Drug Misuse Statistics Scotland 2006

Transcription

1 s Scottish Drug Misuse Database Methadone prescriptions Hosp Methadone prescriptions Hospital discharges Psychiatric dischar Psychiatric discharges Pregnancy Blood-borne viruses Drug-rel scharges Psychiatric discharges Pregnancy Blood-borne viruses lood-borne viruses Drug-related deaths Scottish Drug Misuse Dat ted deaths Offences Court proceedings Criminal Justice Social W urt proceedings Criminal Justice Social Work interventions Priso ustice Social Work interventions Prisons Scottish Drug Misuse D ntions Prisons Scottish Drug Misuse Database Methadone presc Drug Misuse Database Methadone prescriptions Hospital discha ethadone prescriptions Hospital discharges Psychiatric discha s Scottish Drug Misuse Database Methadone prescriptions Hosp Methadone prescriptions Hospital discharges Psychiatric discha Psychiatric discharges Pregnancy Blood-borne viruses Drug-rel scharges Psychiatric discharges Pregnancy Blood-borne viruses lood-borne viruses Drug-related deaths Scottish Drug Misuse Dat ted deaths Offences Court proceedings Criminal Justice Social W urt proceedings Criminal Justice Social Work interventions Priso ustice Social Work interventions Prisons Scottish Drug Misuse D ntions Prisons Scottish Drug Misuse Database Methadone presc Drug Misuse Database Methadone prescriptions Hospital discha ethadone prescriptions Hospital discharges Psychiatric discha s Scottish Drug Misuse Database Methadone prescriptions Hosp Methadone prescriptions Hospital discharges Psychiatric dischar Drug Psychiatric discharges Pregnancy Blood-borne viruses Drug-rel scharges Psychiatric discharges Pregnancy Blood-borne Misuse viruses lood-borne viruses Drug-related deaths Scottish Drug Misuse Dat ted deaths Offences Court proceedings Criminal Statistics Justice Social W urt proceedings Criminal Justice Social Work interventions Priso ustice Social Work interventions Prisons Scottish Scotland Drug Misuse D ntions Prisons Scottish Drug Misuse Database Methadone presc 2006 Drug Misuse Database Methadone prescriptions Hospital discha ethadone prescriptions Hospital discharges Psychiatric discha

2 Information Services Edinburgh 2006

3 Common Services Agency/Crown Copyright 2006 Brief extracts from this publication may be reproduced provided the source is fully acknowledged. Proposals for the reproduction of large extracts should be addressed to: ISD Publications Gyle Square, Area 114a 1 South Gyle Crescent Edinburgh EH12 9EB Price This report is available online on the national website: Enquiries For enquiries or comments about this publication please contact: Customer Support Desk Information Services Gyle Square, 1 South Gyle Crescent Edinburgh, EH12 9EB Phone Fax ii

4 Contents National statistics releases from ISD......iv Conventions...iv Introduction...1 A Services and treatment for drugs misusers...3 A1 Scottish Drug Misuse Database....5 Overview Drugs recorded Geographical profile Additional points...6 Background information A2 Methadone prescriptions B Health impact of drug misuse B1 Hospital discharges B2 Psychiatric discharges B3 Pregnancy and neonatal discharges B4 Blood-borne viruses B5 Drug-related deaths in Scotland C Drugs and criminal justice C1 Offences and court proceedings C2 Criminal Justice Social Work interventions C3 Drug misuse and treatment in Scottish prisons D Contacts iii

5 National Statistics National Statistics releases from ISD Information presented in this publication from Information Services Division (ISD Scotland), NHS Scotland is derived from data sources which are classed as National Statistics releases. These include: Hospital discharges (SMR01) Psychiatric discharges (SMR04) Pregnancy and neonatal discharges (SMR02, SMR11, SBR) Scottish drug misuse database (SMR24) Methadone prescriptions (PIS) National Statistics are produced to high professional standards, and adhere to commitments relating to integrity, confidentiality, data collection, liaison and consultation, openness, access, and timeliness. National Statistics undergo regular quality assurance reviews to ensure that they meet customer needs, and they are produced free from political interference. Further details on National Statistics are contained at the National Statistics website Further information in relation to National Statistics and ISD Scotland is available from For further details on the non-isd data please contact the appropriate organisation directly (see page 157) for contact details. Conventions The following symbols and abbreviations have been used: editorial comment Percentages and rates per population are shown in italics iv

6 Introduction Introduction This annual publication presents the latest available information from a range of national data sources relevant to drug misuse. Previous publications covered additional data sources such as school based surveys of drug use and national prevalence of drug misuse. Previous and current publications are available on the national drugs misuse information web site at This year there are three main sections: A B C Services and treatment for drug misusers. This section includes information on individuals presenting to drug treatment services and on methadone prescription statistics. Health impact of drug misuse. This section includes information on inpatients and day cases discharged from general hospitals, bloodborne viruses, discharges from psychiatric hospitals, pregnancy and neonatal discharges and drugrelated deaths in Scotland. Drugs and criminal justice. This section includes information on drug-related offences and court proceedings, criminal justice social work and drug misuse and treatment in Scottish prisons. Thanks are given to the organisations who supplied the information presented in this publication. details for these organisations can be found on page 157. Contact Substance Misuse Information Strategy Team The Substance Misuse Information Strategy Team, part of the Information Services Division (ISD Scotland), NHS Scotland, has produced this report. The team: provides information to support Drug Action Teams, Local Authorities, NHS boards, specialist drug services, the Scottish Executive, and others. manages the Scottish Drug Misuse Database (SDMD), and ensures the effective and appropriate exploitation of other relevant data collected by ISD e.g. hospital inpatient data. develops expertise in the use of available data to produce robust performance and activity indicators to monitor the impact of national and local policies. supports the research and analytical work of other organisations, subject to general strategic priorities and ethical and legal considerations. The team also provides an information service to organisations and individuals who wish to use the data relating to drug misuse collected by ISD Scotland. For further information please phone or substancemisuse@isd.csa.scot.nhs.uk. Contact Stephen Pavis (Assistant Head of Group) phone stephen.pavis@isd.csa.scot.nhs.uk 1

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8 A A1 A2 Services and treatment for drugs misusers Scottish Drug Misuse Database Methadone prescriptions Services & treatment 3

9 Services & treatment 4

10 Scottish Drug Misuse Database A1 Scottish Drug Misuse Database The Scottish Drug Misuse Database (SDMD) offers a profile of drug misusers based on reports at the time of attending services for their drug problems. The information presented relates to new patients/clients. The definition of new is any person who is attending the service for (a) the first time ever or (b) it has been at least six months since the last attendance at the service. It is important to note that the percentages quoted below are based on the number of individuals on which data for each specific question are available i.e. they are not based on the total number of individuals reported to the database. This can result in percentage increases when numbers of individual reports fall (see annex A1.2). Further detail on information available is provided within the tables. Some of the statistics presented in the text below are not shown in the tables. These figures relate to the number of individuals within specific subgroups for 2001/02 to 2005/06, and are updated versions of statistics that appeared in previous editions of Drug Misuse Statistics Scotland. Services & treatment Key Points 2005/06 Overview In 2005/06, 13,791 new individuals were reported to the Scottish Drug Misuse Database (SDMD), a decrease of 1,207 individuals (8%) from 2004/05 (14,998 individuals). This corresponds to a rate of 289 per 100,000 of the Scottish population (Table A1.1). The male attendance rate is more than twice the female attendance rate (396 per 100,000 population for males, 185 per 100,000 population for females) (Tables A1.3 and A1.4). 29% of all individuals reported that they had injected in the month prior to seeking treatment, a decrease from 38% in 2001/02. This fall is reflected in all age groups (Tables A1.26 and A1.27). In 2005/06, 43% of all individuals reported that they had never injected, an increase from 41% in 2001/02. This increase is reflected in most of the age groups with the biggest increase being in the under 20 years age group (66% in 2001/02 rising to 79% in 2005/06) (Table A1.27). 27% of current injectors reported that they had shared needles/syringes in the previous month, the lowest percentage in the last five years (Table A1.33). 42% of current injectors reported that they shared spoons/water/filters/solutions in the previous month, the lowest percentage in the last five years (Tables A1.36, A1.37 and A1.38). Three-quarters (75%) of individuals reported that more than a year elapsed between the onset of problem drug use and treatment first being sought (Table A1.24). Drugs recorded In 2005/06, of those reporting illicit drug use, 68% reported using heroin (7,910 individuals). This is the same percentage that reported heroin use in 2004/05 and a decrease from 77% in 2001/02 (Tables A1.11, A1.12 and A1.14). In 2005/06, of those aged under 25 years reporting illicit drug use, 62% reported using heroin. This is the same percentage as 2004/05 and a decrease from 78% in 2001/02. The percentage of under 25s reporting use of heroin has shown a larger decrease than that for all ages (Tables A1.14 and A1.15). In 2005/06, 11% of those reporting illicit drug use reported cocaine use (1,250 individuals), an increase from 8% (982) in 2004/05 and more than double the percentage reporting cocaine use in 2001/02 (5%, 549 individuals) (Tables A1.11 and A1.12). 5

11 Scottish Drug Misuse Database Services & treatment Use of crack cocaine amongst those reporting illicit drug use increased from 2% (190 individuals) in 2001/02 to 3% (311 individuals) in 2002/03 and then to 4% (484 individuals) in 2005/06 (Tables A1.11 and A1.12). The proportion of illicit drug users reporting use of diazepam was 30% (3,558 individuals), a similar proportion to 2004/05 (32%, 3,891 individuals). The highest proportion of illicit users who reported diazepam use was found in 2002/03 (37%, 3,866 individuals) (Tables A1.11 and A1.12). Geographical profile Between 2004/05 and 2005/06 the percentage of people reporting illicit drug use who reported use of heroin decreased in all areas apart from NHS Borders (increased from 34% to 49%, 62 to 97 individuals), NHS Tayside (increased from 73% to 82%, 374 to 682 individuals), NHS Forth Valley (increased from 73% to 79%, 246 to 379 individuals) and NHS Lothian (increased from 66% to 68%, 1,710 to 1,629 individuals) (Table A1.14). In 2005/06, of those reporting use of cocaine, 35% (433 individuals) were resident in NHS Greater Glasgow, 15% (191 individuals) in NHS Lothian and 11% in both NHS Lanarkshire and NHS Argyll and Clyde (137 individuals in Lanarkshire and 142 individuals in Argyll and Clyde) (Tables A1.11 and A1.12). Of the 484 individuals reporting crack cocaine use in 2005/06, 37% (180 individuals) were resident in NHS Grampian, 25% (119 individuals) in NHS Lothian and 9% (45 individuals) in NHS Greater Glasgow (Tables A1.11 and A1.12). Additional points Profiles of individuals reported to SDMD This section describes the demographic profile of new individuals attending services. In the five years since 2001/02, there has been an increase of 18% in the number of new individuals reported to SDMD, from 11,685 individuals in 2001/02 to 13,791 in 2005/06. The corresponding rate increase is from 243 per 100,000 population in 2001/02 to 289 per 100,000 population in 2005/06. However, there has been a decrease in the last year of 8% in the number of new individuals reporting to SDMD (from 14,998 individuals in 2004/05 to 13,791 individuals in 2005/06). The corresponding rate decreased from 315 per 100,000 population in 2004/05 to 289 per 100,000 population in 2005/06 (Table A1.1). Overall the male:female attendance ratio in 2005/06 is 2.1:1. This has remained relatively stable since 2001/02. However, there is variation between age groups with the male:female ratio for those aged under 20 years old at 1.6:1 and for those aged 40 years and over at 2.8:1(Table A1.5). The median age of those reported to the SDMD was 29 years, the same as in 2004/05. The median age was 28 year in 2003/04 and 27 years in 2001/02, as reported in previous publications. Nearly half of those reported to SDMD were in their twenties (43%) (Table A1.2). The age profile of individuals reported to the SDMD has gradually changed over the past five years towards an older population profile. In 2001/02 11% of individuals reported were under 20 years of age. This has fallen to 8% in 2005/06 (Table A1.5). In 2005/06, 99% of individuals reported to the SDMD described their ethnicity as white (Table A1.6). Where clients referred from and their presenting issues This section includes information on the main source of referral and reported issues that have led the person to attend the service for their drug misuse problem. In specialist drug services the majority of individuals (66%) were referred from another organisation or individual, with only 33% attending as self referrals. For individuals being seen by General Practice for drug misuse, the majority (73%, data not shown) were self referrals i.e. there was no formal referral from another organisation or individual. This is a similar pattern to that found in previous years (Table A1.7). When undergoing assessment for treatment, 56% of individuals reported physical health issues and 52% mental health issues in addition to their drug misuse. This is a similar pattern to that found in previous years (Table A1.8). 6

12 Scottish Drug Misuse Database 13% of females reported pregnancy as an issue when undergoing assessment (Table A1.9). In 2005/06, 39% reported that their purpose in presenting to the service included seeking a prescription related to their addiction, primarily methadone or a similar drug (Table A1.10). Types of drugs individuals are using The SDMD collects a range of details about the particular drugs that the new patients/clients have used in the past month. Of the 7,910 individuals who reported heroin use, 93% reported it as their main drug of misuse (7,372 individuals) (Table A1.11 and A1.13). Of those individuals who reported heroin as a main drug of use, 32% reported additional illicit diazepam use, 26% cannabis, 6% reported using cocaine, and 5% reported using crack cocaine (Table A1.16). 8% of individuals who reported illicit drug use had used dihydrocodeine (982 individuals) and roughly the same proportion of people who reported illicit drug use had used methadone (this figure does not include those receiving a prescription for methadone) (8%, 965 individuals) (Tables A1.11 and A1.12). Overall reports of ecstasy use have remained stable at around 4 to 5% of those reporting illicit drug use (4% in 2005/06, 431 individuals) (Table A1.12). Reports of solvent abuse were most common within the age group 15 years and under, with 21% of this group (36 individuals) reporting it in 2005/06. Next were 15 to 19 year olds, with 3% reporting solvent abuse. The percentage of those aged under 15 years reporting solvent abuse decreased each year between 2001/02 and 2004/05 (from 33% to 15%) but rose between 2004/05 and 2005/06 (15% to 21%). Note that the overall number of individuals in the 15 years and under age group reported to the database is small therefore caution should be used in interpreting the data (Table A1.12). Services & treatment Age of first use, problem recognition and seeking help The time lags between the age when individuals first used an illicit drug, age at onset of problem and age when (professional) help was sought provides an indication of the pathways through drug misuse. The majority of individuals reported to SDMD were in their teens when they first started using illicit drugs (which also includes volatile substances and over the counter medicines); were in their teens/early twenties when their drug use became a problem; and were in their twenties when they sought help. This is a similar pattern to that found in previous years (Tables A1.19, A1.20 and A1.21). As would be expected, the time from when individuals first used illicit drugs until they perceived there to be a problem varied from person to person. Over a third (41%) reported that they did not perceive their drug use as a problem until after five years of misuse. On the other hand, 15% reported recognising a problem within one year of misuse, a similar pattern to that found in previous years (Table A1.22). The time from the onset of problem drug use to seeking treatment also varied. 26% sought treatment within one year of onset, 32% in one to two years, and 16% after three to four years of use. The remaining 27% took more than five years to seek treatment for their problem drug use. This is a similar pattern to that found in previous years (Table A1.24). Ways in which people take drugs All patients/clients are asked whether they have ever injected and if so, whether they have done so in the past month prior to attending the service. Similar questions are asked regarding sharing needles/syringes and sharing spoons/water/filters/solutions. Most of the NHS boards across Scotland have shown a fall in the percentage who report injecting in the month prior to seeking treatment over the last five years, the exceptions being NHS Fife, NHS Forth Valley, NHS Grampian, NHS Lothian, NHS Orkney, NHS Shetland and NHS Tayside. Where there are increases in injecting this does not always correspond with an increase in reports of heroin use. Likewise, where there are increases in reports of heroin use there will not necessarily be an increase in reports of recent injecting (Tables A1.14 and A1.26). Individuals in their twenties more frequently reported that they had injected during the month prior to seeking treatment than other age groups (35% and 34% of those aged 20 to 24 years and 25 to 29 years 7

13 Scottish Drug Misuse Database Services & treatment respectively). Compared with other age groups relatively few individuals aged under 20 years reported recent injecting behaviour (16%) (Table A1.27). 37% of individuals reported that they were under 20 years old when they first injected. This is a slight decrease from 40% in 2001/02 (Table A1.29). In 2005/06, 49% of heroin users reported that they injected the drug. The percentage of heroin users reporting injecting has decreased from 59% in 2002/03. The median age of first injecting has remained at 21 years for the last five years (Table A1.29 and A1.31). There has been a reduction since 2001/02 in the percentage of those reporting heroin use in the last month who report taking the drug through injection only (35% in 2001/02 to 30% in 2005/06). The percentage who administer the drug by injection along with another method (e.g. smoking) has been consistent throughout the five year period (17% in 2001/02 and 18% in 2005/06) (Table A1.32). Social information The personal circumstances of the drug user seeking treatment or advice from services can influence the individual's motivation for seeking help and the extent to which the service can contribute to a change in drug taking behaviour. Information on employment status, current living arrangements and accommodation and the individual's current legal status are each potentially relevant factors and are collected by the SDMD. In 2005/06 83% of new individuals reported that they were unemployed. The percentage reporting being unemployed for one year or longer or never employed was 71%, similar to figures found in previous years (Table A1.41). Nearly one in five (17%) individuals reported that they were living with dependent children. This compares to 19% in 2004/05 and 20% in 2001/02. It should be noted that this does not include those individuals who have dependent children who live elsewhere (Tables A1.42 and A1.43). 83% of individuals reported that they lived in owned or rented accommodation and 13% lived in temporary or unstable accommodation (e.g. hostels). 2% of new individuals were reported as being roofless. This is a similar pattern to that found in previous years (Table A1.44). Just under half (45%) of people reported that they had previously been in prison (Table A1.46). Background information The Scottish Drug Misuse Database (SDMD) offers a profile of drug misusers based on reports at the time of attending services for their drugs problem. Established in 1990, the database gathers information from most specialist drug services in Scotland and from a number of general practitioners, providing a unique source of information on drug misuse in Scotland. Data Collection Information is collected using form SMR24 (introduced April 2001). Annex A1.3 includes a sample copy of the form. This collects a variety of information about the user, including demographic, drug profile and injecting and sharing details. Data Developments The data presented in this section is based on analyses of the SMR24 returns. In April 2006 ISD introduced the SMR25 assessment paper form to replace the SMR24. This revised dataset reflects the need for more in-depth and focussed information on clients who present for treatment. The new dataset incorporates most of the information that SMR24 collected, but also includes data items on aspects of a client's situation that were not previously captured in the SDMD. The paper SMR 25 is currently completed at the beginning of an individuals care episode. In 2007 services will be asked to transfer SMR25 data electronically to ISD on individuals at their initial assessment, in addition they will also be asked to transfer data three months after and annually after the initial assessment. Discharge and transfer data will also be collected. The plans are to track clients across time and if they are transferred to or share care with other drug services, across drug services. For information on analysis from the current assessment SMR25 and on the future plans and timescales for collecting follow up SMR25 data contact substancemisuse@isd.csa.scot.nhs.uk. 8

14 Scottish Drug Misuse Database Understanding the data New patients/clients The information presented relates to new patients/clients. As such, statistics do not reflect the total number of drug misusers seen by services during any period. New patient/client Any person who is attending the service for (a) the first time ever or (b) it has been at least six months since the last attendance at the service. The database does not collect information on the non-client work in which most specialist projects are involved, nor measure the number of contacts or amount of time spent with clients. The data is usually recorded at or around the time of the initial assessment and no measure of outcome is included. Misuse of alcohol may be reported to the database only when there are reports of other drugs. It cannot be reported if it is the only substance. From April 2001, alcohol could be reported as the main drug of misuse. Services & treatment Matching new patients/clients By means of matching on certain criteria (initial of first name, initial & 4th character of surname, date of birth and gender), an adjustment is made for the double counting of individuals who may have attended more than one service during the period. The accuracy of these matches cannot be guaranteed. This is however, the most precise method of matching individuals given that full name and address is not provided to ISD. Where the terms `individuals' and `attendees' have been used, this refers to new patients/clients who have been through the matching process. Local area analysis and trends Individuals have been included only once within each NHS board and council area of residence. However, they may appear in more than one area and as a result the sum of the NHS board or council areas data will not equal the Scotland figure. Where data are presented at a national level, individuals are also counted only once in any year. This is true for all tables excluding table A1.47 which presents statistics on all valid forms received. Within Ayrshire & Arran NHS Board data were collected through the Ayrshire Common Database using a previous version of SDMD (form SMR22). Since April 2003, Ayrshire & Arran have designed a new local database based on the SMR24 form. However, because the SMR24 form is being introduced gradually (from January 2004) within the region, information is unavailable from some agencies for the SMR24 specific questions. Information received on penal establishment inmates (i.e. including those seen in prison by an external agency) and from needle exchanges have been excluded from most tables presented (except table A1.47), to improve validity of comparisons between NHS board and local authority areas. Information received from General Practitioners is excluded from all tables for these reasons. Supplementary information for some specific tables can be found in Annex A1.1. Definitions of statistical terms and tests can be found in Annex A1.2. Acknowledgements The co-operation and assistance of the staff at all services contributing to the database are gratefully acknowledged. Further information Information on the Scottish Drug Misuse Database is available at: If you would like further information please contact the Substance Misuse Information Strategy Team at substancemisuse@isd.csa.scot.nhs.uk. 9

15 Scottish Drug Misuse Database Services & treatment 10

16 Scottish Drug Misuse Database A1.1 New individual patients/clients reported 1,2 : 2001/ /06 Numbers EASR /02 r 2002/03 r 2003/04 r 2004/05 r 2005/ /02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 Scotland by NHS board number of individuals and EASR; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board and council area. Therefore the sum of the local area data may not equal the Scotland figure. 3 The increase in reports from Lanarkshire for 2004/05 relates, at least in part, to better compliance in returns to the database. 4 European Age Standardised Rate per population. r Revised. Source: ISD Scotland (SMR24). 11

17 Scottish Drug Misuse Database Services & treatment A1.2 Age group analysis 1,2 : year ending 31 March 2006 Numbers All Ages Under years Median 15 years years years years years years and over age Scotland by NHS board number of individuals, EASR and 95% C1; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 European Age Standardised Rate per population. (zero); 0 (>0.0 & <0.5) Source: ISD Scotland (SMR24). 12

18 Scottish Drug Misuse Database EASR 3 Age group analysis 1,2 : year ending 31 March 2006 A1.2 All ages Under years Rate (95% CI) 15 years years years years years years and over 289 (284, 293) Scotland by NHS board 392 (371, 412) Argyll & Clyde 398 (376, 420) Ayrshire & Arran 267 (231, 304) Borders 255 (224, 286) Dumfries & Galloway 384 (363, 406) Fife 202 (185, 220) Forth Valley 208 (195, 221) Grampian 309 (298, 321) Greater Glasgow 304 (278, 331) Highland 175 (163, 186) Lanarkshire 333 (320, 345) Lothian 31 (3, 58) Orkney 223 (155, 291) Shetland 269 (251, 287) Tayside 94 (49, 138) Western Isles continued Services & treatment by council area 222 (202, 242) Aberdeen City 240 (217, 264) Aberdeenshire 189 (159, 219) Angus 249 (210, 287) Argyll & Bute 436 (396, 476) Ayrshire East 458 (419, 497) Ayrshire North 291 (255, 327) Ayrshire South 267 (231, 304) Borders 224 (179, 270) Clackmannanshire 255 (224, 286) Dumfries & Galloway 153 (125, 180) Dunbartonshire East 484 (437, 532) Dunbartonshire West 421 (387, 454) Dundee City 337 (321, 353) Edinburgh City 94 (49, 138) Eilean Siar 195 (172, 219) Falkirk 384 (363, 406) Fife 369 (354, 384) Glasgow City 304 (278, 331) Highland 660 (600, 720) Inverclyde 165 (151, 180) Lanarkshire North 184 (168, 200) Lanarkshire South 370 (322, 418) Lothian East 375 (344, 406) Lothian West 334 (289, 380) Midlothian 126 (100, 152) Moray 31 (3, 58) Orkney 139 (116, 162) Perth & Kinross 292 (265, 320) Renfrewshire 132 (103, 160) Renfrewshire East 223 (155, 291) Shetland 214 (180, 247) Stirling 13

19 Scottish Drug Misuse Database Services & treatment A1.3 Age group analysis of males 1,2 : year ending 31 March 2006 Numbers All Ages Under years Median 15 years years years years years years and over age Scotland by NHS board number of individuals, EASR (and 95% CI); NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 European Age Standardised Rate per population. (zero); 0 (>0.0 & <0.5) Source: ISD Scotland (SMR24). 14

20 Scottish Drug Misuse Database EASR 3 Age group analysis of males 1,2 : year ending 31 March 2006 A1.3 All ages Under years Rate (95% CI) 15 years years years years years years and over continued 396 (388, 404) Scotland by NHS board 520 (486, 554) Argyll & Clyde 507 (471, 543) Ayrshire & Arran 392 (329, 455) Borders 336 (286, 386) Dumfries & Galloway 530 (494, 566) Fife 292 (262, 322) Forth Valley 257 (237, 277) Grampian 443 (424, 463) Greater Glasgow 451 (406, 495) Highland 261 (242, 281) Lanarkshire 459 (438, 479) Lothian 40 (-6, 86) Orkney 309 (200, 418) Shetland 354 (326, 383) Tayside 163 (82, 244) Western Isles Services & treatment by council area 265 (235, 295) Aberdeen City 312 (274, 349) Aberdeenshire 252 (203, 301) Angus 319 (261, 377) Argyll & Bute 528 (466, 591) Ayrshire East 626 (559, 692) Ayrshire North 358 (301, 415) Ayrshire South 392 (329, 455) Borders 283 (210, 356) Clackmannanshire 336 (286, 386) Dumfries & Galloway 226 (179, 274) Dunbartonshire East 669 (589, 748) Dunbartonshire West 563 (507, 619) Dundee City 449 (423, 475) Edinburgh City 163 (82, 244) Eilean Siar 291 (250, 332) Falkirk 530 (494, 566) Fife 527 (502, 552) Glasgow City 451 (406, 495) Highland 905 (806, 1004) Inverclyde 253 (228, 278) Lanarkshire North 266 (239, 294) Lanarkshire South 545 (462, 627) Lothian East 549 (496, 602) Lothian West 478 (399, 557) Midlothian 154 (115, 193) Moray 40 (-6, 86) Orkney 185 (148, 222) Perth & Kinross 391 (346, 436) Renfrewshire 185 (137, 233) Renfrewshire East 309 (200, 418) Shetland 320 (259, 382) Stirling 15

21 Scottish Drug Misuse Database Services & treatment A1.4 Age group analysis of females 1,2 : year ending 31 March 2006 Numbers All Ages Under years Median 15 years years years years years years and over age Scotland by NHS board number of individuals, EASR (and 95% CI); NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 European Age Standardised Rate per population. (zero); 0 (>0.0 & <0.5) Source: ISD Scotland (SMR24). 16

22 Scottish Drug Misuse Database EASR 3 Age group analysis of females 1,2 : year ending 31 March 2006 A1.4 All Ages Under years Rate (95% CI) 15 years years years years years years and over 185 (179, 190) Scotland by NHS board 269 (244, 293) Argyll & Clyde 298 (271, 325) Ayrshire & Arran 148 (110, 186) Borders 176 (140, 212) Dumfries & Galloway 245 (220, 269) Fife 120 (101, 139) Forth Valley 157 (140, 173) Grampian 182 (170, 194) Greater Glasgow 153 (126, 180) Highland 92 (80, 104) Lanarkshire 212 (198, 226) Lothian 20 (-8, 49) Orkney 133 (53, 213) Shetland 186 (165, 207) Tayside 22 (-10, 54) Western Isles continued Services & treatment by council area 175 (150, 200) Aberdeen City 172 (143, 200) Aberdeenshire 129 (94, 164) Angus 172 (123, 221) Argyll & Bute 350 (299, 401) Ayrshire East 309 (265, 354) Ayrshire North 228 (183, 273) Ayrshire South 148 (110, 186) Borders 173 (116, 229) Clackmannanshire 176 (140, 212) Dumfries & Galloway 80 (52, 108) Dunbartonshire East 318 (264, 371) Dunbartonshire West 286 (248, 325) Dundee City 228 (209, 246) Edinburgh City 22 (-10, 54) Eilean Siar 104 (79, 128) Falkirk 244 (220, 269) Fife 217 (202, 233) Glasgow City 153 (126, 180) Highland 428 (360, 496) Inverclyde 82 (68, 97) Lanarkshire North 108 (90, 125) Lanarkshire South 201 (151, 251) Lothian East 211 (178, 243) Lothian West 206 (156, 256) Midlothian 96 (62, 129) Moray 20 (-8, 49) Orkney 90 (63, 117) Perth & Kinross 202 (170, 234) Renfrewshire 83 (51, 115) Renfrewshire East 133 (53, 213) Shetland 124 (89, 159) Stirling 17

23 Scottish Drug Misuse Database Services & treatment A1.5 Age group and gender 1 : 2001/ /06 percentage and number of individuals, gender and age group NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r percentage numbers Males & females (=100%) Under 15 years years years years years years years and over Males (=100%) Under 15 years years years years years years years and over Females (=100%) Under 15 years years years years years years years and over All figures in this table exclude penal establishment inmates and information received from needle exchanges. r Revised. Due to rounding percentages may not add up to 100%. Source: ISD Scotland (SMR24). A1.6 Ethnic profile of new individuals 1 : 2001/ /06 number of individuals by ethnic group NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r New Individual patients/clients Information available (=100%) White Indian Pakistani Bangladeshi Black-caribbean Black-african Black-other Chinese Other All figures in this table exclude penal establishment inmates and information received from needle exchanges. (zero); 0 (>0.0 & <0.5) r Revised. Source: ISD Scotland (SMR24). 18

24 Scottish Drug Misuse Database A1.7 Source of referral to specialist drug services 1,2 : year ending 31 March 2006 NHS board and council area of residence Criminal Criminal GP/primary justice justice Social work Specialist Psychia- Information Information Self care team - social work - other - other drug service Family/friend trist Other 3 available unavailable (n=100%) percentage numbers Scotland by NHS board NEW INDIVIDUAL PATIENTS/CLIENTS Services & treatment Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Others includes: general hospital services, schools and teachers. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1. Source: ISD Scotland (SMR24). 19

25 Scottish Drug Misuse Database Services & treatment A1.8 Presenting issue(s) 1,2 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Information Information Physical Mental Social/ available unavailable Health Health Legal housing (=100%) percentage 4 numbers Scotland by NHS board NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Information on presenting issue(s) is not currently collected by all the local Ayrshire databases in comparable format. 4 Percentages will not add up to 100 as individuals may report more than one presenting issue. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. See also supplementary information in Annex A1.1. Source: ISD Scotland (SMR24). 20

26 Scottish Drug Misuse Database A1.9 Pregnancy as a presenting issue among females 1,2 : year ending 31 March 2006 NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Information Information Pregnancy available unavailable (=100%) percentage 4 numbers Scotland by NHS board Argyll & Clyde Ayrshire & Arran Borders 17 z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney - z z Shetland - z z Tayside Western Isles - z z Services & treatment by council area Aberdeen City Aberdeenshire Angus 17 z z Argyll & Bute 14 z z Ayrshire East Ayrshire North Ayrshire South Borders 17 z z Clackmannanshire 5 z z Dumfries & Galloway Dunbartonshire East 13 z z Dunbartonshire West Dundee City Edinburgh City Eilean Siar - z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East 12 z z Lothian West Midlothian Moray 7 z z Orkney - z z Perth & Kinross - z z Renfrewshire Renfrewshire East 32 z z Shetland - z z Stirling 11 z z 1 All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Information on presenting issue(s) is not currently collected by all the local Ayrshire databases in comparable format. 4 Percentages will not add up to 100 as individuals may report more than one presenting issue. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised on interpreting differences in percentages across years due to small numbers. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 21

27 Scottish Drug Misuse Database Services & treatment A1.10 Seeking prescription 1,2 : 2001/ /06 percentage 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z - z z z Shetland Tayside Western Isles z z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z - z z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Information on seeking prescription is not currently collected by all the local Ayrshire database. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number seeking a prescriptions < 5. Caution is advised on interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1. Source: ISD Scotland (SMR24). 22

28 Scottish Drug Misuse Database 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 numbers Seeking prescription 1,2 : 2001/ /06 A Scotland 3 by NHS board Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles continued Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling 23

29 Scottish Drug Misuse Database Services & treatment A1.11 All illicit drugs 1,2,3,4 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS New individual Individuals Opiates Benzodiazepines patients/clients reporting illicit drug use 5 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam Temaz- Other done codeine none orphine Opiates epam Benzodiazepines numbers Scotland by NHS board number of individuals reporting using each drug of misuse; NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney 5 5 z z - Shetland z Tayside Western Isles z - - z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z - - z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney 5 5 z z - Perth & Kinross Renfrewshire Renfrewshire East Shetland z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 The total drugs reported is greater than the number of new individuals reporting illicit drug use because individuals may have reported use of more than one drug. 4 An illicit drug is any drug that has not been prescribed for the user. This includes illegal drugs, volatile substances, inappropriate use of over the counter medicines and alcohol 5 At least one drug has been reported in the illicit drug profile. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of clients using a specified drug <5. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 24

30 Scottish Drug Misuse Database Other drug types All illicit drugs 1,2,3,4 : year ending 31 March 2006 A1.11 Other Amphet- Cocaine Crack Ecstasy Hallucin- Cannabis Solvents Alcohol Other Sedatives amines Cocaine ogens Drugs Scotland by NHS board continued Services & treatment Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian - z - - z - z - z - Orkney z 7 z 27 z 14 z Shetland Tayside z z z Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City z z z Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray - z - - z - z - z - Orkney Perth & Kinross Renfrewshire Renfrewshire East z 7 z 27 z 14 z Shetland Stirling 25

31 Scottish Drug Misuse Database Services & treatment A1.12 All illicit drugs 1,2,3 : 2001/ /06 percentage of individuals using each drug of misuse by age group NEW INDIVIDUAL PATIENTS/CLIENTS Individuals Opiates Benzodiazepines reporting illicit drug use 4 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam Temaz- Other done codeine none orphine Opiates epam Benzodiazepines percentage All ages 2001/02 r /03 r /04 r /05 r / Under 15 years 2001/02 r /03 r /04 r /05 r / years 2001/02 r /03 r /04 r /05 r / years 2001/02 r /03 r /04 r /05 r / years 2001/02 r /03 r /04 r /05 r / years 2001/02 r /03 r /04 r /05 r / years 2001/02 r /03 r /04 r /05 r / years and over 2001/02 r /03 r /04 r /05 r / All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 The total drugs reported is greater than the number of new individual patients/clients because individuals may have reported use of more than one drug. Therefore percentages may add up to more than 100%. 3 An illicit drug is any drug that has not been prescribed for the user. This includes illegal drugs, volatile substances, inappropriate use of over the counter medicines and alcohol. 4 At least one drug has been reported in the illicit drug profile. (zero); 0 (>0.0 & <0.5) r Revised. See also supplementary information in Annex A1.1. Source: ISD Scotland (SMR24). 26

32 Scottish Drug Misuse Database Other drug types All illicit drugs 1,2,3 : 2001/ /06 A1.12 Other Amphet- Cocaine Crack Ecstasy Hallucin- Cannabis Solvents Alcohol Other Sedatives amines Cocaine ogens Drugs All ages /02 r /03 r /04 r /05 r /06 continued Services & treatment Under 15 years /02 r /03 r /04 r /05 r / years /02 r /03 r /04 r /05 r / years /02 r /03 r /04 r /05 r / years /02 r /03 r /04 r /05 r / years /02 r /03 r /04 r /05 r / years /02 r /03 r /04 r /05 r /06 40 years and over /02 r /03 r /04 r /05 r /06 27

33 Scottish Drug Misuse Database Services & treatment A1.13 Main illicit drug 1,2,3 : year ending 31 March 2006 New individual Individuals Opiates Benzodiazepines patients/clients reporting illicit drug use 4 Heroin Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam Temaz- Other done codeine none orphine Opiates epam Benzodiazepines numbers Scotland by NHS board number of individuals reporting using each drug as a main drug of misuse; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney 5 5 z z - Shetland Tayside Western Isles z - - z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z - - z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney 5 5 z z - Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 An illicit drug is any drug that has not been prescribed for the user. This includes illegal drugs, volatile substances, inappropriate use of over the counter medicines and alcohol. 4 At least one drug has been reported in the illicit drug profile. 5 From April 2001, alcohol can be reported as the main drug if a) other illicit drugs are recorded or b) prescribed drugs relating to the individuals previous illicit drug use are recorded within the prescription profile. (zero); 0 )>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of clients using a specified drug < 5. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 28

34 Scottish Drug Misuse Database Other drug types Main illicit drug 1,2,3 : year ending 31 March 2006 A1.13 Other Amphet- Cocaine Crack Ecstasy Hallucin- Cannabis Solvents Alcohol 5 Other Sedatives amines Cocaine ogens Drugs Scotland by NHS board continued Services & treatment Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian z Orkney z z z - Shetland Tayside z z - - z z - Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City z z - - z z - Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray z Orkney Perth & Kinross Renfrewshire Renfrewshire East z z z - Shetland Stirling 29

35 Scottish Drug Misuse Database Services & treatment A1.14 Reports of heroin use 1,2 : 2001/ /06 NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r percentage Individuals reporting illicit drug use 3 (=100%) Scotland by NHS board percentage of individuals reporting use of heroin; NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z - z z Shetland Tayside Western Isles z z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z - z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 At least one drug has been reported in the illicit drug profile. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number reporting heroin use <5. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 30

36 Scottish Drug Misuse Database A1.15 Reports of heroin use 1,2, people under the age of 25: 2001/ /06 NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r percentage Individuals reporting illicit drug use 3 (=100%) Scotland by NHS board percentage of individuals reporting use of heroin; NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z 8 z z Shetland z z 18 Tayside Western Isles z z z z z z 8 z 10 6 Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z 63 z z z z 8 z 10 6 Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z 8 z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z 18 Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 At least one drug has been reported in the illicit drug profile. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of under 25ʼs reporting illicit drug use is <5. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 31

37 Scottish Drug Misuse Database Services & treatment A1.16 Drugs used in combination with heroin when heroin is the main drug of misuse 1,2,3 : year ending 31 March 2006 Individuals Opiates Benzodiazepines New individual reporting patients/clients heroin as a Morphine Metha- Dihydro- Dipipa- Bupren- Other Diazepam Temaz- Other main drug done codeine none orphine Opiates epam Benzodiazepines numbers percentage Scotland by NHS board number of individuals reporting using each drug of misuse; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney 5 z Shetland Tayside Western Isles 18 z z - - by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar 18 z z - - Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney 5 z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 An illicit drug is any drug that has not been prescribed for the user. This includes illegal drugs, volatile substances, inappropriate use of over the counter medicines and alcohol. 4 Individuals may report more than one 'other' drug. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of clients reporting heroin as main drug/using a specified drug < 5. Caution is advised in interpreting differences in percentages across years due to small numbers. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 32

38 Scottish Drug Misuse Database Other drug types Drugs used in combination with heroin when heroin is the main drug of misuse 1,2,3 : year ending 31 March 2006 Other Amphet- Cocaine Crack Ecstasy Hallucin- Cannabis Solvents Alcohol Other Sedatives amines Cocaine ogens Drugs Scotland by NHS board A1.16 continued Services & treatment Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian - z - - z - z - z - Orkney Shetland Tayside - - z - z - z Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City - - z - z - z Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray - z - - z - z - z - Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling 33

39 Scottish Drug Misuse Database Services & treatment A1.17 All prescribed drugs 1,2,3 : year ending 31 March 2006 New individual Individuals patients/clients reporting prescribed Metha- Dihydro- Other Diazepam Temaz- Nitraz- Other Other Other drug use 4 done codeine Opiates epam epam Benzo- Zopiclone Sedatives Drugs diazepines numbers Scotland by NHS board number of individuals reporting prescribed use of each drug; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney 5 z z Shetland z - z z - z z z z 8 Tayside Western Isles z 7 - z z - - z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire z z z z Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z 7 - z z - - z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray z z 9 - z z z - z Orkney 5 z z Perth & Kinross Renfrewshire Renfrewshire East z z Shetland z - z z - z z z z 8 Stirling z z 7 - z z z z 8 1 All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 The total drugs reported is greater than the number of new individual patients/clients because individuals may have reported use of more than one drug. 3 A prescribed drug is defined as 'any drug which is prescribed for the treatment of drug misuse or dependence'. 4 At least one drug has been reported in the prescribed drug profile. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of clients reporting prescribed drug use / using a specified drug < 5. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 34

40 Scottish Drug Misuse Database A1.18 Main prescribed drug 1,2 : year ending 31 March 2006 New individual Individuals patients/clients reporting prescribed Metha- Dihydro- Other Diazepam Temaz- Nitraz- Other Other Other drug use 3 done codeine Opiates epam epam Benzo- Zopiclone Sedatives Drugs diazepines numbers Scotland by NHS board number of individuals reporting using each drug as main prescribed drug; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Services & treatment Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney 5 z z Shetland z - z z - z z Tayside Western Isles z z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire z z z z Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray z z z - - z z - z Orkney 5 z z Perth & Kinross Renfrewshire Renfrewshire East z Shetland z - z z - z z Stirling z z z z All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 A prescribed drug is defined as 'any drug which is prescribed for the treatment of drug misuse or dependence'. 3 At least one drug has been reported in the prescribed drug profile. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients < 40 and the number of clients reporting prescribed drug use / using a specified drug < 5. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 35

41 Scottish Drug Misuse Database Services & treatment A1.19 Age when first started using illicit drugs 1,2,3 : year ending 31 March 2006 Under years Information Information 15 years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes illicit drugs, volatile substances, inappropriate use of over the counter medicines. Excludes alcohol and tobacco. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 36

42 Scottish Drug Misuse Database A1.20 Age at onset of problem drug use 1,2 : year ending 31 March 2006 Under years Information Information 15 years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24) 37

43 Scottish Drug Misuse Database Services & treatment A1.21 Age when help first sought 1,2,3 : year ending 31 March 2006 Under years Information Information 15 years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes professional help/advice for their drug misuse problem. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 38

44 Scottish Drug Misuse Database A1.22 Time 1,2 from first used illicit drugs 3 until onset of problem drug use: year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Less than years Information Information 1 year years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes illicit drugs, volatile substances, inappropriate use of over the counter medicines. Excludes alcohol and tobacco. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 39

45 Scottish Drug Misuse Database Services & treatment A1.23 Time 1,2 from first used illicit drugs 3 until help was first sought 4 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Less than years Information Information 1 year years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes illicit drugs, volatile substances, inappropriate use of over the counter medicines. Excludes alcohol and tobacco. 4 Includes professional help/advice for their drug misuse problem. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 40

46 Scottish Drug Misuse Database A1.24 Time 1,2 from onset of problem drug use until help was first sought 3 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Less than years Information Information 1 year years years years years years years and over available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes professional help/advice for their drug misuse problem. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 41

47 Scottish Drug Misuse Database Services & treatment A1.25 Injecting 1,2 : year ending 31 March 2006 Injected in Injected in Has never Information Information previous month past- but not in injected available unavailable previous month (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5). Due to rounding percentages may not add up to 100%. z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 42

48 Scottish Drug Misuse Database A1.26 Current injecting 1,2 : 2001/ / /02 r 2002/03 r 2003/04 r 2004/05 r 2005/ /02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 Information available (=100%) percentage numbers Scotland by NHS board percentage of individuals reporting injecting in the past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z z z z Shetland z z z z 42 Tayside Western Isles z z z z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z z z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z z z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z z z 42 Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex 1.1 Source: ISD Scotland (SMR24). 43

49 Scottish Drug Misuse Database Services & treatment A1.27 Injecting 1 : 2001/ /06 percentage of individuals by injecting status and age group NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 All ages (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected Under 20 (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected years (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected years (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected years (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected years (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected years and over (Total) Information available (=100%) percentage Injecting in previous month Injected in past - but not in previous month Has never injected All figures in this table exclude penal establishment inmates and information received from needle exchanges. r Revised. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 44

50 Scottish Drug Misuse Database A1.28 Age when first injected 1,2 : year ending 31 March 2006 Under years Information Information Median 15 years years years years years years and over available unavailable age Youngest Oldest (=100%) percentage numbers Scotland by NHS board individuals reported to have injected in past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute z z Ayrshire East Ayrshire North Ayrshire South Borders z z Clackmannanshire Dumfries & Galloway Dunbartonshire East z z Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East z z Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 45

51 Scottish Drug Misuse Database Services & treatment A1.29 Age when first injected 1 : 2001/ /06 percentage of individuals reported to have injected in past month by age first injected NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 New individual patients/clients Information available (=100%) percentage Under 15 years years years years years years years and over Median age All figures in this table exclude penal establishment inmates and information received from needle exchanges. r Revised. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 46

52 Scottish Drug Misuse Database A1.30 Route of use of heroin 1,2 : year ending 31 March 2006 Inject 3 and Information Information Inject 3 only other route No injecting available unavailable (=100%) percentage numbers Scotland by NHS board percentage of individuals reporting use of heroin by route of use; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes intra-venous, intra-muscular and skin popping. (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 47

53 Scottish Drug Misuse Database Services & treatment A1.31 Injecting heroin use 1,2,3 : 2001/ / /02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r percentage Information available (=100%) numbers Scotland by NHS board percentage of individuals reporting use of heroin by injecting; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z - z z Shetland z z z z z Tayside Western Isles z z z z z by council area Aberdeen City Aberdeenshire Angus z z Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders z Clackmannanshire z z Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z z z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z - z z Perth & Kinross Renfrewshire Renfrewshire East z 47 Shetland z z z z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Includes cases with any mention of injecting reported. (zero); 9 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 48

54 Scottish Drug Misuse Database A1.32 Route of use of heroin 1 : 2001/ /06 percentage of individuals reporting use of heroin by route of use NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 All Ages (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting Services & treatment Under 20 (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting years (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting years (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting years (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting years (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting years and over (Total) Information available (=100%) percentage Inject 2 only Inject 2 and other route No injecting All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Includes intra-venous, intra-muscular and skin popping. r Revised. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 49

55 Scottish Drug Misuse Database Services & treatment A1.33 Sharing needles/syringes 1,2 : year ending 31 March 2006 Shared in Shared in Has never Information Information previous month past- but not in shared available unavailable previous month (=100%) percentage numbers Scotland by NHS board individuals reported to have injected in the past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Okrney z z Shetland z z Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute z z Ayrshire East Ayrshire North Ayrshire South Borders z z Clackmannanshire z z Dumfries & Galloway Dunbartonshire East z z Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z Lothian West Midlothian Moray z z Okrney z z Perth & Kinross z z Renfrewshire Renfrewshire East z z Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 50

56 Scottish Drug Misuse Database A1.34 Current sharing of needles/syringes 1,2 : 2001/ / /02 r 2002/03 r 2003/04 r 2004/05 r 2005/ /02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 Information available (=100%) percentage numbers Scotland by NHS board individuals reported to have injected in the past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders z z z z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland z z z z z Tayside Western Isles z Services & treatment by council area Aberdeen City Aberdeenshire Angus z z z z 55 Argyll & Bute z z z z z Ayrshire East Ayrshire North Ayrshire South Borders z z z z z Clackmannanshire z z z z z Dumfries & Galloway Dunbartonshire East z z z z z Dunbartonshire West Dundee City z z Edinburgh City Eilean Siar z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z z z z Lothian West z Midlothian z Moray z z z z z Orkney Perth & Kinross z z z z z Renfrewshire Renfrewshire East z z z z z Shetland z z z z z Stirling z z z z 56 1 All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 51

57 Scottish Drug Misuse Database Services & treatment A1.35 Sharing needles/syringes 1 : 2001/ /06 individuals reported to have injected in the past month by sharing status and age group NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 All ages (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared Under 20 (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years and over (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared All figures in this table exclude penal establishment inmates and information received from needle exchanges. r Revised. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 52

58 Scottish Drug Misuse Database A1.36 Sharing spoons/water/filters/solutions 1,2 : year ending 31 March 2006 Shared in Shared in Has never Information Information previous month past- but not in shared available unavailable previous month (=100%) percentage numbers Scotland by NHS board individuals reported to have injected in the past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Services & treatment Argyll & Clyde Ayrshire & Arran Borders z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute z z Ayrshire East Ayrshire North Ayrshire South Borders z z Clackmannanshire z z Dumfries & Galloway Dunbartonshire East z z Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z Lothian West Midlothian Moray z z Orkney z z Perth & Kinross z z Renfrewshire Renfrewshire East z z Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 53

59 Scottish Drug Misuse Database Services & treatment A1.37 Current sharing of spoons/water/filters/solutions 1,2,3 : 2001/ / /02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 r percentage Information available (=100%) numbers Scotland by NHS board individuals reported to have injected in the past month; NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders z z z z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland z z z z z Tayside Western Isles z by council area Aberdeen City Aberdeenshire Angus z z z z 54 Argyll & Bute z 40 z z z Ayrshire East z z z Ayrshire North Ayrshire South z z 47 Borders z z z z z Clackmannanshire z z z z z Dumfries & Galloway Dunbartonshire East z z z z z Dunbartonshire West Dundee City z z Edinburgh City Eilean Siar z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z z 41 z Lothian West z Midlothian z Moray z z z z z Orkney Perth & Kinross z z z z z Renfrewshire Renfrewshire East z z z z z Shetland z z z z z Stirling z 43 z z 60 1 All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 This question was introduced on the SMR24 form in April (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 54

60 Scottish Drug Misuse Database A1.38 Sharing spoons/water/filters/solutions 1,2 : 2001/ /06 individuals reported to have injected in the past month by sharing status and age group NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 All ages (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared Services & treatment Under 20 (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared years and over (Total) Information available (=100%) percentage Shared in previous month Shared in past (but not in previous month) Never shared All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 This question was introduced on the SMR24 form in April r Revised. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 55

61 Scottish Drug Misuse Database Services & treatment A1.39 Area injected into 1,2 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Both arms Information Information Arms only Elsewhere only and elsewhere available unavailable (=100%) percentage numbers Scotland by NHS board percentage of individuals reported to have injected in past month by area injected into; NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders z z Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland z z Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute z z Ayrshire East Ayrshire North Ayrshire South Borders z z Clackmannanshire Dumfries & Galloway Dunbartonshire East z z Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East z z Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East z z Shetland z z Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. (zero); 0 (>0.0 & <0.5). z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 56

62 Scottish Drug Misuse Database A1.40 Employment Status 1,2 : year ending 31 March 2006 Never Unemployed Unemployed Employed 3 Student Other 4 Information Information employed 1 year or longer less than 1 year available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Employed includes training. 4 Other comprises : Housewife/househusband/childcare, retired and invalid/sick. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 57

63 Scottish Drug Misuse Database Services & treatment A1.41 Employment status 1 : 2001/ /06 percentage of individuals by employment status NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 New Individual patients/clients Information available (=100%) percentage Never employed Unemployed (1 year or longer) Unemployed (less than a year) Employed Student Other All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Employment includes training. 3 Other includes: housewife/husband, retired and invalidity/sick. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 58

64 Scottish Drug Misuse Database A1.42 Living situation 1 : year ending 31 March 2006 Lives Lives with Lives with Lives with Lives with Other Lives with dependent children and: Infor- Inforalone parents spouse / spouse / other only with Parents Spouse/ Spouse/ Other mation mation partner partner persons dependent partner partner persons available unavail- & parents children & parents (=100%) able percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 59

65 Scottish Drug Misuse Database Services & treatment A1.43 Living situation 1 : 2001/ /06 percentage of individuals by living situation NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 New Individual patients/clients Information available (=100%) percentage Lives alone Lives with parents Lives with spouse / partner Lives with spouse / partner & parents Lives with other persons Other Lives with dependent children and; Lives only with dependent children with parents with spouse / partner with spouse / partner & parents with other persons All figures in this table excludes penal establishment inmates and information received from needle exchanges. - (zero); 0 (>0.0 & <0.5) r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 60

66 Scottish Drug Misuse Database A1.44 Accommodation 1,2 : year ending 31 March 2006 Temporary/ Supported Local Information Information Owned/ unstable accommodation Residential authority available unavailable rented accommodation (drug related) rehabilitation Roofless care (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 61

67 Scottish Drug Misuse Database Services & treatment A1.45 Legal situation 1,2 : year ending 31 March 2006 At liberty At liberty At liberty post Information Information None pre-adjudication post conviction and pre-adjudication Other 3 available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. 3 Other includes : childrens hearing service. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 62

68 Scottish Drug Misuse Database A1.46 Previously been in prison 1,2 : year ending 31 March 2006 NEW INDIVIDUAL PATIENTS/CLIENTS Did not wish Information Information Yes No to answer available unavailable (=100%) percentage numbers Scotland by NHS board NHS board and council area of residence Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney z z Shetland Tayside Western Isles z z Services & treatment by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar z z Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney z z Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All figures in this table exclude penal establishment inmates and information received from needle exchanges. 2 Individuals are included once within each NHS board area and council area. Therefore the sum of local area data may not equal the Scotland figure. - (zero); 0 (>0.0 & <0.5) z Not shown where the number of new clients with information available < 40. Caution is advised in interpreting differences in percentages across years due to small numbers. Due to rounding percentages may not add up to 100%. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 63

69 Scottish Drug Misuse Database Services & treatment A1.47 SMR24 Forms Received 1 : 2001/ /06 NHS board and council area of residence NEW INDIVIDUAL PATIENTS/CLIENTS 2001/02 r 2002/03 r 2003/04 r 2004/05 r 2005/06 Scotland by NHS board Argyll & Clyde Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles by council area Aberdeen City Aberdeenshire Angus Argyll & Bute Ayrshire East Ayrshire North Ayrshire South Borders Clackmannanshire Dumfries & Galloway Dunbartonshire East Dunbartonshire West Dundee City Edinburgh City Eilean Siar Falkirk Fife Glasgow City Highland Inverclyde Lanarkshire North Lanarkshire South Lothian East Lothian West Midlothian Moray Orkney Perth & Kinross Renfrewshire Renfrewshire East Shetland Stirling All forms received, includes penal establishment inmates and information received from needle exchanges. r Revised. See also supplementary information in Annex A1.1 Source: ISD Scotland (SMR24). 64

70 Scottish Drug Misuse Database Annex A1.1 Supplementary information for specific SDMD tables Table A1.7 Source of referral The source of referral provides information on the main source from whom the referral was received and gives an indication of the accessibility to services. Table A1.8 and A1.9 Presenting issue(s) Details of the significant issues which have led the person to present to the service for their drug misuse problem. Services & treatment Table A1.10 Seeking prescription The SDMD collects information on whether individuals are seeking a prescription. This includes those individuals who are attending the service with a view to obtaining a prescription regardless of whether the service can actually prescribe. Tables A1.11 to A1.16 Illicit drug profile and A1.17 to A1.18 Prescribed drug profile The SDMD collects a range of details about the particular drugs which the patients/clients have used in the past month. The previous data collection forms (SMR22 and SMR23, used prior to April 2001) included one drug profile question which gathered information on all drugs used. This included illicit drugs as well as drugs which had been prescribed for the individual s own use. In order to make a clearer distinction between illicit use and an individual s prescription, form SMR24 was designed to include two drug profile questions i.e. one collecting data on the illicit drug profile in the past month, the other collecting data on the individual s current prescription (see definitions below). Illicit drug profile The illicit drug profile collects information on: - any illegal drug - over the counter medicines used inappropriately - volatile substances use inappropriately - use of a prescribed drug which has been prescribed for someone else s use - alcohol, when its use is identified as an issue of concern Table A1.13 collects information on the main illicit drug. Main illicit drug The drug which causes the patient/client the most problems at the time of contact. This may not be the drug used most frequently or in the largest quantities. Prescribed drug profile The prescribed drug profile collects information on any drug relating to drug misuse which is currently being prescribed, including: - Drugs prescribed as substitution for opioids - Drugs prescribed to alleviate the symptoms of withdrawal - Drugs prescribed for relapse prevention - Anti-depressants and anti-psychotics which are prescribed for the symptomatic treatment of drug misuse or dependence 65

71 Scottish Drug Misuse Database Services & treatment Table A1.18 collects information on the main prescribed drug. Main prescribed drug The prescription drug relating to the treatment of the main illicit drug. This may not be the drug used most frequently or in the largest quantities. Since April 2001, alcohol can be recorded as the main illicit drug but only if there are other drugs recorded within the illicit drug profile, or a prescribed drug relating to the individual s previous illicit drug use is recorded within the prescription profile. Tables A1.19 to A1.24 Age profiles The SDMD collects information on the age of the individual at different points of their drug use: age when first used an illicit drug, age at onset of problem and age when (professional) help was sought. The time lags between these ages provides an indication of the length of time between first use, onset of problem and seeking help. Tables A1.25 to A1.38 Routes of use and sharing behaviour Due to the important health implications, information on injecting and sharing behaviour is collected by the SDMD. All patients/clients are asked whether they have ever injected and if so, whether they have done so in the past month prior to attending the service. Similar questions are asked regarding sharing needles/syringes and sharing spoons/water/filters/solutions. Prior to April 2001, less specific information was collected on `sharing injecting equipment. It is thought that prior to April 2001, the responses to the sharing injecting equipment question had generally been interpreted wrongly as equivalent to sharing needles/syringes. However caution is recommended when comparing data for 2001/02 to 2005/06 with data previously published for earlier years as it is not possible to verify that the interpretation of questions was equivalent in every case. Table A1.39 Injection sites This provides information on the risk practices associated with current injectors. Tables A1.40 to A1.46 Social information The personal circumstances of the drug user seeking treatment or advice from services can influence the individual s motivation for seeking help and the extent to which the service can contribute to a change in drug taking behaviour. Information on employment status, current living arrangements and accommodation and the individual s current legal status are each potentially relevant factors and are collected by the SDMD. Table A1.47 SMR24 Forms received All other tables present information on new individual patients/clients. It is, however, possible that many of these individuals may have entered more than one service and could therefore be included several times on the SDMD. This section presents information on all attendances reported by contributing services i.e. all valid forms received. 66

72 Scottish Drug Misuse Database Annex A1.2 Statistical definitions Median The median is the value above and below which half the cases fall, i.e. the 50th percentile, if the cases are sorted in ascending order. If there is an even number of cases, the median is the average of the two middle cases. The median is a measure of central tendency not sensitive to outlying values unlike the mean, which can be affected by a few extremely high or low values. Percentage increases The number of returns to the SDMD varies between years, both in terms of the total number of individuals and number of valid returns for specific data items. This results in a situation whereby the percentage of clients who report a particular activity or characteristic can rise, whilst the count of individuals within the category falls. Services & treatment European Age Standardised Rate Comparison of numbers of new individuals attending services may be misleading and, as such, a common adjustment made is for the effect of age. An age standardised rate is the incidence in the population that, theoretically, would be observed if the population had the same age structure as a standard population. This technique facilitates the comparison of attendance rates from different populations. In the Scottish Drug Misuse Database tables, the standard population used was the European Standard Population. Confidence Interval The 95% confidence interval of a rate shows the range of values within which we are 95% certain that the rate would lie if we had an infinitely sized population, and were basing the directly age-standardised rate upon that. For example, we are 95% confident that the rate lies between 166 and 219 per population in the rate below, based on the data available. Rate = 193 (166,219) Further information For detail on statistical methods used in the analysis of the Scottish Drug Misuse Database contact substancemisuse@isd.csa.scot.nhs.uk. 67

73 Scottish Drug Misuse Database Services & treatment Annex A1.3 SMR24 Form 68