Substance misuse

Facts, figures and trends

Prevalence

Estimated Prevalence of Drug Misuse in Central Bedfordshire 2011/12

  Rate Per Thousand
Central Bedfordshire 4.4
England 8.4

Source:  NTA prevalence estimates 2011/12

Estimated prevalence of drug misuse in Central Bedfordshire 2011/12

Estimated prevalence of drug misuse in Central Bedfordshire 2011/12, Source: NTA prevalence estimates 2011/12

It can be seen that Central Bedfordshire has a significantly lower rate than England for drug misuse.  However, this group still has a substantial impact on crime, health and associated social care needs and services. 

Age group

Central Bedfordshire’s age profile is slightly older when compared with England. This would indicate that Central Bedfordshire has an ageing population in treatment which would correlate with the local anecdotal evidence that there is an ageing opiate population with a new generation of drug users opting to use non opiate drugs.  Services need to adapt to support these changes in service user profiles.

Age distribution of drug misuse population 2012/13

Age distribution of drug misuse population 2012/13, Source: NDTMS data set

 

Average Time in Treatment Source: Q4 DOMES
   

Under 2 years

Between 2 and 4 years Between 4 and 6 years 6 years and over Average (Years)
Central Bedfordshire

 

Opiate

 

40.1% 18.9% 18.3% 22.8% 3.6
Central Bedfordshire

 

Non-Opiate

 

91.4% 5.7% 2.9% 0.0% 1.0

This figure illustrates that opiate users tend to stay in treatment for longer than non-opiate users.  There is also a substantial proportion of opiate users who have been in treatment for 6 years or longer.  This is in keeping with the increased age of service users we see in treatment services.

Gender

Central Bedfordshire has more females in drug treatment than England (31.4% of individuals in treatment compared to 26.6% nationally). This could indicate that services in Central Bedfordshire are successful at engaging and retaining females in drug treatment and that interventions are gender sympathetic.  It is well documented nationally, however, that women are more likely to engage in treatment and to stay in treatment longer.

Ethnicity

Central Bedfordshire has a different ethnic group profile of substance misuse clients with a higher proportion of white ethnicity compared to England.  However this is more representative of the resident population which has lower numbers of ethnic minorities compared to England. 

  White Black/Black British Asian/Asian British Mixed Other Missing/Unknown
Distribution of Drug Misuse Clients by Ethnic Group 2012/13 Source: NDTMS Data Set
England 87.3% 3.0% 3.9% 2.6% 1.0% 2.2%
Central Bedfordshire 95.4% 0.7% 0.7% 2.1% 0.4% 0.7%

Penetration rate

The following data have been calculated based on the proportions of people by ethnic group from the NDTMS in treatment data compared with the ONS 2011 Census data by ethnic group.  A figure greater than 100% means that the population in treatment is greater than that of the population as a whole for that ethnic group.  A figure lower than 100% suggests that the service are not treating people from these ethnic groups to the same level, assuming that drug use is the same across the whole population.

Ethnicity England Central Bedfordshire
Penetration Rate by Ethnic Group. Source:PHI Based on NDTMS and ONS Census
White 105% 102%
Black/Black British 53% 51%
Asian/Asian British 170% 28%
Mixed 33% 112%
Other 104% 118%

Central Bedfordshire has a similar penetration for the white and the black populations.  Central Bedfordshire is ‘under’ penetrating the Asian population compared with England and ‘over’ penetrating the population classed as mixed.  The proportions of the population are smaller and the numbers of clients smaller.  (The key is to consider the penetration rate for Central Bedfordshire and not compare it with England.) Local intelligence suggests that that CBC (Central Bedfordshire Council)has a smaller Asian population than the national profile.  Local services should therefore make efforts to cater for and actively reach out to these communities. 

Living with children and /or pregnant

The numbers of clients in treatment living with children and/ or pregnant at start of treatment are small and therefore it is difficult to compare with England. Currently 30% (19 individuals) of those beginning new journeys in quarter 2 had children, with 2 people being pregnant at the start of treatment.

However, the percentages are lower in CBC than nationally and this may indicate that further work needs to take place to review how % of those living with children or pregnant at the start of treatment is recorded. This may indicate that assessment and recording of those living with children is being under-reported and this will have an impact on commissioning services in the future, the level of training that is provided to professionals to identify where drugs are an issue for those living with children and how this is disclosed by clients.  

The numbers of clients in treatment living with children and/ or pregnant at start of treatment are small and therefore it is difficult to compare with England. Currently 30% (19 individuals) of those beginning new journeys in quarter 2 had children, with 2 people being pregnant at the start of treatment.

However, the percentages are lower in CBC than nationally and this may indicate that further work needs to take place to review how % of those living with children or pregnant at the start of treatment is recorded. This may indicate that assessment and recording of those living with children is being under-reported and this will have an impact on commissioning services in the future, the level of training that is provided to professionals to identify where drugs are an issue for those living with children and how this is disclosed by clients.  

Housing problems

Around 75% of clients in substance misuse treatment have no accommodation needs (new journeys) but this does not increase at the time of exiting treatment.  However, numbers are small.  Less people in Central Bedfordshire substance misuse treatment have a housing need when compared with England. This could indicate that there is effective support around housing needs in drug treatment however the fact that there are some who do have a housing need at exit from treatment does need to be scrutinised (even if numbers are low). Further work needs to take place to ascertain if individuals have the required support to sustain their tenancies/accommodation while in recovery, it is well documented that individuals are more likely to sustain recovery if they have suitable accommodation. This data does not enable us to understand this so data would need to be collected from the local treatment system.   

    Accommodation Needs Urgent   Accommodation Problem Accommodation No Problem No Housing Needs at Exit
Accommodation Needs of Clients in Treatment. Source: NDTMS Domes Report
Central Bedfordshire 2013/14 Q1

12%

3

12%

3

76%

19

75%

3/4

  Q2

16%

6

11%

4

74%

28

505

2/4

England 2013/14 Q1 12% 15% 75%  
  Q2 14% 15% 71%  

Prescription or over the counter drug use

CBC has a smaller proportion of those in treatment that use prescribed or over the counter medication than Eastern England’s proportion.  Central Bedfordshire’s proportion of those who are only using prescribed or over the counter medication is the same as Eastern England. However it is recognised nationally that the data collected around the misuse of prescription/over the counter drugs is not necessarily accurate. More work is needed to ascertain realistic levels of misuse - nationally there is a call for anonymous data to be collected in order to provide an accurate picture of the problem both nationally and locally. While it may appear that there is not a significant issue in Central Bedfordshire this needs to be approached with caution and maybe an area for further investigation in order to establish a reliable baseline.   

   Cited no illicit POTC drug use Cited illicit POTC drug use Individuals in Treatment Proportion of all clients citing any use of POTC  Proportion of clients citing no Illicit use of POTC drugs
Use of over the counter/prescribed medications in all service users in treatment 2012/13, Source: NDTMS14/11/13 POTC: Prescribed or Over the Counter
Eastern England 379 2344 16,103 19.6% 2.4%
Central Bedfordshire 10     25      417 8.4% 2.4%

Last updated Friday, 22nd April 2016