Planning and Provision of Drug Misuse Services
APPENDIX A

Drug Misuse: National Strategic Objectives
and Key Performance and Activity Indicators

NATIONAL STRATEGIC OBJECTIVES    KEY PERFORMANCE AND ACTIVITY INDICATORS*
Change Attitudes and Influence Behaviour

    - Change attitudes to drug misuse and reduce the acceptability of drugs misuse to young people and the wider population.

    - Reduce harmful behaviour related to drug misuse.

    -  Implement public information and education strategies and programmes which promote responsible attitudes and behaviour.

    - Ensure a consistent, co- ordinated approach to drugs education and prevention which is evidence based.
  • Reported % use of any illicit drug ever; within the last year; and the last month among young people aged 16 to 35.
  • Reported % use of any illicit drug ever; within the last year; and the last month among young people aged 8 to 15.
  • Reported age of the first use of any drug.
  • Reported age of first starting injecting behaviour.
  • Number of new problem drug misusers seen by services and reported to the Scottish Drug Misuse Database (SDMD).
Broaden Involvement

    - Broaden the base of involvement in tackling drug misuse and attendant problems by harnessing the power of the wider community, including young people, parents, business and the media.

    - Encourage widespread community involvement in tackling drug misuse and attendant problems, including drug related crime.

    - Influence and mobilise public and private sector organisations, professional groups and communities to tackle drug misuse and associated problems.

    - Raise public awareness of the benefits of a drug free community and the dangers associated with drug misuse.

    - Promote drug awareness and the development of workplace drug policies within the workplace setting as an integral part of Scotland's Health at Work award scheme.

    - Ensure effective training is provided to support all groups and sectors involved in drugs education and prevention.

  • % of Drug Action Teams (DATs) establishing a drugs forum.
  • % of Scottish schools providing education on drugs.
  • % of schools with policies on drug misuse.
  • £ contribution by the private sector to Government anti- drugs measures.
  • £ contribution by the private sector to the funding of drug agencies and educators, including voluntary organisations.
  • % of Scottish community education services providing education on drugs.
  • % of Scottish community education services with drugs policies.
  • % of workplaces which have implemented a drugs policy.
  • % of staff receiving recognised training.
Reduce Availability

    - Reduce availability of drugs through police activity to disrupt and arrest those involved in the supply and trafficking of illegal drugs.
  • Number of arrests and disposals of offences under the Misuse of Drugs Act 1971 per 1,000 population.
  • Number of seizures of controlled drugs by the police.
Drug Related Crime

    - Reduce drug related crime.

    - Protect communities from drug related crime.

    - Develop constructive alternatives to prosecution and imprisonment.

    - Reduce the level of drug misuse in prisons.
  • Reported % of crime related to drug misuse.
  • % of DAT areas offering alternatives to either prosecution and imprisonment or both.
  • Number of drug misusers recorded at reception into prison and recorded by the Scottish Drug Misuse Database.
  • % of prisoners tested identified as positive by random mandatory drug testing.
Research and Information

    - Develop a research and information programme reflecting national objectives, with emphasis on the development of cost- effective and evidence based strategies and service delivery based on effectiveness.
  • % of DATs that have surveyed drug
    misuse in their areas.
Health Risks and Services

    - Reduce health risks and social damage attributable to drug misuse.

    - Discourage misuse of drugs, and assist drug misusers to become and remain drug free.

    - Develop responsive and effective services for drug misusers.

    -  Reduce drug related deaths.

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

    - Protect communities from the health risks and other damage associated with drug misuse, including the spread of communicable diseases.
  • % of drug misusers entering treatment programmes who report remaining drug free.
  • Number of hospital in-patient days attributable to drug misuse.
  • % of Health Board areas that provide funding for (a) shared care arrangements (b) drug problem services (c) needle and syringe exchanges.
  • Number of drug overdoses requiring hospital admission.
  • Number of deaths attributable to drug misuse.
  • % of injecting drug misusers recorded by the SDMD who have injected in the past month.
  • % of drug misusers recorded by the SDMD who have injected in the past month and who report sharing equipment in the past month.
  • % of problem drug misusers recorded by the SDMD who reported that they had injected in the past, but not in the previous month.
  • % of new problem drug misusers recorded by the SDMD who reported polydrug misuse in the past, but not in the previous month.
  • % of GPs in Scotland participating in "shared care" arrangements or working to locally agreed disease management protocols.
  • % of pharmacists involved in daily dispensing and supervised consumption of methadone.
  • Number of individuals contracting HIV through injecting.
  • Number of reported cases of Hepatitis through injecting behaviour.

* It is acknowledged that not all the data required to support the key performance and activity indicators is yet available. The further testing and refinement of the key performance and activity indicators will be part of on-going work by ISD during implementation of the Scottish Drugs Information Strategy, on behalf of the Scottish Office Department of Health.