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Guidelines for the Management of Incidents of Drug Misuse in Schools

EXTRACT FROM THE MISUSE OF DRUGS ACT 1971

Occupiers etc. of premises to be punishable for permitting certain activities to take place there.

8. A person commits an offence if, being the occupier or concerned in the management of any premises, he knowingly permits or suffers any of the following activities to take place on those premises, that is to say-

(a) producing or attempting to produce a controlled drug in contravention of section 4(1) of this Act;

(b) supplying or attempting to supply a controlled drug to another in contravention of section 4(1) of this Act, or offering to supply a controlled drug to another in contravention of section 4(1);

(c) preparing opium for smoking;

(d) smoking cannabis, cannabis resin or prepared opium.

Powers to search and obtain evidence.

23. (1) A constable or other person authorised in that behalf by a general or special order of the Secretary of State (or in Northern Ireland either of the Secretary of State or the Ministry of Home Affairs for Northern Ireland) shall, for the purposes of the execution of this Act, have power to enter the premises of a person carrying on business as a producer or supplier of any controlled drugs and to demand the production of, and to inspect, any books or documents relating to dealings in any such drugs and to inspect any stocks of any such drugs.

(2) If a constable has reasonable grounds to suspect that any person is in possession of a controlled drug in contravention of this Act or of any regulations made thereunder, the constable may-

(a) search that person, and detain him for the purpose of searching him;

(b) search any vehicle or vessel in which the constable suspects that the drug may be found, and for that purpose require the person in control of the vehicle or vessel to stop it;

(c) seize and detain, for the purposes of proceedings under this Act, anything found in the course of the search which appears to the constable to be evidence of an offence under this Act.

 

PROCEDURES FOR MANAGING INCIDENTS OF DRUG MISUSE BY PUPILS

A. If Medical Help is Required

 

B. If Medical Help is Not Required

1(a) Provide first aid as necessary, minimise risk of pupil damaging him/herself or others. As a last resort reasonable restraint may be necessary (see also supplementary material Drug Situations - medical emergencies).

AND/OR

b) Send for an ambulance. Arrange for appropriate adult to accompany pupil to hospital.

2. Send for Head of Establishment (depute if Head unavailable).

3. Access another member of staff for assistance.

4. Arrange for safe removal of drug-related litter (in accordance with set management procedures).

5. Retain evidence (including vomit, for medical analysis) if at all possible.

HEAD OF ESTABLISHMENT
(OR DEPUTE/DESIGNATED PERSON) TO

6. Contact police for advice and/or involvement as necessary (see also paragraph 2.3).

7. Inform parent(s) of incident and that police have been contacted, invite parent(s) to come to school (see also paragraphs 2.9, 3.2 and 3.3).

8. Arrange for staff and other pupils involved to be interviewed, with witnesses, to establish the facts of the incident and obtain corroboration. Records of these meetings must be kept .

9. Inform Director of Education as soon as possible.

10. Arrange interview of pupil(s) concerned when recovered. Records must be kept.

11. Once investigation has finished, give consideration to the guidance which has been given in terms of excluding pupils and involving other agencies such as social work.

1. Send for Head of Establishment (depute if Head Unavailable).

2. Access another member of staff for assistance.

3. Minimise risk of pupil damaging him/herself or others. As a last resort reasonable restraint may be necessary. Retain evidence (including vomit) if at all possible.

4. Pupil (and belongings) should be taken to a private room and supervised by preferably two members of staff.

5. Arrange for safe removal of drug-related litter (in accordance with set management procedures.

HEAD OF ESTABLISHMENT
(OR DEPUTE/DESIGNATED PERSON) TO

6. Remind pupil of school policy regarding drug misuse and the procedures to be followed to investigate the incident, including the intention to contact parents and police.

7 Ask pupil to hand over any drug-related material. If reluctant to do so, explain that request will be repeated in presence of parents and possibly police.

8. Contact police for advice and/or involvement as necessary.

9. Inform parent of incident and that police have been contacted, invite parent(s) to come to school (see paragraphs 2.9, 3.2 and 3.3).

10. Inform Director of Education as soon as possible.

11. Arrange interview of pupil, with witnesses, to establish the facts of the incident, at what level pupil involved, and, whether other pupils were involved. Records must be kept.

12. Arrange interview of staff and other pupils involved, with witnesses, to further establish the facts of the incident and obtain corroboration. Records must be kept.

13. Once investigation has finished, give consideration to the guidance which has been given in terms of excluding pupils and involving other agencies such as social work.

 

Key Aspects of an Effective Response

When interviewing pupils

DO

Ask factual questions about

* which drug

* source

* quantity

* legal status

* who is at risk

* age of pupil

Act with a witness.

Supervise and respect rights to silence and reasonable privacy.

Operate within school rules and responsibilities for pupils.

Be prepared to receive drug-related equipment given by pupils.

Make clear the limits of confidentiality and refer the incident to the school's designated drugs co-ordinator if not the Headteacher.

Record the facts on a standard pro forma, store in a secure place and disclose only on a need to know basis.

DO NOT

Ask leading questions

Interrogate

Accuse

Make assumptions about guilt

Detain a pupil in a locked room or without access to food or drink.

Remove or search personal belongings or conduct body searches (otherwise, this could be considered assault).

Pledge secrecy or keep drug incidents to yourself (you alone cannot have an overview of the situation and the risk factors).

Record the facts on a standard pro forma, store in a secure place and disclose only on a need to know basis

Rely on memory or general impressions - they may be inaccurate and make it more difficult for others to help/obtain evidence.

 

When responding to the media, what to do and what to avoid

DO

  • Prepare a list of key facts and be consistent with police comment.
  • Ask to be called back when more information will be available.
  • Show that the incident has been taken seriously and managed effectively.

DO NOT

  • Say more than you want to
  • Identify individuals or information prejudicial to individual pupils, staff or the school
  • Comment on events outside the school's responsibilities.

 

 

Drug situations - medical emergencies

The procedures for an emergency apply when a child or young person or others are at immediate risk of harm. A person who is unconscious, having trouble breathing, seriously confused or disoriented or who has taken a harmful toxic substance, should be responded to as an emergency.

Your main responsibility is for any pupil at immediate risk, but you also need to ensure the well-being and safety of others. Put into practice your school's first aid procedures. IF IN ANY DOUBT, CALL MEDICAL HELP

ALWAYS:

  • assess the situation
  • if a medical emergency, send for medical help and ambulance

BEFORE ASSISTANCE ARRIVES:

If the person is conscious:

  • ask the person what has happened and to identify any drug used
  • collect any drug sample and leave any vomit for medical analysis
  • do not induce vomiting
  • keep the person under observation, warm, quiet and conscious

If the person is unconscious:

  • ensure that the person can breathe and place in recovery position
  • do not move the person if a fall is likely to have led to spinal or other serious injury which may not be obvious
  • do not give anything by mouth
  • do not attempt to make the person sit or stand
  • do not leave the person unattended or in the charge of another pupil

WHEN MEDICAL HELP ARRIVES:

  • pass on any information available including vomit and any drug samples

PLEASE COMPLETE AN EMERGENCY RECORD FORM AS SOON AS YOU HAVE DEALT WITH THE EMERGENCY

 

RECORD OF DRUG-RELATED INCIDENT (Exemplar form for information)

School:

Date of Incident:

Date & Time Reported: Reported by:

 

Pupil(s) involved:

Name(s)

d.o.b.

Home contact number

     

Description of Incident:

 

 

 

 

 

Category of Incident:

Action Taken

By whom

Contacted

Drug-related litter on or near school premises.

     

Suspicion, allegation & disclosure in & out of school activities

     

Symptoms of drug misuse

     

Pupils/parents with drugs on school premises/trip/transport

     

Pupils/parents taking drugs on school premises/trip/transport

     

Pupils/parents selling/supplying drugs on school premises/trip/ transport

     

Drug Type (if known) or description:

Removed by

Where retained

Receipt given & countersigned.

 

 

Contacts made:
(where appropriate)

 

Contact Number

By whom

Contact Time

Arrival Time

Police

       

Ambulance

       

Other Health Professionals

       

Health Promotion Department

       

Social Work

       

Child Protection Team

       

Environmental Health

       

Education Department

       

Local Drug Support Agency

       

Other, please state.

       
         

Drug-related Incident report cont.

Pupil Interview Details (as appropriate)
If a member of staff is required to be present a summary should be detailed below

 

 

 

RECORD OF EVENTS:

TIME

DETAILS

   

OUTCOME

 
   

Signed:


Witnessed by:


Title:


Title:


Date:


Date:


 

KEY STAFF AND ASPECTS OF THE MANAGEMENT OF AN INCIDENT INVOLVING DRUGS

Key staff and aspects of the management of drug-related incidents which may require referral to established contacts in other agencies such as environmental, health or police services.

Aspect

Key Staff

Referral to outside agency via/with information to EA

Drug-related litter requiring removal

Janitor/groundsmen via Headteacher

Environmental Health Services
Police

Drug overdose

Staff member on duty via school nurse and Headteacher1

Accident and Emergency
Service/Ambulance Service,
Police, Children's Reporter,
Press Office, Social Work

Violence involving drugs

Staff member on duty via Headteacher

Police, Children's Reporter, Social Work

Possession of drugs

As above

Police, Children's Reporter

Sale of drugs

As above

Police, Children's Reporter

Training in first aid and recognising drug misuse

Staff development officer via Headteacher

Health Board, National Training
Agency, Local FE colleges,
Red Cross, St Andrew's Ambulance Association, etc

Confidentiality and the law

Headteacher and guidance staff

EA pupil support services and legal department

1. Local procedures, based on the guidelines, would be required where input by school nurses is on a part-time basis.

 

USEFUL CONTACTS

NATIONAL CONTACTS

Childline
Freephone 0800 441111

Drinkline
Freephone 0800 917 8282

Health Information Service
Freephone 0800 66 55 44

National Drugs Helpline
Freephone 0800 77 66 00

Parentline Scotland
Freephone 0808 800 2222

Drugs Scope
32-36 Loman Street
London
SE1 0EE
Tel: 0207 928 1211

Fast Forward
4 Bernard Street
Leith
Edinburgh
EH6 6PP
Tel: 0131 554 4300

Health Education Board for Scotland
Woodburn House
Canaan Lane
Edinburgh
EH10 4SG
Tel: 0131 536 5500

Re-Solv
(the Society for the Prevention of Solvent and Volatile Substance Abuse)
30A High Street
Stone
Staffs
ST15 8AW
Tel: 01785 817885

Scotland Against Drugs
120 Bath Street
Glasgow
G2 2EN
Tel: 0141 331 6150

Scottish Child Law Centre
23 Buccleuch Place
Edinburgh
EH8 9LN
Tel: 0131 667 6333

Scottish Children's Reporter Administration
Ochil House
Springkerse Business Park
Stirling
FK7 7XE
Tel: 01786 459500

Scottish Consultative Council on the Curriculum
Gardyne Road
Broughty Ferry
Dundee
DD5 1NY
Tel: 01382 455053

Scottish Council on Alcohol
166 Buchanan Street
Glasgow
G1 2NH
Tel: 0141 333 9677

Scottish Drugs Forum
5 Waterloo Street
Glasgow
G2 6AY

Scottish Executive Education Department
Area 3A
Victoria Quay
Edinburgh
EH6 6QQ
Tel: 0131 244 7853

TACADE
1 Hulme Place
The Crescent
Salford
M5 4QA
Tel: 0161 745 8925

Youth Access
1A Taylors Yard
67 Alderbrook Road
London
SW12 8AD
Tel: 0208 772 9900
Details of UK generic local counselling services for young people.

 

LOCAL CONTACTS (to be developed by each School)

Each school will want to develop its own network of local contacts. The following list is meant as guidance for this purpose.

Agency

Function

Key Contact

Social Work Dept

 

Enquiry & Information

Name:

Address:

 

Tel No:

Social Work Dept

 

Substance Misuse Team

Name:

Address:

 

Tel No:

Local Substance Misuse Groups (Drugs, Alcohol, Solvents)

Support, Advice, Counselling

Name:

Address:

Tel No:

Youth Services

 

 

Name:

Address:

 

Tel No:

Police

 

 

Name:

Address:

 

Tel No:

St Andrew's Ambulance/Red Cross

 

Support/training in first aid

Name:

Address:

 

Tel No:

Family Support Groups

 

 

Name:

Address:

 

Tel No:

Local Health Promotion Department

Information and training on drug issues.

Policy and curriculum development

Name:

Address:

Tel No:

Drug Action Team

 

 

Name:

Address:

 

Tel No:

Children's Reporter,

Local office

 

 

Name:

Address:

 

Tel No:

Other

 

 

 

 

EXTRACT FROM "TACKLING DRUGS IN SCOTLAND: ACTION IN PARTNERSHIP": THE SCOTTISH OFFICE (1999).

Young People

Drug misuse is a feature in the lives of many young people. A number of surveys provide evidence of the availability and misuse of illicit drugs by young people in Scotland. Information from the Scottish Crime Survey carried out in 1993 and 1996 shows that around one in four young men aged 16-19 and around one in five young women aged 16-19 had used drugs in the last twelve months (Figure 1). In 1996, for males aged 20-24 the proportion rises to over one in three (37%).

figure 1

Source : 1993 and 1996 Scottish Crime Surveys.

Several recent surveys of school age children provide further evidence of drug misuse by sections of young people in Scotland. One survey carried out in 1998 by the Research Unit in Health and Behavioural Change (Health Behaviour in School Age Children: a WHO cross national study, HBSC) shows the range of drugs which have been reported as ever used by a sample of young people in year four of secondary school (Figure 2).

figure 2

Source: HBSC.

It is clear that cannabis is the most frequently reported drug ever used among secondary 4 (S4) pupils in this study, with 42% reporting use. These findings are broadly consistent with the findings of other national surveys amongst children of school-age (e.g. those conducted by the Scottish Council for Research in Education, Fast Forward and the Alcohol and Health Research Group).

The HBSC study also found that, of those S4 pupils who had ever tried drugs, around one in five (22%) had first tried drugs at twelve years or younger. This was supported by another study, carried out by the Centre for Drugs Misuse Research at the University of Glasgow, which found that one in ten children in year one of secondary school had reported having tried using illegal drugs. Reports of drug misuse from other European countries show that Scotland is not alone in this problem, other countries have similar rates of lifetime use of certain drugs.

It is not only the misuse of drugs by young people which causes concern. Children living in families where drugs are regularly used are also at risk. Based on information obtained by treatment agencies in 1996/97, around one in five of all people who seek help for problem drug use report living with dependent children (source: Scottish Drug Misuse Database). This proportion, which may itself be under-reported, takes no account of drug users whose children do not live with them. A recent interview survey of over four hundred drug injectors in Greater Glasgow found that 60% were the parent to one child or more (source: Scottish Centre for Infection and Environmental Health (SCIEH), provisional).

 

IMPACT OF MAJOR CONTROLLED DRUGS

All drug use is potentially harmful and most carries health risks. Some people take drugs in a recreational way as part of their social activities and their drug use may not seem to cause obvious problems to them or their families. However, even when drugs are used in a recreational manner, the use of illegal drugs may lead to a Procurator Fiscal fine, a criminal record or even, in some cases, imprisonment.

The use of drugs can result in accidents, anti-social behaviour, crime and health problems including poisoning or overdose. Some drugs, such as heroin and crack, are associated with the greater potential to cause more harm than other drugs, such as cannabis and LSD. This is due to both greater health risks and greater social risks such as acquisitive crime.

Some methods of drug use are more harmful than others, such as injecting. Which can lead to the transmission of blood borne diseases such as HIV and Hepatitis. Some patterns of drug use are also more harmful than others: dependent drug use, combinations of drugs and alcohol; and chaotic unrestrained drug use are associated with most harm.

Harmful drug or alcohol use can result in erratic behaviour which can affect the parents' ability to look after their children. Any drug use has the potential to interfere with parenting ability e.g. if the parent is intoxicated. Some drug users may also have alcohol problems and this may be the major factor in affecting their ability to care for their children.

Drug problems affect people's lives and their families in very different ways. The effects of drugs will vary according to:

  • the individual;
  • their physical and psychological state;
  • the drugs used and the method and means of acquisition;
  • the amounts, patterns and method of drug use;
  • the circumstances in which the drug is used;
  • whether drugs are used in combination with other drugs, or with alcohol; and
  • whether drug use is away from children and whether there are adults around who are not intoxicated.

Physical effects: there are risks of overdosing on most drugs which may cause distress, damage to physical and mental health, or even death. Normal desires for food and reactions to discomfort and pain may be changed by the drug. This can lead to self neglect. Injecting drug use carries high risks of HIV infection or Hepatitis if needles or other injecting equipment are shared. Drug use, and particularly injecting drug use can also cause vascular damage and/or thrombosis, septicaemia and endocarditis.

Cognitive effects: anyone taking drugs that affect the mind over a long time may develop distorted perceptions and responses. Normal functioning may be impaired. For example, regular heavy use of amphetamines can lead to mental health problems such as anxiety and paranoia, or even in severe cases, amphetamine psychosis. These conditions are usually reversible.

Relationships: for people with drug problems, social relationships may narrow down to a small group of people with similar habits. Finding or keeping work and housing may be difficult. The lifestyle attached to heavy or chaotic drug use will have an impact on how members of the family relate to each other, even if children are not put at significant risk. Combined drug and alcohol use and alcohol dependency can lead to mood swings and impulsive behaviour that can have a negative impact on family life. Therefore, drugs mixed with alcohol may be particularly harmful both to health and to the user's ability to look after children.

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