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Tackling Drugs in Scotland: Action in Partnership
 
 
chapter 4
Each of the four UK aims are embraced within Scotland's strategic framework
 
What the Government want to achieve
This chapter sets out the action the Government want to see from the improved delivery mechanisms described later in the document.
In the following pages we explain what the Government want to achieve by setting out Scotland's Objectives in tackling drug misuse, with related Action Priorities. The Objectives are aligned under the four overarching UK aims and Key Objectives agreed by Ministers in all four countries in the White Paper, Tackling Drugs to Build a Better Britain. Each of the four UK aims are embraced within Scotland's strategic framework and should be acted upon in the same way as Scotland's own Objectives. Specific targets will be set for agencies against each of the Objectives. Performance measures for Scotland compatible with those of the rest of the UK are desirable, so that we can compare progress, share research, and task countries UK-level efforts in prevention and enforcement.
 
We explicitly include "Children" as a separate group within the "Young People" referred to in Aim (i) and "Social care" within the term "Treatment" referred to in Aim (iii). Strengthening communities is seen as of equal importance to protecting communities in terms of Aim (ii) - this assumes helping individuals and communities to become empowered, in dealing with drug related anti-social and criminal behaviour.
 
National Objectives
National Objectives for tackling drug misuse in Scotland were set out in Planning and Provision of Drug Misuse Services published in 1997. These reflected the recommendations of the Ministerial Drugs Task Force of 1994, and developments since then. They have been refined during consultations for this document and reflect steps towards greater accountability. They will inform the setting of performance measures including local objectives, performance indicators and targets.
 
Action Priorities
Action Priorities are the steps most needed to achieve national objectives, and most likely to do so.
 
As a result of the consultations for this document, they reflect a shared view at the centre and locally on overriding national priorities. They should heavily influence the distribution of national resources and the decisions of individual Drug Action Teams (DATs) and agencies on strategies and approaches. They are not mandatory, since historic factors and local service priorities may also be relevant.
 
These Action Priorities will be a set part of the Annual Drug Misuse Review by the Scottish Advisory Committee on Drug Misuse (SACDM), a key mechanism for decisions on the allocation of resources in support of the strategy. The Priorities should also feature in Corporate Action Plans prepared by each DAT. Each year Ministers will publish the Action Priorities for the following financial year, and the allocation of central resources will take account of these Action Priorities and other elements of the strategy. (The new Annual Planning Cycle is set out fully in Chapter 8).
 
The implementation of Action Priorities should be led by the DAT and delivered through joint commissioning arrangements, with appropriate links to other wider Government initiatives.
 
Local surveys and research should be commissioned, with common methodology, to equip authorities to implement the action flowing from the Objectives and Action Priorities (for example, prevalence studies and needs assessment in relation to vulnerable groups such as children living in drug dependent households).
 
The research and information requirements of the strategy should be closely tied to the Objectives and Action Priorities. The best possible information and research will therefore be sought out to support implementation of Scotland's strategy and new arrangements for organising this work are set out in chapter 6, Understanding - The role of information and research. The research required to support the strategy will be included in the Annual Drug Misuse Research Programme agreed by SACDM. Programmes of work related to these Objectives and Priorities should be accompanied by monitoring and evaluation of the effectiveness of interventions.
 
National Objectives and Action Priorities for Scotland are set out in the following pages.
 
UK Aim (i) : Young People - To help young people resist drug misuse in order to achieve their full potential in society
 
UK Key Objective : Reduce proportion of people under 25 reporting use of illegal drugs in the last month and previous year
 
Scotland's Objectives
- Establish a consistent, co-ordinated, evidence-based approach to drug education, prevention and harm reduction which takes account of individual and community needs.

- Implement education strategies and initiatives and provide public information which increase knowledge and promote avoidance of drug misuse.

- Reduce the acceptability and incidence of drugs misuse among children and young people.

- Ensure that every school pupil in Scotland has effective drug education including accurate and

up-to-date information on the consequences of drug misuse.

- Reduce the harm arising from drug misuse and in particular by encouraging positive alternative lifestyles.

- Increase access to information and services for vulnerable groups _ including school excludees, truants, looked after children, young offenders, young homeless, very young children at risk of drug misuse and children of drug misusing parents.

 
Scotland's Action Priorities
  • Develop a co-ordinated approach, involving local authorities, health boards, DATs and AMCCs, parents, community and young people themselves.
  • Every school to provide appropriate drug education for all pupils in line with national and education authority advice.*
  • Every school and community education provider to have an effective welfare policy on the management of incidents of drug misuse.*
  • Effective training of teachers and other professionals working with young people.
  • Further develop drug education using the mass media and in a range of settings including schools, the community and voluntary sector.
  • Ensure that health education has a secure place in all educational establishments and in revised advice
  • on the curriculum and reflects good topical evidence of the most effective approaches.
  • Support the more general development of health promoting institutions, settings and sectors.
  • Promote the availability of attractive alternatives to drug misuse.
  • Support for children and young people in vulnerable situations, which includes assessment of the needs
  • of children of drug misusing families, and ensuring that - where needed - services are provided to safeguard their welfare.
  • The implementation of the recommendations to be made by the Schools Drug Safety Team will be a key step.
 
UK Aim (ii) : Communities - To protect our communities from drug related anti-social and criminal behaviour
 
UK Key Objective : Reduce levels of repeat offending amongst drug misusing offenders
 
Scotland's Objectives
- Strengthen and protect communities from drug related crime and the fear of drug related crime.

- Reduce the level of drug misuse in prisons.

- Develop constructive alternatives to prosecution and imprisonment for offences related to drug misuse problems.

- Support partnerships between professionals, local people and businesses in the development of local initiatives for tackling drug misuse.

- Promote drug awareness and the development of drug policies and health promotion within the workplace.

- Ensure that drug misuse is addressed within the wider context of area regeneration and social inclusion.

 
Scotland's Action Priorities
  • Ensure cohesion between community planning, community safety partnerships, community care plans, children's service plans and input from Drug Action Teams.
  • Increase the detection of drug related crime and refer offenders to specialist agencies (piloting of Drug Treatment and Testing Orders).
  • Maximise community and multi-agency partnerships to highlight and tackle localised problems: identify drug dealers and take action to disrupt their activities and reduce the threat to communities.
  • Continue development of alternatives to custody through measures _ like Drug Treatment and Testing Orders _ which provide access to assessment, information, and appropriate treatment programmes to stabilise drug use and reduce offending behaviour.
  • Develop liaison and joint working between the prisons and community based services to ensure appropriate throughcare and integration of services for prisoners with drug related problems and their families.
  • Enhance the detection of drivers under the influence of drugs, and underline the social unacceptability of such behaviour.
  • Obtain clearer information about the link between drug use and crime and about the effectiveness of different enforcement strategies.
 
UK Aim (iii) : Treatment - To enable people with drug problems to overcome them and live healthy and crime-free lives
 
UK Key Objective : Increase participation of problem drug misusers, including prisoners, in drug treatment programmes which have a positive impact on health and crime.
 
Scotland's Objectives
- Reduce the health risks to individuals and communities from drug misuse, and reduce related infectious diseases.

- Increase the number of drug misusers becoming and remaining drug free, and promote their inclusion in society.

- Reduce the incidence of injecting, sharing and polydrug misuse among drug misusers.

- Reduce the number of drug related deaths.

- Increase the proportion of drug misusers in contact with services, including those in prison, through the development of good, accessible, responsive and effective services.

- Reduce the numbers of drug misusers who have no quick access to appropriate treatment.

 
Scotland's Action Priorities
  • Provide effective shared care arrangements and integrated drug misuse services, to include substitute prescribing of oral methadone, with proper project management linking together a comprehensive range of services and taking into account the views of users.
  • Improve the range and quality of drug services for young people, particularly under 16s, and including, where appropriate, integrated services to assist early intervention with young misusers, particularly those with serious and sustained drug misuse problems.
  • Support problem drug misusers in reviewing and changing their behaviour towards more positive lifestyles _ linking them to appropriate accommodation, education and employment services.
  • Provide a range of services to meet the assessed needs of drug misusers and their families, including improved and appropriately targeted services for women.
  • Extend and develop detached and outreach work to help services make contact with people at an early stage in their drug misuse, taking account of young peoples' views, and improve prevention work aimed at vulnerable young people.
  • Consider measures in place locally to prevent the spread of hepatitis C among drug injectors and prepare an agreed action plan embracing prevention, education and treatment, with the provision of needle exchanges and appropriately targeted information a central feature. Maintain efforts to contain the spread of HIV and hepatitis B viruses.
  • Provide appropriate treatment for substance misuse withdrawal to all dependent drug misusers on their admission to hospital as an in-patient or when detained in prison (including treatment of withdrawal symptoms to improve retention in treatment programmes).
  • Improve services to people with dual diagnosis of substance misuse and mental health problems, including an integrated psychiatric service for patients at serious risk of chronic self harm who also have a co-existing drug problem.
  • Ensure that throughcare and aftercare arrangements for drug misusing prisoners are coherent, focused and tied in with community provision.
 
UK Aim (iv) : Availability - To stifle the availability of illegal drugs on our streets
 
UK Key Objective : Reduce access to drugs amongst 5-16 year olds
 
Scotland's Objectives
- Reduce access to drugs amongst all age groups.

- Enforcement agencies to continue to identify, investigate and obtain evidence for the prosecution of persons engaged in drug trafficking and supply.

- Reduce the amount of drugs entering Scotland by targeting distribution networks and dismantling organised trafficking.

- Support constructive community involvement in reducing the availability of drugs locally.

- Reduce the availability of drugs in prisons.

 
Scotland's Action Priorities
  • Reduce the growth, manufacture, importation and distribution of drugs for illicit use in Scotland, supporting international efforts to stem the flow of drugs into the UK.
  • Reduce availability of drugs in the community, through enforcement activity to disrupt and arrest those involved in their supply and trafficking.
  • Create an environment for communities to confidently and safely identify to the police those involved in the supply of illegal drugs.
  • Ensure information and best practice are shared between intelligence and law enforcement agencies.
  • Maximise the confiscation of assets associated with drug dealing activity.
  • Develop arrest referral and drug diversion schemes.
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