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Implementing an integrated response to Drug and Alcohol Issues

• Who is our client group/s?• How do we know what the need is?• Do we know what works?• Setting outcomes • Measuring impact• Monitor and review

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Who is our client group/s?

YP in CJS

‘PRU’s or similar

Universal prevention

settings

YP in care

Young Users or C.o.U. Young Carers

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How do we know it is an issue?

Survey data

JSNA / Reviews

National Statistics

National / local targets

Guidance

The evidence base

Local treatment data

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Why address drugs and alcohol in schools?DfE Drug Advice for Schools 2014“education is one of the most effective ways of preventing drug and alcohol misuse. It should: -provide accurate information on drugs and alcohol through drug education-should be part of a well-planned programme of PSHE education -tackle problem behaviour in schools-Give staff should have access to high quality training and support.”

OFSTED explicitly look for how school support young people to address risk in SMSC inspections

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Why address drugs and alcohol in schools?

DfE Drug Advice for Schools 2014

“Some young people are more at risk of developing substance misuse problems than others…Such groups of young people at risk require a more targeted approach to help prevent drug or alcohol misuse.”

“Exclusion should not be the automatic response to a drug incidents and permanent exclusion should only be used in serious cases. Schools can have a key role in identifying pupils at risk of drug misuse. The process of identifying needs should aim to distinguish between pupils who require general information and education, those who could benefit from targeted prevention, and those who require a detailed needs assessment and more intensive support”.

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What are Priority Issues…

2

…Different perspectives – same goals?

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Cost Benefits of Early InterventionFinancial Savings on:Exclusions per child per year

£15,000 Treatment: per young person average intervention £40,000£1 spent = £5 saved

Social Savings:Increased attendanceImproved attainmentReduced criminalisationReduction in assistance and staffingMore resilient young peopleImproved outcomes for young people

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Part 2Putting it into practice

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Particpation and

Engagement

Establish Need

Respond to need

Measure impact

Policy

Education

Support for VYP

PartnershipsCommunity

Establishing a Dynamic Process

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The multi component approach

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• School Drug Policy development• Planned and evaluated drug education programme• [Better] use of baseline data• CPD• Community involvement• Improved partnership working• Better safeguarding and early identification/early help

processes• Alternatives to exclusion for DA incidents• Accreditation and verification

DrugAware Programme Supports…

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DrugAware Evidence

QualitativeQuantitative

ModeratedDataVibe Survey

ReferralsTraining interval

measures

DataVibe Survey

DocumentryPhotographic

ObservationCross Reference

DiscussionAgainst criteria

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Adults Children and Young People

Drug and Alcohol / PH Commissioning

Young Carers

YP In known settingsParents and families NEETS

Hidden Harm Services

Assessment pathway / tools

Mainstream and target education

Hidden Harm Services

YPDASRetaining inclusion

Awareness raising

Policy EthosPartnership and Participation

Culture change

More Resilient young peopleBetter Referrals Better

outcomes

Overall commissioning structure

Drug and Alcohol Treatment

Drug Education and

Prevention

Early HelpTreatmentEarly Identification

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• Effective Partnership umbrella• Builds communities of practice• Ensures complete approach • Is measurable and monitored• Is very cost effective• Is embedded in existing resources• Can be externally or internally verified• Provides clear data for further commissioning/

JSNAs etc

World Class Commissioning

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• Quality Assurance (can be applied in multiple environments)• Online environment: allows addition of remote planning and validation• Moderation visits – existing PH / health promotion/education/PSHE

specialists• Training within central training team and healthy schools• DataVibe online baseline, planning and evaluation surveys for

curriculum provided – also includes data for furture commissioning• Nominated school drug worker within existing service • Provides options for plugging into safeguarding – eNgage Toolkit• Can be remotely monitored by CDP (commissioners)

Commissioner Friendly Resources

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Testimonial Jamie Pennycott, Southend-on-Sea Drug and Alcohol Commissioning Team (DACT)

We were attracted by the “off-the-shelf” nature of the DrugAware scheme, which provided not just a full suite of quality development and educational resources and excellent training, but also a clear set of practice standards which schools would work towards.

Alongside these, tools such as the anonymised online student survey provide schools with the ability to effectively audit the likely needs among their students while also providing us as commissioners with a much greater insight into the local young people’s substance misuse profile than we have had previously.

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From our perspective, the cost of investing in DrugAware is significantly less than the cost of an average adult’s specialist treatment journey, so if the scheme is effective in diverting at least one person from future substance misuse then it more than pays for itself.

we chose not to recoup the cost from schools but even then it would not be prohibitive to them at less than £200 per school)

The initial findings (using the proxy indicators such as increased referral for early intervention and increased resilience skills in young people) are very promising and we have re-commissioned the scheme at only 20% of the initial license for a further 2 years, receiving regular updates to ensure we remain current through our own web portal as part of the commission.

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I would highly recommend any commissioning body or implementing

measures in schools (or individual organisations or groupings) to use this

programme.

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DrugAware Programme:Engagement

2011 2012 2013 2014 2015 20160

20

40

60

80

100

120

on board primon board secon board SENon board PRU

Reaccreditation Rate (of those engaged)• Primary 96%• Secondary 85%

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Independent Recognition for DrugAware

Handout

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Findings and Data from the DrugAware Programme

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Overall Comparison‘DrugAware’ Schools (whole school programme) 31.11%Other Schools (curriculum only)

28.22%

DrugAware FindingsThe DATA – how it is collected with DataVibe Survey• Overall ‘desirable answers’ identified for whole key stage• Single Y5 or Y9 groups baseline programme• Use data as

• A. Benchmark to design learning for whole key stage• B. Identify key learning for next cycle Y5/9

• Follow up on identified learning for Y5/9 (expect roughly third of outcomes (33%) to be covered after programme in any year division

• Follow up focuses on learning components for the test year• Remaining learning outcomes spread across Key Stage as appropriate

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Primary Phase

Secondary Phase

Caffein

e use

every

day

Inten

tion t

o smok

e - no

t at a

ll

satis

factio

n with

prog

ramme

neve

r bee

n drun

k

heard

of dr

ug se

rvice

s

confi

denc

e to r

efuse

alco

hol

confi

denc

e to r

efuse

drug

s0

20406080

100

before after

Alcoho

l use

Want to

quit s

moking

Canna

bis "I

used

to / s

toppe

d"

heard

of dr

ug se

rvice

s

satis

factio

n with

prog

ramme

confi

denc

e to r

efuse

alco

hol

confi

denc

e to r

efuse

drug

s0

20

40

60

before after

Snapshot of some key indicators*

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Improved early identification / help

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Educational ‘soft skills’ DataConsider situation risky 46% < 62%Sample responses: follow up• set the house on fire• The smoke could go into the children's lungs, and cause cancer.• second hand smoking-cancer

Consider situation risky 32% < 45%• Sample responses: Follow up• because you might get a needle in you• get pricked by a siyringe

Primary data: Year 6

Consider situation risky 45% < 55%• Sample responses: Follow Up• could drink alcohol• They might not know what the drink is or what is in it.

Consider situation risky 19% < 26%Sample responses: Follow Up• she is spraying a lot of deodrent and there are no windows

open she could breath it in• She might inhale the solvent.

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Increase in mention of risksSTD/STIunprotected sexdo things they regret.drunk - not give consent [rape]

Perception of RiskDefinitely 14 – 17%Possibly 36 – 42%

Perception of RiskDefinitely 34 – 41%Possibly 26 – 28%

Increase in mention of risksMugging or robbing Attacked /beaten /shankedAccidents

Secondary data: Year 9

Increase in mention of risksRape / sexual assaultBe a target / distractedVulnerable

Perception of RiskDefinitely 31 – 39%Possibly 24 – 28%

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Success breeds success..Using DrugAware

to develop Communities of Practice

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Review and Onward Development– Ngage Toolkit / eNgage Online/ with referral

integration– Development of Tutor Time secondary materials– PSHE Association Accreditation – Development of targeted programmes and material

with partners– DrugAware Associate Programme– Partnership operational planning meetings– Shared verification/monitoring with partners

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• Full corporate to small group/individual DrugAware Programme Packages (incl all resources and licenses for online tools)– Materials for each component including classroom resources,

presentations, comms, engagement etc– License for DataVibe drug surveys for all participating schools– Parent interventions– Web portal news and updates– Personalised webportal for corporate contracts– Training materials / T.T.T.– A plaque on accreditation and certificates or plaque artwork for

corporate packages– All branded materials and quality mark artwork for publicity leaflets

and promotional materials

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Thanks for your time

www.thedrugawareaward.co.ukwww.character-uk.org/shop

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DrugAware Findings: Primary

1. Not at all likely to smoke in the future 2. Will get no respect for smoking from mates 3. What do you think of the information and advice you get on alcohol?: (Resp – Good enough)4. What do you think of the information and advice you get on drugs?: (Resp – Good enough) 5. Identify sources of support: School nurse

Primary data: Year 6

1 2 3 4 50

10

20

30

40

50

60

70

80

90

BaseFollowup

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1. Identify sources of support: YP drug 2. Identify sources of support: School counselor3. Number who would ‘not touch and tell adult’ if they found something that could be a drug4. Confidence to handle situation / refuse offer of smoking (resp “ very confident”)

5. Confidence to handle situation / refuse offer of alcohol (resp “ very confident”)

6. Confidence to handle situation / refuse offer of drugs (resp “ very confident”)Primary data: Year 6

DrugAware Findings: Primary

1 2 3 4 5 60

10

20

30

40

50

60

70

BaseFollowup