Tackling Alcohol Misuse Treatment and performance in Derby City
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1 Tackling Alcohol Misuse Treatment and performance in Derby City
2 Overview Picture of Derby in 2008 start of AHRS Derby s Alcohol Harm Reduction Strategy and NST findings The treatment system Performance improvements The economics
3 Derby: 2008 Derby Second worst in East Midlands for alcohol-related hospital admissions 22 nd worst Local Authority in England Rate of increase in alcohol admissions between years of 23% - against a national average of 11% 66% greater rate of admission than East Midlands and England 6000 dependent drinkers; 33,000 binge drinkers; 9,000 harmful drinkers See: Quarterly rate of alcohol-related admissions per 100,000 population (EASR)
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5 Alcohol Harm Reduction Strategy Launched in 2008 (a 3 year plan) 3 strands - Alcohol and Young people - Alcohol and community Safety - Alcohol treatment Refreshed following the National support team visit to include: - Governance and partnerships
6 Derby: 2010 New alcohol treatment system introduced at a cost of 1.6 million a year Derby s model commended for excellence by the Department of Health however. 3.1 million still spent on alcohol related A&E interventions 10.9 million spent on alcohol inpatient activity 2.9 million wholly attributable to drinking
7 Derby s Alcohol Treatment System Adult Alcohol Treatment ( 1.6 million) commissioned services and interventions Community alcohol service (and Single Point of Entry) Specialist community alcohol misuse service (DD & Complex) GP alcohol task force screening and Brief interventions Hospital Alcohol Liaison Team ( RAID ) High Impact Users Case Management intervention Street Drinkers & MEAM Case management Approach Substance Misuse Aftercare and recovery Service Prevention: campaigns; social marketing and Communications Criminal Justice Programme ( 332,900) commissioned services Drug Intervention programme (Integrated Offender Management) Active Choices sport & leisure programme Substance misuse court orders (ATR, ASAR)
8 Derby: 2011/12 Number of alcohol related admissions fallen from 2,125 to 1,375. A -14% decrease English national average showed an increase of 4% Derby among England s top 5 local authorities for alcohol harm Between 2009 and 2011 there was an 184% increase in the numbers receiving community alcohol treatment Increase in percentage of successful treatment exits from 42% to 69% See: Annual rate of alcohol-related admissions per 100,000 population (EASR)
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10 Derby: 2012/13 Since 2010 based on average stay in hospital of 350 By 2012/13 Derby had saved approximately 8 million based on the actual reduction in alcohol related hospital admissions The cost of treatment had been 4 million giving a return of investment of 1:2 Alcohol related crimes had reduced from 2,710 in 2008/9 to 765 in 2012/13 The unit cost for alcohol treatment had fallen from 4,919 in 2009 to 1,826 in 2011 See: Trajectory and savings of total alcohol-related admissions in Derby
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12 Derby: 2013 A further -14% reduction of alcohol related admissions predicted for 2013 Derby is second best in England with respect to alcohol related admissions (after Kent) - 12% fewer admissions that the East Midlands Wholly alcohol attributable and partially alcohol attributable admissions equally representative of the overall reduction See: Quarterly rate of alcohol-related admissions per 100,000 population (EASR) Trajectory of admissions wholly attributable to alcohol in Derby Trajectory of admissions partially attributable to alcohol in Derby
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