The Missing Link The Missing Link

Outreach Services Outreach Services & Cocaine& Cocaine

Carla EllisCarla Ellis

Crew 2000Crew 2000

What’s our MandateWhat’s our Mandate

JellytimeJellytime

Information, Advice & Crisis InterventionInformation, Advice & Crisis Intervention

Clubs, Free parties & FestivalsClubs, Free parties & Festivals

5,000 people used the outreach in 5,000 people used the outreach in 2005/062005/06

Changing TrendsChanging Trends

Cocaine has never been cheaperCocaine has never been cheaper £30 - £55 a gram in Druglink survey£30 - £55 a gram in Druglink survey Cocaine never been so easily availableCocaine never been so easily available

Used in pubsUsed in pubs Drink moreDrink more Don’t get to the clubDon’t get to the club

Knock On EffectsKnock On Effects

More aggressionMore aggression

Ecstasy drought summer 05Ecstasy drought summer 05

Changing face of clubs & causing Changing face of clubs & causing resurgence in free party sceneresurgence in free party scene

Cocaine SurgeCocaine Surge

Edinburgh Stimulant Users’ ServiceEdinburgh Stimulant Users’ Service 2003 – Ecstasy main presenting issue2003 – Ecstasy main presenting issue 2006 – 70% referrals cocaine or crack2006 – 70% referrals cocaine or crack

3,000% rise in numbers testing 3,000% rise in numbers testing positive for cocaine over last 10 years positive for cocaine over last 10 years (Medscreen in the Independent) (Medscreen in the Independent)

ResponseResponse

Outreach services need to respondOutreach services need to respond Pubs & publicansPubs & publicans Licensing boardLicensing board

New markets: colleges, taxi drivers, New markets: colleges, taxi drivers, builders merchants, major employers, builders merchants, major employers, the Chamber of Commerce and Trade the Chamber of Commerce and Trade UnionsUnions

Challenge the StigmaChallenge the Stigma

Education around drug use & Education around drug use & prevalenceprevalence

Reframe getting help – increase Reframe getting help – increase productivity, retain employeesproductivity, retain employees

Education, education, educationEducation, education, education

Integrated Model of ServiceIntegrated Model of Service

Information and AdviceInformation and Advice harm reduction harm reduction treatment services treatment services specialist services specialist services

Youthful experimenterYouthful experimenter Regular Users Regular Users Problematic drug usersProblematic drug users

Information and Shop servicesInformation and Shop services One to one counsellingOne to one counselling

Telephone helpline Telephone helpline Referral to specialist servicesReferral to specialist services

Outreach to youth groupsOutreach to youth groups Complementary therapiesComplementary therapies

Outreach to bars, clubs and free partiesOutreach to bars, clubs and free parties

Outreach to colleges, commerce & industryOutreach to colleges, commerce & industry

ESUS ServicesESUS Services

Crew 2000 ServicesCrew 2000 Services

Short Term interventionsShort Term interventions Longer term InterventionsLonger term Interventions

Assume NothingAssume Nothing

Last month assessed 5 people/weekLast month assessed 5 people/week

Using between 7 and 14 grams a Using between 7 and 14 grams a weekendweekend

None had heard of cocaethyleneNone had heard of cocaethylene

Future ProspectsFuture Prospects

Cocaine is here to stayCocaine is here to stay

Services for all not just focus on the Services for all not just focus on the biggest headline grabbersbiggest headline grabbers

Develop a practical, national Develop a practical, national responseresponse

Outreach enables low threshold Outreach enables low threshold access into servicesaccess into services

Cocaine use is risingCocaine use is rising