1. Needs Assessment: Young People’s Drug and Alcohol Services in Edinburgh City EADP Children, Young People and Families Network Event 7 th March 2012 Joanne Winterbottom

2. Summary  Background and Context  Methods  Conclusions and Recommendations  Questions

3. Summary  Background and Context  Methods  Conclusions and Recommendations  Questions

4. Policy Context National  Road to Recovery: A New Approach to Tackling Scotland’s Drug Problem Changing Scotland’s Relationship with Alcohol Local  EADP Needs Assessment of Drug and Alcohol Problems in Edinburgh  EADP Alcohol and Drug Strategy 2011-14  EADP Children, Young People and Families Action Plan

5. Aim to inform implementation of priorities 1 and 3 of EADP Children, Young People and Families Action Plan:  Fewer children and yp using drugs and children and yp choosing to drink alcohol start later and take fewer risks  More children and yp receive appropriate and timely support for alcohol and drug use

6. Objectives  Identify prevalence of alcohol and drug use among young people  Map existing services  Explore young people’s perceptions of effective services  Provide an overview of models of good practice  Make recommendations regarding priorities and models of service

7. Summary  Background and Context  Methods  Conclusions and Recommendations  Questions

8. Methods  Review of strategic literature, evidence and project information on models of good practice  Review of prevalence data  Service profile surveys  Staff and manager interviews and focus groups  Young people focus group and interview

9. Review of Evidence  Published literature, policy documents & research  From last 10 years  Scotland and rest of UK  Drug and alcohol data  Good practice guidance  Project evaluations where available

10. Service Profile Aimed to engage organisations that:  Provide specialist treatment, rehabilitation, and support targeted at young people  Engage young people who are more vulnerable to drug and alcohol use  Work with within Edinburgh city with yp aged under 19 (statutory funding) Of 40 potential organisations identified, 25 completed surveys

11. Staff & Management Interviews & Focus Groups  Identified through discussion with steering group  Total 59 participants  Statutory and voluntary sector partners substance misuse health social care housing/homelessness youth sectors

12. Youth Engagement  Aimed to involve YP aho access services as well as YP from groups known to be vulnerable  15 YP involved through interviews (9) and focus group (6)  Total numbers fewer than anticipated despite efforts and incentives  Reflects challenge faced by services engaging with YP with chaotic lifestyles

13. Summary  Background and Context  Methods  Conclusions & Recommendations  Questions

14. Conclusions & Recommendations  Definitions, Principles and Processes  Service Development  Service Delivery  Workforce Development  Partnership Working

15. Definitions, Principles, Processes 1. Agree common definitions (or range of indicators) and key principles 2. Specific research into drug and alcohol use among young people from different equality groups

16. Definitions, Principles, Processes 3. Agree guidance and support in relation to: Roles and limits of services within tiers model Identifying and responding to young people’s needs Referral pathways Monitoring requirements

17. Model 5: Specialist drug and alcohol service with open access  Low threshold drug and alcohol specific service  Main focus is early intervention and treatment options provided on 1:2:1 basis  Delivery either through service base (often clinical setting or social work office); some scope for delivery via existing youth provision/schools Model 6: Specialist with integrated drug and alcohol service  High threshold drug and alcohol service – often integrated into other highly specialised social work provision Model 4: Specialist drug and alcohol support for services  No direct service provision. Support provided to existing services i.e. schools, social work to better equip them to work with young people on specific issue.  Most commonly used within mental health sphere  Some scope to extend delivery to include support to wider youth facing services Model 3: Prevention & education outreach  Delivery of group work via other existing services i.e. schools, youth centres, social work services etc.  Main focus is prevention & education Model 2: Prevention and Education street work  Targeted approach via street work – usually aimed at areas/groups with known youth disturbance/ street drinking/risk behaviour  Provide information, advice & signposting service – sometimes provide condoms etc.  Some scope to provide more in-depth prevention & early intervention i.e. delivery of brief interventions Model 1: Holistic youth work provision  Universal access (via drop in)  Information & advice available on range of topics  Main focus advice and info; prevention and education  Some scope to provide 1:2:1 support Tier 1: Universal (non- specific) generic and primary services Tier 2: Services offered by practitioners with some drug & alcohol experience Tier 3: Services provided by specialist teams Tier 4: Highly specialised services Supporting Tiers 1 and 2

19. Service Development 4. Development of services: Specialist youth work posts Specialist support for young people who use cannabis Increased options at Tier 2: one-to- one counselling and ongoing support Increased options at Tier 3 and 4

20. Service Development 5. Investigate potential for organisations that provide support for services to build capacity in relation to working with young people in family context and providing support for parents

21. Service Delivery 6. Consistency in relation to age ranges 7. Robust EqIAs of individual services 8. Improved promotion and awareness raising including: Marketing and communication targeted at young people Guidance for use of media and communication with general public

22. Workforce Development 9. Training Needs Analysis for staff across tiers and prioritisation to form workforce development programme 10. Specific training for specialist youth worker posts

23. Partnership Working 11. Greater links across topics. E.g. youth health, tobacco, sexual health 12. Collaborative approach and youth involvement

24. Questions Contact details Email: joanne@createconsultancy.comjoanne@createconsultancy.com Tel: 0141 445 5858 / 07738 706998 www.createconsultancy.com

25. Group Discussion  What are the implications for service planning?  What are the implications for service delivery?  How do we assure that the recommendations are taken forward through a partnership approach?