alcohol brief interventions in police custody - nhs … · project team: nhs lothian health...
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Project team: NHS Lothian Health Promotion Service, NHS Health Scotland,West Lothian Drug and Alcohol Services and Police Scotland
Alcohol Brief Interventions in Police Custody ID 608
This pilot project tests the inclusion of Alcohol Brief Interventions delivered in a custody setting at St Leonards, Dalkeith, Hawick, and Livingston Police Stations (Cluster 5) following on from the pilot at Livingston Police Station, West Lothian 2015-2016.
Background
Alcohol and Offending• Strong link between alcohol and crime, particularly violent crime• 41% of prisoners report being drunk at the time of their offence• Alcohol implicated in 38% of those accused of homicide• 54% of victims of violent crime thought the offender was under the
influence of alcohol• Alcohol related crime estimated to cost about £700 million each year.
Alcohol Brief Intervention in a custodial setting• Population predominately young, male and from deprived backgrounds• 68% had medical, mental health and substance misuse problems• 18-34% had alcohol problems (mostly dependence end of spectrum)• Acute intoxication a feature.
Aims of the pilot• To provide increased support and capacity across partnerships to
achieve early identification of hazardous and harmful alcohol use and substance use
• To promote and support multi agency partnership working• To improve the evidence base in this area through evaluation and roll
out learning across Lothian and Scotland via NHS Lothian and NHS Health Scotland
• It is not a diversion scheme or community disposal, it is a voluntary pathway into services.
Police Custody population in Scotland• 162,466 episodes in 2015/16 (16% decrease from 192,854 in 13/14)• One in four seen by Health Care Professional (over 40,000).
InequalitiesPeople in criminal justice settings tend to be from hard to reach groups, with below average engagement with health and other services. They have multiple health needs, with high levels of alcohol use disorders.
Pilot Project in Police Custody Cluster 5Cluster 5 consists of 4 police custody suites – St Leonards, Livingston Dalkeith and Hawick and follows a one year pilot 2015-2016 at Livingston Police Station, West Lothian, which increased the existing provision of an arrest referral service provided by West Lothian Drug and Alcohol Service (arrest referral is an intervention aimed at individuals who are arrested and whose offences may be linked to alcohol).
85 Police Custody Officers received Alcohol Brief Intervention training facilitated by NHS Lothian Health Promotion ABI training team and delivered 2346 Alcohol Screening and Brief Interventions 1st Feb – 30th April 2016.
Barriers to ABI delivery • Unwillingness to recognise an alcohol problem• Intoxication (police custody)• Lack of time• Staff perceptions, capacity, competency • Limited evidence of what works.
Early findings“Staff perception and attitudes changed.”“ I realise I can make a small difference; these can be people we see repeatedly and raising awareness can help changes habits.”
“I considered my own drinking and it made sense to cut back a bit.”“ I feel more confident and was able to point the guy to where he could talk further about his alcohol use.”
“ At first it was just one more thing to do but it seemed to make the guy think about things.”
RecommendationsFollowing evaluation the pilot project is rolled out across wider Police Custody areas.
Further findings inform the direction of travel and add to the evidence base for alcohol interventions in a Police Custody setting.
ABI Pilot Lothian Custody Suite Referral Pathway
Excessive alcohol consumption causes harm to:
It is therefore crucial that trends in consumption are monitored.
Units of alcohol sold per adult per week, Scotland and England/Wales, 1994–2015
Scotland: 20.8 units sold per adult per week in 2015
England/Wales: 17.4 units sold per adult per week in 2015
Communities Families Public services The economy Individual health
more alcohol sold per adult in Scotland thanEngland/Wales in 2015. . . and almost all of this (97%) was because of higher sales in supermarkets and off-licences
What do sales data show?
The latest data show that after a fall between 2009 and 2013, alcohol sales in Scotland have increased in the past two years.
How are consumption levels estimated?
Consumption levels are best estimated using alcohol sales data.
0
5
10
15
20
25
1994 1997 2000 2003 2006 2009 2012 2015
Alcohol consumption andprice in Scotland, 2015Excessive alcohol consumption causes harm to:
It is therefore crucial that trends in consumption are monitored.
Units of alcohol sold per adult per week, Scotland and England/Wales, 1994–2015
Scotland: 20.8 units sold per adult per week in 2015
England/Wales: 17.4 units sold per adult per week in 2015
Communities Families Public services The economy Individual health
more alcohol sold per adult in Scotland thanEngland/Wales in 2015. . . and almost all of this (97%) was because of higher sales in supermarkets and off-licences
What do sales data show?
The latest data show that after a fall between 2009 and 2013, alcohol sales in Scotland have increased in the past two years.
How are consumption levels estimated?
Consumption levels are best estimated using alcohol sales data.
0
5
10
15
20
25
1994 1997 2000 2003 2006 2009 2012 2015
Alcohol consumption andprice in Scotland, 2015Excessive alcohol consumption causes harm to:
It is therefore crucial that trends in consumption are monitored.
Units of alcohol sold per adult per week, Scotland and England/Wales, 1994–2015
Scotland: 20.8 units sold per adult per week in 2015
England/Wales: 17.4 units sold per adult per week in 2015
Communities Families Public services The economy Individual health
more alcohol sold per adult in Scotland thanEngland/Wales in 2015. . . and almost all of this (97%) was because of higher sales in supermarkets and off-licences
What do sales data show?
The latest data show that after a fall between 2009 and 2013, alcohol sales in Scotland have increased in the past two years.
How are consumption levels estimated?
Consumption levels are best estimated using alcohol sales data.
0
5
10
15
20
25
1994 1997 2000 2003 2006 2009 2012 2015
Alcohol consumption andprice in Scotland, 2015Excessive alcohol consumption causes harm to:
It is therefore crucial that trends in consumption are monitored.
Units of alcohol sold per adult per week, Scotland and England/Wales, 1994–2015
Scotland: 20.8 units sold per adult per week in 2015
England/Wales: 17.4 units sold per adult per week in 2015
Communities Families Public services The economy Individual health
more alcohol sold per adult in Scotland thanEngland/Wales in 2015. . . and almost all of this (97%) was because of higher sales in supermarkets and off-licences
What do sales data show?
The latest data show that after a fall between 2009 and 2013, alcohol sales in Scotland have increased in the past two years.
How are consumption levels estimated?
Consumption levels are best estimated using alcohol sales data.
0
5
10
15
20
25
1994 1997 2000 2003 2006 2009 2012 2015
Alcohol consumption andprice in Scotland, 2015Excessive alcohol consumption causes harm to:
It is therefore crucial that trends in consumption are monitored.
Units of alcohol sold per adult per week, Scotland and England/Wales, 1994–2015
Scotland: 20.8 units sold per adult per week in 2015
England/Wales: 17.4 units sold per adult per week in 2015
Communities Families Public services The economy Individual health
more alcohol sold per adult in Scotland thanEngland/Wales in 2015. . . and almost all of this (97%) was because of higher sales in supermarkets and off-licences
What do sales data show?
The latest data show that after a fall between 2009 and 2013, alcohol sales in Scotland have increased in the past two years.
How are consumption levels estimated?
Consumption levels are best estimated using alcohol sales data.
0
5
10
15
20
25
1994 1997 2000 2003 2006 2009 2012 2015
Alcohol consumption andprice in Scotland, 2015Alcohol consumption andprice in Scotland, 2015 Other key statistics
on alcohol sales in Scotland
Data and infographics can be found at www.healthscotland.com/MESASFor more information contact: [email protected] All alcohol sales and price data are copyrighted to Nielsen or CGA Strategy.
Other key statistics on alcohol sales in Scotland
Data and infographics can be found at www.healthscotland.com/MESASFor more information contact: [email protected] All alcohol sales and price data are copyrighted to Nielsen or CGA Strategy.
5815
5/2
016
Beer sales in Scotland have stabilised since 2013after declining each year since 1994.2013 - 2015
Wine sales in Scotlandin 2015 reached their highest level for over 20 years.
The downward trend in alcohol sales in Scotland has reversed. . .
which coincideswith a flattening of the price of alcohol sold by these retailers.
due to higher sales through supermarkets and off-licences. . .
Spirits sales in Scotland increased in 2015 for
the first time in six years.
Take home message
1994
Other key statistics on alcohol sales in Scotland
Data and infographics can be found at www.healthscotland.com/MESASFor more information contact: [email protected] All alcohol sales and price data are copyrighted to Nielsen or CGA Strategy.
5815
5/2
016
Beer sales in Scotland have stabilised since 2013after declining each year since 1994.2013 - 2015
Wine sales in Scotlandin 2015 reached their highest level for over 20 years.
The downward trend in alcohol sales in Scotland has reversed. . .
which coincideswith a flattening of the price of alcohol sold by these retailers.
due to higher sales through supermarkets and off-licences. . .
Spirits sales in Scotland increased in 2015 for
the first time in six years.
Take home message
1994
Other key statistics on alcohol sales in Scotland
Data and infographics can be found at www.healthscotland.com/MESASFor more information contact: [email protected] All alcohol sales and price data are copyrighted to Nielsen or CGA Strategy.
5815
5/2
016
Beer sales in Scotland have stabilised since 2013after declining each year since 1994.2013 - 2015
Wine sales in Scotlandin 2015 reached their highest level for over 20 years.
The downward trend in alcohol sales in Scotland has reversed. . .
which coincideswith a flattening of the price of alcohol sold by these retailers.
due to higher sales through supermarkets and off-licences. . .
Spirits sales in Scotland increased in 2015 for
the first time in six years.
Take home message
1994
Other key statistics on alcohol sales in Scotland
Data and infographics can be found at www.healthscotland.com/MESASFor more information contact: [email protected] All alcohol sales and price data are copyrighted to Nielsen or CGA Strategy.
5815
5/2
016
Beer sales in Scotland have stabilised since 2013after declining each year since 1994.2013 - 2015
Wine sales in Scotlandin 2015 reached their highest level for over 20 years.
The downward trend in alcohol sales in Scotland has reversed. . .
which coincideswith a flattening of the price of alcohol sold by these retailers.
due to higher sales through supermarkets and off-licences. . .
Spirits sales in Scotland increased in 2015 for
the first time in six years.
Take home message
1994
Custody Screening and ABI Undertaken
ABI Pilot Lothian Custody Suite Referral Pathway
Court Appearance Court Disposal
Referred to community in reach support worker e.g. WLDAS or SACRO
Prison – remand /convicted
Arrestee will follow existing Prison Pathways for
substance misuse
Prisons contacted and informed of
outcomes of screening as well as any agencies they were engaged with
Lothian clients released can be referred to their local agencies within Lothian
Forensic Medical Examiners
Ongoing Recovery Care Plan
and support
Regular review of Recovery Care Plan
Planned Discharge Inform Referrer and
relevant others
Person agrees to be seen