isd data sources
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ISD data sources
Making sense of the statistics
Making sense of the statistics
Anthea Springbett Principal Statistician
Substance Misuse Team, ISD
Scottish data sources
PREVALENCE
SDMD
SCHOOLS (SALSUS)
PRESCRIPTIONS
DRUG OFFENCES
& SEIZURES (SG JUSTICE)
WAITING TIMES
BLOOD BORNE
VIRUSES(HPS)
HOSPITALS (SMR01/SMR04)
DEATH(GROS)
New clients into drug treatment
Scottish Drugs Misuse Database, Age Group and Gender: 2007/08
0 500 1000 1500 2000 2500
Under 15 years
15-19 years
20-24 years
25-29 years
30-34 years
35-39 years
40 years and over
Ag
e
Number
Females
Males
Source: Scottish Drugs Misuse Database
SDMD – illicit drug use
Source: Scottish Drugs Misuse Database
Percentage of new individuals using each drug of misuse: 2003/04 and 2007/08
0%
10%
20%
30%
40%
50%
60%
70%
80%
Heroin
Cannabis
Cocaine
Crack Cocaine
Methadone
Dihydrocodeine
Diazepam
Amphetamines
Other Drugs
Other Sedatives
Ecstasy
Other Opiates
Name of drug
Pe
rce
nta
ge
2003/04
2007/08
SDMD – injecting/sharing behaviour
Source: Scottish Drugs Misuse Database
Percentage of individuals reporting injecting and/or sharing needles/syringes in the previous month: 2003/04 & 2007/08
0% 5% 10% 15% 20% 25% 30% 35% 40%
shared in past butnot in previous
month
injected in pastbut not in previous
month
shared in previousmonth
injected inprevious month
shar
ing
beh
avio
ur
percentage
2007/08
2003/04
SDMD current reporting
• New clients in treatment• Illicit drug profile• Prescribed drug profile• Demographics• Social circumstances
SDMD Follow-up
• Enhanced SDMD database• Roll-out in 2009• Web-based submission• Client based• Regular follow-up until discharge
Unanswered questions
• Number of clients in treatment• Length of time in treatment• Treatments received• Outcomes
– Behavioural– Social
Prevalence
• Prevalence studies 2000, 2003• Problem opiate/benzo users• 2000 estimate 55,800• 2003 estimate 51,582• New study delayed until April 2009
Drug use in children - prevalence
Reported use of drugs in the last month, last year or ever, by age group and gender
0
5
10
15
20
25
30
Used drugs in last month Used drugs in last year Used drugs ever
Reported use
Per
cen
tag
e
13 year olds
15 year olds
Base: All pupils
Source: SALSUS 2006
Drug use in children - trend
Source: SALSUS 2006
Children' s reported drug use (15 year olds)
10
15
20
25
30
35
40
45
1998 2000 2002 2004 2006
Year
Per
cen
tag
e
ever used
last year
last month
SMR01 – general acute discharges
General acute inpatient discharges with a diagnosis of drug misuse in any position: 2003/04 - 2007/08
0
1000
2000
3000
4000
5000
6000
2003/04 2004/05 2005/06 2006/07 2007/08
Year
Nu
mb
er o
f d
isch
arg
es
Scotland
Male
Female
Source: ISD Scotland
SMR01 – drug type
General acute inpatient discharges with a diagnosis of drug misuse in any position; drug type: 2007/08
0
1000
2000
3000
4000
5000
6000
2007/08
Year
nu
mb
er o
f dis
char
ges
Total Admissions
Opioids
Cannabinoids
Sedatives/hypnotics
Cocaine
Other stimulants
Multiple/Other
Source: ISD Scotland
SMR04 – psychiatric discharges
Psychiatric inpatient discharges with a diagnosis of drug misuse: 2002/03 - 2006/07
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2002/03 2003/04 2004/05 2005/06 2006/07
Year
Nu
mb
er o
f d
isch
arg
es
Scotland
Male
Female
Source: ISD Scotland
Hepatitis C in Drug Users
Persons reported to be Hepatitis C antibody-positive and probable/possible route of transmission: 2003 - 2007
0
200
400
600
800
1000
1200
2003 2004 2005 2006 2007
Year
Num
ber
of p
eopl
e
IDU
Other
Not Known
Source: Health Protection Scotland
Drug-related deaths – cause of death
Drug-related deaths by cause of death, Scotland: 2003 - 2007
0
50
100
150
200
250
300
350
400
450
500
2003 2004 2005 2006 2007
Year
Num
ber
of d
eath
s
All
Drug abuse
Accidentalpoisoning
Intentional self-poisoning
Undeterminedintent
Source: General Register Office for Scotland
Drug-related deaths by drug type
Drug-related deaths by selected drugs involved, Scotland, 2003 - 2007
0
50
100
150
200
250
300
350
2003 2004 2005 2006 2007
Year
nu
mb
er o
f d
eath
s
Heroin/morphineMethadone
Diazepam
Cocaine
Ecstasy
Temazepam
Alcohol
Source: General Register Office for Scotland
New Data/Publications
Prevalence – April 2009
SALSUS – June 2009
Injecting Equipment Provision – June 2009
SDMD Follow-up – 2010
Drug deaths - 2010
Drug waiting times (HEAT target) - 2010
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