Why invest? Alcohol and drugs prevention, treatment and recovery
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Alcohol and drugs
prevention, treatment
and recovery:
why invest?
1Alcohol problems are widespread
9 million adults drink
at levels that increase
the risk of harm to
their health
1.6 million adults
show some signs of
alcohol dependence
Alcohol is the third
biggest risk factor for
illness and death
2Drug use is widespread but addiction
is concentrated 2.7 million adults used
an illegal drug in the past
year
294,000 heroin and
crack users in England
40% of prisoners have
used heroin
1,200,000 affected by
drug addiction in their
families – mostly in poor
communities
3The impact on health
and mortality
4Alcohol misuse damages health
Heart Cancer of
disease or Stroke Depression the mouth,
irregular and anxiety throat,
heartbeat oesophagus
or larynx
Breast
cancer in
High blood women
pressure
Pancreatitis
Liver
cirrhosis and
liver cancer
Harm
Reduced to unborn
fertility babies
5Drug misuse damages health
Depression,
Lung damage anxiety, psychosis Cardiovascular
Poor vein health from drugs
among injectors and personality disease
and tobacco disorder
Overdose Blood-borne
and drug viruses among
poisoning injectors
Liver damage
from undiagnosed Arthritis and
or untreated immobility
hepatitis C among injectors
6Alcohol and drug deaths
Alcohol misuse Deaths among
leads to many heroin users are
deaths 10 times the
death rate in the
general
population
21,485 people A quarter
died from of all deaths
among 16-24
Deaths involving
alcohol-related year old men new drugs and
causes in 2012 are attributable
to alcohol some prescription
medicines are
rising
Deaths from
alcohol-related
liver disease
have doubled
since 1980
7The impact on families
and communities
8Alcohol misuse harms families and communities
1
2
Almost half
of violent
assaults
Domestic
violence and
marital
27% of
serious
case
reviews
mention
alcohol
Physical, psychological
and behavioural problems
for children of parents
13% of road
fatalities
breakdown misuse with alcohol problems
9Drug misuse harms families and communities
Parental drug Heroin and A typical heroin user spends The public value drug
use is a risk crack around £1,400 per month treatment because it
factor in 29% addiction on drugs (2.5 times the makes their communities
of all serious causes crime average mortgage) safer and reduces crime.
case reviews and disrupts 82% said treatment’s
community greatest benefit was
safety improved community
safety
10The costs
11The annual cost of alcohol-related harm
Crime in
Total cost England:
to society: £11bn
£21bn NHS in
England:
Lost
productivity £3.5bn
in UK:
£7bn
12The annual cost of drug addiction
£15.4bn
Every year it costs society
Annual
Any heroin or cost of
crack user not in
Every year looking after
treatment commits drug misuse drug using parents’
crime costing an costs the NHS children who have
average £26,074 in England been taken into
a year £488m care is £42.5m
13The challenge
141234
Alcohol – what needs to be done
Improve awareness For people who Target those who are Respond to and
of alcohol harm drink, make lower most at risk reduce the harm
among young risk drinking the experienced by
people and delay the norm and an easy those who have
age of first use choice to make already developed
problems
15Drugs – what needs to be done
1 2 3 4
Prevention measures
to build resilience
Develop effective
responses to the
Respond to the
growing number of
A package of support
(treatment, housing,
among young harm of new drugs, older drug users, employment, positive
people and to and help people who many of whom have social networks) to
promote drug-free are addicted to serious addiction help people recover
environments medicines and health problems and rebuild families
and communities
16The levers and tools
17Population-wide prevention Action on
local drugs
markets and
Effective town centre
use of local drinking Joined-up
authority licensing local services
powers to reduce to build resilience
alcohol-related in communities
harm
TOWN HALL
Local Local
responsibility awareness
deals with and behaviour
employers and change
industry that campaigns
include on alcohol
alcohol and drugs
18Targeted prevention – alcohol
Hospital alcohol liaison Brief interventions Evidence-based Prevention
services to reduce the in primary care screening in the programmes to
unnecessary burden on and other settings NHS Health reduce young
the NHS to reduce the Check to reduce people's
impact of alcohol harmful drinking alcohol
on health consumption
19Targeted prevention and harm reduction – drugs
Advice, Needle and Prevent Work with Prevention
testing, syringe avoidable local health programmes aimed
vaccination programmes overdose partners to at young people to
and treatment to prevent deaths prevent and reduce drug harms
for blood- infection and treat addiction
borne viruses spread of to medicines
blood-borne
viruses
20Specialist treatment (alcohol and drugs)
Specialist All treatment Residential and
treatment should should include community
be accessible, support for rehabilitation
matched to local behaviour change should be
need and NICE- available for those
compliant It may also who need it
include
All patients should appropriate
have a mutually prescribed
agreed and medicines
regularly reviewed
care plan, setting
out their treatment
goals
21Support for sustained recovery
Everyone should have
access to support
that promotes and
sustains their
recovery
They should be
Help people access supported into
mutual aid groups education, training or
(e.g. AA, NA, SMART employment
Recovery) and other
positive social Doing all of this will
networks enable individuals to
reach their full
People in recovery potential, will lead to
need access to stable better outcomes and
accommodation save money
22Partnership: the key to success
TREATMENT
HOSPITALS: SERVICES: MENTAL
identify, assess, HEALTH:
respond, treat identify,
PRIMARY treat POLICE:
CARE: refer detect,
identify, advise, prevent, deter,
refer, treat protect
CCGs: COURTS,
analyse, PROBATION,
coordinate, PRISONS:
commission identify,
respond
HEALTH & CHILDREN
WELLBEING AND FAMILY
BOARDS: plan, SERVICES:
coordinate safeguard,
strategy support
PUBLIC
HEALTH: HOUSING
analyse, SUPPORT:
coordinate, help into
commission appropriate
housing
JCP &
LOCAL WORK
AUTHORITIES: PROGRAMME:
analyse, help into work
coordinate, and training
strategise
ELECTED VOLUNTARY
MEMBERS: SECTOR:
direct, support
oversee, recovery
scrutinise
23The benefits of
investment
24Intervening early works and saves money
Drug
and alcohol
Young people’s interventions can
drug and alcohol help young people get Every £1 spent on
interventions result in into education, young people’s drug
£4.3m health savings employment and and alcohol
and £100m crime training, bringing a total interventions brings
savings per year lifetime benefit of a benefit of £5-£8
up to £159m
25Investing in alcohol interventions saves money
Every 5,000 One alcohol Every 100
£
patients liaison nurse alcohol-
£
screened in can prevent 97 dependent
primary care A&E visits and people treated
may prevent 67 57 hospital can prevent
A&E visits and admissions 18 A&E visits
61 hospital and 22 hospital
admissions admissions
Costs £25,000 Costs £60,000 Costs £40,000
Saves £90,000 Saves £90,000 Saves £60,000
26Investing in drug treatment cuts crime
and saves money
£1 £2 50p
Every £1 spent Drug treatment prevents
an estimated 4.9m
Treatment saves an
estimated £960m costs
on drug treatment crimes every year to the public, businesses,
saves £2.50 in criminal justice and the
NHS
costs to society
27Drug and alcohol interventions lead to better
public health outcomes
16-18 year
olds not in Substance misuse
treatment specific Pupil
education, absence
employment or
training
Successful Alcohol-
completion related
of drug admissions
treatment to hospital First time
Re-offending entrants to
levels the youth
justice
People system
entering prison
with substance
dependence issues
Statutory who are previously
Sickness
homelessness not known to
absence
community
rate
treatment
People in
prison who have Mortality rate
a mental illness from causes PHOF indicator domains
or a significant considered
mental illness preventable Improving the wider determinants of health
Under-75
Self-reported People mortality rate Health improvement
wellbeing presenting from liver Health protection
with HIV at a disease
late stage of Healthcare public health and preventing
infection premature mortality
28Find out more…
PHE alcohol, drugs
and tobacco
Local PHE centre
alcohol and drugs team
PHE alcohol learning
resources
Recovery resources for
drugs
PHE publications gateway number: 2013-190 29You can also read
