Key Issues for theAlcohol Treatment Practitioner

Eric ApplebyAlcohol Concern

June 2013

Key issues

• Thinking• Drinking• Linking systems

New Landscape

• Public health transfer• CCGs• PHE• Alcohol/Drugs • Aggressive/subtle alcohol industry

The figures• 8,700 deaths• 1.2m hospital admissions• 117% increase in under 30 liver admissions• 150% increase in over 60s mental health

admissions• 90,000 drink drive convictions• 3.4m children live with heavy drinking parents• 1 in 16 of those in need are in services

Local authority landscape

• Licensing• Children & Families• Elderly care• Youth services• Environment• Workforce• Third sector• Private sector

Back to the Future?

• Councils on AlcoholAll aspectsLocal relationship with alcoholImpact?• Overtaken by Health promotion Contracts Purchaser/provider/commissioners

Now….

• Quality • Evidence (NICE)• New treatment settings/styles• New technology• GAS

WHAT!!?

WHAT!!?

Population approach

Widening scope

• JSNA Audit• Impact of transfer on services• IBA– and other conditions– in non-medical settings

• Training professionals• Care pathways• Linking services

Widening understanding

• ‘Hard to engage’ clients• Young people’s voices• Middle aged, middle class• Workplace• New alliances

Conversations

• Guide for Councillors• AAW• Dry January

Key issues

• Have real conversations• Put your work in context• Highlight the continuum• Challenge the industry• Challenge easy myths and assumptions• Quote the figures