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What Services Are Saying April Shaw March 2009 Survey Questions Covered • • • • Illicit Drug Use Polydrug Use Costs, Purity & Availability Changes in client profiles 6 8 Clients Age • 10 ‘no difference’ • 7 ‘Younger’ • 4 ‘Older’ Ethnicity • 15 ‘no change’ • Eastern European • Asian (women) Gender • 12 ‘no difference’ • 5 ‘more females’ • 2 ‘more males’ Employment Status • 14 ‘no change’ • 5 cocaine, steroids, GHB Clients 2nd and 3rd generation substance use Clients with mental health/ dual diagnosis issues Clients homeless or with urgent housing issues More challenging behaviours, especially among 18-30 year olds Drugs Used 46% change in drugs used • Benzodiazepines • Cannabis - young people • GHB • Methamphetamine Poly Drug Use 40% change poly drug use • Diazepam, heroin, alcohol • Heroin, crack cocaine, benzos (methadone) • Amphetamines and heroin • alcohol, MDMA, cocaine Route of administration 16% change route of drug use • increased injecting femoral younger female Drug Use Adverse consequences • Heroin • Diazepam Injecting injuries Hepatitis C Overdose mental health aggression criminal activity • Cannabis Mental health Internet Prices, Purity and Availability Prices • 42% change Purity • 56% change Availability • 66% change Avg. Price Herbal Cannabis –standard grade (oz) £86 Herbal Cannabis –good quality e.g. skunk (oz) £132 Resin Cannabis (oz) £50 Ecstasy/MDMA (per ill/crystal/powder) £2 per pill / £60 per gram Amphetamine (gram) £10 Diazepam (per pill) 50p per 5mg / £1 per 10mg Heroin (per gram/bag) £10 bags / £50 -100 per gram Cocaine (gram) £44 Crack (average) per rock £10 – 20 (weight not consistent) Finally… Benzodiazepines Alcohol Prices stable • Cocaine