the fitzwilliam centre. 0114 30 50 500 alcohol: a local response to the national agenda chris wood...

The Fitzwilliam Centre . 0114 30 50 500The Fitzwilliam Centre . 0114 30 50 500

Alcohol: A Local Response

to the National Agenda

Chris Wood – Service Manager, The Fitzwilliam Centre

Copyright Sheffield Health and Social Care NHS Foundation TrustCopyright Sheffield Health and Social Care NHS Foundation Trust

The Fitzwilliam Centre . 0114 30 50 500

So what’s the problem?Binge drinking is a serious problem, not a fringe issue.

Dependency?

The majority of people who drink do so in a responsible manner.

Don’t worry though, because...

National Alcohol Strategy 2012



FWC Services overviewOur favorite drug



The good



The bad



• So why do we continue to drink?

The ugly

Gynaecomastia

Ascites



Even the queen drinks



93,000 57,400

Sheffield

9,000 dependent drinkers

69% 18% 13%

126,000 binge drinking Do we drink that much?



Vulnerable children?Research findings• Pregnancy and early years• Health risks – Ingestion, SUDI, FAS• Impaired parenting capacity• Exposure • Impact on education (silent voices 2012)• Financial impact• Disrupted households (Troubled Families?)• Impact on emotional development, attachment • Over represented in LAC, NEET, YOT, homeless



National Message

• Services have been slow to react to problems associated with alcohol misuse. – 1 in 5 (2.5 million) children live with at least 1

increasing risk drinker.– 26,000 babies living with a dependent drinking

parent (Silent Voices 2012)

– Locally alcohol misuse features highly in cases discussed at MARAC.



• 2369 referrals into Single Entry & Access Point for Alcohol Services in 2011/12

• Represents 1.5% of those ‘eligible’ for referral (high & increasing risk, dependent drinkers)

Referrals



• 2 young children subject to a child protection plan• An alcohol dependent mother • Partner of a man with a history of mental health

problems • Multiple domestic violence incidents

What ends like this…



• Binge drinking young woman• Young man using drugs recreationally

…often starts like this


The Fitzwilliam Centre . 0114 30 50 500The Fitzwilliam Centre . 0114 30 50 500Copyright Sheffield Health and Social Care NHS Foundation TrustCopyright Sheffield Health and Social Care NHS Foundation Trust


Identification and referral

• Pathways are not clear• Misconception that it takes a long time to get

into alcohol treatment• Lack of time• Reluctance to be referred • Problems with identification• Asking the wrong questions



How to screenI haven’t got a

clue! What’s a

unit?

About 10 a

week

How many units do you

drink every week?



In Sheffield

• Community Pharmacies• Social Care Children & Families Teams• GP Practices• IAPT and Mental Health Services• Health Visitors• SEAP (Open Access Alcohol Services, SHSC)



Is this a good idea?National•NTA regional leads leading to DH & PHE•National Children's Commissioner•Out of area substance misuse commissionersLocal•Sheffield Safeguarding Children's Board•DAAT•Alcohol Planning & Commissioning Group•Hidden Harm Implementation Group•GP Commissioning Groups•Designated Safeguarding officers for H&SC in Sheffield


Key Benefits

Correct

pathway into

services

Delivery of

brief intervention Enables provision of service user specific information

Identification

via screening

Quick, easy and engaging format for service user

Dispenses with scoring and unit calculations

Removes non value adding steps

ReferralSupports simple, secure referral 24/7

Re-enforces local pathways

User recognition – promotes appropriate tools, pathway entry points

and offers configurability for user by ‘occupation’ or roleCopyright Sheffield Health and Social Care NHS Foundation TrustCopyright Sheffield Health and Social Care NHS Foundation Trust


?Questions



ContactDeborah CundeyChris Wood

Contact Details

[email protected]

[email protected]

Fitzwilliam Centre:

(0114) 3050500


the fitzwilliam centre. 0114 30 50 500 alcohol: a local response to the national agenda chris wood...

Documents

bad copyright sheffield

national alcohol strategy

alcohol misuse features

national message services

fwc services

binge drinking

referral pathways

young children subject