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10 things about 
alcohol and other 
drugs you may have 
missed 
19 September 2014 
Andrew Brown 
Director of Policy, Influence and Engagement 
DrugScope 
@andrewbrown365
“A cultural change is required within 
the NHS and social care 
organisations to combat stigma and 
discrimination against people with 
addiction problems, and to ensure 
equity of care and delivery of 
effective interventions to address 
addiction problems and related 
health problems. 
“Active participation of all healthcare 
staff is crucial to discharge 
responsibilities of duty of care – both 
duty to detect and duty to act.” 
Photo by Flikr user UK in Japan- FCO 
Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence
Addictions, dependence and substance abuse – 
Annual Report of the Chief Medical Officer 2013 
• Alcohol consumption in England has doubled in the 
last 60 years, with a fivefold increase in deaths from 
alcohol-related diseases such as liver cirrhosis. 
• Only 6% of people with alcohol dependence access 
treatment. 
• There were 8.4 opiate and/or crack users per 1,000 of 
population in England in 2011/12. 
• 33% of the prison population has a history of heroin 
use compared to less than 1% of the general 
population. 
Key Statistics 
Source: https://www.gov.uk/government/publications/chief-medical-officer-cmo-annual-report-public-mental-health
Estimated number of opiate users and 
rate (thousands) population, England 
(2004-2012) 
9 
8.5 
8 
7.5 
7 
6.5 
290,000 
285,000 
280,000 
275,000 
270,000 
265,000 
260,000 
255,000 
250,000 
245,000 
240,000 
2004-05 2005-06 2006-07 2008-09 2009-10 2010-11 2011-12 
Opiate rate per 1,000 population 
Number of Opiate users 
Number of opiate users (95% CI) Opiate rate per 1,000 population (95% CI) 
Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence
“Estimates 
suggest that 
half the 
prisoners in 
the EU have a 
history of drug 
use, many with 
problematic 
injecting drug 
use.” 
Source: http://www.euro.who.int/en/publications/abstracts/prisons-and-health
Estimated number of reported 
drink drive accidents in Great 
Britain 1979-2012 
25,000 
20,000 
15,000 
10,000 
5,000 
0 
1979 
1980 
1981 
1982 
1983 
1984 
1985 
1986 
1987 
1988 
1989 
1990 
1991 
1992 
1993 
1994 
1995 
1996 
1997 
1998 
1999 
2000 
2001 
2002 
2003 
2004 
2005 
2006 
2007 
2008 
2009 
2010 
2011 
2012 
Fatal 
Serious 
Slight 
Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving
Self reported drug and drink driving as a 
proportion of all drivers who have taken drugs 
and drunk alcohol in the last 12 months 
respectively 
25.0 
20.0 
15.0 
10.0 
5.0 
0.0 
2009/10 2010/11 2011/12 2012/13 
Drug driving Drink driving 
Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving
1 in 4 football-related arrests in 
England in the 2013-14 season were 
for alcohol offences 
Violent Disorder 
Public Disorder 
Missile Throwing 
Racist or Indecent chanting 
Pitch Incursion 
Alcohol Offences 
Ticket touting 
Possession of Offensive Weapon 
Use or Possession of Fireworks or Flares 
Breach of Banning Order 
Offences Against Property 
Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)
Trends in football-related arrests 
2000 -2014 
4500 
4000 
3500 
3000 
2500 
2000 
1500 
1000 
500 
0 
Total arrests Alcohol offences 
Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)
“In Lithuania dismantled 
methamphetamine laboratories 
are usually medium to large-scale 
and the final product is 
reportedly manufactured on 
demand for further trafficking 
to Nordic countries and the 
United Kingdom.” 
Methamphetamine manufacture: Global Patterns 
and Regional Differences. UNODC 
Source: http://www.unodc.org/unodc/en/frontpage/2014/September/new-trends-and-regional-differences-in-the-manufacturing- 
of-methamphetamine.html
Recovery rate following use of use of 
IAPT services, by provisional diagnosis, 
2013/14 
0 10 20 30 40 50 60 70 
F40.2 - Specific (isolated phobias) 
F41.1 - Generalized anxiety disorder 
F45 - Somatoform disorders 
F41.0 - Panic disorders 
Other ICD-10 code 
F42 - Obsessive compulsive disorder 
F32 - Depressive disorder 
F40.1 - Social phobia 
Z63.4 - Disappearance and death of a family member 
F41.2 - Mixed anxiety and depressive disorder 
No code provided 
F99 - Mental disorder, not otherwise classified 
F50 - Eating disorders 
F33 - Recurrent depressive disorder 
F40.0 - Agoraphobia (with or without history of panic disorder 
F43.1 - Post-traumatic stress disorder 
F31 - Bipolar affective disorder 
F10 - Mental and behavioural disorders due to the use of alcohol 
Source: Psychological Therapies, Annual Report on the use of IAPT services - England, 2013-14. HSCIC (2014)

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10 things about alcohol and drug use you need to know

  • 1. 10 things about alcohol and other drugs you may have missed 19 September 2014 Andrew Brown Director of Policy, Influence and Engagement DrugScope @andrewbrown365
  • 2. “A cultural change is required within the NHS and social care organisations to combat stigma and discrimination against people with addiction problems, and to ensure equity of care and delivery of effective interventions to address addiction problems and related health problems. “Active participation of all healthcare staff is crucial to discharge responsibilities of duty of care – both duty to detect and duty to act.” Photo by Flikr user UK in Japan- FCO Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence
  • 3. Addictions, dependence and substance abuse – Annual Report of the Chief Medical Officer 2013 • Alcohol consumption in England has doubled in the last 60 years, with a fivefold increase in deaths from alcohol-related diseases such as liver cirrhosis. • Only 6% of people with alcohol dependence access treatment. • There were 8.4 opiate and/or crack users per 1,000 of population in England in 2011/12. • 33% of the prison population has a history of heroin use compared to less than 1% of the general population. Key Statistics Source: https://www.gov.uk/government/publications/chief-medical-officer-cmo-annual-report-public-mental-health
  • 4. Estimated number of opiate users and rate (thousands) population, England (2004-2012) 9 8.5 8 7.5 7 6.5 290,000 285,000 280,000 275,000 270,000 265,000 260,000 255,000 250,000 245,000 240,000 2004-05 2005-06 2006-07 2008-09 2009-10 2010-11 2011-12 Opiate rate per 1,000 population Number of Opiate users Number of opiate users (95% CI) Opiate rate per 1,000 population (95% CI) Source: Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence
  • 5. “Estimates suggest that half the prisoners in the EU have a history of drug use, many with problematic injecting drug use.” Source: http://www.euro.who.int/en/publications/abstracts/prisons-and-health
  • 6. Estimated number of reported drink drive accidents in Great Britain 1979-2012 25,000 20,000 15,000 10,000 5,000 0 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Fatal Serious Slight Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving
  • 7. Self reported drug and drink driving as a proportion of all drivers who have taken drugs and drunk alcohol in the last 12 months respectively 25.0 20.0 15.0 10.0 5.0 0.0 2009/10 2010/11 2011/12 2012/13 Drug driving Drink driving Source: https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving
  • 8. 1 in 4 football-related arrests in England in the 2013-14 season were for alcohol offences Violent Disorder Public Disorder Missile Throwing Racist or Indecent chanting Pitch Incursion Alcohol Offences Ticket touting Possession of Offensive Weapon Use or Possession of Fireworks or Flares Breach of Banning Order Offences Against Property Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)
  • 9. Trends in football-related arrests 2000 -2014 4500 4000 3500 3000 2500 2000 1500 1000 500 0 Total arrests Alcohol offences Source: Football-related arrests and football banning order statistics: Season 2013-14, Home Office (2014)
  • 10. “In Lithuania dismantled methamphetamine laboratories are usually medium to large-scale and the final product is reportedly manufactured on demand for further trafficking to Nordic countries and the United Kingdom.” Methamphetamine manufacture: Global Patterns and Regional Differences. UNODC Source: http://www.unodc.org/unodc/en/frontpage/2014/September/new-trends-and-regional-differences-in-the-manufacturing- of-methamphetamine.html
  • 11. Recovery rate following use of use of IAPT services, by provisional diagnosis, 2013/14 0 10 20 30 40 50 60 70 F40.2 - Specific (isolated phobias) F41.1 - Generalized anxiety disorder F45 - Somatoform disorders F41.0 - Panic disorders Other ICD-10 code F42 - Obsessive compulsive disorder F32 - Depressive disorder F40.1 - Social phobia Z63.4 - Disappearance and death of a family member F41.2 - Mixed anxiety and depressive disorder No code provided F99 - Mental disorder, not otherwise classified F50 - Eating disorders F33 - Recurrent depressive disorder F40.0 - Agoraphobia (with or without history of panic disorder F43.1 - Post-traumatic stress disorder F31 - Bipolar affective disorder F10 - Mental and behavioural disorders due to the use of alcohol Source: Psychological Therapies, Annual Report on the use of IAPT services - England, 2013-14. HSCIC (2014)