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Substance Misuse:How Hertfordshire County Council

supports partnership working around substance misuse

Vicki Reid

Crime and Drugs Strategy Manager

November 27th 2007

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What am I going to cover

• Central Government drivers

• Commissioning arrangements in Hertfordshire

• Partnership arrangements in Hertfordshire

• Substance Misuse services for East Herts residents

• Numbers accessing treatment from East Herts

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Central Government Drivers

• National Drugs Strategy (Home Office)

– Tackling supply, Communities (including Criminal Justice Interventions), Treatment, Young People

• National Treatment Agency (Department of Health)

• Government Office Crime and Drugs Team

• Government Office National Treatment Agency

• Drug Action Teams

• Local Area Agreement (Safer Stronger Communities)

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County Commissioning Arrangements

• Adult Drug Treatment Needs Assessment

• Adult Drug Treatment Plan

• Countywide service commissioning

• Adult Joint Commissioning Group

• Young People’s Joint Commissioning Group

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Partnership Delivery Arrangements

• Safer Stronger Performance Group

– Drugs Executive Group

• Crime and Drugs Strategy Unit

– Partnership Support Team

• Crime and Disorder Reduction Partnerships

– Strategic Assessments

– Community Safety Plans

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Substance Misuse Services - EH

Tier 2: Westminster Drugs Project (Hertford)

• Open access drop in, needle exchange, 1-1 key working & assessments, on site nurse

Tier 2 ½: Drug Interventions Programme (Hertford)

• Multi-agency Criminal Justice Intervention team offering prescribing, key working, offender management, aftercare provision

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Substance Misuse Services - EH

Tier 3: Hertsreach (Hertford)

• Structured day care, Drug Rehabilitation Requirement, Alcohol Treatment Requirement

Tier 3: CDAT (Ware / Bishops Stortford)

• Prescribing, BBV testing / immunisation, 1-1 key working, assessment & referral to detox / rehab

Tier 4: Vale House Residential Rehabilitation (Hertford)

• Residential rehabilitation addiction centre (not solely for East Herts residents)

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Numbers accessing treatment - EHAdult Treatment – Q1&2 (County Average)

Numbers in treatment - 111 (108)

Male : Female - 70:30 (70:30)

White British - 89% (82%)

Drug Interventions Programme - Q1&2 (County Average)

Assessments – 30 (29)

Caseload – 21 (20)

Engaged in treatment - 12 (13)

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Substance Breakdown / Gaps - EHReported primary drug used (bear in mind Tier 3 data):

Heroin - 65% (72)

Other - 11% (12)

Cannabis - 10% (11)

Crack - 7% (9)

Cocaine - 4% (4)

Methadone - 3% (3)

Gaps in provision – specific alcohol / stimulant services

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Any questions…?

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thank you