To ask the Scottish Government what steps it is taking to encourage the (a) retention and (b) expansion of harm reduction services across the country.
The following paragraphs cover harm reduction in: problem alcohol and drug use; needle exchange; mental health and domestic abuse.
Problem Alcohol and Drug Use:
The national drugs strategy, The Road to Recovery, and the alcohol framework Changing Scotland’s Relationship with Alcohol aim to ensure that those who need support and treatment for their drug or alcohol problem, get it.
Access to specialist treatment for alcohol and drugs has greatly improved with the introduction of the HEAT target for waiting times, over 90% of clients will wait no longer than three weeks from referral received to appropriate drug or alcohol treatment that supports their recovery.
The provision of prevention activity, recovery focussed treatment and support services, is for each local area to consider, taking account of local needs, circumstances and resources. Responsibility is devolved to Alcohol and Drug Partnerships to commission (informed by robust needs assessment) evidence-based, person-centred and recovery-focused prevention and treatment services to meet the needs of their resident populations.
We have made a record investment of £237 million to tackle alcohol misuse since 2008, the bulk of the funding (£211 million) being invested in local prevention, treatment and support services. and £38.6 million in 2013-14.
We have also invested record amounts in frontline drug treatment and support services to help people recover, £30.3 million in 2013-14, an increase of more than 20 per cent since 2006-07.
We continue to work with national and local organisations to ensure that interventions are in place at every possible stage to tackle problem drug and alcohol use in Scotland.
We have introduced a national take home naloxone programme which can temporarily reverse the effects of opioid overdose. Naloxone is an important intervention, within a range of available treatment and support, which can help to reduce harm, support people towards recovery and save lives. 3,445 life-saving naloxone kits were provided to people, at risk of opioid overdose, in the community and on release from prison (2011-12).
Needle Exchange:
The Scottish Government has a longstanding commitment to increase the quantity and quality of injecting equipment provided to injecting drug users.
The provision of syringes is a public health priority particularly when the cost of providing injecting equipment is highly cost effective when compared against the treatment costs of hepatitis C and/or HIV infection.
Under the Sexual Health and Blood Borne Virus Framework the government continues to provide almost £27 mililon a year to NHS boards which includes funding specifically for prevention services and injecting equipment provision.
Mental Health:
The Mental Health Strategy for Scotland 2012-15 recognises the importance of tackling the distress which underlies “a group of disorders, illnesses and behaviours which present particular challenges to services and to families”, including self-harm.
We have recently completed a public engagement process on developing a new strategy on suicide prevention and reducing self-harm. The results of this are currently being analysed to inform the development of a new strategy on suicide prevention due for publication in the autumn.
Consideration is being given to continuing work in relation to Responding to Self-Harm in Scotland: Final Report – Mapping out the Next Stage of Activity in Developing Services and Health Improvement Approaches and to improving our knowledge about identifying suicidal self-harm and how best to intervene and deliver better outcomes for people at this level of distress.
Domestic Abuse:
The Scottish Government continues to work with key partners including COSLA, Association of Chief Police Officers in Scotland and voluntary organisations to tackle domestic abuse and to reduce harm
We have allocated £34.5 million funding over the next three years to tackle violence against women, including domestic abuse.
This funding demonstrates strong commitment to this area at a time of unprecedented financial constraint. It enables us to support a wide variety of projects and organisations, like Scottish Women’s Aid, which focus on supporting victims.
The Caledonian System (£3.5 million), which works with perpetrators to change behaviours, reduce reoffending and to improve the lives of women and children. Domestic Abuse Court Advocacy Service (£3.15 million) which supports the victims of domestic abuse who are taking cases through the specialist domestic court in Glasgow
Training for up to 300 domestic abuse advocates (£180k) providing specialist case work for high risk victims. This will ensure that specialist court provision and multi-agency risk assessment conferences across Scotland will have a consistent, trained, accredited advocacy service available (£180k 2012-15)
The Domestic Abuse Court Advocacy Service supports the victims of domestic.
The Scottish Government, in collaboration with COSLA, is producing a more comprehensive blueprint for reducing, and ultimately ending, violence against women, including domestic abuse as opposed to a simple refresh of Safer Lives Changed Lives which was published in 2009.
This is because developments such as, the creation of a single police force for Scotland and the re-establishment of the cross government strategy group on Violence Against Women (VAW) all present unparalleled opportunities for embedding, and mainstreaming, work to tackle VAW into a wide range of areas. It is anticipated that the document will be published for consultation by the end of 2013.