1. What Services Are Saying April Shaw March 2009

2. Survey Questions Covered Questions Covered Illicit Drug Use Illicit Drug Use Polydrug Use Polydrug Use Costs, Purity & Availability Costs, Purity & Availability Changes in client profiles Changes in client profiles

3. 8 6

4. Clients Age Age 10 ‘no difference’ 10 ‘no difference’ 7 ‘Younger’ 7 ‘Younger’ 4 ‘Older’ 4 ‘Older’ Gender Gender 12 ‘no difference’ 5 ‘more females’ 2 ‘more males’ Ethnicity Ethnicity 15 ‘no change’ Eastern European Asian (women) Employment Status Employment Status 14 ‘no change’ 5 cocaine, steroids, GHB

5. Clients 2nd and 3rd generation substance use 2nd and 3rd generation substance use Clients with mental health/ dual diagnosis issues Clients with mental health/ dual diagnosis issues Clients homeless or with urgent housing issues Clients homeless or with urgent housing issues More challenging behaviours, especially among 18-30 year olds More challenging behaviours, especially among 18-30 year olds

6. Drugs Used 46% change in drugs used 46% change in drugs used BenzodiazepinesBenzodiazepines Cannabis - young peopleCannabis - young people GHBGHB MethamphetamineMethamphetamine

7. Poly Drug Use 40% change poly drug use 40% change poly drug use Diazepam, heroin, alcoholDiazepam, heroin, alcohol Heroin, crack cocaine, benzos (methadone)Heroin, crack cocaine, benzos (methadone) Amphetamines and heroinAmphetamines and heroin alcohol, MDMA, cocainealcohol, MDMA, cocaine

8. Route of administration 16% change route of drug use 16% change route of drug use increased injectingincreased injecting femoral femoral younger younger female female

9. Drug Use Adverse consequences HeroinHeroin Injecting injuries Injecting injuries Hepatitis C Hepatitis C Overdose Overdose Diazepam mental health aggression criminal activity Cannabis Mental health

10. Internet

12. Prices, Purity and Availability Prices Prices 42% change42% change Purity Purity 56% change56% change Availability Availability 66% change66% change

13. Avg. Price Herbal Cannabis –standard grade (oz) £86 Herbal Cannabis –good quality e.g. skunk (oz) £132 Resin Cannabis (oz) £50 Ecstasy/MDMA (per ill/crystal/powder) £2 per pill / £60 per gram Amphetamine (gram) £10 Diazepam (per pill) 50p per 5mg / £1 per 10mg Heroin (per gram/bag) £10 bags / £50 -100 per gram Cocaine (gram) £44 Crack (average) per rock £10 – 20 (weight not consistent)

14. Finally… Benzodiazepines Benzodiazepines Alcohol Alcohol Prices stable Prices stable CocaineCocaine