Exploring the future Exploring the future

role of servicesrole of services

Dave LiddellDave Liddell

11 The scale of the problemThe scale of the problem

22 Evidence of impactEvidence of impact

33 Making Sense of the wider Making Sense of the wider

picturepicture

44 The future role of The future role of

servicesservices

The Scale of the problemThe Scale of the problem

11 50,000 problem drug users50,000 problem drug users

22 100,000? Vulnerable young people100,000? Vulnerable young people

• Young people who are:-Young people who are:-

• HomelessHomeless• Looked After by the local authorityLooked After by the local authority• Sexually abusedSexually abused• Engaged in the sex industryEngaged in the sex industry• Cared for by parents who have a substance misuse Cared for by parents who have a substance misuse

problemproblem• Early school leavers/regular truants from schoolEarly school leavers/regular truants from school• Experiencing mental health problemsExperiencing mental health problems• Living in a family were there is significant criminal Living in a family were there is significant criminal

activityactivity• Hyperactive or are diagnosed as ADHDHyperactive or are diagnosed as ADHD

Evidence of impactEvidence of impactSource : Beckley Foundation Drug Policy Programme Reducing drug related Source : Beckley Foundation Drug Policy Programme Reducing drug related

crime: an overview of the global evidence(2005)crime: an overview of the global evidence(2005)

Level of Level of preventionprevention

Cost-effectiveCost-effective PromisingPromising Probably not Probably not cost-effectivecost-effective

PrimaryPrimary Situational crime Situational crime preventionprevention

Poverty reductionPoverty reduction Drug law Drug law enforcementenforcement

SecondarySecondary Support to Support to families and families and childrenchildren

Some school Some school based education based education initiativesinitiatives

Most drug Most drug educationeducation

TertiaryTertiary Drug treatmentDrug treatment Alternatives to Alternatives to imprisonmentimprisonment

Large scale Large scale imprisonmentimprisonment

Making sense of the wider picture (1)Making sense of the wider picture (1)

'Delivering for Health' reduce inequalities in 'Delivering for Health' reduce inequalities in

deprived communitiesdeprived communities

Social Work - 21st Century Review Social Work - 21st Century Review

Joint Futures - Health & Social Work Joint Futures - Health & Social Work

Communities Scotland & Community Planning Communities Scotland & Community Planning

Partnerships – Health & Community Safety Partnerships – Health & Community Safety

Criminal Justice Authorities Criminal Justice Authorities

Antisocial Behaviour etc. (Scotland) Act 2004Antisocial Behaviour etc. (Scotland) Act 2004

Housing – stock transfer, hostel closure and ‘right to Housing – stock transfer, hostel closure and ‘right to

buy’ buy’

Making sense of the wider picture (2)Making sense of the wider picture (2)

Scottish Executive Drugs Division move from Health to Scottish Executive Drugs Division move from Health to CriminalCriminal

Justice. Improve links between Drug Treatment Services Justice. Improve links between Drug Treatment Services and: and:

1.1. Criminal Justice Agencies Criminal Justice Agencies

2.2. Local CommunitiesLocal Communities

Action Plans – Hep C, Drug-Related Deaths & Hidden Action Plans – Hep C, Drug-Related Deaths & Hidden Harm Harm

Employability Framework – NFFI, Progress2Work, Employability Framework – NFFI, Progress2Work, benefit changesbenefit changes

Drug Services – Quality Standards & Outcome MeasuresDrug Services – Quality Standards & Outcome Measures Social Work Inspection Agency (SWIA) – drug and Social Work Inspection Agency (SWIA) – drug and

alcohol inspectionsalcohol inspections

Making sense of the wider picture (3)Making sense of the wider picture (3)

Sure Start Scotland Sure Start Scotland Getting Our Priorities Right & Hidden Harm Getting Our Priorities Right & Hidden Harm Joint Inspection of Children's ServicesJoint Inspection of Children's Services Increased media and public focus on child safety

rather than broader child welfare (death of Caleb Ness)?

Foster Care Recruitment Crisis? Role of social work children and family teams

increasingly difficult Staff morale, crisis management

Future role of servicesFuture role of servicesChildren’s servicesChildren’s services

Need for Improved response to the most vulnerable

Key issues

Attitudes/ training

Resource Targeting v Crisis Management

Better engagement with the most vulnerable young people and the their

parents/carers

Better links with adult services

Greater use of local resources/people in areas where problems most concentrated

For examples:

Widen financial support for Kinship Carers e.g. GCC decision for carers of 1128

children

& young people.

Recruit “Foster Grandparents” – developmental role for New Deal 50 plus or

Volunteer

Development Scotland.

Future role of servicesFuture role of servicesYoung people’s drug servicesYoung people’s drug services

Database of 214 Specialist Drug Services in Scotland

80 agencies claim to offer a service to Under 16’s –

approx. 50/50 split between Vol. & SW/Health

There is a need for:-

1 increased resources, security of funding

2 National coverage and a consistent quality and general

approach

3 Improved support and partnership working with adult

services

4 Work with looked after/young people leaving care

Future role of servicesFuture role of servicesTreatment and care servicesTreatment and care services

Significant funding began in Scotland 20 years ago with

community/social focus

Have had various shifts in emphasis.

Community/social ► Health ► Criminal Justice ► Community/social?

There is an emergence of a wider role for treatment and care services

Family focus

Employability

Housing/accommodation

Future role of servicesFuture role of servicesTreatment and care servicesTreatment and care services

Family Engagement Workers – national funding required to

offer

support and bridge gaps between Parents, Children & Family

Services & Drug Agencies.

59 agencies offer “outreach clinics”

What do outreach services look like?

More lower threshold treatment services to avoid drug users

engaging in harmful behaviour to meet service criteria!

ConclusionsConclusionsVulnerable Young people – improved services prior to drug problems

Emerging

Young people’s drug services – ensure national coverage of quality

provision

Adult treatment and care services

– improved accessibility (outreach models)

- development of family focus and wider holistic services

How do we get there?

More ambitious vision re drug prevention

Peter Bates scoping exercise and DAAT review

Parliamentary inquiry?