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Substance Misuse: How Hertfordshire County Council supports partnership working around substance misuse. Vicki Reid Crime and Drugs Strategy Manager November 27 th 2007. What am I going to cover. Central Government drivers Commissioning arrangements in Hertfordshire
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Substance Misuse:How Hertfordshire County Council supports partnership working around substance misuse Vicki Reid Crime and Drugs Strategy Manager November 27th 2007
What am I going to cover • Central Government drivers • Commissioning arrangements in Hertfordshire • Partnership arrangements in Hertfordshire • Substance Misuse services for East Herts residents • Numbers accessing treatment from East Herts
Central Government Drivers • National Drugs Strategy (Home Office) • Tackling supply, Communities (including Criminal Justice Interventions), Treatment, Young People • National Treatment Agency (Department of Health) • Government Office Crime and Drugs Team • Government Office National Treatment Agency • Drug Action Teams • Local Area Agreement (Safer Stronger Communities)
County Commissioning Arrangements • Adult Drug Treatment Needs Assessment • Adult Drug Treatment Plan • Countywide service commissioning • Adult Joint Commissioning Group • Young People’s Joint Commissioning Group
Partnership Delivery Arrangements • Safer Stronger Performance Group • Drugs Executive Group • Crime and Drugs Strategy Unit • Partnership Support Team • Crime and Disorder Reduction Partnerships • Strategic Assessments • Community Safety Plans
Substance Misuse Services - EH Tier 2: Westminster Drugs Project (Hertford) • Open access drop in, needle exchange, 1-1 key working & assessments, on site nurse Tier 2 ½: Drug Interventions Programme (Hertford) • Multi-agency Criminal Justice Intervention team offering prescribing, key working, offender management, aftercare provision
Substance Misuse Services - EH Tier 3: Hertsreach (Hertford) • Structured day care, Drug Rehabilitation Requirement, Alcohol Treatment Requirement Tier 3: CDAT (Ware / Bishops Stortford) • Prescribing, BBV testing / immunisation, 1-1 key working, assessment & referral to detox / rehab Tier 4: Vale House Residential Rehabilitation (Hertford) • Residential rehabilitation addiction centre (not solely for East Herts residents)
Numbers accessing treatment - EH Adult Treatment – Q1&2 (County Average) Numbers in treatment - 111 (108) Male : Female - 70:30 (70:30) White British - 89% (82%) Drug Interventions Programme - Q1&2 (County Average) Assessments – 30 (29) Caseload – 21 (20) Engaged in treatment - 12 (13)
Substance Breakdown / Gaps - EH Reported primary drug used (bear in mind Tier 3 data): Heroin - 65% (72) Other - 11% (12) Cannabis - 10% (11) Crack - 7% (9) Cocaine - 4% (4) Methadone - 3% (3) Gaps in provision – specific alcohol / stimulant services