1. FLINTSHIRE YOUNG PEOPLE’S DRUG AND ALCOHOL TEAM (YPDAT) Lesley Bayley Karla Cullen Operations Manager Young People’s Alcohol Worker Youth Justice Service / YPDAT YPDAT

2. Alcohol (England): – 11-15 year olds, 21% drank in last week Peak 26% in 2001 Mean weekly units, 5.3 in 1990, 11.4 in 2006 Drugs: – Cocaine, 8% increase in use in last year (2006-07) 11.3 million adults have used drugs Ever used: 1 in 2 aged 20-34, 1 in 5 aged 45-59 Sexual Health (UK): – STI new diagnoses up 6% (2006-07) Highest numbers in young people (e.g. 20-34) Largest percentage increases in under 16s and over 45s HPA, 2008; Fuller, 2008; Murphy and Roe, 2007 Setting The Scene……..

3. None Expectancy Effect/Placebo Low (1 glass wine/2-3 bottles beer) “Aphrodisiac” neuro/hormonal ↓ Anxiety, ↑ Sedation ↑ Psychological Sexual Arousal ↑ Psychological Pleasure ↓ Physiological Response in Sex ♂↑ Sexual Response to violence Medium (2-3 glass wine/ 5-10 bottles beer) ⇈ Psychological Sexual Arousal ⇈ Psychological Pleasure ⇊ Physiological Response in Sex ♂ ↓ Ability to obtain erection High (4+glass wine/>10 bottles beer) ♀ ⇈ Receptive and compliant ♀ ↑ Advances received ♀ ⇊ Less likely to orgasm ♂ Alcohol induced impotence Memory Loss, Blackouts Unconsciousness

4. Alcohol and Sex Affects cognitive functioning: – Reduces inhibitions – Increases confidence – Hampers information processing – Reduces risk perceptions – Increases perceptions of attractiveness Affects physical functioning: – Increases vulnerability – Prevents self-defence – Affects sexual performance Alcohol expectancies: – Excuse for risky behaviour – Gender roles and sexual availability – Excuse for violent behaviour

5. Alcohol and Sexual Assault Rape 58% rapists drank pre-assault 1 in 3 victims been drinking Drunk women targeted for sexual assault as less able to resist or likely to report Drink spiking 80% drinking 60% blood alcohol levels >150% mg Cannabis 26%, Cocaine 11% Not admitted sedative drugs in 2% Finney, 2004; Kelly et al, 2005; Scott-Ham and Burton, 2005, 2006

6. Alcohol and Regretted Sex 40% of sexually active 13-14 year olds - ‘drunk or stoned’ Young people >2 times as likely to have sex unprotected if drunk (Bellis et al 2008) “If I am drunk and sick then I know I have enjoyed myself” (Female, age 18-20)

7. Flintshire YPDAT

8. Contact Details Flintshire YPDAT  01352 701125  07917 245937  YPDAT@flintshire.gov.ukYPDAT@flintshire.gov.uk