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CORPORATE ACTION PLAN WESTERN ISLES PART C – THE PLAN (2003/2004) UK Aim (i): Young People – To help young people resist drug misuse in order to achieve their full potential in society. UK Key Objective: Reduce the proportion of people under 25 reporting use of illegal drugs in the last month and previous year. Scotland's Objectives 1. Establish a consistent, co-ordinated, evidence-based approach to drug education, prevention and harm reduction which takes account of individual and community needs. 2. Implement education strategies and initiatives and provide public information which increase knowledge and promote avoidance of drug misuse. 3. Reduce the acceptability and incidence of drugs misuse among children and young people. 4. Ensure that every school pupil in Scotland has effective drug education including accurate and up-to-date information on the consequences of drug misuse. 5. Reduce the harm arising from drug misuse and in particular by encouraging positive alternative lifestyles. 6. Increase access to information and services for vulnerable groups including school excludees, truants, looked after children, young offenders, young homeless, very young children at risk of drug misuse and children of drug misusing parents Scotland’s and DAT Targets and Standards Targets: A. To reduce the proportion of people under 25 reporting use of illegal drugs in the last month and previous year substantially, and heroin use by 25%, by 2005. Standards: B. All schools to provide drug education to every pupil and to have written procedures for managing incidents of drug misuse, in line with national advice, by 2002. (Target date relates to academic year 2002, ie June 2003). C. All local authorities to have an agreed written policy on drug misuse applying to community education settings, covering drug education and the management of incidents of drug misuse, by 2002. (Target date relates to academic year 2002, ie June 2003). D. All DATs and Area Child Protection Committees to have in place local policies on support to drug misusing parents and their children, in line with national guidance, by 2002. National guidance on support to drug misusing parents and their children was published by the Scottish Executive in 2001. (The final guidance, following consultation, will be issued in Spring 2003). Element Drugs education in schools (Includes all substances) Action Undertaken 2002/03 Curriculum planners issued to all schools with detailed guidance on planning and carrying out drug education. Resources to support drug education supplied to each school. Written procedures for managing drug-related incidents in schools. Address within the ‘Police, Drugs, Health & the Community, multi-agency seminars currently in progress. Include in future S3-S6 head-teacher training. Drug Education in Schools Delivered drug education, in liaison with New Community Schools to sec school pupils in Lewis and Harris through the medium of drama. Consistency of approach to substance misuse education, prevention and harm reduction. Community learning and development settings Training for multi-agency pool of drug educators to work across settings via STRADA Introductory Module Knowing Where To Start. Delivered twice. Liaise with Community Education Service. Multi-agency working party (CnES, ADSAT, Police) currently addressing policy requirement. Planned Action 2003/04 Deliver training in Drugs and Alcohol to all Secondary Head Teachers, Secondary School Guidance staff and other agencies in liaison with SAD. Police to provide schools with a central first point of contact in order to ensure Head Teachers in the Western Isles a consistent and uniform response when handling incidents of drug misuse in schools. Include in SAD Secondary Schools drug and alcohol training programme. (Sep/Oct 2003) Drama group to visit Sec Schools in Uists and Barra. Communication: media release re drama tour – pictures issued Follow up in-house training for STRADA participants in models of best practice when working in schools Policy written by multi-agency working party and due to be approved by Local Authority Legal Services Dept. Summer 2003. Communication: Media release re policy and its creation Timescale October 2003 Approx Cost & Source £2800 Education Dept £6185 SAD NCS Health Promotion By 2004 As above March September 2003 By 2004 March Aug 2003 ADSAT NCS £2500 Education Department £125 ADSAT £300 ADSAT Community Education £125 Support to drug misusing parents and their children. Services for under 16’s, including target groups The Western Isles Child Protection Committee are in the process of establishing a CP Training & Dev Officer (Sept 2002). With priority to review CP procedures and guidelines and incorporate a policy of response on support to substance misusing parents and their children. A multi-agency training event was delivered locally addressing effective intervention methodologies (Dec 2002) Provide a ‘needs led’ supported accommodation service to young people from the Western Isles who are homeless or who have housing difficulties. (Case load of 6 young people 16-21years) Drug education and the management of incidents of drug misuse Domestic Abuse Ceum Eile Air Adhart (Another Step Forward) Appointment to post Feb 2003. Policy to be put in place by march 2004. Local seminar arranged for June 2003 addressing youth crime; domestic violence and alcohol/drugs issues affecting young children and families. This will continue a programme of training focussed on the effects of substance misuse on children and families. The CPC’s co-ordinator in liaison with the DDO to draw up training programme on a wide range of issues which will incorporate substance misuse aspects. Communication: media releases re seminar and new post – local radio to be involved in coverage of/reaction to seminar. Ongoing March 2004 April 2004 £35000 (£30000 Change Fund) £5000 ADSAT Provide training to identified independent youth workers in the procedures for managing incidents of drug misuse in informal settings. March 2004 ADSAT £200 Northern Constabulary Support to families regarding Domestic Abuse and Under age drinking. 2 Year project established with specific SE Youth Crime Prevention funding delivered in partnership with Social work, NCH and other relevant agencies. Communication: special feature based on this work prepared and issued to local media. June 2005 CnES Social Work Dept Perceived Priorities 2004/05: With an emphasis on prevention, ensure that drug use in 13-16yr olds continues to decrease or at least remains level as reported in ISD survey 2001. CnES NHS Board Northern Constabulary Voluntary Agencies £125 ADSAT £150 ADSAT Explore more intensive services for young polydrug using adults particularly those experiencing problems with benzodiazipine use (esp. diazepam). (As identified in developing shared care arrangements) UK Aim (ii): Communities - To protect our communities from drug related anti-social and criminal behaviour. UK Key Objective: Reduce levels of repeat offending amongst drug misusing offenders. Scotland's Objectives 1. Strengthen and protect communities from drug related crime and the fear of drug related crime. 2. Reduce the level of drug misuse in prisons. 3. Develop constructive alternatives to prosecution and imprisonment for offences related to drug misuse problems. 4. Support partnerships between professionals, local people and businesses in the development of local initiatives for tackling drug misuse. 5. Promote drug awareness and the development of drug policies and health promotion within the workplace. 6. Ensure that drug misuse is addressed within the wider context of area regeneration and social inclusion. Scotland’s Targets and Standards Targets: A. Reduce repeat offending by increasing the number of drug misusing offenders entering treatment from criminal justice diversion and community disposals, by 40% by 2004. (Achieved at national level). B. Reduce the proportion of drug misusers who inject by 20% by 2005. Local Targets A Increase the use of the alternatives to prosecution scheme and increase the use of community disposals B Maintain present situation i.e. no reported injecting drug misusers (Target should be quantified) Standard C. All DATs with Social Inclusion Partnership and Community Safety Partnerships to have mechanisms in place for joint working, by 2002. (Achieved). Element Criminal justice Social Work interventions Action Undertaken 2002/03 Continuation of CAR programme, based on the SACRO/ Orkney Social Work model. Planned Action 2003/04 Ongoing. Introduction last year has made a significant contribution to raising awareness of drink driving. Too early at this stage to measure impact on the reduction of incidents. Future study needed. Drug misuse in prisons/ Prison throughcare Increase liaison/contact with local Drug Strategy Coordiantor. (HMP Inverness). Establish link with Cranstoun Drug Service and relevant agencies within the Western Isles. Communications sub-group involving business community in development of strategy. Encourage financial contribution from business sector. Improve linkages for clients on release from prison and establish contract arrangements with agencies Training in transitional care scheduled for May 2003 by Cranstoun Drug Service. Business involvement Education, training and employment opportunities Liaison with Local Authority personnel – training of staff. 1 seminar (Lewis & Harris) 1 seminar (Uists & Barra) occupational health Liaison with newly revitalised Western Isles Chamber of Commerce. Direct contact with major employers to raise profile of the main issues concerning ADSAT. Develop work already completed to encourage financial support for particular initiatives. Overall media release campaign including releases on Outreach services, Headteacher Training and Referral project to further impact on business perception of activity. Poster campaign – seek direct business sponsorship. Scotland’s Health At Work facilitator appointed June 2002. As part of SHAW silver criteria, organisations are expected to implement alcohol and drug policies. 2 Private companies to receive further drug and alcohol training as part of 3 year review by March 2004. Other organisations, newly signed up to scheme. On completion of bronze award, will explore issues to be considered as a consequence of implementing workplace alcohol and drug policies. Timescale Ongoing, pending sufficient number of referrals. May 2003 Approx Cost & Source Total of £2000 per annum from SW criminal justice services budget and Northern Constabulary Cranstoun £900 March 2004 Employers Health Promotion Northern Constabulary Community development / strengthening Communications work CSP shared membership with ADSAT. Community Safety Plan written in conjunction with ADSAT Action Plans. Increased involvement in School Drug Education programme in two of three SIP (‘Initiative at the Edge’) areas. a) Information about the risks of drug taking and overall situation locally was included in the ADSAT New Year double-page feature in the local newspaper aper and in community newspapers. b) More detailed information was distributed as part of the sponsorship of the Lewis and Harris Sports Festival and the Uist and Barra Football League. This included the distribution of nationally produced publicity material and a local newsletter. c) Plans were drawn up for direct publicity about the exact details of local services and service providers School Drug education now delivered in all three SIP areas Ongoing Organisation and holding of an experience-sharing, issue-raising, strategy conference for ADSAT, its subgroups and others involved in aspects of community development and safety Assessment of the impact of local publicity and information services Additional media releases highlighting the work of ADSAT and its various related groups The focus of the information strategy will switch away from the aim of general recognition of the problems and of the existence of ADSAT, to concentrate on improving understanding and information about the services on offer. This will involve work with the general public and also with the agencies involved, including the economic development groupings in rural areas. This will involve further use of newspaper features, particularly in community publications, as well as leaflets and related information posters £1000 CnES WINHS Board WI Enterprise Northern Constabulary WI Licensed Traders WI Tourist Board £2000 Set up Family Support Group for families/carers of drug misusers Group set up April 2003. Provide information on national support networks. Initial support with set up, venues, catering, advertisements, other sundries. April 2003 £500 ADSAT Alternatives to Prosecution scheme/use of community disposals Aim to increase availability of probation as a sentencing option through court and the sentencers. Provide information about services available locally for offenders who have alcohol/drug problems so that appropriate supportive interventions are maximised i.e CAR programme resulting in an increase in clients sentenced to more focussed and appropriate alternatives. Numbers relatively low makes realistic target setting difficult. Establish links between ‘Moving On’ and ‘New Future’ initiatives. Employment service, WIE, Careers Scotland, CnES Housing Department. Community guidance model. In house Drug and Alcohol training with Employment Service specialist workers scheduled for 2003. On going CnES Social Work criminal justice services budget and Northern Constabulary 2003-2006 WIE (New Future £30k per annum) CnES Housing ADSAT Employment Service Police Careers Service Ensure that drug misuse is addressed within the wider context of area regeneration and social inclusion. Perceived Priorities 2004/05: Increase level of partnership working, joint planning and corporate budgeting. Establish closer working links with Community Plan, hence ensuring strategic congruence. Establish links with Business sector particularly through Employment Service and training agencies. (Moving On, Progress 2 Work) UK Aim (iii): Treatment - To enable people with drug problems to overcome them and live healthy and crime-free lives UK Key Objective: Increase participation of problem drug misusers, including prisoners, in drug treatment programmes which have a positive impact on health and crime. Scotland's Objectives 1. Reduce the health risks to individuals and communities from drug misuse, and reduce related infectious diseases. 2. Increase the number of drug misusers becoming and remaining drug free, and promote their inclusion in society. 3. Reduce the incidence of injecting, sharing and polydrug misuse among drug misusers. 4. Reduce the number of drug related deaths. 5. Increase the proportion of drug misusers in contact with services, including those in prison, through the development of good, accessible, responsive and effective services. 6. Reduce the numbers of drug misusers who have no quick access to appropriate treatment. Scotland’s Targets and Standards Targets: A. Reverse the upward trend in drug-related deaths and reduce the total number, by at least 25% by 2005 B. Increase the number of drug misusers in contact with drug treatment and care services in the community, by at least 10% every year until 2005. C. Reduce the proportion of injecting drug users sharing needles and syringes by 20% by 2005, and reduce the percentage of injecting drug users testing positive for hepatitis C, by 20% by 2005. Local Targets: A Continue to maintain present situation i.e. low incidence of drug-related deaths B Increase service contacts by 10% in present ISD reports (Target should be quantified) C Continue to maintain present situation i.e. no reported injecting drug misusers Standards: B. Every Local Health Care Co-operative or Primary Care Trust to have a locally approved shared care (or equivalent) scheme, by 2004. C. All DATs to ensure that drug misusers aged under 16 have access to drug treatment and care services which are in line with national guidance, by 2004. Element Shared care services Action Undertaken 2002/03 Develop shared care arrangements with Shared Care Facilitator and Uists Substance Misuse Community Worker. Specialist services As above. Worker in post Jan 2002. Approx 67% client (user) focussed and 33% developing protocols/ joint up working/pathways of care/ GP’s/ Agencies etc Harm reduction / needle exchange Advice and information given at APU, Western Isles Hospital No uptake of Needle Exchange to date Support Domestic Abuse Forum re victims of drug and alcohol related violence. Domestic violence Planned Action 2003/04 Timescale Awareness raising, training on and Implementation and monitoring of Shared Care System Sept 03 – Jan 04 then ongoing. Concerted effort in Uists to increase contact with services in specific target groups (young people, women, returning prisoners). 2002-03 (28 new clients total) Target 10% = 31clients. (Already in excess of ISD reports: 43 in all Island Boards) Increased awareness of needle exchange scheme via shared care protocols and consultation meetings. Domestic Abuse Service Development Co-ordinator appointed June 2002. Multi agency training planned to raise professionals’ awareness about DA and its effects. Raise community awareness via publicity/information campaign. Jan 2002 Feb 2005 - Jan 2003-July 2003 March 2004 Approx Cost & Source £79,000 (ADSAT Treatment and rehab see Part C Resources) £42,000 (as above) ADSAT £300 £5000 ADSAT (2002-03) Support the work of the Community Safety strategy in its efforts to reduce alcohol and drug misuse in the community. (Local Target B) Local Target B: Enable people with drug problems to overcome them and to live healthy and crime free lives by developing joined up services to provide a more effective service for users. (Local Target B) Obtain a clearer picture of drug misuse in the community and clients accessing services (official recording methods) Contribute to the Community Safety Team’s development of outreach facilities for problem substance misusers who are currently not being accessed by existing agencies or presenting to treatment and rehabilitation services 2003-2006 £19400 (Community Safety) £2500 ADSAT CnES Community Education Develop an Arrest Referral scheme offering an opportunity to drug users who have been arrested to engage with drug treatment and/or other appropriate services with a view to reducing their offending behaviour. (Target: 20 arrestees) June 2003May 2004 Application for funding (£2000 treatment) (£1000 training of AR workers/police) Encourage treatment services to improve their reporting methods. (Regularity of reporting). Ongoing ADSAT NHS CnES Voluntary Orgs Perceived Priorities 2004/05: Establish Arrest Referral scheme and increase numbers of drug users in treatment services. UK Aim (iv): Availability - To stifle the availability of illegal drugs on our streets UK Key Objective: Reduce access to drugs amongst 5-16 year olds Scotland's Objectives 1. Reduce access to drugs amongst all age groups. 2. Enforcement agencies to continue to identify, investigate and obtain evidence for the prosecution of persons engaged in drug trafficking and supply. 3. Reduce the amount of drugs entering Scotland by targeting distribution networks and dismantling organised trafficking. 4. Support constructive community involvement in reducing the availability of drugs locally. 5. Reduce the availability of drugs in prisons. Scotland’s Targets and Standards Targets: A. To reduce the proportion of young people under 25 who are offered illegal drugs significantly, and heroin by 25%, by 2005 B. Increase the number of drug seizures, by 25% by 2004. C. Increase the number of offences recorded by Scottish police forces for supply or possession with intent to supply drugs, by 25% by 2004. Local Targets: B Increase police activity on drug seizures by 10% through intelligence led policing (Target should be quantified) see below C Increase police activity on supply or possession with intent to supply by 10% through intelligence led policing (Target should be quantified) see below Element Support constructive community involvement in reducing the availability of drugs locally Action Undertaken 2002/03 A programme of events organised involving various agencies to address the reduction of the availability of drugs and drug related crime in the community. Communication: Know the Score logos and/or material was included in the publicity material outlined above. Publications produced nationally were also distributed locally through sports centres etc Planned Action 2003/04 Continued joint working with police in raising community awareness. As to the effects of drugs and alcohol on the community, parents’ evenings/adult learning forum/community partnerships. Communications Strategy 2003-04 addressing community participation with links to national campaign. Communication: Local leaflets/posters prepared and distributed and incorporated with national campaigns. (SDEA) Timescale April 2003March 2004 Approx Cost & Source £600 ADSAT Health Promotion Service Northern Constabulary B Increase police activity on drug seizures by 10% through intelligence led policing Number of seizures: 2002: 88. Target: 2003= 97 C Increase police activity on supply or possession with intent to supply by 5% through intelligence led policing in order to meet national target of 25%. ie Western Isles Command Area target 2003: 92 offences detected Additional media releases highlighting the work of ADSAT and its various related groups. Organisation and holding of an experience-sharing, issue-raising, strategy conference for ADSAT, its subgroups and others involved in aspects of community development and safety Assessment of the impact of local publicity and information services Jan2003-Dec 2003 Jan2003-Dec 2003 Northern Constabulary March 2004 £2000 ADSAT/ subgroups (Communication subgroup) Health Promotion Northern Constabulary Personal links were established with local media as part of the communications strategy. The concept of ADSAT being involved in publicity became accepted by the local and community media Drugs Seizures Drugs Offences Support constructive community involvement Partly through the delivery of ‘Police, Drugs, Health & Community’ multi-agency training sessions throughout islands resulting in a more structured relationship between ADSAT/ Subgroups and Northern Constabulary Drugs and Community Liaison Officers. Northern Constabulary Injecting drugs Special operation Perceived Priorities 2004/05: As in 2003-04, ensure availability of drugs for injecting purposes remain low. Assist Northern Constabulary Drug Officers and Police Community Liaison Officers in their efforts to ensure availability of drugs for injecting purposes remain low. Use of National Intelligence Model: no increased reports of availability, therefore no specific measures being taken Operation HAAR targeting underage drinkers throughout Western Isles. Reviewed by Tactical Tasking and Co-ordinating Group. (TTCG) every 46weeks. On going ADSAT Northern Constabulary Launched April 2003 Northern Constabulary PART C: RESOURCES DIRECT SPEND by partner organisations. DIRECT SPEND information should be provided at NHS Board or Local Authority Level. Those Action Teams which cover only part of a Local Authority, or which are one of a number of Action Teams in a NHS Board are not required to separately identify expenditure at Action Team level. a) NHS Board(s) NHS Board Category of Spend 2002/03 budget (inc. carry forward where appropriate) Spending review addition 2003/04 likely budget (inc. carry forward where appropriate) Western Isles NHS Board Training, Education and Resources Communication Strategy Treatment (Towards 2 joint funded posts (CnES & NHS Board): Uists Substance Misuse Community Worker and a Substance Misuse Coordinator). £18880 £68571 £10880 £ 8000 £68571 Total £87451 £87451 b) Local Authority (ies) Local Authority Category of Spend Comhairle nan Eilean Siar Rehabilitation (Towards 2 joint funded posts (CnES & NHS Board): Uists Substance Misuse Community Worker and a Substance Misuse Co-ordinator). £37000 2003/04 likely budget (inc. carry forward where appropriate) £37000 Total £37000 £37000 Other sources and amounts of direct spend on drug misuse, if available: 2002/03 (inc. carry forward where appropriate) Please identify source (e.g. SIP, CCSF, charitable foundation, etc.) Source: Category of Spend 2002/03 2003/04 likely amount Source: Category of Spend 2002/03 2003/04 likely amount Source: Category of Spend 2002/03 2003/04 likely amount Source: Category of Spend 2002/03 2003/04 likely amount Source: Category of Spend 2002/03 2003/04 likely amount Source: Category of Spend 2002/03 2003/04 likely amount 2002/2003 SPENDING REVIEW ADDITIONS a) NHS Board(s) How did the relevant NHS Board(s) spend their allocation of the 2002/2003 Spending Review additional treatment resources? Please include all resources carried forward from 2001/2002. NHS Board Total Amount Category of Spend Outputs Western Isles NHS Board N/a N/a N/a b) Local Authority(ies) How did the Local Authorities in the Action Team area spend their earmarked resources for drugs rehabilitation in 2002/2003? Please include all resources carried forward from 2001/2002. Local Authority Total Amount Category of Spend Outputs Comhairle nan Eilean Siar £37000 Towards 2 joint funded posts (CnES & NHS Board): Uists Substance Misuse Community Worker and a Substance Misuse Co-ordinator. New posts appointed January 2002 and (July 2002)