a. ABADP-AnnReport21-23-FINAL
Argyll and Bute Council · 31 May 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 31 May 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Report 2021-2023 Argyll and Bute Alcohol and Drug Partnership
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Foreword ................................................................................................................................................................................ 1 Argyll and Bute Alcohol and Drug Partnership (ADP), an Overview ................................................................................ 3 Argyll and Bute Alcohol and Drug Strategy and Action Plan 2020-23 ............................................................................. 4 Contents Getting it Right for Everyone Involving People with Lived and Living Experience .......14 Advocacy .......................................................................15 Lomond and Argyll Advocacy Service (LAAS) ..............16 Recovery Communities .................................................17 Addictions Recovery Café (ARC) ..................................18 Cowal Community Hub .................................................19 Family Support Group ..................................................20 Public Health Approach to Justice Joint Improvement Planning ..........................................21 Police Custody to Community Policy ............................22 Prevention and Early Intervention Cool2talk .......................................................................5 Alcohol Brief Interventions ((ABIs) ................................6 'Smoke Free' and ' You Are Not Alone' Dramas ...........7 Planet Youth .................................................................8 Media Campaigns ........................................................9 Developing Recovery Orientated Systems Access to Residential Rehabilitation ..........................10 We Are With You .........................................................11 Medication Assisted Treatment (MAT) Standards ......12 Treatment and Recovery ...........................................13
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I am delighted to present this Argyll and Bute Alcohol and Drug Partnership (ADP) 2021-2023 report, which covers a time period of significant investment, challenges and interest in the field of alcohol and drugs, both within Argyll and Bute and nationally. The Argyll and Bute ADP has an important role to play in translating national guidance to meet local need in order to prevent harm and support recovery from the harmful use of alcohol and drugs across Argyll and Bute. This report is a testament to the work of the partnership in doing so and could not have been achieved without input from our range of dedicated and passionate partners who are involved in this work. Foreword Page 1 by Fiona Davies, Interim Chair of Argyll and Bute ADP The ADP strategy vision is that Argyll and Bute is an area where “we live long, healthy and active lives regardless of where we come from” and where individuals, families and communities have the right to health and a life free from the harms of alcohol and drugs; are treated with dignity and respect; and are fully supported within communities to find their own type of recovery. In January 2021, the Scottish Government announced the National Drugs Mission Plan (2022- 2026) to reduce drug deaths and harms. The plan builds upon Rights, Respect and Recovery (2018), Scotland’s alcohol and drug strategy and includes the Medication Assisted Treatment Standards (MAT); evidence-based standards to enable the consistent delivery of safe, accessible, high-quality drug treatment across Scotland. The Alcohol and Drug Partnership work and actions align to the current ‘Alcohol and Drug Strategy and Action Plan 2020 – 2023’, with four equally important pillars of work. Since the development of the current strategy, there has been increasing investment and national interest in reducing drug and alcohol-related harm. Fiona Davies, Chief Officer, Argyll and Bute IJB, Argyll and Bute HSCP.
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Alongside this, there have also been challenges such as the COVID-19 pandemic, the impacts of which were also felt across our communities in terms of difficulties with income and employment, mental health and wellbeing, social isolation, and increasing inequalities. This year also saw the departure of the ADP Independent Chair, John Owens, who has contributed to the partnership for 7 years. We would like to thank John for all his work guiding the partnership over that time. The Alcohol and Drug Partnership has risen to the above challenges, and in particular we have seen a wealth of community and lived experience input. For example, Argyll and Bute became the first area in Scotland to establish an advocacy service for people in recovery delivered by people with experience of recovery. We heard from the four people trained as Lived Experience Advocates at a recent ADP strategy day and their work has been so valuable and inspiring. There has also been fantastic work undertaken to develop the Cowal Community Hub and ARC recovery café and I’m excited to attend the launch of that community asset in the Spring of 2023. I hope that you find the contents of this report inspiring and can identify links to your own work and communities. Fiona Davies Argyll and Bute IJB Chief Officer; Interim Argyll & Bute ADP Chair Page 2
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Third Sector Housing Scottish Fire and Rescue Police Scotland Statutory and Non-Statutory Providers Child Protection Public Health Specialist Argyll and Bute Alcohol and Drug Partnership Share experiences and learning on alcohol and drug matters in order to support the Argyll and Bute HSCP in effective strategic planning Contribute to relevant local, regional and national consultation responses or events Inform engagement on alcohol and drug matters within their area to assure the community voice is heard Participate in learning opportunities to maximise individual member contributions Contribute to needs assessment processes to better understand local priorities and service delivery Purpose: Argyll and Bute's ADP is made up of a range of partners, including: The ADP was chaired by Independent Chair John Owens until October 2022. Fiona Davies, Chief Officer of Argyll and Bute HSCP has since taken on the interim role of chair. The ADP meet bimonthly and is responsible to the Argyll and Bute HSCP and Argyll and Bute Integration Joint Board. Page 3
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The work of the Alcohol and Drug Partnership is informed by a strategy that covers the period 2020-2023. Argyll and Bute Alcohol and Drug Partnership Page 4 Alcohol and Drug Strategy and Action Plan 2020-2023 The strategy identifies the following vision and priorities: Action Plan Summary have the right to health and a life free from the harms of alcohol and drugs are treated with dignity and respect are fully supported within communities to find their own type of recovery Vision: Argyll and Bute is an area where "we live long, healthy and active lives regardless of where we come from" and where individuals, families and communities: Outcome: Fewer people develop problems with alcohol and drug use Outcome: People access and benefit from effective, integrated, person-centred support to achieve their recovery Outcome: People affected by alcohol and drugs use will be safe, healthy, included and supported Outcome: Vulnerable people are diverted from the justice system wherever possible, and those within justice settings are fully supported Prevention and Early Intervention Developing Recovery Orientated Systems Getting it Right for Everybody Public Health Approach to Justice
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Young people post a question to the website then receive a bespoke answer within 24 hours, 365 days a year, signposting them to appropriate services including sexual health services, emotional support resources and other health related issues including Covid-19. The ADP contributes funding towards this service and sits on the steering group, alongside a range of other partners such as Public Health, Police Scotland, Scottish Fire and Rescue, HSCP Children and Families, and Argyll and Bute Education Service. The aim of the service is improve young people’s access to local and national services, health information and encourage young people to openly discuss issues around their health and wellbeing. Mid Argyll Youth Development Services (MAYDS) will deliver the service until March 2024. Cool2talk Page 5 Cool2Talk is an online support service for young people aged 12-26. Cool2talk answered 124 questions from young people in 2021-22 Prevention and Early Intervention
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Alcohol Brief Interventions (ABIs) Page 6 The ADP has supported the delivery of ABIs across Argyll and Bute using a number of approaches in 2021-2023. New approaches for increasing the number of ABIs are being considered in 2023, along with methods of reducing alcohol-related harm across the population. This work will align where possible with NHS Highland approaches. Prevention and Early Intervention Alcohol Brief Interventions are short, structured conversations about alcohol consumption that staff can have with patients/clients in order to motivate and support them to think about and plan changes to their drinking behaviour, thereby reducing their alcohol consumption. The aim of these interventions is to use non-confrontational, person centred skills to help the individual reduce the risk of harm to their health and wellbeing. The Scottish Government promotes delivery of ABIs in three priority settings: Primary Care, Accident and Emergency, and Antenatal. Alcohol Brief Intervention targets are currently under review and reporting of ABIs was suspended by the Scottish Government in 2020-21, due to the pandemic. Guidance on delivery of ABIs for staff is available via the Delivery of Alcohol Brief Interventions Competency Framework. This framework should be used in conjunction with health behaviour change skills which focus on person-centred communication. Health Behaviour Change training is available via the NHS Highland Public Health Zone on Turas.
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'Smoke Free' and 'You Are Not Alone' Dramas Page 7 Prevention and Early Intervention A range of partners within the ADP were involved in two dramas delivered to school pupils across Argyll and Bute ‘Smoke Free’ is a bespoke educational programme delivered to Primary 7s. It consists of lesson plans, online leaflets, letters for families and ends with an interactive drama production. This was offered to all Argyll and Bute Primary Schools (approx. 70) despite Covid-19 challenges. ‘You are not alone’ drama aims to engage with all Argyll and Bute High Schools to deliver the drama in a supportive way with partners and to address topics young people may be struggling with in their lives. Offered to all Argyll and Bute High Schools despite Covid-19 challenges and delivered in all but 1 of the High Schools. Just short of 1,000 pupils engaged with the video, The roadshow returned to face to face delivery in 2023.
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Page 8 Key areas of young people's lives The ADP provided funding for two secondary schools to take part in the Planet Youth approach to substance use prevention through a community collaborative approach. It is hoped that additional funding can enable this to be rolled out to further secondary schools. Data has been gathered from Planet Youth surveys to inform strategies within the schools and communities. Although at the initial stages, this baseline data will be powerful in measuring the impact of Nurture and Trauma Informed approaches that have been a focus area within education and an important part of our recovery planning. The data also allows schools to identify priority areas for development to ensure that they are continuing to meet the needs of children and young people. Planet Youth Prevention and Early Intervention Planet Youth is a population- wide primary prevention process designed to have a long-term impact in communities on reducing youth substance use through creating a healthy built environment.
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Media Campaigns Page 9 Social Media Campaigns Supported by the ADP Social Security Scotland Family Benefits Family Support is for Men Too Carry Naloxone Campaign Mental Health Awareness Week The Helping Adolescents Thrive Toolkit National Collaborative No Smoking Day Prevention and Early Intervention Addiction Worker Training Project Sober Spring 2022 Fair Start Scotland Carers Week World Hepatitis Day Dry January Anti Stigma Summer International Overdose Awareness Day Challenge Poverty Week Alcohol Awareness Week Day of the Girl Adoption Week Mens Mental Health Month Trans Awareness Week World AIDs Day Drug Deaths Taskforce
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Access to Residential Rehabilitation Additional funding from the Scottish Government for Residential Rehabilitation has allowed for the creation of a new pathway to access residential rehabilitation and/or detoxification, and this pathway is being now being used in Argyll and Bute. A Residential Rehabilitation Group was formed to ensure all partners who would be involved in care and support before and after residential rehabilitation would be involved in the discussions, to enable clients to maintain the benefits of residential rehabilitation. This partnership includes third sector, NHS and Council members. The number of organisations where people can access residential rehabilitation and/or detoxification has increased. Pre and post rehabilitation support can be provided by commissioned Third Sector service We Are With You, with Pre and Post Rehab and Residential Support Workers able to develop professional, therapeutic relationships with service users in substance use recovery. Support can be provided to engage in activities that develop their independent living skills such as cooking, cleaning, shopping and most importantly learning to have fun in their sobriety. Support is also available to support community service users to prepare for residential treatment and to provide follow on recovery support post discharge. In financial year 2021-22 eighteen people were approved for residential rehabilitation and/or detoxification. In 2022-23, 14 people were provided with residential rehabilitation. Page 10 Referral Pathways to Residential Rehabilitation Referral pathways and aftercare pathways should be clear, consistent and easy to navigate. Increased access through publicly funded routes. Specific pathways are in place to support vulnerable groups or those with Multiple and Complex Needs. People feel more supported and have more choice in their treatment journey. A 'no wrong door approach' means that connected services are aware of the pathways to support people. PANEL (Participation, Accountability, Non- Discrimination, Empowerment and Legality) principles are applied in the development of pathways in all ADP areas. ADPs and the HSCP network feel supported to make sense of complex systems and pathways. Developing Recovery Orientated Systems of Care
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We Are With You Page 11 We Are With You is commissioned in Argyll and Bute to deliver Community Based Addiction Recovery Services. They provide person-centred care to support people to reduce their problematic drug and/or alcohol use; optimise personal, physical and mental well- being; build social networks, including family and community network; build strengths; and develop resilience in recovery. We are With You also offer online webchat and family support using the CRAFT (Community Reinforcement and Family Training) programme. The service also offers Naloxone training for service users and their friends/family. Since 2022, We Are With You also participate in a multi-disciplinary group who will look to meet Scottish Government requirements around Medication Assisted Treatment (MAT). As part of this, funding was provided for 3 Assertive Engagement Workers. referrals in total 2021-22 210 Self referrals were through a variety of methods including phone and drop in facilities. We Are With You (WAWY) have initiated a programme to give people with lived experience the opportunity to work towards completing their SVQ 3 Health & Social Care qualifications, offering employment & training to local people who are keen to get into employment but have been unable to do so due to the barriers of no qualifications & no experience. 86% attendance rate for WAWY appts Developing Recovery Orientated Systems of Care
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Medication Assisted Treatment (MAT) Standards Page 12 1. All people accessing services have the option to start MAT from the same day of presentation. 2. All people are supported to make an informed choice on what medication to use for MAT and the appropriate dose. 3. All people at high risk of drug- related harm are proactively identified and offered support to commence or continue MAT. 4. All people are offered evidence- based harm reduction at the point of MAT delivery. 5. All people will receive support to remain in treatment for as long as requested. The Drug Deaths Taskforce was set up in September 2019 and prioritised the introduction of standards for Medication Assisted Treatment (MAT). The aim is to reduce deaths, and other harms and to promote recovery. The standards provide a framework to ensure that MAT is sufficiently safe, effective, acceptable, accessible and person centered. In discussion with the MAT standards Implementation Support Team (MIST), partners produced a project specification document to initially implement MAT in Cowal & Bute. Dedicated co-located teams will work in partnership to provide appropriate and evidenced access to medication assisted treatment that promotes harm reduction and a whole person approach. 6. The system that provides MAT is psychologically informed; routinely delivers evidence-based low intensity psychosocial interventions and supports individuals to grow social networks. 7. All people have the option of MAT shared with Primary Care. 8. All people have access to independent advocacy and support for housing, welfare and income needs. 9. All people with co-occurring drug use and mental health difficulties can receive mental health care at the point of MAT delivery. 10. All people receive trauma informed care. Developing Recovery Orientated Systems of Care
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Treatment and Recovery Some of the Treatment and Recovery Support options in place in Argyll and Bute Buvidal Same day prescribing of Opioid Substitute Therapies (OST) Methadone Buprenorphine and Naloxone combined (Suboxone) Buprenorphine sublingual Naltrexone Injecting Equipment Provision (IEP) Mutual Aid Partnership (MAP) BBV Testing Wound care FibroScan The Substance Misuse Liaison Service aims to follow up with individuals who have experienced a Near-Fatal Overdose (NFO) but are not known to service or currently on caseload. Both groups are offered Naloxone training and supply, in addition, A&E departments are provided with immediate access and Naloxone training/supply. This year has seen the culmination of a collaboration with Housing First to fund and employ a Senior Practitioner. This practitioner works with people who are, or are at risk of becoming, homeless and have co-occurring mental health or substance misuse issues. This helps maintain tenancies and engages people with relevant services to meet their needs. An addition to ABAT’s treatment options for opiate substitution therapy has been made available in the form of long-acting injectable buprenorphine. This is initially administered weekly until a monthly dose is achieved. ABAT’s Advanced Nurse Practitioner has been rolling this out across all localities, reducing the need for regular pharmacy visits, promoting the ability for individuals to access employment and not require storage of take-home OST. Service users have been supported to attend events across Scotland. Post Covid, people clearly wanted in person support so We Are With You (WAWY) have facilitated one-to-one support, groups & activities. WAWY actively promote their service to all GPs & partner agencies. Family support has been offered online using Community Reinforcement and Family Training (CRAFT) Programme. Both ABAT and WAWY have staff are trained in and adopt a Trauma Informed Approach, and are trained to distribute Naloxone to individuals & their family members. Both teams also provide Injecting Equipment Provision (IEP). The ADP ROSC approach encourages all services to work in partnership with a wide range of local and national service providers to ensure individuals get the best service possible. Page 13 Developing Recovery Orientated Systems of Care
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Page 14 Argyll & Bute ADP has worked with a number of partner agencies to identify and support people with lived and living experience and their families. As a result of the extensive work, involving local services and national organisations we now have people with lived experience and family members sitting as equal members of the partnership. This has been a very good example of strong partnership working which has helped build relationships and partnership between people with lived experience and services. It has also provided an opportunity for building better pathways into and out of services. The partnership approach started with the creation of an involvement strategy which set out the guiding principles on which all involvement has been built. We Are With You (WAWY) have initiated a programme to give people with lived experience the opportunity to work towards completing their SVQ 3 Health & Social Care qualifications, offering employment & training to local people who are keen to get into employment but have been unable to do so due to the barriers of no qualifications & no experience. A partnership was established by the ADP involving Lomond & Argyll Advocacy Service, Scottish Recovery Consortium and Reach Advocacy to train people with lived experience as Peer Advocates. The partners successfully recruited and trained 4 individuals from across Argyll and Bute as Lived Experience Advocates. All four successfully completed the Reach Advocacy Rights Based Approach SQA Advocacy Award. Feedback/ complaints process Focus groups Board Representation at ADP For People With Lived Experience: For Family Members: Questionnaires/ surveys Focus groups Board Representation at ADP Involving People with Lived and Living Experience Getting It Right for Everyone
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Advocacy Argyll & Bute ADP recognised that there was a need for advocacy services specifically tailored to people affected by their own or someone else’s alcohol or drug use for a number of years and have been working with Lomond and Argyll Advocacy Service (LAAS) to support substance users in Argyll and Bute. Advocates work closely with the substance use support teams in localities supporting the needs of their communities and encourage people to access the types of supports that enable their recovery journeys. LAAS plays an important role in the delivery of MAT Standards in Argyll and Bute and the RAP Team will all complete the experiential interview training, interviewing service users about their experiences of MAT. The Group Recovery Advocacy’s work has been valuable and the voices of people in recovery have helped shape some developments and improvements within Argyll. The plan will be that another service will take forward future meetings and LAAS will become group members instead of the facilitators. During 2022 development took place with LAAS and the Scottish Drugs Forum, to make opportunities available for students offering an interesting work experience placement, working across their Core and Recovery Advocacy Project groups. They will ensure the student has plenty of opportunities to work with other services and learn about the Alcohol and Substance Use Support Services available across Argyll and Bute and learn how they operate. Page 15 A First for Argyll and Bute With four people completing their training as Lived Experience Advocates earlier this year, Argyll & Bute became the first area in Scotland to establish an advocacy service for people in recovery delivered by people with experience of recovery. Scottish Recovery Consortium aim to establish a National Network of Peer Advocacy Services and will look to Argyll and Bute as a model of good practice. The combination of national and local based partners helped secure the funding for this project and it is hoped the establishment of a National Network will help develop and support this service as we move forward. Getting It Right for Everyone
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Lomond and Argyll Advocacy Service (LAAS) Page 16 Lomond and Argyll Advocacy Service "Kind, helpful, on my side and reliable. A great help to me." - making sure your voice is heard active cases in 2021-22 73 "Advocacy has helped me alot." "Extremely useful service. I felt very scared and alone at the start but it was so good to meet my advocate. She was brilliant." Getting It Right for Everyone
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Recovery Communities The recovery communities in Oban, Helensburgh, Dunoon, Rothesay and Mid Argyll and Kintyre all expanded their membership. The communities are primarily led by people with lived experience and all have people with lived experience involved in the programming and organisation of the regular activates. Argyll & Bute recovery communities have historically been independent of one another; however, their links have been strengthened through the creation of a Recovery Steering Group supported by SDF as part of the ADP’s Involvement Strategy. The Recovery Steering Group aims to represent all of the recovery communities and develop a collective voice on their behalf. The ADP Support Team provided financial support and, along with several ADP partners, worked with each of the recovery communities supporting them to offer programmes including recovery cafes, group meetings and voluntary opportunities. During 2021/22 a panel of people with lived experience was formed to look at setting up a recovery café in the Cowal area. This involved walk and talks, events and leaflets that were distributed to encourage engagement of the community. The panel now consists of 12 people who all have lived experience. They have organised several summer activities to engage the community. The panel have also completed training in administering Naloxone and the volunteer program of training. In the Bute area there are also walk and talk groups, men’s shed and breakfast clubs. This area has an average of 32 members. Discussions are taking place with Argyll & Bute Council to look at permanent premises which will allow this community to operate in the evening and at weekends. The Bute recovery community is welcomed and supported by the wider community and services. Page 17 Recovery Communities in Argyll and Bute Oban Helensburgh Dunoon Rothesay Mid Argyll / Kintyre Activities include: Support meetings Indoor and outdoor activities Arts and crafts Quizzes Cooking Hot food available Hairdressing Growing veg Meeting other groups Local campaigns Music groups Outings Support members to attend the Scottish Recovery Walk Getting It Right for Everyone
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Addictions Recovery Café (ARC) Page 18 ARC's vision: to reduce drug and alcohol deaths in Cowal by reducing stigma, raising peoples awareness and supporting Recoverists and their families in harm reduction and/or abstinence. ARC's goal is to provide a peer led, holistic and supportive safe haven. A place where strengths and weaknesses of Recoverists are respected and acknowledged, providing reassurance where needed in a non-judgmental and inclusive environment. ARC work with the CHIME framework for personal recovery C H I M E Connectedness Hope & Optimism Identity Meaning Empowerment Getting It Right for Everyone After public consultation and forming a steering group, ARC are now registered with OSCR, with a strong steering committee of eight with lived experience. Individuals and families welcome to have open dialogues around addictions and help reduce stigma raise awareness and be part of the ROSC which is needed for recovery. The Recovery Café is due to open by May 2023.
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Cowal Community Hub Page 19 Argyll and Bute Rape Crisis (ABRC) are working in collaboration with the ADP to undertake a significant piece of development work to facilitate the creation of the ‘Cowal Hub’ in Dunoon. A pilot project to support the introduction of a Recovery Café and Community Hub to support the Cowal area, this sits alongside the Recovery Oriented System of Care (ROSC). It will support the priorities of the Argyll and Bute Alcohol and Drugs Partnership and help reduce drug-related deaths in Cowal, bringing all the relevant people/services together to work cohesively for the same outcome. This will be a community asset which hopes to have long term benefits for people in recovery and their families, not everyone will want to engage with addiction services and this provides an alternative way of accessing support. ABRC carried out a local consultation session with members of the local community which included people with lived experiences, using a ‘conversation café’ style with small group discussions. Within the group discussions it was very clear that the proposed service was both needed and wanted with those who attended the session providing very positive feedback. The service will be provided from a bespoke building which is part of the ABRC Centre located in the heart of Dunoon. Accessible, but can be discreetly accessed. Getting It Right for Everyone
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Family Support Group Argyll & Bute’s first Family Support group was established, with the support and funding from the ADP, in Helensburgh in October 2018 by two family members with experience of caring for, and living with, someone with drug and/or alcohol dependency issues. With their support, a second group was established in Dunoon. The ADP will be working closely with Scottish Families to implement the Whole Family Approach across all localities of Argyll and Bute. This Spring, Scottish Families, will be hosting a series of events to tell a family member’s story of living with problematic alcohol and drug use. This is a workshop event where attendees will listen to this story, discussing and reflecting on what was heard together. Scottish Families are raising awareness of families’ experiences and creating opportunities for families to be seen and heard. Page 20 What Does the Family Support Group Offer? Focused groups which acknowledge and accept the experiences of each member Lived experience forums that can help build better services for people in recovery and their families An equal voice on the ADP through their own dedicated ADP Representative Whole Family support aimed at supporting the needs of partners, parents and children as well as the individual in recovery Find out more play the 'This Fierce Love' video on Vimeo at: http://bit.ly/3muWdyD Getting It Right for Everyone
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Page 21 Strategic planning and development of approaches was a key feature of activity for joint working between the ADP and Community Justice. Alignment of activity within a Public Health Approach to Justice and Community Justice settings has provided a baseline, and our joint improvement collaboration will continue through to 2024, to focus on the following: · Review and development of access to services within Police Custody Suites · Establish and test a formal approach to Prison Custody to Community for all citizens returning to the community · Access to alcohol and drug service provision for those serving a range of Justice Social Work Community Sentences · Workforce development to improve knowledge and practice In each of the priority areas above, we have been able to identify a range of good practice between alcohol and drug service provision (statutory and third sector), Justice Social Work and Scottish Prison Service. In particular, the advocacy model delivered by Lomond Advocacy and Advice Service (in partnership with the ADP) is of particular interest to community justice partners. Developing a rights-based approach to community justice is in line with the priorities of both Scottish Government Justice related strategies: Vision for Justice in Scotland; and, National Strategy for Community Justice. Changes to how police custody is delivered, lower than expected number of referrals and updates in ADP and Community Justice practices identified a need to review this pathway during 2023-2024. This will be included in the local Community Justice Outcome Improvement Plan 2023. A Public Health Approach to Justice Joint Improvement Planning
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Police Custody to Community Policy Page 22 The ADP, in partnership with Community Justice, Police Scotland and We Are With You, established a pathway for people held in Police Custody who wished to speak to a member of staff from We Are With You. The offer of support is not limited to those with identified needs associated with their use of alcohol or drugs but can link into a wide range of services and opportunities through the ADP ROSC. We Are With You function as a first point of contact and link people into the appropriate service providers on their release from custody. A pathway has been developed to allow continuation of care and OST for someone who is entering prison. If an individual is admitted to prison there is contact between the prison and the service prescribing OST to confirm both the prescription and the willingness of the service to continue this on release. Due to the challenges of the pandemic, this pathway requires review, this will form one of the Argyll and Bute Community Justice Partnership Priorities for 2022-23, in partnership with the ADP. The ADP and Community Justice continue to work on the development of the pathways for those people leaving Prison and returning to Argyll & Bute. Central to this is the need to ensure all are provided with Naloxone on liberation and continuity of care where OST is prescribed. Argyll and Bute prisoners can be held in a range of prisons and work is ongoing to ensure an equitable approach. Prior to release from prison, contact is made to substance use service providers in order to continue with any clinical treatments in the community. This has worked well for the continuation of prescribed methadone and buprenorphine. A Public Health Approach to Justice
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If you require this document in large font or in an alternative format please contact us in any of the following ways: Argyll and Bute Alcohol and Drug Partnership Comraich, Blarbuie Road Lochgilphead, PA31 8LB In writing: 078 1516 0219 or 01546 604 948Telephone: nhsh.argyllandbuteadp@nhs.scotEmail: https://www.facebook.com/ArgyllandButeADP https://twitter.com/ArgyllADP: :