1. January 2019 ROSC Seminar

2. IMPROVING SCOTLAND’S HEALTH Rights, Respect and Recovery
Scotland’s strategy to improve health by preventing and reducing alcohol and drug use, harm and related deaths

3. Rights, Respect, Recovery
Vision
Scotland is a country where “we live long, healthy and active lives regardless of where we
come from” and where individuals, families and communities:
• have the right to health and life - free from the harms of alcohol and drugs;
• are treated with dignity and respect; and
• are fully supported within communities to find their own type of recovery.
Prevention and Early
Intervention
Developing Recovery
Oriented Systems of Care
Getting it Right for
Children, Young People,
and Families
Public Health Approach in Justice
Alcohol Framework
2018
Fewer people
develop problem
drug use
People access and
benefit from effective, integrated
Person centred support to achieve their recovery
Children and families
affected by alcohol and drug use will be safe, healthy, included and supported
Vulnerable people are diverted from the justice system wherever possible, and those in the system are fully supported
A Scotland where less harm is caused by alcohol

4. Delivering in partnership
Refresh the MoU
Co-produce national level Action Plans
Investment through ADPs
Workforce development
Evaluation framework

5. Memorandum of Understanding
The MOU will be a joint statement of intent to deliver the strategy as well as being the framework within which all partners will operate.
Respective Roles for all partners
Governance and accountability structure that will provide the general public; partners; Public health Scotland and Scottish Government Ministers with assurance on the quality of services and our performance.

6. Alcohol Framework Strengthen restrictions on alcohol availability
WHO SAFER initiative (Sept 2018)
Strengthen restrictions on alcohol availability
Advance and enforce better drink driving measures
Facilitate access to screening, brief interventions and treatment
Enforce bans or comprehensive restrictions on advertising, sponsorship and promotion
Raise prices on alcohol through excise, taxes and pricing policy

7. Alcohol Framework Reducing consumption
Identify impact of online and telephone alcohol sales
Review statutory guidance on licensing (Scotland) act 2005 re 5 licensing objectives and overprovision – Consultation 2019
Keep licensing system under review (new overprovision statements)
AFS to support communities, ADPs to influence the licensing regime
Work with the industry on projects which reduce harms; But NOT on
health policy development
messaging campaigns
Education in schools and other settings

8. Alcohol Framework Positive attitudes positive choices
Protect children and young people from advertising
Improve education in schools and other settings
Promote measures of United Kingdom Chief Medical Officer (UKCMO) lower risk guidelines / links with cancer
Labelling
Review evidence on the current delivery of Alcohol Brief Interventions (ABIs) to ensure they are being carried out effectively (including primary care and other settings

9. Alcohol Framework Supporting families and communities
Increase awareness of risks during pregnancy
Reduce alcohol related violence – use legislation to prevent violence and intervene early
Build community resilience to harm caused by alcohol

10. Prevention and Early Intervention
Reduce inequalities
Reduce stigma
Improve early intervention for young people at risk of developing problem alcohol / drug use
Improve education in schools

11. Developing Recovery Oriented Systems of Care
Improve advocacy services
Good access to treatment
Effective services (e.g. OST / psychological therapies)
Involve those with lived experience
Improve approach to harm reduction
Develop person centred approaches
Support recovery communities
Develop trauma informed approaches
Improve public health surveillance
Improve responses to protected equality groups

12. Getting it Right for Children, Young People and Families
Family inclusive practice
Whole family approach
Involve children, young people parents in planning, development and delivery of services

13. A Public Health Approach to Justice
Improve access to integrated services, including treatment
Improve prison through care
Reduce supply – target for prosecution
Expert advice to ministers on devolving powers to Scotland

14. Any Questions

15. Question 1. For Table Top Discussion
How do you see yourself taking this Strategy foward?

16. Quality Principles
Standard Expectations of Care and Support in Drug and Alcohol Services Your recovery belongs to you. It is up to you to progress your recovery in partnership with services. You should co- operate with staff and services that will, in turn, empower you to achieve your goals. These Quality Principles have been laid out as a journey starting with access to a service leading on to assessment, recovery planning, review and beyond. No one Quality Principle is more important than another and each is of equal standing.

17. Quality Principles
1. You should be able to quickly access the right drug or alcohol service that keeps you safe and supports you throughout your recovery.
2. You should be offered high-quality, evidence-informed treatment, care and support interventions which reduce harm and empower you in your recovery.
3. You should be supported by workers who have the right attitudes, values, training and supervision throughout your recovery journey.
4. You should be involved in a full, strength-based assessment that ensures the choice of recovery model and therapy is based on your needs and aspirations.

18. Question 2. For Table Top Discussion
What’s your understanding/experience of these 4 Quality Principles?

19. Quality Principles
5. You should have a recovery plan that is person-centred and addresses your broader health, care and social needs, and maintains a focus on your safety throughout your recovery journey.
6. You should be involved in regular reviews of your recovery plan to ensure it continues to meet your needs and aspirations.
7. You should have the opportunity to be involved in an ongoing evaluation of the delivery of services at each stage of your recovery.
8. Services should be family inclusive as part of their practice.

20. Question 3. For Table Top Discussion
What’s your understanding/experience of these 4 Quality Principles?

21. Thank you for your contribution!