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Substance Misuse

Those lines at 9. Our specialists are our greatest asset, make them your greatest asset. For anyone struggling with their own gender identity, Carmel said it's important to know there is help out there, more so than ever. She said: "Don't feel that you're alone. Subscriptions Sign Out. By Alec Evans Community Reporter.

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Here are some groups you can contact when you need help: Samaritans: Phone , 24 hours a day, or email jo samaritans. Phone Depression Alliance: A charity for people with depression. No helpline but offers useful resources and links to other information on its website Students Against Depression: A website for students who are depressed, have low mood, or are suicidal. Click here to visit Bullying UK: A website for both children and adults affected by bullying.

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Coronavirus Only one area has an infection rate below Surrey and south east coronavirus R number now joint-highest in England according to government data Coronavirus The latest figures have been released since England was put into second lockdown. How a Surrey hospice is making sure families of terminally ill patients can still visit Coronavirus Screening volunteers go through several steps before families are taken to see their relative. The 77 Ofsted-rated outstanding schools in Surrey that make it one of the best places to live in the UK Education This is the full list of schools rated outstanding by Ofsted in Surrey.

Incredible undercover WW2 hero reveals how she will honour fallen friends on Remembrance Sunday Remembrance Sunday Mildred Schut was sent undercover to occupied Italy to recruit and train the partisans as part of the Special Operations Executive. How Surrey's pubs are adapting as takeaways are allowed in second lockdown Staines From grocery deliveries to brewery sales, this is how pubs in Staines, Farnham, Guildford, Fleet are adapting for the second lockdown.

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The 5 Surrey Hills lockdown walks you need to tick off this time round Surrey Hills Explore the north, south, east, west and middle of the Surrey Hills with our walking guide. People who are employed are more likely to drink alcohol than their unemployed counterparts. They are also more likely to drink to increasing risk and higher risk levels. They are also more likely to drink more frequently and above recommended limits. Alcohol-related deaths are up to three times more likely in those who are from the most deprived fifth of the population. Evidence highlights that there is a complex interaction between dependence on drugs and alcohol and crime 3.

Whilst the relationship is not thought to be causal, there is evidence that those who are committing crimes are more likely to misuse substances and suffer from dependence issues, and that those who are dependent on drugs and alcohol have higher rates of supply and possession criminal offences. Ex-offenders are at an increased risk of becoming socially excluded, which increases the chances of alcohol and drug misuse. Alcohol and drug misuse in prisons poses a serious threat to staff and prisoners; through increased violence, health risks to those consuming the substances, and threat to the security of the prison.

These effects also place pressures on the communities they are placed within and families and friends of prisoners at risk of being affected by organised crime for example debts of prisoners Alcohol and drug misuse in prisons also greatly reduces the ability to prevent or reduce reoffending and reform. The modern crime prevention strategy highlights the strong relationship between drugs and acquisitive offences in England. In some cases individuals will have already been committing crimes, thus the use of drugs is not always the primary driver of criminal activity, however heroin and crack use, can accelerate and extend criminal careers.

Drug users with complex needs are more likely to have repeated interactions within the criminal justice system and frequent prison stays. High rates of drug use and dependence are found among prisoners, often with the highest levels of drug use among the most prolific of offenders There is a general decline in prisoners entering prison with an opiate addiction which mirrors a national trend of reducing numbers using heroin in the community, however, these prisoners are often highly complex, with severe mental, physical and health issues.

Alcohol is a key factor which affects crime rates, re-offending and triggers anti-social behaviour. Of the Surrey based offenders with violent convictions e.

Families Surrey East Sep/Oct by Families Magazine - Issuu

Of those offenders with a conviction of violence against the public e. The Office for National Statistics 23 reported that a large proportion of male and female prisons were drinking above lower risk levels, before entering prison Further it is hard to accurately estimate the number of individuals with dual diagnosis due to inconsistencies in care and reporting Childhood abuse is, for example, known to contribute to the prevalence of comorbid personality disorder in addiction populations Women who use substances and have been exposed to sexual, physical and emotional abuse as children are more likely to experience emotional distress than a control group of women substance misusers who do not have that background Drugs.

Complex alcohol users are a highly diverse service user group, often characterised by the complexity of their needs, multi-morbidity and exclusion from society. These complexities often act as a barrier to accessing services and these individuals are often crisis driven with regard to their service use and do not exhibit the motivation and level of stability required to access and engage with specialist treatment services.

Modelling carried out with Alcohol Concern identified over clients, however, it is highly likely that estimates will double count clients as they are known to more than one service. The latest data from PHE shows those injecting psychoactive substances:. England continues to have a high number of drug-related deaths with opiate overdose remaining a major cause of death among injecting drug users. Key findings from the Office of National Statistics report on drug misuse deaths show:. There has been an increase in the injecting of image and performance-enhancing drugs IPEDs , whilst the levels are not as high as those who use psychoactive substances their risk remains higher than the general population.

PHE latest report shows:. Those who are injecting also are able to contract and transmit HIV through anal and vaginal intercourse. Men who have sex with men MSM are also considered to be at increased risk of transmitting and contracting through intercourse 34 , more information regarding sexually transmitted diseases or infections can be found in the Sexual Health JSNA Chapter.

Addiction to OTC and prescription medicines is an emerging issue and therefore presents a potentially new cohort of individuals with a treatment need. Three distinct but overlapping populations have been identified as using OTC medicines:. Locally this may be due to the focused prevention and brief Intervention work undertaken by the Youth Support Service to reduce the number of CYP requiring specialist substance misuse support. Halo is the client management system used by a number of the treatment services in Surrey. It contains live data that is changed and updated each day. When these reports contain figures for Surrey they include all Surrey residents including those treated outside the county.

For these reasons, figures produced by Halo will never match up perfectly with those on PHE reports. In terms of return on investment evidence shows:. Specifically to health, criminal justice and local authorities, Public Health England estimates that nationally:. The toolkit and other support documents can be found here. CYP Specialist Treatment Service: specialist treatment service offering a range of support for young people, aged 11 to 21, who have problems with drugs or alcohol.

Housing Support: residential support for young people aged identified through substance misuse services to move onto independent living. There is a specialist arm funded by Public Health which focuses on substance misuse. Direct access services: Advice, information and support to alcohol and drug users, their families and carers.

Open access services allow for people to drop-in, or telephone directly for an appointment. Structured treatment services: Ongoing support for alcohol and drug users who wish to address their drugs issues. Support is care planned and provided over an agreed period of time.

Residential and inpatient treatment services: High level support delivered in a residential setting. This may be a rehabilitation or detoxification programme, or a mixture of both.