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Related to: Ill Health and Disability, Multiple Unhealthy Lifestyle Behaviours, Safeguarding Adults, Self-Harm, Alcohol, Toxic/Complex Trio and Parental Needs, Inequalities

Key Facts (Adults, including parents), taken from the 2019 Bath and North East Somerset Adult Substance Misuse Treatment Needs Assessment

  • The local treatment system performs well in a number of areas.  For example, no clients wait for longer than three weeks to commence drug treatment.
  • There are also some good harm reduction outcomes, for example, Hepatitis C testing rates  and Hepatitis B immunisation rates.
  • The number of adults in contact with local drug and alcohol services fell by 20% between 2013/14 and 2017/18.  This is double the fall seen nationally over the same period.  The fall in the number of clients in treatment over this period has been greater for alcohol only and non-opiate clients - a 39% and 30% fall respectively.
  • Throughout 2018 there were 226 people in treatment who were living with children.  That’s around 1 in 4 clients.  Estimates suggest a further 133 opiate dependent parents in B&NES could benefit from treatment but were not in treatment.
  • B&NES has a slightly higher percentage of complex - more likely to be injecting and also using alcohol - drug treatment clients than the England average.
  • The majority of people (59%) in treatment in 2017/18 were opiate clients, of whom half are now aged over 40 years compared to one third in 2009/10.  Among alcohol only clients, 74% are aged 40 or over (compared to 57% in 2009/10).  Physical long-term conditions are likely to be an increasing issue for these clients.
  • Around half of all drug and alcohol client groups have a mental health treatment need on presentation in B&NES, and just under one third are not having these needs met.
  • The number of opiate clients seen in Shared Care by SDAS and GPs has reduced by nearly half since 2012.  The complex service is very appropriate for complex and recovering clients but maintaining stable opiate clients in the complex service may be missing opportunities for physical care and local recovery support and may be a less cost effective approach.
  • Opiate clients are in treatment longer than the national average, although this may reflect the slighter higher complexity of clients in B&NES.
  • Measures of drug-related deaths have been rising over the last few years in B&NES, as well as nationally, and are now one of the leading causes of death in men aged 15-49 years.
  • Housing needs appear to be a more significant problem for drug treatment clients in B&NES compared to national averages.
  • There are estimated to be around 180 people who are high impact ‘blue light’ service users.
  • An important emerging issue appears to be the recent rise, and greater rate in the local treatment population compared to national, of clients recorded with problematic illicit and licit use of prescription-only and/or over-the-counter medicines.