Democracy Spraffa

ArgyllandBute ADP - Annual Reporting Survey 2023-24 (1) (1)

Argyll and Bute Council · 25 September 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 September 2024 and its agenda

Text extracted from the council's PDF. Layout and reading order may differ from the original.

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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.

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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
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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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] 
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] 
DRD Review Meetings with multi-disciplinary and mult-agency reprsentation, the
actions and lessons learnt are recorded within the minutes. The DRD Review
process was reviewed this year and a new flow chart was developed with Clinical
Governance and Primary Care collegues, the new process will make better use of
exising NHS structures. The Quality and Patient safety group also has an overview
of DRD for those individuals known to statutory services.  The DRD Reviews
Group was paused due to long term absence and  are planning to review their
terms of reference in 2024. 
Question 5

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5a. In response to emerging threats, e.g. novel synthetics, have you made specific
revisions to any protocols? Mark with an ‘x’.
[single option] 
Yes
X No 
5b. Please provide details of any revisions
[open text – maximum 500 characters] 
We established a multi-agency, multi-disciplinary group this year, part of this
groups role is to develop a co-ordinated approach to collecting; assessing and
acting on local intelligence, review trends and emerging trends, provide a clarity for
stakeholders on how to raise concerns, encourage the use of a dedicated point of
contact for people and services to send intelligence, promote the use of the
Partner Intelligence Portal and build relationships effective communication
between partners

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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)
2.68
Total vacancies (whole-time equivalent) 0.82 
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] 
We have undertaken an ADP support team review this year.  This review has
identified a need for admin hours to be increased from 0.68WTE to 1WTE and a
0.5WTE Business Manager.  The 1WTE ADP Co-ordinator has been delivered by
interim posts. 
Question 7
Please describe any initiatives you have undertaken as an ADP, or are aware of in the
services you commission, that are aimed at improving employee wellbeing (volunteers
as well as paid staff). 
[open text – maximum 2,000 characters] 
The ADP support team have regular check-in's with their line manager where work is
reviewed and opportunites are avaialable to discuss wellbeing or any concerns.  Staff                                            
1 Note: whole-time equivalent (WTE) is a unit of measurement that indicates the total working hours of
employees in relation to a full-time position. It helps to standardise and compare staffing resource across
different teams or organisations. A full-time employee is equal to one whole-time equivalent. For part-time
employees, divide their hours by the whole-time equivalent. For example, if a part-time employee is
required to work 7.5 hours per week and a ‘full-time’ position is considered to be 37.5 hours, the WTE
would be 0.2 (7.5 hours / 37.5 hours).

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are signposted to occupational health, wellbeing and psychological resources and there
is regular awareness of tools and support for staff.  
As part of the Public Health Team the ADP Support team are invited to attend regular
online coffee breaks, online staff wellbeing events and in person staff wellbeing events.
This year the team were invited to partake in a wellbeing workshop delivered by Scottish
Ballet. 
The team have a "What's App" group that is designed to allow the team connect and get
to know each other better outside of work.  In addition to this, team events, celebrations
and challenges such as the Step Challenger are held regularly. 
As part of the Public Health Team the ADP support team took part in a Discovery
Insights review to identify how personality impacts on how work is approached and to
help action plan for growth personally and interpersonally.  In addition to receiving a full
detailed report to help better understand how you as an indidual work, a full day team
event was held to plan how this can improve working relationships and how individuals
and the team can develop.   
Council and NHS employess have access to health and well being supports via
occupational health and support initiatives for wellbeing
https://www.nhshwellbeingatwork.scot.nhs.uk/ and https://www.argyll-
bute.gov.uk/trauma-informed-practice-training/wellbeing-
resources#:~:text=At%20Argyll%20and%20Bute%2C%20it,moral%20injury%20and%20
compassion%20fatigue. 
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

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Feedback / complaints process
X Lived / living experience panel, forum and / or focus group  
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.. 
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
Feedback used in
assessment and appraisal
processes for staff    
Feedback used to inform
service design X X
Feedback used to inform
service improvement X X
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  
Through a group or network that is independent of the ADP
X Through an existing ADP group/panel/reference group  
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  
Through a group or network that is independent of the ADP

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X Through an existing ADP group/panel/reference group  
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  
Other (please specify):       
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] 
Argyll and Bute's ADP commissioned to Scottish Drugs Forum to carry undertake
part of the MAT Experiential Programme, this included conducting the interviews
with those who have lived experience of MAT, their families and staff providing
Substance Use services.  Additionally SDF carried out the themed analysis as
required for the reporting and are producing a further report to be used for further
engagement and identifying priorities, any gaps and areas of good practise. 
A ROSC group has been established to bring together the voices of those with
Lived Experience.  Grants were provided to third sector organisations across Argyll
and Bute to support them to develop Lived Experience Panels and support
recovery. 
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.”

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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  
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 14
14a. 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.  The
ADP awarded .Small Grant Funding investment in communities by awarding 12
local organisations with grants to deliver prevention activity and address stigma. 
Seven of those grants were targeted to support people with lived experience of
alcohol and or drugs problems, two were to support families affected by alcohol
and or drugs, five were aimed at young people and all involved partnership
working. 
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] 
The  ADP requested 6 monthly updates from the organisations receving the grants
but these reports are not due until the financial year 2024 to 2025.

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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

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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
Learning materials X X X
Mental wellbeing X X X
Peer-led interventions      
Physical health X X  
Planet Youth X X X
Pregnancy & parenting      
Youth activities X X  
Other (please specify)                                                                
3 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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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 X      
Drug services (NHS,
third sector, council) X X X X
Family support
services        
General practices X X X X
Homelessness
services X X X X
Hospitals (incl. A&E,
inpatient departments) X X X X
Justice services        
Mental health services       X
Mobile/outreach
services X   X  
Peer-led initiatives        
Prison        
Sexual health services        
Women support
services        
Young people’s
service        
None        
Other (please specify)

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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] 
X Drug checking  
Drug testing strips  
Heroin Assisted Treatment
X Safer drug consumption facility
X Safer inhalation pipe provision
X Safe supply of substances  
Other (please specify):       
19b. Please provide details, e.g. scale of the demand. 
[open text – maximum 500 characters]

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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    
Mental health services X  
Police Scotland X  
Primary care X  
Prison    
Scottish Ambulance Service    
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
X Insufficient funds  
Issues around information sharing  
Lack of leadership  
Lack of ownership
X Workforce capacity 
None  
Other (please specify):

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Question 21
In what ways have you worked with justice partners4? Mark all that apply with an ‘x’. 
[multiple choice] 
Strategic level
X ADP representation on local Community Justice Partnership 
X Contributed to strategic planning 
X Coordinated activities between justice, health or social care partners 
X Data sharing 
X Justice organisations represented on the ADP (e.g. COPFS, Police Scotland, local
Community Justice Partnership, local Justice Social Work department, prison)
X Provided advice and guidance 
Other (please specify):       
Operational level  
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 
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) 
X Services specifically for people serving Community Payback Orders with a Drug or
Alcohol Treatment Requirement  
Other (please specify):       
4 Note: ‘justice partners’ includes Community Justice Partnerships (CJPs), Justice Social Work
departments, Prisons and Young Offender Institutes, Police, Crown Office and Procurator Fiscal Service
(COPFS), Scottish Courts and Tribunals Service (SCTS), Sacro, and third sector organisations that
specifically serve people involved with the criminal justice system.

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Question 22
Which activities did your ADP support at each stage of the criminal justice system? Mark
all that apply with an ‘x’.
[multiple choice] 
Pre-
arrest5
In police
custody6
In
courts7
In
prison8
Upon
release9
Advocacy or
navigators       X X
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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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] 
Yes
X 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]. 
.
10 We are including this question on behalf of Scottish Government Justice colleagues to better
understand substance testing for orders and licences in Scotland.

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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
X 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  
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):

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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] 
X 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
x Insufficient funds
X Insufficient staff
X Lack of awareness among potential clients
X Lack of capacity
X Lack of specialist providers  
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]   
There is only one residential rehab facility in the cowal area and they are currently
men only.  We use facilities in Glasgow and this can be difficult for travel purposes
and being able to review if the rehabs are suitable for what we are looking for. We
have updated our pathway and added in a yearly review of rehabs that we engage
with in person.
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
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]

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We have added in a yearly review to the rehabs we engage with, this allows for us
to build better relationships with the facilities and see what they have to offer.  We
also made amendments inrease the communication whilst someone is in rehab
and reportings to the working group.  Furthermore we revised our process for
evaluation post rehab.

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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] 
X 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
X Geographical challenges (e.g. remote, rural, etc.)
X Insufficient funds
X Insufficient staff
X Lack of awareness among potential clients
X Lack of capacity
X Scope to further improve/refine your own pathways
X 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] 
Governance and oversight for MAT is from the HSCP Strategic Leadership Team
with delegated responsibility to services for key action planning and The Alcohol
and Drug Partnership for oversight of requirements, timescales and progress
reporting. Reviewing structures, recruitment to specialist posts , workforce training,
building community capacity, robust data analysis and a One Team Culture to
implement MAT are some of the methadologies overseen by the steering group to
address barriers.

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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      
Information services      
Justice services       
Mental health services (including
wellbeing) X X X
Opioid Substitution Therapy     X
Outreach/mobile (including
school outreach)      
Recovery communities     X
School outreach      
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] 
Welcome Inn - Helensburgh and Lomond. 
Dunoon ARC - Dunoon and Cowal                                            
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
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.

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Hope Kitchen -  Oban , Lorn and Islands
Mid Argyll in development
Bute in development
Kintyre and Campbeltown in development
Jura and Islay in development 
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)    
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     
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] 
Yes
X No 
33b. Please provide details. 
[open text – maximum 500 characters] 
Protocols and guidance are in development

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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 
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)
X 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):

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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  
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] 
Yes
x No  
Don’t know 
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.

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26 
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  
Diversionary activities X X X
Employability support      
Family support
services       
Information services      
Mental health services X X X
Outreach/mobile
services      
Recovery communities      
School outreach       
Support/discussion
groups      
Other (please specify) Young people in
Argyll and Bute
can access
counselling and
carers services. 
The ADP
provided grants
for young
people
diversionary
activities 
There is not a
specialised
statutory drug
treatment
service in Argyll
and Bute,
support would
be available
through GP
services

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27 
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  
Counselling 
X One to one support  
Mental health support
X Naloxone training
X Support groups
X Training  
None  
Other (please specify):

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28 
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] 
A Whole Families Steering Group was established in Cowal with a longer term
plan to roll out to other parts of Argyll and Bute and be supported by Scottish
Families Affected By Alcohol and Drugs (SFAD), this would involve setting
standards for family support and holding a conference in 2024-2025.  The group,
supported by the national MIST Team agreed a local resource for  families in
Cowal and joined up working with the local Response Service. 
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     
Peer support X X
Personal development     
Social activities X X
Support for victims of gender
based violence and their
families    
Youth services X X
Other (please specify) Cowal offer advice,
peer support and
social activities, other
supports of this nature
in Argyll and Bute are
yet to be developed
beyond what is offered
nationally.       
Question 42

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29 
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
area? Mark with an ‘x’. [single option] 
Yes
x No  
Don’t know 
42b. If yes, please provide details. 
[open text – maximum 500 characters]
We are reviewing ADP structures to deliver more streamlined work and reduce
duplication and gaps.  We are reviewing TORS to ensure key stakeholders are
engaged, to support the work of the wider ADP partners and community health
and wellbeing.

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30 
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]
Scottish Families Affected by Alcohol
and Drugs 60842.00
Scottish Drugs Forum 60000.00
Scottish Recovery Forum 25000.00
WeAreWithYou (in part funding) 141065.00

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31 
Confirmation of sign-off 
Question 44
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 in dd/mm/yyyy
format): 25/09/2024 
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]