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CLUB DRUGS: EMERGING TRENDS AND RISKS. Open Road ‘Legal Highs – Clubbing Drugs’ Conference Wednesday 23 rd January 2013 Rick Andrews National Treatment Agency. Slide 1. CLUB DRUGS: EMERGING TRENDS AND RISKS. First analysis of treatment data relating to these substances
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CLUB DRUGS: EMERGING TRENDS AND RISKS Open Road ‘Legal Highs – Clubbing Drugs’ Conference Wednesday 23rd January 2013 Rick Andrews National Treatment Agency Slide 1
CLUB DRUGS: EMERGING TRENDS AND RISKS First analysis of treatment data relating to these substances Based upon NDTMS data since 2005-06 ‘Club drugs’ – a collective term often used generically to describe a increasingly wide range of substances High numbers of reported users, relatively small numbers presenting to treatment Slide 2 2
CLUB DRUGS: EMERGING TRENDS AND RISKS • Context: • BCS indicates that overall drug use is declining from 3.3m in 2005 to 2.9m in 2011 • Overall numbers in treatment declining year on year • Same period use of club drugs has risen. • In 2010-11 estimated 1m club drug users • Made up 4% of all new entrants to drug treatment in 2011/12 • Ketamine use in general population remained constant – but increasing nos. presenting to treatment • Numbers presenting to treatment increased by 50% • Make up just 2% of over-18s and 10% of under-18s in treatment Slide 3 3
CLUB DRUGS: EMERGING TRENDS AND RISKS Slide 4 4
CLUB DRUGS: EMERGING TRENDS AND RISKS Slide 5 5
CLUB DRUGS: EMERGING TRENDS AND RISKS • Characteristics: • Users different than those traditionally seen by services • Do not appear to be replacing more traditional drugs, such as heroin and crack • Can cause serious health problems and can lead to dependency • Use tends to be characterised by binge rather than regular use • Longer period between reported first use and presenting to treatment • Often prompted by acute health effect/episode • Club drug users do well in treatment. Slide 6 6
CLUB DRUGS: EMERGING TRENDS AND RISKS • Characteristics: • Differ greatly from mainstream treatment population • Users typically have good personal resources • Often highly educated • Are employed • Are socially functional • Lack criminal convictions • Voluntarily engage with treatment • Have shorter treatment episodes • Club drug users do well in treatment. Slide 7 7
CLUB DRUGS: EMERGING TRENDS AND RISKS • Findings: • 8% report injecting Mephedrone (in last 2 years) • Users made up 4% of all new entrants to drug treatment in 2011/12 (2675/70,000) compared to 47,000 for Heroin/crack • Ecstasy remains the most common • Overall average age of treatment population increasing • 43% of club drug users in the 18-24 age range • 70% of Mephedrone and 50% GBH/GBL aged over 30 • U-18 Ecstasy presentations has fallen by 68% from 2007-08 • Last year, 61% of over-18 and 74% of under-18 club drugs users who left treatment did so successfully Slide 8 8
CLUB DRUGS: EMERGING TRENDS AND RISKS • Conclusions: • Treatment numbers remain relatively small • Rates of IV use are minimal • No graduation to other substances • Enter treatment voluntarily • Users typically have good personal resources • Respond well to treatment • Treatment episodes tend to be relatively short • Services responsive and adaptive to changing trends • Range of substances is increasing • Continued investment is crucial Slide 9 9
CLUB DRUGS: EMERGING TRENDS AND RISKS Full copy of the report available at: http://www.nta.nhs.uk/uploads/clubdrugsreport2012[0].pdf Slide 10 10