DOCSLIB.ORG

Sheffield Alcohol Needs Assessment 2014 201114 FINAL

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Sheffield Alcohol Needs Assessment 2014 201114 FINAL Sheffield Alcohol Needs Assessment - 2014 Sheffield Drug and Alcohol Co-ordination Team LOUISE POTTER, DACT FINAL Title Sheffield Alcohol Needs Assessment – Full Report Status FINAL Version 1.0 Date created 30/04/2014 Approved by Sheffield DACT Audience Sheffield City Council, South Yorkshire Police FOI category No restrictions Author Louise Potter, DACT Information & Performance Analyst Owner Sheffield DACT Amendment history Review date A summary of new data will be completed one year post publication Comments Consultation undertaken prior to publication. LOUISE POTTER, DACT FINAL 1 Table of Contents Report Summary ........................................................................................................................................................... 3 Gaps Identified............................................................................................................................................................... 5 Report Introduction ....................................................................................................................................................... 8 Chapter 1 – Alcohol Use/ Misuse and its link to National and Local Strategies ................................................... 12 Chapter 2 - The Estimated Prevalence of Alcohol Misuse in Sheffield by alcohol category .............................. 16 The Estimated Prevalence of Alcohol Misuse in Sheffield ..................................................................................... 16 Estimated number of people who require alcohol treatment per annum in Sheffield ............................................ 19 Chapter 3 - Commissioning the alcohol treatment pathway in Sheffield .............................................................. 22 Chapter 4 - Sheffield Alcohol Treatment activity in 2013/14, compared with 2011/12 and 2012/13 .................... 24 Pharmacological treatment ........................................................................................................................................ 28 Psychosocial Interventions (PSI) ............................................................................................................................... 30 Extended Brief Interventions (EBI) ............................................................................................................................ 33 Inpatient Detoxification .............................................................................................................................................. 34 Residential rehabilitation ............................................................................................................................................ 34 Treatment Outcomes – .............................................................................................................................................. 35 Mutual Aid (MA) ......................................................................................................................................................... 36 Chapter 5 - Treatment performance (NATMS) and information on the treatment cohort .................................... 39 Chapter 6 - Alcohol identification/ screening and brief advice (IBA) ..................................................................... 43 Chapter 7 - Health Problems due to Alcohol Misuse ............................................................................................... 49 Alcohol Related Hospital Admissions ........................................................................................................................ 49 Mortality/ Alcohol related deaths................................................................................................................................ 52 Hospital initiatives to address the health harms caused by alcohol misuse in Sheffield ........................................... 57 Chapter 8 - Alcohol Related Crime and Anti-Social Behaviour .............................................................................. 62 Criminal Justice routes into alcohol treatment ........................................................................................................... 68 Chapter 9 - The Night time economy, the safe sale of alcohol and a safe drinking environment ...................... 70 Chapter 10 - Alcohol Misuse - Diversity and vulnerabilities .............................................................................. 75 Chapter 11 - Alcohol Misuse – Children and Young People ................................................................................... 78 Chapter 12 - National Changes Ahead / Recent changes / future direction .......................................................... 81 Appendix 1 – LAPE 2014 for Sheffield compared to core cities ............................................................................. 83 Appendix 2 - Alcohol Neighbourhood profiles data, 2011 Published by PHE analyst team ............................... 85 LOUISE POTTER, DACT FINAL 2 Report Summary The Government’s National Alcohol Strategy 2012 acknowledges that the vast majority of people drink sensibility (an estimated 73.5% drink within Department of Health safer limits or abstain) but there is a cohort (estimated 20% increasing risk, 6.5% higher risk and 20.1% binge) who drink at levels higher than DH recommendations. Drinking at such levels can have negative repercussions on an individual’s health, social functioning and offending. Alcohol consumption can also have wider societal impacts on anti-social behaviour, health system costs and capacity, criminal justice system cost and capacity, children and adult social care and other public sector services.1 Local data suggests that Sheffield is similar to the national picture, with an estimated 71.4% drinking within national NHS guidelines or abstinent. However an estimated 28.6% of Sheffield’s adult population (17.7% increasing risk, 10.9% higher risk and 26.9% binge) drink at levels greater than the DH recommendations. In Sheffield there is an established night-time economy promoting a safe and enjoyable city centre culture. This is a product of partnership working with South Yorkshire Police, Sheffield City Council licensing and trading standards, health services, and Sheffield DACT. Sheffield’s Purple Flag status (2011 and re-assessed and awarded in 2014) is a symbol of such positive work. However, the effects of binge drinking are still apparent: fixed penalty notice waivers continue to be issued in response to minor alcohol specific offences; and audits completed in A&E still find a significant proportion of their caseload at weekends are for alcohol related injuries. One of the methods of identifying the extent of the negative effects of alcohol in Sheffield is to benchmark against the national average and a number of core cities. Local Alcohol Profile for England (www.lape.org.uk) data demonstrates that Sheffield performs well compared to other ‘core cities’ being in the top three cities for health and crime indicators. Local Alcohol Profiles for England (2014) data shows there are three indicators where Sheffield fares significantly better than national average; alcohol related admissions to hospital (Broad) which is where the primary or secondary reason for admission was alcohol attributable; the percentage of Sheffield employees working in bars; and alcohol specific admissions to hospital for under 18s. Sheffield has three red indicators (significantly worse than England average) which are Alcohol specific mortality –males; admission episodes for alcohol related conditions (narrow); and binge drinking synthetic estimates. The remaining 21 indicators are found ‘not significantly different to the England average. Despite better than average performance on many of the LAPE measures, Sheffield should not be complacent. Trend data shows that the rate of alcohol related admissions (both broad and narrow) has increased between 2008/09 and 2012/13. CCG activity data shows that there were over 2,200 admissions for alcohol specific conditions in 2013/14, equating to just under 2,000 individuals. This is an average of 1.58 admissions per patient per year. There are an increasing number of individuals accessing health services, increasing costs to the health economy. There is a significant need for high impact change to reduce the increasing alcohol admissions trends observed. Whilst focusing on hospital admissions there is also a significant need for prevention and early intervention. Over the last few years one of the key initiatives has been to increase the use of alcohol screening tools which identify those at risk and provide brief advice (IBA). Such tools can be used with targeted populations or - more controversially - for universal screening. In Sheffield over a 2 year period, more than 2,000 individuals have been screened for increasing risk alcohol use through a new locally designed electronic screening tool based on AUDIT PC2. 76 GP surgeries are signed up to an alcohol screening DES in 2014/15 covering 88% of the Sheffield patient population, the highest since its introduction. In addition all those who receive an NHS health check in 2014/15 will be asked alcohol screening questions. Although increased identification and brief advice is efficacious in its own right3, there is a local emphasis on ensuring onward referral for those drinking at increasing risk e.g. scoring 15+ on AUDIT. Specialist treatment should be offered to all those drinking
Load more

Recommended publications
  • NEWS May 27, 2005
    www.IowaABD.com Lynn M. Walding, Administrator e - NEWS May 27, 2005 1. Miller Beer Head Toasts High Life During D.M. Visit 2. Court Pops the Cork to Open Wine Traffic 3. Heads Up: Experts Warn About Powdered Alcohol 4. Alcohol Forum Proposes Split Bars 5. Joe Sixpack | Will Last Week's Wine Ruling Affect Beer Sales? 6. New Bill Shows Promise for Shipping Across U.S. 7. US: Summer Beer Price War Brewing 8. Tequila Brand Placed in Broadway’s ‘Sweet Charity’ 9. ‘Accessible Luxury' by the Bottle 10. Whiskey Floats Brown-Forman's Profits 11. Pernod Ricard: FTC Ruling on Allied Domecq Bid by June 2 1. Miller Beer Head Toasts High Life During D.M. Visit By Patt Johnson, Business Writer, Des Moines Register May 25, 2005 A perfect spring afternoon with clear skies, highs in the upper 70s. The Iowa Cubs shut out Sacramento. And the beer was cold - and a round free - at the nearby High Life Lounge on Tuesday. The retro-1960s corner tap at Southwest Second and Market streets was packed with revelers high from an afternoon of baseball. Few knew, or cared, that the free bottles of Miller High Life were courtesy of the chief executive of the beer's parent company, Miller Brewing Co. Norman Adami, who has been at the helm of the Milwaukee-based brewery for two years, was in Des Moines for a day, visiting local customers and distributors. He stopped at the Miller-themed High Life Lounge - which the owners say is the only bar of its kind in the nation.
    [Show full text]
  • Council on Science and Public Health Reports
    299 2016 Annual Meeting Science and Public Health - 1 REPORTS OF THE COUNCIL ON SCIENCE AND PUBLIC HEALTH The following reports, 1–9, were presented by Louis J. Kraus, MD, Chair: 1. CSAPH SUNSET REVIEW OF 2006 HOUSE POLICIES Reference committee hearing: see report of Reference Committee D. HOUSE ACTION: RECOMMENDATIONS ADOPTED AS FOLLOWS REMAINDER OF REPORT FILED At its 1984 Interim Meeting, the House of Delegates (HOD) established a sunset mechanism for House policies (Policy G-600.110). Under this mechanism, a policy established by the House ceases to be viable after 10 years unless action is taken by the House to retain it. The objective of the sunset mechanism is to help ensure that the American Medical Association (AMA) Policy Database is current, coherent, and relevant. By eliminating outmoded, duplicative, and inconsistent policies, the sunset mechanism contributes to the ability of the AMA to communicate and promote its policy positions. It also contributes to the efficiency and effectiveness of House of Delegates deliberations. At its 2012 Annual Meeting, the House modified Policy G-600.110 to change the process through which the policy sunset review is conducted. The process now includes the following: (1) As the House of Delegates adopts policies, a maximum ten-year time horizon shall exist. A policy will typically sunset after ten years unless action is taken by the House of Delegates to retain it. Any action of our AMA House that reaffirms or amends an existing policy position shall reset the sunset “clock,” making the reaffirmed or amended policy viable for another 10 years.
    [Show full text]
  • Smokeless Tobacco and Public Health: a Global Perspective
    Chapter 13 Smokeless Tobacco Use in the South-East Asia Region 375 Blank page. Smokeless Tobacco and Public Health: A Global Perspective Chapter Contents Description of the Region ........................................................................................................................379 Types of Products and Patterns of Use ....................................................................................................380 Prevalence of Smokeless Tobacco Use....................................................................................................382 Toxicity and Nicotine Profiles of Products ..............................................................................................389 Health Problems Associated With Product Use.......................................................................................389 Cancer ................................................................................................................................................389 Oral Cancer ..................................................................................................................................390 Pharyngeal Cancer .......................................................................................................................391 Esophageal Cancer .......................................................................................................................391 Other Cancers...............................................................................................................................391
    [Show full text]
  • Download Safety Assessment of Polyvinyl Alcohol As Used In
    Safety Assessment of Polyvinyl Alcohol as Used in Cosmetics Status: Re-review for Panel Review Release Date: November 15, 2013 Panel Meeting Date: December 9-10, 2013 The 2013 Cosmetic Ingredient Review Expert Panel members are: Chairman, Wilma F. Bergfeld, M.D., F.A.C.P.; Donald V. Belsito, M.D.; Ronald A. Hill, Ph.D.; Curtis D. Klaassen, Ph.D.; Daniel C. Liebler, Ph.D.; James G. Marks, Jr., M.D., Ronald C. Shank, Ph.D.; Thomas J. Slaga, Ph.D.; and Paul W. Snyder, D.V.M., Ph.D. The CIR Director is Lillian Gill, DPA. This report was prepared by Christina Burnett, Scientific Analyst/Writer. Cosmetic Ingredient Review 1101 17th Street, NW, Suite 412 ♢ Washington, DC 20036-4702 ♢ ph 202.331.0651 ♢ fax 202.331.0088 ♢ [email protected] Commitment & Credibility since 1976 Memorandum To: CIR Expert Panel Members and Liaisons From: Christina L. Burnett Scientific Writer/Analyst Date: November 15, 2013 Subject: Re-review of Polyvinyl Alcohol In 1998, the CIR Final Report on the safety assessment of polyvinyl alcohol was published with the conclusion “safe as used in cosmetic formulations”. Current uses of polyvinyl alcohol can be found in Table 1. The FDA’s VCRP database indicates that uses have increased from 37 to 225. The majority of the uses are in leave-on products such as eye makeup and skin care products. In 1998, the industry reported the maximum use concentration to be < 25%, with 13% reported for a hydrolyzed version of the ingredient in paste masks (mud packs). Presently, the industry reported a maximum use concentration range of 0.0035% to 15%, with 15% reported in “other” skin care preparation products.
    [Show full text]
  • Idpc Drug Policy Guide 3Rd Edition
    IDPC DRUG POLICY GUIDE 3RD EDITION IDPC Drug Policy Guide 3 IDPC DRUG POLICY GUIDE 3RD EDITION Acknowledgements Global Drug Policy Observatory) • Dave Borden (StoptheDrugWar.org) IDPC would like to thank the following authors for drafting chapters of the 3rd Edition of the • Eric Gutierrez (Christian Aid) IDPC Drug Policy Guide: • Fabienne Hariga (United Nations Office on • Andrea Huber (Policy Director, Penal Reform Drugs and Crime) International) • George McBride (Beckley Foundation) • Benoit Gomis (Independent international • Gloria Lai (IDPC) security analyst, Associate Fellow at Chatham House, and Research Associate at Simon Fraser • Graham Bartlett (former Chief Superintendent University) of the Sussex Police) • Christopher Hallam (Research Officer, IDPC) • Gregor Burkhart (European Monitoring Centre for Drugs and Drug Addiction) • Coletta Youngers (Consultant, IDPC & Washington Office on Latin America) • Ines Gimenez • Diana Guzmán (Associate investigator, • Jamie Bridge (IDPC) DeJusticia, Associate Professor at Colombian • Javier Sagredo (United Nations Development National University and PhD candidate at Program) Stanford University) • Jean-Felix Savary (Groupement Romand • Diederik Lohman (Associate Director, Health d’Etudes en Addictologie) and Human Rights Division, Human Rights • Juan Fernandez Ochoa (IDPC) Watch) • Katherine Pettus (International Association for • Gloria Lai (Senior Policy Officer, IDPC) Hospice and Palliative Care) • Jamie Bridge (Senior Policy and Operations Manager, IDPC) • Luciana Pol (Centro de Estudios
    [Show full text]
  • Cannabis Use in Amsterdam
    CEDRO CENTR UM VOOR DRUGS Cannabis Use in Amsterdam ONDERZOEK UV Peter Cohen Arjan Sas A CEDRO CEN CEDRO CENTRUM VOOR DRUGSONDERZOEK UVA TRUM VOOR DRU GSONDERZOEK U VA CEDRO CE NTRUM VOOR DR UGSONDERZOEK TITLE Cohen, Peter, & Arjan Sas (1998), Cannabis use in Amsterdam. Amsterdam, Centrum voor Drugsonderzoek, Universiteit van Amsterdam. © 1998 Peter Cohen & Arjan Sas. All rights reserved. URL of this document: http://www.cedro- uva.org/lib/cohen.canasd.pdf CANNABIS USE IN AMSTERDAM Peter COHEN & Arjan SAS 1 TABLE OF CONTENTS 1 INTRODUCTION AND CHAPTER SUMMARIES ..............................................................3 1.1 Some results and chapter summaries ..........................................................................6 2 SAMPLING EXPERIENCED CANNABIS USERS ..............................................................11 2.1 Introduction ...........................................................................................................11 2.2 Sampling.................................................................................................................11 2.3 Interviewing and educating the interviewers............................................................13 2.4 Non-response ..........................................................................................................14 2.5 Social, demographic, and economic characteristics of the sample................................14 2.6 Outgoing behaviour.................................................................................................16
    [Show full text]
  • Powdered Alcohol
    REPORT OF THE COUNCIL ON SCIENCE AND PUBLIC HEALTH CSAPH Report 4-A-16 Subject: Powdered Alcohol Presented by: Louis J. Kraus, MD, Chair Referred to: Reference Committee D (Michael D. Bishop, MD, Chair) 1 Resolution 425-A-15, introduced by the Maryland Delegation and referred by the House of 2 Delegates, asked: 3 4 That our AMA (1) adopt policy urging the ban of the distribution and sale of powdered 5 alcohol and (2) lobby Congress and the Administration to ban by law or regulation the 6 distribution and sale of powdered alcohol in the U.S. 7 8 METHODOLOGY 9 10 English-language articles were selected from a search of the PubMed and Google Scholar 11 databases using the search terms “concentrated alcohol,” “crystalline alcohol,” “granulated 12 alcohol,” “palcohol,” and “powdered alcohol” in the article title and/or abstract. Internet sites 13 managed by federal and state agencies and relevant public health organizations were also reviewed. 14 Additional articles were culled from the reference lists contained in the pertinent articles and other 15 publications. 16 17 State laws were identified though a search conducted using the legal research database, LexisNexis, 18 as well as publicly available websites featuring state legal compilations. The same search terms 19 used in the literature review were also utilized to identify the laws. 20 21 BACKGROUND 22 23 Excessive alcohol use, including binge drinking, heavy drinking, and use by pregnant women and 24 those under the age of 21, is the fourth leading preventable cause of death in the
    [Show full text]
  • ANALYSIS AS ENROLLED Senate Bill
    POWDERED ALCOHOL, PROHIBIT S.B. 240: ANALYSIS AS ENROLLED Senate Bill 240 (as enrolled) Sponsor: Senator Rick Jones Senate Committee: Regulatory Reform House Committee: Regulatory Reform Date Completed: 10-19-15 RATIONALE "Powdered alcohol" refers to alcohol that is in powder form; specifically, it is ethanol contained within a microcapsule generally derived from simple or complex polysaccharides. Internationally, powdered alcohol has been used as an additive in foods or to create novelty alcoholic beverages for over 30 years, while its use in the United States has been rare. Recently, however, labeling for a brand of powdered alcohol that will be marketed for consumption was approved by the Alcohol and Tobacco Tax and Trade Bureau (TTB), in the U.S. Treasury Department. Some have raised concerns that allowing the consumption of powdered alcohol would contribute to a number of public health risks already associated with alcohol consumption. In addition, they contend that the sale and use of powdered alcohol would create problems not associated with currently available forms of alcohol. To address these concerns, it has been suggested that the sale, possession, or use of powdered alcohol within Michigan should be banned. CONTENT The bill would amend the Michigan Liquor Control Code to do the following: -- Prohibit a person from using, possessing, or selling powdered alcohol. -- Make an exception to the prohibition for a hospital, State institution, private college or university, or pharmaceutical or biotechnology company conducting research. Specifically, except as provided below, the bill would prohibit a person from using or offering for use, possessing, selling, or offering for sale powdered alcohol.
    [Show full text]
  • 2014 Consolidated Stories
    Oxford House: Building Community Commemorative Program 16th Oxford House World Convention Portland Marriott Downtown Waterfront Portland, Oregon September 11 - 14, 2014 Oxford House 16th Annual World Convention Oxford House™ - Building Community September 11-14, 2014 Portland Marriott Downtown Waterfront Hotel Portland, Oregon Convention Schedule FRIDAY SATURDAY SUNDAY 7:00–8:15 AM Continental Breakfast 7:00-8:15 Continental Breakfast Continental . World Council Nominations . Voting until Noon for World Council Breakfast Due by Noon by Houses attending the Convention 8:15–9:30 AM Opening General Session 8:15- 9:30 Third Breakout Panels Closing General . Invocation 1. Medication in Oxford Houses Session . Welcome 2. Keeping Connected – How Oxford . Remembrance of . Local Officials House Residents Use Social Media Members Who Have . David Dickinson, M.A., Successfully Died Mgr, Reg 10, SAMHSA 3. Drug Courts and Oxford House . Tradition Renewal – . Convention Theme 4. Working With Women in Recovery Alumni and Current . ElectionReg Procession 5. Why Recovery Research Matters Members and Why Oxford House Residents . Conference and Alumni Should Participate Summary . Closing Remarks 9:30-9:45 AM Break 9:30-9:45 Break 9:45–11:00 AM First Breakout Panels 9:45-11:00 Fourth Breakout Panels 1. Veterans and Oxford Houses 1. The Opiod Epidemic and Dealing CONVENTION 2. Educating the Public About with Overdoses in Oxford Houses – REGISTRATION Recovery What to Do Before Expulsion 3. Working With Treatment 2. Building Successful Partnerships in Registration for the Providers the Community 4. State Agencies – Working With 3. Posting Vacancies – How it Works convention begins Oxford House and Why It’s Important Thursday, 5.
    [Show full text]
  • Download Download
    This article was published online on May 26, 2020 Final version July 28, 2020 Essays in ECONOMIC & BUSINESS HISTORY The Journal of the Economic &Business History Society Editors Mark Billings, University of Exeter Daniel Giedeman, Grand Valley State University Copyright © 2020, The Economic and Business History Society. This is an open access journal. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. http://creativecommons.org/licenses/by/4.0/ ISSN 0896-226X LCC 79-91616 HC12.E2 Chimhete and Makombe ACCEPTING THE INEVITABLE: THE LIBERALIZATION OF THE AFRICAN ALCOHOL INDUSTRY IN SALISBURY, RHODESIA, 1960s TO THE EARLY 1980s Nathaniel Chimhete1 Department of Economic History University of Zimbabwe, Zimbabwe [email protected] Eric Makombe Department of Economic History University of Zimbabwe, Zimbabwe [email protected] This article examines the liberalization of one of the oldest monopolies in Rhodesia, the Salisbury Municipality’s monopoly over the production and sale of African beer in the city from the 1960s to the early 1980s. This monopoly unraveled at a time the state was creating more monopolies in other sectors of the economy. The article explores why developments in this industry defied national trends. Using primarily Salisbury City Council archive documents, the article argues that contrary to a popular view in Zimbabwe that the white-run Salisbury City Council sold Rufaro Brewery in order to cripple the incoming black government, the Salisbury Municipality was forced to liberalize the African alcohol industry by African shebeen operators and legal private enterprises (particularly Chibuku Breweries and bottle store owners), who were increasingly eroding its market share.
    [Show full text]
  • Table of Contents
    MONTANA TECH i CHEMICAL HYGIENE PLAN TABLE OF CONTENTS TABLE OF CONTENTS .......................................................................................... i STATEMENT OF POLICY .................................................................................... 1 CHEMICAL HYGIENE RESPONSIBILITIES ........................................................ 2 LABORATORY FACILITIES ................................................................................. 4 Maintenance ..................................................................................................... 4 Evaluation ......................................................................................................... 5 CONTROL MEASURES ....................................................................................... 5 Work Habits ...................................................................................................... 5 Laboratory Hygiene ........................................................................................... 6 Engineering Controls ........................................................................................ 6 Instrument Equipment and Use ........................................................................ 7 Personal Protective Equipment (PPE) .............................................................. 8 Eye Protection ............................................................................................. 8 Hand Protection ..........................................................................................
    [Show full text]
  • Measham, F. and Newcombe, R. (2016
    Durham Research Online Deposited in DRO: 15 September 2017 Version of attached le: Accepted Version Peer-review status of attached le: Peer-reviewed Citation for published item: Measham, F. and Newcombe, R. (2016) 'What's so 'new' about new psychoactive substances? Denitions, prevalence, motivations, user groups and a proposed new taxonomy.', in The SAGE handbook of drug alcohol studies - social science approaches. , pp. 576-596. Further information on publisher's website: https://doi.org/10.4135/9781473921986.n33 Publisher's copyright statement: c 2016 SAGE Publications Ltd. Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored or transmitted in any form, or by any means, only with the prior permission in writing of the publishers, or in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. Additional information: Use policy The full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that: • a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.
    [Show full text]