 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 X Insufficient funds X Issues around information sharing Lack of leadership Lack of ownership X 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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18 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 Provided funding or staff for a specialist court (Drug, Alcohol, Problem Solving) 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 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 X Services in prisons or young offenders’ institutions Services specifically for Drug Treatment and Testing Orders (DTTOs) 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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19 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 Alcohol interventions Drug and alcohol use and treatment needs screening Harm reduction inc. naloxone Health education & life skills Medically supervised detoxification Opioid Substitution Therapy Psychosocial and mental health based interventions Psychological and mental health screening Recovery (e.g. café, community) Referrals to drug and alcohol treatment services x x Staff training 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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20 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) X 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 Services with entry requirements which exclude people convicted of specific offences (such as arson) 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): Geographical challenges, including staff resourcing, and related service availability in remote, rural and island communities. Whilst we suspect some or all of these apply in some form, we cannot be definitive. A pending external evaluation for a prison release support project (expected by June 25 will inform this) 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] X Mainstream residential rehabilitation services (i.e. those who are open to anyone) Mainstream residential services other than rehabilitation (e.g. recovery housing) X Residential services specifically targeted to people involved in the justice system, such as Turnaround or other service (please specify which services): 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]
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21 Yes, for alcohol Yes, for drugs x No 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 Other local provider (please specify) Other arrangement (please specify) Not applicable x x 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 Urine tests Electronic monitoring Patches Other (please specify) Not applicable x x
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22 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 X Arrangement of the delivery of alcohol brief interventions in non-priority settings X 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 Alcohol-related cognitive testing (e.g. for alcohol related brain damage) X Community-based 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):
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23 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 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 X 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 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 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] We are implementing is visiting Residential Rehab placements to see what service they are offering and how we can work together to overcome some of the barriers. Geographic distances are always harder due to being in a rural location, but we have made funding available if family members need support on visiting placements. Lack of bed capacity is also a difficult one as hospital beds are not always available, this is a discussion we are having with the local DARS team to see if there is a way we can support this. 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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24 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] We looked back at the previous year and what learning we could take from that. The Pathway was working well and we added in clear guidance around pricing and entry dates. 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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25 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.) Availability of stabilisation/crisis services X Burden of data collection and reporting X Challenges engaging with GPs Difficulty identifying all those who will benefit Further workforce training is needed X Geographical challenges (e.g. remote, rural, etc.) X Insufficient funds X Insufficient staff Lack of awareness among potential clients X Lack of capacity 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] Introduction of single point of contact. SG funding provision to initiate rapid response. Steering and implementation groups to drive forward service provision and to further develop existing services to build capacity. Partnership working to improve outreach and treatment retention. Staff recruitment and retention remains difficult however this is not peculiar to this service but evident across the health and social care services for this area. 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] 5 Alcohol 6 Cannabis/cannabinoids 2 Cocaine, and other stimulants 7 Ketamine 3 Pregabalin/gabapentin 4 Street benzos
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26 1 Polydrug use (please specify any most common combinations of drugs): Opioids, cocaine, benzodiazepines and alcohol. Some unusual drugs showing up in combinations as cause of death, eg Sulperide, possibly experimenting with combinations Other (please specify): Rise in some drugs that had fallen from use eg MDMA. Experimenting with combinations 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 Employability support Family support services Information services X Justice services Mental health services (including wellbeing) X X Opioid Substitution Therapy X Outreach/mobile (including school outreach) X Recovery communities School outreach X Support/discussion groups (including 1:1) 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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27 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) Information in other languages and in accessible formats are available on request as well as interpretation services 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] X Yes No 35b. Please provide details. [open text – maximum 500 characters] Protocols are currently going through governance process of ratification
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28 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 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) X 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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29 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 Presence of a working group 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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30 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 Carer support x x x Diversionary activities x x x Employability support Family support services First aid training Information services Mental health services x x x Outreach/mobile services School outreach Social work services Support/discussion groups 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 Counselling X One to one support Mental health support X Naloxone training 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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31 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] A Whole Families Steering Group was has been supported and grown. This has included recruitment of members, Terms of Reference being developed. The formation of a partnership plan with overarching priorities: Ensure family members have access to support for themselves, and, where appropriate, are included in their loved one’s treatment and care Make family support Visible and Accessible Embedding support within existing services and organisations Develop new targeted support options where gaps are identified Build Organisational Capacity and promotion of a Whole Families approach small grants fund locally to promote these priorities 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 2021/22 2022/23 2023/24 X 2024/25 None undertaken in the past 5 years There are plans to undertake one in 2025/26 Unsure Question 44
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32 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 X Advocacy Benefits and debt advice X Mentoring X Peer support Personal development X Social activities X Support for self care activities 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 X Guidance at a national level X 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] 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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33 X Asked about in their reporting Prerequisite for our commissioning 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’. [multiple choice] X ADP representation on CSPP Co-location of services Co-management of projects Coordinated activities Coordinated living and lived experience co-production approaches Co-ordination around staff training CSPP representation on ADP Data sharing Integrated planning Joint interpretation of data and evidence at a strategic level Joint referrals to relevant services Knowledge sharing x Pooled funding Shared and joint outcomes Shared assessment of local needs None Other (please specify):
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34 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: £ 884332 Local authorities: £ Funding from other grant funder(s) (such as Corra and Inspiring Scotland Foundation): £ x Other (please specify source and how much funding) Winning Scotland : £ 72 674 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] 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] X Yes No, the ADP coordinator undertakes this as part of their role No, finances are managed externally to the ADP Other (please specify): our dedicated support is through Health 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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35 The health finance team provide ADP with support. The health system ledger is via Efin, in addition we use Excel spreadsheets and meet monthly 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 17/09/2025 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 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. Signatures Tracey McFall, Evan Beswick Independent Chair Chief Officer Argyll & Bute ADP Argyll & Bute HSCP [End of survey]