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Older drug users in Scotland

Senior Drug Users and Care Structures: European Study. PartnersAustriaGermany PolandScotlandFunders:European Agency for Health and ConsumersScottish Government. Phases 1

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Older drug users in Scotland

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    1. Older drug users in Scotland April Shaw - Research Biba Brand - National Quality Development Manager November 2009, Liverpool

    3. Phases 1 & 2 Analysis of existing data sources (national and local) Examine legal and financial frameworks for support and care of senior drug users in the 4 countries. Phases 3 & 4 Interviews with target group on their living situation, their health status, aspirations and ideas on future support Interviews with key ‘experts’ on their views of the current and future needs of this population. Developing European guidelines to support and care for elderly drug dependents. Senior Drug Users and Care Structures: European Study

    4. Target Group (source ISD)

    5. Mortality (source GROS)

    6. Hepatitis C: Scotland 50K prevalence 23,686 HCV + 37% aged 35+ 21% females / 78% males (2007) 65% over 35s are in 40-49 year age group

    7. Interviews: Main Findings Abstinence Housing Social Networks Marginalisation Service Experiences Future ideas on programmes for older users

    8. Aspirations for Future “I would just like to get a job and all that and just be like a normal person, but certain months of the year take a break, take a holiday and that. Just like to be living like the same mundane existence that eight tenths of the population are living.”

    9. Methodology:

    10. Methodology:

    11. Background of self-completion questionnaires Background of self completions Organisations Specialisms Statutory 54.9% (39) Specialist Community Based 70.4% (50) Voluntary 42.3% (30) Specialist Residential/In-patient 11.3% (8) Private 2.8% (2) Non-specialist Support Service 18.3% (13) Policy Development Service 0% (0) Other (DTTO, A&R, maternity, ETE (11) Remits Manager 49.3% (35) Working directly 47.9% (34) Administrator 1.4% (1) Policy/Planning/Commissioning 1.4% (1) Other (manager with client work (5) or policy/planning (2), & 1 team response,) (8)

    12. Proportion of services with older drug users

    13. Strengths

    14. I Challenges for services Current/future targeted help Isolation Overdose and suicide Reviews Control over own care Continued drug use Late onset injecting Interagency work – elderly care, generic

    15. I Vision Extend & Enhance Existing Provision Practical/emotional home support Recovery - Employability, legal, welfare services Counselling, befriending Staff – training, age, consistent, significant events, motivating (M/F) Social support networks (cont’d…)

    16. Vision cont’d Health Improvement Supported accommodation Residential and crisis services Early screening - chronic conditions Improved pain management Targeted work within existing drug services

    17. www.sdf.org.uk

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