drugs and alcohol strategy implementation plan

Midlothian and East Lothian Drugs & Alcohol Partnership M D E A L P 2010 2013 drugs and alcohol strategy implementation plan i

Contents Foreword Foreword.... 1 Background.... 2 East Lothian and Midlothian.... 3 The challenges... 4 Drugs and alcohol strategy 2010 2013.... 5 Links to community planning partnerships and HEAT targets... 6 MELDAP s strategic priorities... 7 Implementation plans.... 11 Abbreviations used in this document ABI CHP CLD CPC CPP ELCA ELVON HEAT ISD MELD MELDAP MVA NEON PETE QUADS SALSUS SLA SMS SOA Alcohol Brief Intervention Community Health Partnership Community Learning and Development Child Protection Committee Community Planning Partnership Edinburgh and Lothian Council on Alcohol East Lothian Voluntary Organisation Network Health improvement, Efficiency, Access and Treatment Information Services Division Midlothian and East Lothian Drugs Midlothian and East Lothian Drugs and Alcohol Partnership Midlothian Voluntary Action Needle Exchange Outreach Network Pathway to Education Training and Employment Quality in Alcohol and Drug Services Scottish Adolescent Lifestyle Substance Use Survey Service Level Agreement Substance Misuse Service Single Outcome Agreement Drug and alcohol misuse are associated with a wide range of problems for individuals, families and local communities. These include crime, antisocial behaviour and violence against women, as well as physical and mental health problems. The cost to the nation is significant. It is estimated that the wider economic and social costs of drug and alcohol misuse in Scotland amount to almost 5 billion a year. The cost to individuals and families is just as significant. Large numbers of children s lives are affected by parental substance use. While levels of drug and alcohol misuse are lower in East Lothian and Midlothian than the Scottish average, the number of drug-related deaths continues to rise, as does the level of alcohol use across the whole population. Following the launch of the Drugs and alcohol strategy 2010 2013 in July 2010, this implementation plan sets out the various actions MELDAP will undertake along with its partners to deliver the outcomes contained in each of the strategy s six priorities. MELDAP recognises that no single organisation can address these complex problems on its own, hence the need to have effective, sustainable partnerships which recognise the importance of placing the needs of service users at the heart of what we do. This implementation plan has been developed by representatives from the MELDAP subgroups and therefore reflects the collective aspirations of all who participated. Alan Forsyth MELDAP chair 1

Background East Lothian and Midlothian Midlothian & East Lothian Drugs and Alcohol Partnership (MELDAP) was formed in November 2008. This brought Midlothian and East Lothian s two drug and alcohol action teams (DAATs) together to form a new partnership with high-level representation from East Lothian and Midlothian Councils, NHS Lothian, the voluntary sector and Lothian and Borders Police. Strategic Group MELDAP now serves a combined population of nearly 185,000 covering an area of some 950 square miles stretching from Dunbar in the east to Penicuik in the west. More than half the population of East Lothian live in the western sector with the main towns being Musselburgh, Prestonpans, Tranent and Cockenzie. In Midlothian Penicuik, Dalkeith, Bonnyrigg and Loanhead are the largest towns. East Lothian and Midlothian are fortunate not to have the same scale of deprivation and poverty of aspiration that exists in many communities across Scotland. However, there are a number of challenges MELDAP and its partners must respond to when addressing the alcohol and drug misuse that affects the lives of individuals, families and communities. Performance Group Reference Group Prevention, education and young people Support Team Commissioning Group Levels of harm caused by drug and alcohol misuse are lower than the Scotland averages but according to the most recent data there are an estimated total of 1,661 problematic drug users in East Lothian and Midlothian. Of these, 569 are currently in contact with services and an estimated 381 are drug injectors. The estimated total of people aged 15+ who are alcohol dependent is 7,242 and 299 are in contact with services. From 2005 to 2008 there were 37 drug-related deaths and 134 alcohol-related deaths in East Lothian and Midlothian. While there is no single drinking culture in Scotland, we as a nation are drinking too much. 50 per cent of men and 30 per cent of women regularly drink over the sensible drinking guidelines*. Department of Health safe limits for alcohol consumption* Men: 3 4 units per day, but not every day Women: 2 3 units per day, but not every day In East Lothian and Midlothian 29 per cent of men consumed more than 21 units per week. 18 per cent of women consumed more than 14 units per week. Both of these figures were higher than the Scottish average. Support, treatment and recovery for adults The 2008 East Lothian and Midlothian Community Health Partnerships (CHP) profiles both indicate that the proportion of the population hospitalised for alcohol-related and attributable causes was significantly better (lower) than the Scottish average. As with drugs, alcohol affects our most deprived communities disproportionately, as the graph below showing acute hospital discharges illustrates. Culture change, communities and availability MELDAP s primary aim is to coordinate the design, delivery and evaluation of drug and alcohol services across East Lothian and Midlothian. This will ensure that services are needs-led, based on evidence of what makes a difference, and delivered in an effective and efficient way which provides value for money. A key component of this approach is that services are designed around the needs and aspirations of service users, who are given the opportunity to play a role in service design, delivery and evaluation. Such an approach is not without its challenges. If successful, it will ensure that service delivery provides what service users say they need, rather than what it might be assumed that they need. The partnership is committed to the principle of recovery. This has the objective of moving people on from where they find themselves when they first engage with services, to the level of recovery which is appropriate to them. Recovery can mean a move towards abstinence, stability, self-development or employment. 200 150 100 50 Acute hospital discharges East Lothian Midlothian 2 1 2 3 4 5 Least deprived Deprivation category Most deprived 3

The challenges Drugs and alcohol strategy 2010 2013 There are a number of challenges that MELDAP will have to address. The main challenges are set out in two national reports. These are: The Road to Recovery (2008) The national drug strategy highlighted a new approach with a clear emphasis on recovery and a move to a person-centred approach, which places recovery for the individual as the goal of all service provision. Recovery is defined as a process through which an individual is enabled to move on from their problem drug use towards a drug-free life and become an active and contributing member of society. The recovery approach will be integrated into all aspects of tackling drug problems. The Road to Recovery has five strands. These are: better treatment to promote recovery better drugs education and information more choices and chances for young people better outcomes for children affected by family substance misuse better enforcement MELDAP recognises that moving to, and promoting, a more responsive recovery culture will not be a straightforward process. MELDAP endorses the view that there needs to be a willingness to change amongst those working in the drugs and alcohol field regarding the importance of all services embracing a recovery-focused philosophy. This in turn will require a culture change in terms of integration and partnership working across services. If substance users are to access a full treatment and care package then service provision must be inclusive and integrated. Changing Scotland s Relationship with Alcohol: A Framework for Action (2009) Increasing levels of alcohol consumption mean that many of us are now drinking above sensible guidelines. Over recent years, increased consumption has been influenced by factors such as the decline in the relative cost of alcohol, increased availability and changing cultural attitudes. It is clear that alcohol is no longer a marginal problem. Nor is it one that affects only binge drinkers or those who are dependent on alcohol. There is a need to develop an approach which will focus on the needs of the whole population and have both a protective effect on vulnerable groups and reduce the overall level of alcohol problems. MELDAP developed its Drugs and alcohol strategy 2010 2013 following a period of consultation and evaluation. This process included discussion, negotiation and consultation with a wide range of services and stakeholders. The strategy also drew on evidence from a full needs assessment report produced in early 2010 and referred to key partners plans. Evidence from the needs assessment The needs assessment recommended: the development of non-pharmacological interventions an emphasis on pre-treatment (prevention) and post-treatment interventions the involvement of the wider family in treatment and recovery the development of a multi-agency waiting list strategy the development of moving on strategies the development of closing the gaps protocols putting individuals at the centre of planning and the development of services the need to support and develop recovery communities Evidence of what works MELDAP is committed to using the best available information from a range of sources. This helps to determine the most effective interventions to enable people with an alcohol or drug addiction to recover from their dependency and take control of their lives. The pathway recovery exercise In autumn 2010 the MELDAP support team undertook a mapping exercise to explore how a recovery pathway might work for a range of clients with different needs. The mapping exercise examined the extent to which existing services were able to meet these needs and attempted to identify what new services or support systems had to be developed. The team adopted a person-centred approach using case studies of people affected by their own, or someone else s, substance use problems. MELDAP has an important role to play in ensuring that drug and alcohol issues are recognised as a high priority within a range of partner plans; most importantly in the respective councils community planning partnership plans. Based on a knowledge and understanding of alcohol misuse, its drivers and evidence-based interventions, sustained action is required in four broad areas. These are: 4 reduced alcohol consumption 35 supporting families 30 and communities 25 positive public attitudes towards alcohol and individuals 20 better placed to make positive 15 choices about the role of 10 alcohol in their lives improved support and treatment 5 for those who require it 0 Percent Men Women 16 24 25 34 35 44 45 54 55 64 65 74 75+ Age group Proportion of people exceeding government guidelines on weekly alcohol consumption (21 units for men, 14 units for women), by age and sex 5

Links to community planning partnerships and HEAT targets MELDAP s strategic priorities The formation of MELDAP also resulted in a change of accountability to the East Lothian and Midlothian Community Planning Partnerships. The work of MELDAP and the activities outlined in this implementation plan complement and contribute directly to the relevant objectives set out in both councils single outcome agreements (SOAs). These are: East Lothian Community Planning Partnership SOA National outcome 6: Local outcome: Indicators: We live longer, healthier lives Midlothian Community Planning Partnership SOA SOA Theme 1 National outcome 6 Local outcome 3 Indicator Local outcome 4 Indicator In East Lothian we live healthier, more active independent lives Reduced alcohol-related hospital admissions Reduced drug-related hospital admissions Supporting healthy, caring, diverse communities where local needs are met We live longer, healthier lives We will reduce substance misuse Reduced alcohol-related hospital admissions We will improve peoples health and wellbeing Increased numbers of drug misusers in treatment and care services Health, efficiency, access and treatment (HEAT) targets The consequence of working towards achieving HEAT target A11 is that by March 2013, 90 per cent of clients should wait no longer than three weeks from referral to receiving appropriate drug treatment that supports their recovery. Waiting times for alcohol treatment will be defined and incorporated into a target covering both drugs and alcohol by April 2011. The expectation is that the same three-week referral to treatment time will be required for alcohol clients by March 2013. MELDAP therefore has a clear commitment to work with NHS Lothian to ensure that the targets for alcohol and drugs are met. The plan s six priorities are: National outcome 6 MELDAP priority 1 MELDAP priority 2 National outcome 8 MELDAP priority 3 MELDAP priority 4 National outcome 9 MELDAP priority 5 National outcome 15 MELDAP priority 6 We live longer healthier lives We will enable more people living in East Lothian and Midlothian to adopt a more responsible approach to alcohol. We will enable people with substance problems to recover from them and live healthy crime-free lives. We have improved the life chances for children, young people and families at risk We will reduce the harm to children and young people affected by We will reduce the harm related to young people s substance misuse. We live our lives safe from crime, disorder and danger We will protect communities from the harmful effects of substance misuse. Our public services are high quality, continually improving, efficient and responsive to local needs We will develop services for young people, adults and families that are equitable, readily accessible and designed around their needs. The implementation plans published here describe the various steps MELDAP will take to deliver the outcomes set out in the three-year strategy. It is likely that, as the plans are implemented, additional information and actions will be added, reflecting the fact that this is a dynamic process which needs to take account of changing circumstances and activities at both a national and local level. What we will do 6 12 10 8 6 4 2 1962 1972 1982 1992 2002 Alcohol consumption (litres of alcohol per person age 15+). Source: Institute of Alcohol Studies. In order to fulfil its key strategic, management and coordinating roles MELDAP will: develop and coordinate the implementation of the strategy in accordance with national policy and evidence-based practice promote assessments of needs and involve service users in the planning and delivery of services ensure effective and efficient joint working among key agencies assess the quality and range of services against identified need and initiate and plan improvements accordingly ensure the regular evaluation of services as part of an integrated cycle of service improvement influence other key strategies and services with the recovery approach respond to the recommendations of the Delivery Reform Group and amend practices accordingly implement a quality assurance cycle based on the National Quality Standards for Substance Misuse Services monitor our own and partners performance and ensure MELDAP commissions and delivers value for money services 7

MELDAP s strategic priorities Our strategic priorities MELDAP, in consultation with its partners, has identified six high level priorities. These are: MELDAP priority 5 We will protect communities from the harmful effects of substance misuse. MELDAP priority 1 z promoting the safe and sensible use of alcohol z z z z We will enable more people living in East Lothian and Midlothian to adopt a more responsible approach to alcohol. working with the licensing forum, GPs and pharmacists supporting individuals to make a positive contribution to their community helping in changing the culture of how we drink and how much we drink supporting the delivery of brief interventions to people at risk of developing alcohol problems z providing services for offenders with individual criminal justice pathways to ensure a route out of offending z working with others to address drink and drug driving z supporting effective enforcement z providing effective diversionary activities z working with others in community planning partnerships and Lothian and Borders Community Justice Authority to deal with the consequences of substance misuse z working closely with the police support campaigns aimed at people s irresponsible drinking behaviours z working closely with stakeholders to challenge gender-based violence MELDAP priority 2 We will enable people with substance problems to recover from them and live healthy crime-free lives. MELDAP priority 6 We will develop services for young people, adults and families that are equitable, readily accessible and designed around their needs. z providing flexible and accessible services across a continuum of need including for people with mental health, learning and/or physical disability issues z adopting a person-centred approach for service users, their families and carers z providing services that are sensitive to age, sexuality, gender, ethnicity, religious belief and disability z supporting service users to take control of their lives z providing information and support to service users about the options available to them z providing fast access to services at the point of need z promoting the importance of education, training and employment z working with stakeholders to impact positively, the effects of homelessness on individuals children and families z involving young people, families and service users in the design of new and evaluation of existing services z providing services that reflect the range of needs of a diverse client group z offering service users tailored packages of treatment and care that meet their needs and aspirations z undertaking a full needs assessment to ensure that services are based on accurate information and the right services are in place to meet local needs z developing a culture of continuing service improvement MELDAP priority 3 We will reduce the harm to children and young people affected by z providing effective prevention and early intervention z improving the identification, assessment, recording and planning for children at risk z building the capacity, availability and quality of support services for children and families affected by parental substance misuse z strengthening the consistency and effectiveness of the management of children known to be at risk z supporting communities to report concerns about children z building parenting skills and family capacity to support children MELDAP priority 4 We will reduce the harm related to young people s substance misuse. z supporting communities that promote the positive development of young people z delivering integrated services which meet the needs of young people z providing effective inter-agency substance misuse education for children and young people z providing targeted support to young people most at risk because of their substance use z ensuring services are designed around the needs of young people 8 9

MELDAP s strategic priorities National outcome 6 We live longer healthier lives Some of our successes z establishing the new MELDAP structure with its high-level representation from key services and the work of its three subgroups z the commitment by a wide range of organisations and services to the new MELDAP structure z conducting a full needs assessment to establish a sound evidence base for future planning z establishing a single MELDAP support team in the Penny Pit complex in Prestonpans z developing stronger links with tobacco initiatives to ensure a more coherent and coordinated approach to substance use z continuing to develop and improve a wide range of drug and alcohol services What we plan to do The MELDAP Drugs and alcohol strategy 2010 2013, its development and implementation are based on the following approaches: z establishing a sound evidence base through collecting information and data on local drug, alcohol and tobacco use z using evidence from the needs assessment to ensure services match the needs of people with drug and alcohol problems in East Lothian and Midlothian and where gaps in services have been identified, filling them z involving a wide range of partners in the drafting of the strategy and its associated implementation plans z working in partnership to implement what has been set out in the implementation plans z monitoring and evaluating the progress of the implementation plans to ensure their targets, actions and outcomes are achieved z reviewing and reporting to others on how well services are performing in delivering key outcomes z placing the needs of service users and their families at the heart of what we do How we will measure our progress The MELDAP service level agreement (SLA) will ensure clarity regarding the type and purpose of the services which have been commissioned. It will also describe how success will be measured and reported to stakeholders. A single MELDAP performance framework will be developed which will include a set of performance measures for each service. These targets will provide evidence of how services are contributing towards achieving the high level outcomes which form part of the councils single outcome agreements (SOAs) and NHS Lothian s HEAT targets. A quarterly summary and an annual report of progress will be submitted to the Strategic Group. The implementation plans for each priority will detail the specific actions which will be undertaken to achieve the planned outcomes. Each implementation plan will include a set of statements and measures which describe how success will be achieved. The views of service users will form a key part of how we will judge success. MELDAP priority 1 We will enable more people living in East Lothian and Midlothian to adopt a more responsible approach to alcohol. High level outcome 1.1. Reduced alcohol-related harm. 1.11 Reduced acceptability of hazardous drinking and drunkenness. Fewer people drinking above recommended or weekly guidelines. 1.12 Reduced per capita consumption of alcohol. Reduced binge drinking. Increased number of individuals drinking within a sensible drinking level. Reduced alcohol-related accident and emergency admissions. Reduced alcohol-related domestic abuse and community violence. Scottish Health Survey ISD NHS Lothian East Lothian and Midlothian CHP Ambulance Service/ Police SALSUS Police High level outcome 1.2. Safer and happier families and communities. 1.21 Increased knowledge and changed attitudes to alcohol and drinking. 1.22 Reduced irresponsible promotion and sale of alcohol. Less absenteeism at work. Effective early intervention to reduce alcohol problems (HEAT). The number of brief interventions delivered. Licensing Forum NHS Lothian 1.13 Raise awareness with parents and carers about their own drinking behaviours and their attitudes to their children s alcohol use. Develop drug and alcohol education programmes for delivery in both formal and informal settings. Develop a consistent approach to detached street work services which promote sensible drinking and identify risky behaviours. Develop community-based campaigns to promote sensible drinking. Provide information leaflets for parents, carers and older people. 1.23 Participate in the East Lothian and Midlothian Licensing Forums. Increase specialist service capacity to meet outcomes from brief interventions. Participate in Alcohol Brief Intervention (ABI) training in primary care, secondary care and the community. Train staff to provide advice on sensible use of alcohol. MELDAP representation on Healthy Working Lives groups and community health partnerships. 10 11

National outcome 6 We live longer healthier lives National outcome 8 We have improved the life chances for children, young people and families at risk MELDAP priority 2 12 We will enable people with substance problems to recover from them and live healthy crime-free lives. High level outcome 2.1. Reduced drug and alcohol-related harm. 2.11 Improved physical and emotional wellbeing. Increased number of users becoming, and remaining, alcohol and drug free. Reduced risky and chaotic behaviour. Reduced alcohol-related injuries. Reduced drug-related morbidity, mortality and death. Higher proportion of service users living in safe, settled and appropriate accommodation. Reduced alcohol-related hospital admissions (SOA). Reduced drug-related hospital admissions. 2.12 Assessment and review numbers. The number of people reporting a drug/alcohol free status. A move from injecting to oral drug use. An increase in clients using needle exchange services. The number of people reporting that the support is responsive to their needs. Increased rates of testing and diagnosis for bloodborne viruses and liver functions. Reduced spread of bloodborne viruses. The number of people registered with their GP and dental practice. The number of drug/ alcohol-related suicides and drug/alcohol-related deaths. The length of time from referral to treatment is reduced (HEAT). Service information (eg PETE, SOA) Christo score TOPPS NHS Lothian, CHP SMS, MELD, ELCA NHS Lothian Service users ISD Police and ambulance services 2.13 Support pathways to jobs and Jobcentre Plus (progress to work). Provide accurate and accessible information about drugs, their effects and related risks. Work in partnership with other agencies to collate accurate information about the number and type of drug-related deaths. Develop integrated care pathways (HEAT). Monitor waiting times and keep to a minimum (HEAT). Develop and enhance services for the most vulnerable groups including the homeless, liberated prisoners and recently abstinent users. Increase the range of services provided by NEON. Promote and provide overdose training. Participate in pan-lothian naloxone pilot. Undertake naloxone training for East Lothian and Midlothian. Work with the most vulnerable young people. Review opening hours for key services to ensure optimum use and accessibility. High level outcome 2.2. An increased number of people recovering from drug and alcohol problems. 2.21 An increase in the number of people accessing drug and alcohol treatment services (SOA). Shorter waiting times and improved pathway services (HEAT). A higher proportion of service users living in safe, settled and appropriate accommodation. 2.22 An increased number of drug/alcohol users gaining access to education, training, volunteering and employment (SOA). Better quality relationships with family, friends and community. An increase in the reporting of positive lifestyle choices. Monitoring of waiting times based on the minimum HEAT targets Service users 2.23 Develop integrated care pathways (HEAT). Provide specific services for young people with substance misuse problems. Increase the number of self-help and support groups. Work with housing agencies and associations. Support an enhanced level of service user involvement in the evaluation of services. MELDAP priority 3 We will reduce the harm to children and young people affected by High level outcome 3.1. Reduce children/young people s exposure to 3.11 The parenting capacity of substance users is improved. Increased numbers of parents who recognise the impact of their substance use on their children. Fewer women using drugs/ alcohol during pregnancy. 3.12 Opportunities for substance misusing parents to attend parenting classes and programmes. The number of substance misusing adults with children accessing appropriate services. The number of brief interventions in antenatal settings (HEAT). Family support workers Social work data on working with families at risk SMR 02 High level outcome 3.2. Children affected by parental substance use are safer. 3.21 Improved identification of children and young people at risk from parental substance misuse. Children affected by parental substance use are provided with appropriate and proportionate support. 3.22 The number of referrals to children and young people screening groups. The number of children separated from parents as a result of their parents substance misusing behaviour. The number of children and young people registered with a dental practice. A reduced number of children separated from their parents. The level of family support and social work involvement with families affected by parental substance misuse. The number of referrals to social work/family support workers. The number of appropriate referrals to the Children s Reporter. Local social work, education, health teams Police Social work, Children 1st Group referrals screening Integration/ locality teams 3.13 Improve links between services working with families affected by parental substance use. Evaluate the impact of services supporting families affected by MELDAP to be involved in the delivery of ABI training. 3.23 Increase the level of support to families affected by Ensure MELDAP representation on CPC screening groups. Ensure strong and effective pathways for children and young people. Evaluate the impact of additional family support workers and social work staff. 13

National outcome 8 We have improved the life chances for children, young people and families at risk MELDAP priority 3 (continued) 14 We will reduce the harm to children and young people affected by High level outcome 3.3. Improve the life chances of children and young people affected by parental substance misuse. 3.31 Improved school attendance, achievement and attainment for children who are affected by parental substance misuse and in touch with services. The increased capacity of young people to engage with, and sustain, positive future destinations. 3.32 The range of community activities for children who are affected. The level of attendance at nursery and school. Children s attainment levels. The level of engagement with education, training and volunteering services. The level of support given to young people and adults towards employment. The number of young people participating in communitybased activities. SEEMIS, school reports EWOs SEEMIS school reports PETE, New Leaf, MVA, ELVON 3.33 Speak with young people about the services they have received, for example, Young Carers and Integration Team services. Provide family support through dedicated service and commissioned services. Develop appropriate community-based activities for children affected by parental substance use. Support Level 2 child protection training for a range of staff. Develop opportunities for education, training and employment and appoint additional staff to support this process. MELDAP priority 4 We will reduce the harm related to young people s substance misuse. High level outcome 4.1. Reduced drug, alcohol and tobacco use by young people. 4.11 Increased knowledge and changed attitudes to drugs, alcohol, drinking and smoking. Increase the age of first drug experimentation. Reduced prevalence of drug, alcohol and tobacco use. Reduced alcohol consumption in those below the minimum legal age. Reduced access to tobacco for under 18s. Increased support for young people who wish to stop smoking. Improved access to services for children and young people. 4.12 Levels of outside drinking and related antisocial behaviour. The average age of a first alcoholic drink. Reported levels of alcohol and drug use by 13 and 15 year olds (SOA). Changed attitudes to the use of drugs. Levels of underage drinking and episodes of binge drinking. Hospital discharge data ISD. The level of tobacco sales to under 18s. The level of accessibility to services with trained staff. Levels of use of young people s services. SALSUS SALSUS SALSUS/police SALSUS, test purchase data Test purchase data Hospital discharge data ISD 4.13 Provide accurate and accessible information about drugs and alcohol, the effects and related risks. Coordinate multi-agency training in formal and informal settings. Work with educational establishments to develop curriculum substance misuse programmes for children and young people. Share the outcomes of SALSUS data with relevant partners. Provide a range of drug and alcohol services for young people. Undertake substance use social norms campaigns in secondary schools and further education colleges. Target support for the most vulnerable groups of young people; excluded from school, looked after and accommodated. Support detached street work initiatives. Implement Midlothian and East Lothian Smoking Action Plans. High level outcome 4.2. Lifestyle change to positive alternatives to drugs and alcohol. 4.21 Improved and increased engagement with age appropriate social activities, positive lifestyle, community engagement. Improved engagement of participants with learning. 4.22 The number of young people participating in recreational and leisure activities. The level of parental knowledge of the effects of alcohol on young people. The number of exclusions from schools and improved attendance. The level of participation in school/choices for Life and community events. The level of young people involved in volunteering and accredited coaching courses. Council leisure services School reports/ CLD/New Leaf/ PETE SEEMIS School reports 4.23 Promote positive lifestyle choices. Support parents and community activities. Increase participation in local and national alcohol, drug and smoking campaigns and events. Support programmes of diversionary activities. 15

National outcome 9 We live our lives safe from crime, disorder and danger National outcome 15 Our public services are high quality, continually improving, efficient and responsive to local needs MELDAP priority 5 We will protect communities from the harmful effects of substance misuse. High level outcome 5.1. Communities are safer and stronger. 5.11 Reduced problem drug and alcohol use. An increase in the seizure of drugs and assets. 5.12 A decrease in antisocial behaviour. Improved detection of drug-related crimes. The amount of drugs and assets confiscated. High level outcome 5.2. Reduced drug and alcohol crime. 5.21 Reduced availability of illegal drugs. Better controlled supply of alcohol. Reduced incidence of drink and drug driving. Reduced incidence of domestic violence. 5.22 Levels of drink/ drug driving offences. Increase levels of test purchasing of alcohol. The number of liquor licenses. The number of drink and drug-related offences. Community safety partnerships Police statistics Police Trading Standards Licensing Forum 5.13 Participate in community safety partnerships. Participate in communityled events. 5.23 Support and participate in alcohol and tobacco test purchase schemes. Support and participate in violence against women initiatives. Support and participate in local and national drink and drug driving campaigns. MELDAP priority 6 We will develop services for young people, adults and families that are equitable, readily accessible and designed around their needs. High level outcome 6.1. Service users are in control of their own recovery pathway. 6.11 People have accurate and relevant information about MELDAP services. The full range of needs of drug and alcohol users is addressed. Service users have an agreed care plan. An increase in the proportion of new clients accessing drug and alcohol services. 6.12 The views of service users. Waiting times to access services (HEAT). Levels of service user satisfaction. An increase in client satisfaction levels. Responses from leaflets issued Website hits ISD Needs assessment Questionnaires Substance Misuse Forum 6.13 Develop a new service directory. Develop a new MELDAP website. Address the outcomes of the full needs assessment. Provide a range of services that reflect the range of needs of a diverse client group. Offer service users tailored packages of treatment and care that meet their needs and aspirations. High level outcome 6.2 There is a culture of continuous improvement across all MELDAP services. 6.21 All services have a three-year strategic plan which encompasses key aspects of service functions. MELDAP commissions services based on clear evidence of need. MELDAP uses clear systems to monitor the performance of its commissioned services. 6.22 Levels of service user involvement in the evaluation of services. Cost-effective services. National Quality Standards for Substance Misuse Services QUADS MELDAP service level agreement (SLA) 6.23 Provide quality assurance training for all with targeted support to specific services. Introduce self-evaluation models. Involve young people, families and service users in the design of new, and evaluation of existing, services. Establish a quality assurance cycle linked to the production of the threeyear drug and alcohol strategy. Develop a single MELDAP service level agreement to commission new services and retrospectively assess existing services. Ensure that all commissioned services have an SLA. 16 17

2010 2013 drugs and alcohol strategy implementation plan M D 18 E A L P MIDLOTHIAN & EAST LOTHIAN DRUGS & ALCOHOL PARTNERSHIP Find out more about MELDAP by visiting www.midlothian.gov.uk and navigating to Health and social care / Drugs & alcohol